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https://www.readbyqxmd.com/read/29330835/international-guidelines-for-groin-hernia-management
#1
(no author information available yet)
INTRODUCTION: Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair. They have been endorsed by all five continental hernia societies, the International Endo Hernia Society and the European Association for Endoscopic Surgery...
January 12, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29326477/the-oral-health-status-of-older-patients-in-acute-care-on-admission-and-day-7-in-two-australian-hospitals
#2
(no author information available yet)
Good oral hygiene needed to prevent hospital acquired aspiration pneumonia in older patients.
January 12, 2018: British Dental Journal
https://www.readbyqxmd.com/read/29326004/health-care-associated-infections-in-iran-a-national-update-for-the-year-2015
#3
Babak Eshrati, Hossein Masoumi Asl, Shirin Afhami, Zahra Pezeshki, Arash Seifi
BACKGROUND: A national surveillance system for health care-associated infections (HAIs) in Iran is relatively new, and an update on incidence and mortality rates can aid clinicians and stakeholders in development of new guidelines and imperative modifications to be made. METHODS: Data were extracted from the national HAIs surveillance software for more than 7 million hospitalizations during 2015. Data regarding age, gender, deaths, ward of admission, and microbiologic findings were collected and analyzed...
January 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29316924/association-of-hospice-utilization-and-publicly-reported-outcomes-following-hospitalization-for-pneumonia-or-heart-failure-a-retrospective-cohort-study
#4
Soowhan Lah, Emily L Wilson, Sarah Beesley, Iftach Sagy, James Orme, Victor Novack, Samuel M Brown
BACKGROUND: The Center for Medicare and Medicaid Services (CMS) and the Hospital Quality Alliance began collecting and reporting United States hospital performance in the treatment of pneumonia and heart failure in 2008. Whether the utilization of hospice might affect CMS-reported mortality and readmission rates is not known. METHODS: Hospice utilization (mean days on hospice per decedent) for 2012 from the Dartmouth Atlas (a project of the Dartmouth Institute that reports a variety of public health and policy-related statistics) was merged with hospital-level 30-day mortality and readmission rates for pneumonia and heart failure from CMS...
January 9, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29316009/excess-incidence-and-risk-factors-for-recurrent-pneumonia-in-bipolar-disorder
#5
Min-Shan Li, Galen Chin-Lun Hung, Shu-Yu Yang, Chun-Hung Pan, Ya-Tang Liao, Shang-Ying Tsai, Chiao-Chicy Chen, Chian-Jue Kuo
AIM: Patients with bipolar disorder had poorer outcomes after pneumonia and could have a higher risk for recurrence of pneumonia. We aimed to investigate the incidence and risk factors of recurrent pneumonia in patients with bipolar disorder. METHODS: In a nationwide cohort of bipolar patients (derived from the National Health Insurance Research Database in Taiwan) who were hospitalized for pneumonia between 1996 and 2012, we identified 188 patients who developed recurrent pneumonia after a baseline pneumonia episode...
January 8, 2018: Psychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/29305283/evidence-based-guidelines-for-prevention-of-ventilator-associated-pneumonia-evaluation-of-intensive-care-unit-nurses-adherence
#6
Muhammad W Darawad, Mohammad Abu Sa'aleek, Taghreed Shawashi
Using self-reported questionnaires, this descriptive study assessed nurses' adherence to ventilator-associated pneumonia (VAP) guidelines, which was found to be 81.3%. Although items concerning infection control achieved the highest scores, items concerning the suctioning process achieved the lowest scores. Participants' score of VAP care knowledge had a significant positive correlation with their score of VAP guidelines adherence. Addressing the strength and weakness domains that affect nurses' adherence is crucial for health care administrators at different managerial levels, which may help in executing different strategies to improve nurses' adherence to VAP strategies...
January 2, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29304937/an-economic-evaluation-of-the-impact-cost-and-medicare-policy-implications-of-chronic-nonhealing-wounds
#7
Samuel R Nussbaum, Marissa J Carter, Caroline E Fife, Joan DaVanzo, Randall Haught, Marcia Nusgart, Donna Cartwright
OBJECTIVE: The aim of this study was to determine the cost of chronic wound care for Medicare beneficiaries in aggregate, by wound type and by setting. METHODS: This retrospective analysis of the Medicare 5% Limited Data Set for calendar year 2014 included beneficiaries who experienced episodes of care for one or more of the following: arterial ulcers, chronic ulcers, diabetic foot ulcers, diabetic infections, pressure ulcers, skin disorders, skin infections, surgical wounds, surgical infections, traumatic wounds, venous ulcers, or venous infections...
January 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/29302987/an-investigation-of-factors-influencing-high-usage-of-medical-and-long-term-care-services-in-an-aging-society-in-japan
#8
Kana Kazawa, Md Moshiur Rahman, Michiko Moriyama
Medical and long-term care costs are increasing all over the world. In this study, we investigated the characteristics of groups with high cost of medical and long-term care to define targets for curbing social security costs. As a result, for the population covered by the National Health Insurance, a large portion of medical costs were incurred for mental disorders, malignant neoplasms, and lifestyle-related diseases. For those covered by the Late Elderly Health Insurance System, most medical costs were incurred for lifestyle-related diseases, femoral fractures, neurological diseases, mental disorders, pneumonia, malignant neoplasms, and Alzheimer's disease...
January 1, 2018: Asia-Pacific Journal of Public Health
https://www.readbyqxmd.com/read/29302520/care-seeking-for-childhood-pneumonia-by-rural-and-poor-urban-communities-in-lucknow-a-community-based-cross-sectional-study
#9
Anurag Minz, Monika Agarwal, J V Singh, V K Singh
Context: Globally, around 16% of under-five children die due to pneumonia. Childhood pneumonia, if identified early is a readily treatable through low-cost antibiotics. Access to timely and appropriate care is a key action to control pneumonia. Aims: The aim of the study was to understand the caregiver's care-seeking behavior for the management of childhood pneumonia among rural and urban poor communities in Lucknow. Settings and Design: Rural areas and urban slums of Lucknow district, from September 2014 to August 2015...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29295691/molecular-detection-of-tem-shv-and-ctx-m-genes-among-gram-negative-klebsiella-isolates
#10
Asma Naim, Asma Saeed, Taqdees Ara Malik
In the past few years, the use of antimicrobial drugs against a wide range of pathogens has increased significantly. This extensive use of drugs has increased the resistance rate in microbial community widely. Molecular techniques for the detection of resistance are more reliable as compared to the conventional phenotypic method. The family Enterobacteriaceae is considered to be an important cause of nosocomial infections due to its predominantly active species such as E. coli, Klebsiella and Pseudomonas. These organisms are mainly involved in causing pneumonia, sepsis, post-surgical and urinary tract infections...
January 1, 2018: Current Drug Delivery
https://www.readbyqxmd.com/read/29288590/combined-electrical-stimulation-and-exercise-for-swallow-rehabilitation-post-stroke-a-pilot-randomized-control-trial
#11
Lise Sproson, Sue Pownall, Pam Enderby, Jenny Freeman
BACKGROUND: Dysphagia is common after stroke, affecting up to 50% of patients initially. It can lead to post-stroke pneumonia, which causes 30% of stroke-related deaths, a longer hospital stay and poorer health outcomes. Dysphagia care post-stroke generally focuses on the management of symptoms, via modified oral intake textures and adapted posture, rather than direct physical rehabilitation of the swallowing function. Transcutaneous neuromuscular electrical stimulation (NMES) is a promising rehabilitation technology that can be used to stimulate swallowing; however, findings regarding efficacy have been conflicting...
December 30, 2017: International Journal of Language & Communication Disorders
https://www.readbyqxmd.com/read/29284738/comparison-of-risk-factor-control-in-the-year-after-discharge-for-ischemic-stroke-versus-acute-myocardial-infarction
#12
Dawn M Bravata, Joanne Daggy, Jared Brosch, Jason J Sico, Fitsum Baye, Laura J Myers, Christianne L Roumie, Eric Cheng, Jessica Coffing, Greg Arling
BACKGROUND AND PURPOSE: The Veterans Health Administration has engaged in quality improvement to improve vascular risk factor control. We sought to examine blood pressure (<140/90 mm Hg), lipid (LDL [low-density lipoprotein] cholesterol <100 mg/dL), and glycemic control (hemoglobin A1c <9%), in the year post-hospitalization for acute ischemic stroke or acute myocardial infarction (AMI). METHODS: We identified patients who were hospitalized (fiscal year 2011) with ischemic stroke, AMI, congestive heart failure, transient ischemic attack, or pneumonia/chronic obstructive pulmonary disease...
December 28, 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29283681/short-term-air-pollution-and-incident-pneumonia-a-case-crossover-study
#13
Cheryl S Pirozzi, Barbara E Jones, James A VanDerslice, Yue Zhang, Robert Paine, Nathan C Dean
RATIONALE: The relationship between air pollution and pneumonia is poorly understood. OBJECTIVES: To examine relationships between short-term air pollution exposure and number and severity of pneumonia cases along the Wasatch Front in Utah, USA, a region with periodic high levels of outdoor air pollution. METHODS: We applied time-stratified case-crossover analyses with distributed lag to patients presenting to 7 emergency departments (EDs) with pneumonia over 2 years...
December 28, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29282898/a-perspective-on-proteomics-of-infectious-diseases
#14
Apoorva Venkatesh, Concha Gil, Manuel Fuentes, Joshua LaBaer, Sanjeeva Srivastava
Pneumonia, HIV/AIDS, tuberculosis, malaria and several other diseases caused by pathogens largely contribute to the enormous burden of infectious diseases. Over the last few decades, the impact of infectious diseases on a population has been drastic and remains a major health concern even today. Despite advances in science and technology in this era of health and development, there is a substantial knowledge gap in our understanding of the molecular basis of these infectious diseases. The availability of valuable genomic information for a number of pathogens and their hosts has improved our understanding of disease pathogenesis but has not always been useful in addressing important biological questions...
December 28, 2017: Proteomics. Clinical Applications
https://www.readbyqxmd.com/read/29277590/feasibility-of-a-modified-e-pass-and-possum-system-for-postoperative-risk-assessment-in-patients-with-spinal-disease
#15
Dong Hyun Chun, Do Young Kim, Sun Kyu Choi, Dong Ah Shin, Yoon Ha, Keung Nyun Kim, Do Heum Yoon, Seong Yi
STUDY DESIGN: Retrospective case control study OBJECTIVE: This study aimed to evaluate the feasibility of using Estimation of Physiological Ability and Surgical Stress (E-PASS) and Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity (POSSUM) systems in patients undergoing spinal surgical procedures. SUMMARY OF BACKGROUND DATA: Degenerative spine disease has increased in incidence in aging societies, as has the number of older adult patients undergoing spinal surgery...
December 22, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29260037/cefepime-induced-neurotoxicity-a-case-series-and-review-of-the-literature
#16
Cigdem Isitan, Andrew Ferree, Anna DePold Hohler
Cefepime is a fourth generation cephalosporin which is bactericidal for broad spectrum of organisms. This is a case-series of three patients who presented to our hospital with confusion secondary to cefepime use to treat urinary tract infection (UTI) and health care associated pneumonia (HCAP), after excluding other common etiologies of altered mental status (AMS). Of these three patients, one had progressive expressive aphasia and the other two demonstrated asynchronous myoclonic activity of the limbs. The symptoms were seen within four to five days of initiating the treatment and resolved within three days of discontinuation of cefepime...
September 2017: ENeurologicalSci
https://www.readbyqxmd.com/read/29248504/rapid-emergence-of-colistin-resistance-and-its-impact-on-mortality-in-healthcare-associated-infections
#17
Mehtap Aydin, Önder Ergönül, Alpay Azap, Hüseyin Bilgin, Güle Aydın, Sema Alp Çavuş, Yusuf Ziya Demiroğlu, Hikmet Eda Çalışkan, Osman Memikoğlu, Şirin Menekşe, Şafak Kaya, Nazlım Aktuğ Demir, İlkay Karaoğlan, Seniha Başaran, Çiğdem Hatipoğlu, Şebnem Erdinç, Emel Yılmaz, Ayhanım Tümtürk, Yasemin Tezer, Hamiyet Demirkaya, Şule Eren Çakar, Şiran Keske, SudaTekin, Cem Yardımcı, Çağla Karakoç, Pınar Ergen, Özlem Azap, Lütfiye Mülazımoğlu, Onur Ural, Füsun Can, Halis Akalın
We describe the emergence of resistance and predictors of fatality for 1556 cases of healthcare-associated Gram-negative bloodstream infections in 2014 and 2015. The colistin resistance rate in Klebsiella pneumoniae was 16.1%, compared with 6% in 2013. 660 (42.4%) cases were fatal. The highest fatality rate was among patients with Acinetobacter baumannii bacteremia (58%), followed by Pseudomonas aeruginosa (45%), Klebsiella pneumoniae (41%), Enterobacter cloacae (32%), and Escherichia coli (28%). In multivariate analysis, MIC for carbapenem (OR:1...
December 14, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29247109/evaluation-of-anticoagulation-status-for-atrial-fibrillation-on-early-ischaemic-stroke-outcomes-a-registry-based-prospective-cohort-study-of-acute-stroke-care-in-surrey-uk
#18
Thang S Han, Christopher H Fry, David Fluck, Brendan Affley, Giosue Gulli, Christopher Barrett, Puneet Kakar, Tasmin Patel, Sapna Sharma, Pankaj Sharma
OBJECTIVE: The relationship of anticoagulation therapies with stroke severity and outcomes have been well documented in the literature. However, none of the previous research has reported the relationship of atrial fibrillation (AF)/anticoagulation therapies with urinary tract infection (UTI), pneumonia and length of stay in hyperacute stroke units (HASUs). The present study aimed to evaluate AF and anticoagulation status in relation to early outcomes in 1387 men (median age=75 years, IQR=65-83) and 1371 women (median age=83 years, IQR=74-89) admitted with acute ischaemic stroke to HASUs in Surrey between 2014 and 2016...
December 14, 2017: BMJ Open
https://www.readbyqxmd.com/read/29246470/effectiveness-and-costs-of-specialised-physiotherapy-given-via-parkinsonnet-a-retrospective-analysis-of-medical-claims-data
#19
Jan H L Ypinga, Nienke M de Vries, Lieke H H M Boonen, Xander Koolman, Marten Munneke, Aeilko H Zwinderman, Bastiaan R Bloem
BACKGROUND: Parkinson's disease is a complex condition that is best managed by specialised professionals. Trials show that specialised allied health interventions are cost-effective, as compared with usual care. We aimed to study the long-term benefits of specialised physiotherapy using the ParkinsonNet approach in real-world practice. METHODS: We did an observational study, retrospectively analysing a database of health insurance claims that included a representative population of Dutch patients with Parkinson's disease, who were followed for up to 3 years (Jan 1, 2013, to Dec 31, 2015)...
December 12, 2017: Lancet Neurology
https://www.readbyqxmd.com/read/29246210/rates-and-risk-factors-associated-with-hospitalization-for-pneumonia-with-icu-admission-among-adults
#20
Aaron D Storms, Jufu Chen, Lisa A Jackson, James D Nordin, Allison L Naleway, Jason M Glanz, Steven J Jacobsen, Eric S Weintraub, Nicola P Klein, Paul M Gargiullo, Alicia M Fry
BACKGROUND: Pneumonia poses a significant burden to the U.S. health-care system. However, there are few data focusing on severe pneumonia, particularly cases of pneumonia associated with specialized care in intensive care units (ICU). METHODS: We used administrative and electronic medical record data from six integrated health care systems to estimate rates of pneumonia hospitalizations with ICU admissions among adults during 2006 through 2010. Pneumonia hospitalization was defined as either a primary discharge diagnosis of pneumonia or a primary discharge diagnosis of sepsis or respiratory failure with a secondary diagnosis of pneumonia in administrative data...
December 16, 2017: BMC Pulmonary Medicine
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