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https://www.readbyqxmd.com/read/28928156/clinician-perceptions-of-an-early-warning-system-on-patient-safety
#1
Aisha de Vries, Jos M T Draaisma, Joris Fuijkschot
BACKGROUND AND OBJECTIVES: The Pediatric Early Warning Score (PEWS) aims to improve early recognition of clinical deterioration and is widely used despite lacking evidence of effects on outcome measures such as hospital mortality. In this qualitative study, we aimed to study effects of both PEWS and the locally designed risk stratification system by focusing on professionals' perception of their performance. We also sought to gain insight into the perceived effects of PEWS and the risk stratification system on patient safety and to unravel the underlying mechanisms...
September 19, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28927983/the-digital-divide-in-adoption-and-use-of-mobile-health-technology-among-caregivers-of-pediatric-surgery-patients
#2
Emma C Hamilton, Faiez Saiyed, Charles C Miller, Arturo Eguia, Alexandra C Fonseca, George P Baum, KuoJen Tsao, Mary T Austin
PURPOSE: The purpose of this study was to identify mobile Health (mHealth) technology utilization among caregivers of pediatric surgery patients. METHODS: We provided a modified version of the 2012 mobile health survey from the Pew Research Center to English and Spanish-speaking caregivers of children aged <18years presenting to pediatric surgical outpatient clinics from June to July of 2016. RESULTS: A total of 171 caregivers completed the survey and included 57 (34%) whites, 30 (18%) blacks, 75 (44%) Hispanics, and 6 (4%) other races...
September 1, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28910791/inflammation-and-protein-energy-wasting-in-the-uremic-milieu
#3
Magdalena Jankowska, Gabriela Cobo, Bengt Lindholm, Peter Stenvinkel
Inflammation is normally a protective and physiological response to harmful stimuli, but typically becomes an uncontrolled, maladaptive, and persistent process in patients with end-stage renal disease (ESRD). Through a deleterious cascade of poorly controlled reactions mediated by biologically active molecules (also called middle molecular weight uremia retention solutes), inflammation associates with a range of complications including cardiovascular disease and protein-energy wasting (PEW). Persistent inflammation, which is central to the conceptual etiological models of PEW and the malnutrition, inflammation, and atherosclerosis syndrome, induces and reignites processes leading to PEW in a number of ways including stimulation of both direct and indirect mechanisms of muscle proteolysis...
2017: Contributions to Nephrology
https://www.readbyqxmd.com/read/28881451/validation-of-a-pediatric-early-warning-system-for-hospitalized-pediatric-oncology-patients-in-a-resource-limited-setting
#4
Asya Agulnik, Alejandra Méndez Aceituno, Lupe Nataly Mora Robles, Peter W Forbes, Dora Judith Soberanis Vasquez, Ricardo Mack, Federico Antillon-Klussmann, Monica Kleinman, Carlos Rodriguez-Galindo
BACKGROUND: Pediatric oncology patients are at high risk of clinical deterioration, particularly in hospitals with resource limitations. The performance of pediatric early warning systems (PEWS) to identify deterioration has not been assessed in these settings. This study evaluates the validity of PEWS to predict the need for unplanned transfer to the pediatric intensive care unit (PICU) among pediatric oncology patients in a resource-limited hospital. METHODS: A retrospective case-control study comparing the highest documented and corrected PEWS score before unplanned PICU transfer in pediatric oncology patients (129 cases) with matched controls (those not requiring PICU care) was performed...
September 7, 2017: Cancer
https://www.readbyqxmd.com/read/28844551/safety-and-efficacy-of-high-dose-enteral-intravenous-and-transdermal-clonidine-for-the-acute-management-of-severe-intractable-childhood-dystonia-and-status-dystonicus-an-illustrative-case-series
#5
V Nakou, K Williamson, T Arichi, D E Lumsden, Steve Tomlin, M Kaminska, J-P Lin
OBJECTIVE: Acute dystonia in children is distressing, painful and can progress to life-threatening status dystonicus. Typical management involves benzodiazepines which can result in respiratory depression requiring PICU admission. Clonidine is less respiratory-depressant, and by facilitating sleep, switches dystonia off. It can also be administered via enteral, continuous intravenous infusion, and transdermal slow release routes. We describe the dose range and safety profile of clonidine management in a case-series of children with severe acute exacerbation of dystonia in a tertiary hospital setting...
July 28, 2017: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/28840197/associations-of-protein-energy-wasting-syndrome-criteria-with-body-composition-and-mortality-in-the-general-and-moderate-chronic-kidney-disease-populations-in-the-united-states
#6
Srinivasan Beddhu, Xiaorui Chen, Guo Wei, Dominic Raj, Kalani L Raphael, Robert Boucher, Michel B Chonchol, Maureen A Murtaugh, Tom Greene
INTRODUCTION: It is unknown whether the criteria used to define Protein-energy wasting (PEW) syndrome in dialysis patients reflect protein or energy wasting in the general and moderate CKD populations. METHODS: In 11,834 participants in the 1999-2004 National Health and Nutrition Examination Survey, individual PEW syndrome criteria and the number of PEW syndrome categories were related to lean body and fat masses (measured by dual-energy absorptiometry) using linear regression in the entire cohort and CKD sub-population...
May 2017: KI Reports
https://www.readbyqxmd.com/read/28807513/second-generation-prototype-of-a-variable-stiffness-transverse-plane-adapter-for-a-lower-limb-prosthesis
#7
Corey Pew, Glenn K Klute
The prescription and fitting of a traditional lower limb prosthesis often focuses on straight walking, neglecting maneuvers such as turning and pivoting that require flexibility in the transverse plane. Current devices that allow transverse plane movement only offer a fixed stiffness and are incapable of adapting to varying daily activities. Pilot testing of a first-generation variable stiffness torsion adapter (VSTA I) showed a benefit for individuals with lower limb amputation by reducing peak transverse plane moments at the residual limb which could lead to increased comfort, but testing was limited due to excessive device height and mass...
August 11, 2017: Medical Engineering & Physics
https://www.readbyqxmd.com/read/28763311/inter-rater-reliability-of-two-paediatric-early-warning-score-tools
#8
Claus S Jensen, Hanne Aagaard, Hanne V Olesen, Hans Kirkegaard
BACKGROUND: Paediatric early warning score (PEWS) assessment tools can assist healthcare providers in the timely detection and recognition of subtle patient condition changes signalling clinical deterioration. However, PEWS tools instrument data are only as reliable and accurate as the caregivers who obtain and document the parameters. OBJECTIVE: The aim of this study is to evaluate inter-rater reliability among nurses using PEWS systems. DESIGN: The study was carried out in five paediatrics departments in the Central Denmark Region...
July 31, 2017: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/28762646/predicting-unplanned-readmissions-to-a-pediatric-cardiac-intensive-care-unit-using-predischarge-pediatric-early-warning-scores
#9
Ashley R Kroeger, Jacqueline Morrison, Andrew H Smith
OBJECTIVE: Unplanned readmission to the pediatric cardiac intensive care unit (CICU) is associated with significant morbidity and mortality. The Pediatric Early Warning Score (PEWS) predicts ward patients at risk for decompensation but has not been previously reported to identify at-risk patients with cardiac disease prior to ward transfer. This study aimed to determine whether PEWS prior to transfer may serve as a predictor of unplanned readmission to the CICU. DESIGN: All patients discharged from a tertiary children's hospital CICU from September 2012 through August 2015 were included for analysis...
August 1, 2017: Congenital Heart Disease
https://www.readbyqxmd.com/read/28755901/protein-energy-wasting-syndrome-in-advanced-chronic-kidney-disease-prevalence-and-specific-clinical-characteristics
#10
Almudena Pérez-Torres, M Elena González Garcia, Belén San José-Valiente, M Auxiliadora Bajo Rubio, Olga Celadilla Diez, Ana M López-Sobaler, Rafael Selgas
INTRODUCTION: Protein-energy wasting (PEW) is associated with increased mortality and differs depending on the chronic kidney disease (CKD) stage and the dialysis technique. The prevalence in non-dialysis patients is understudied and ranges from 0 to 40.8%. OBJECTIVE: To evaluate the nutritional status of a group of Spanish advanced CKD patients by PEW criteria and subjective global assessment (SGA). PATIENTS AND METHODS: Cross-sectional study of 186 patients (101 men) with a mean age of 66...
July 26, 2017: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
https://www.readbyqxmd.com/read/28749360/multi-hypergraph-learning-for-incomplete-multi-modality-data
#11
Mingxia Liu, Yue Gao, Pew-Thian Yap, Dinggang Shen
Multi-modality data convey complementary information that can be used to improve the accuracy of prediction models in disease diagnosis. However, effectively integrating multi-modality data remains a challenging problem especially when the data are incomplete. For instance, more than half of the subjects in the Alzheimer's Disease Neuroimaging Initiative (ADNI) database have no fluorodeoxyglucose positron emission tomography (FDG-PET) and cerebrospinal fluid (CSF) data. Currently, there are two commonly-used strategies to handle the problem of incomplete data: 1) discard samples having missing features, and 2) impute those missing values via specific techniques...
July 26, 2017: IEEE Journal of Biomedical and Health Informatics
https://www.readbyqxmd.com/read/28731598/comparison-of-malnutrition-inflammation-score-anthropometry-and-biochemical-parameters-in-assessing-the-difference-in-protein-energy-wasting-between-normal-weight-and-obese-patients-undergoing-haemodialysis
#12
Elham Alipoor, Mohammad Javad Hosseinzadeh-Attar, Mitra Mahdavi-Mazdeh, Mehdi Yaseri, Narges S Zahed
AIM: Protein-energy wasting (PEW) is prevalent in haemodialysis. Obesity is an independent risk factor of kidney insufficiency, but it is proposed to have beneficial roles in better outcomes in the final stage of disease. Better nutritional status and body reserves are among probable mechanisms, but direct examinations are limited. The present study aimed to investigate whether obese patients have preferable nutritional status compared to normal weight patients based on malnutrition inflammation score (MIS) and other PEW parameters in haemodialysis...
July 2017: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/28729016/learning-based-structurally-guided-construction-of-resting-state-functional-correlation-tensors
#13
Lichi Zhang, Han Zhang, Xiaobo Chen, Qian Wang, Pew-Thian Yap, Dinggang Shen
Functional magnetic resonance imaging (fMRI) measures changes in blood-oxygenation-level-dependent (BOLD) signals to detect brain activities. It has been recently reported that the spatial correlation patterns of resting-state BOLD signals in the white matter (WM) also give WM information often measured by diffusion tensor imaging (DTI). These correlation patterns can be captured using functional correlation tensor (FCT), which is analogous to the diffusion tensor (DT) obtained from DTI. In this paper, we propose a noise-robust FCT method aiming at further improving its quality, and making it eligible for further neuroscience study...
July 17, 2017: Magnetic Resonance Imaging
https://www.readbyqxmd.com/read/28702210/successful-weight-loss-maintainers-use-health-tracking-smartphone-applications-more-than-a-nationally-representative-sample-comparison-of-the-national-weight-control-registry-to-pew-tracking-for-health
#14
C M Goldstein, J G Thomas, R R Wing, D S Bond
OBJECTIVE: The objective of this paper is to evaluate successful weight loss maintainers' use of self-monitoring technology. METHODS: National Weight Control Registry (NWCR) participants, who maintained a ≥13.6 kg weight loss for ≥1 year, completed an online survey about self-monitoring technology use. The NWCR sample (n = 794) was compared with a demographically similar subsample of 833 individuals answering the same questions in the Pew Tracking for Health Survey...
June 2017: Obesity Science & Practice
https://www.readbyqxmd.com/read/28699849/protein-energy-wasting-significantly-increases-healthcare-utilization-and-costs-among-patients-with-chronic-kidney-disease-a-propensity-score-matched-cohort-study
#15
Chia-Ter Chao, Chao-Hsiun Tang, Rhoda Wen-Yi Cheng, Michael Yao-Hsien Wang, Kuan-Yu Hung
BACKGROUND: Disease-related malnutrition is highly prevalent, and has prognostic implications for patients with chronic kidney disease (CKD); however, few studies have investigated the impact of malnutrition, or protein-energy wasting (PEW), on healthcare utilization and medical expenditure among CKD patients. METHODS: Using claim data from the National Health Insurance in Taiwan, this study identified patients with CKD between 2009-2013 and categorized them into those with mild, moderate, or severe CKD...
July 31, 2017: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/28696860/-si-dios-quiere-fatalismo-and-use-of-mental-health-services-among-latinos-with-a-history-of-depression
#16
Robert Rosales, Rocío Calvo
Latinos are less likely to seek professional mental health care than other groups in the United States. While fatalismo has long been hypothesized to be responsible for this behavior, there is little evidence on this assumption. Using an adapted version of the Behavioral Model of Health Service Use (BMHSU), and a nationally representative sample, this study examined the association between fatalismo and mental health service use among Latinos with a history of depression. Participants (n = 703) were drawn from the 2007 Pew Hispanic Healthcare survey...
July 11, 2017: Social Work in Health Care
https://www.readbyqxmd.com/read/28678699/turn-intent-detection-for-control-of-a-lower-limb-prosthesis
#17
Corey Pew, Glenn Klute
OBJECTIVE: An adaptable lower limb prosthesis with variable stiffness in the transverse plane requires a control method to effect changes in real time during amputee turning. This study aimed to identify classification algorithms that can accurately predict turning using inertial measurement unit (IMU) signals from the shank with adequate time to enact a change in stiffness during the swing phase of gait when the prosthesis is unloaded. METHODS: To identify if a turning step is imminent, classification models were developed around activities of daily living including 90? spin turns, 90? step turns, 180? turns, and straight walking using simulated IMU data from the prosthesis shank...
June 28, 2017: IEEE Transactions on Bio-medical Engineering
https://www.readbyqxmd.com/read/28670946/fear-of-immigration-enforcement-among-older-latino-immigrants-in-the-united-states
#18
Nestor Rodriguez, Cristian L Paredes, Jacqueline Hagan
OBJECTIVE: The passage of the 1996 Illegal Immigration Reform and Immigrant Responsibility Act (IIRIRA) and other subsequent restrictive immigration policies have created fear among Latino immigrants. This study examines whether fear of immigration enforcement is socially significant among older (50+ years) foreign-born Latino individuals in the United States without citizenship or permanent residence, and whether disapproval of immigrant enforcement policies is directly associated with fear of immigration enforcement among this older population...
June 1, 2017: Journal of Aging and Health
https://www.readbyqxmd.com/read/28662610/-church-hurt-can-be-the-worst-hurt-community-stakeholder-perceptions-of-the-role-of-black-churches-in-hiv-prevention-among-young-black-gay-and-bisexual-men
#19
Emily S Pingel, José A Bauermeister
Black gay and bisexual men aged 15-29 are disproportionately represented among new cases of HIV in the USA. Researchers have argued that community-based prevention cannot succeed without the participation of faith-based organisations, particularly given the salience of religion and spirituality in the lives of young Black gay and bisexual men. Yet some Black churches may be hesitant to engage in HIV prevention efforts given their beliefs about same-sex behaviour. It is less clear, however, whether and how public health practitioners in the field of HIV prevention have approached church inclusion...
June 30, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28639845/between-the-pew-and-the-pulpit-can-personality-measures-help-identify-sexually-abusive-clergy
#20
Aria Amrom, Cynthia Calkins, Jamison Fargo
There has been limited conclusive research examining the personality characteristics of clergy who perpetrate abuse. To address this dearth of research, the current study aimed to develop a personality profile that distinguishes clergy members who sexually abuse children from other clergy. Personality and psychopathology were assessed using the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and the Millon Clinical Multiaxial Inventory-III (MCMI-III). Data were analyzed from a sample of clergy members, who comprised four comparison groups: clergy members referred to treatment for (a) child sexual abuse, (b) sexual misconduct with adults, (c) general clinical problems, or (d) routine employment evaluations with no previously identified clinical or sexual issues...
June 1, 2017: Sexual Abuse: a Journal of Research and Treatment
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