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https://www.readbyqxmd.com/read/29052706/association-of-an-electroencephalography-based-risk-score-with-seizure-probability-in-hospitalized-patients
#1
Aaron F Struck, Berk Ustun, Andres Rodriguez Ruiz, Jong Woo Lee, Suzette M LaRoche, Lawrence J Hirsch, Emily J Gilmore, Jan Vlachy, Hiba Arif Haider, Cynthia Rudin, M Brandon Westover
Importance: Continuous electroencephalography (EEG) use in critically ill patients is expanding. There is no validated method to combine risk factors and guide clinicians in assessing seizure risk. Objective: To use seizure risk factors from EEG and clinical history to create a simple scoring system associated with the probability of seizures in patients with acute illness. Design, Setting, and Participants: We used a prospective multicenter (Emory University Hospital, Brigham and Women's Hospital, and Yale University Hospital) database containing clinical and electrographic variables on 5427 continuous EEG sessions from eligible patients if they had continuous EEG for clinical indications, excluding epilepsy monitoring unit admissions...
October 9, 2017: JAMA Neurology
https://www.readbyqxmd.com/read/29052667/differences-in-coping-among-african-american-women-with-breast-cancer-and-triple-negative-breast-cancer
#2
Crystal C Watkins, Iye Kamara Kanu, Jill B Hamilton, Sharon L Kozachik, Fannie Gaston-Johansson
PURPOSE/OBJECTIVES: To determine differences in psychological distress, symptoms, coping capacity, and coping abilities among African American (AA) women with triple-negative breast cancer (TNBC) and non-TNBC and to explore differences in relationships among these variables.
. DESIGN: A prospective, descriptive, comparative, and correlational design.
. SETTING: Johns Hopkins Hospital in Baltimore, Maryland.
. SAMPLE: 30 AA women with breast cancer...
November 1, 2017: Oncology Nursing Forum
https://www.readbyqxmd.com/read/29052654/parents-verbal-and-nonverbal-caring-behaviors-and-child-distress-during-cancer-related-port-access-procedures-a-time-window-sequential-analysis
#3
Jinbing Bai, Felicity W K Harper, Louis A Penner, Kristen Swanson, Sheila J Santacroce
PURPOSE/OBJECTIVES: To study the relationship between parental verbal and nonverbal caring behaviors and child distress during cancer-related port access placement using correlational and time-window sequential analyses.
. DESIGN: Longitudinal, observational design.
. SETTING: Children's Hospital of Michigan and St. Jude Children's Research Hospital.
. SAMPLE: 43 child-parent dyads, each with two or three video recordings of the child undergoing cancer-related port placement...
November 1, 2017: Oncology Nursing Forum
https://www.readbyqxmd.com/read/29052289/exploring-implementation-of-the-careful-nursing-philosophy-and-professional-practice-model-%C3%A2-in-hospital-based-practice
#4
Sinéad Murphy, Raphael Mc Mullin, Sinéad Brennan, Therese Connell Meehan
AIM: To explore the effectiveness and feasibility of implementing the two clinical dimensions of the Careful Nursing Philosophy and Professional Practice Model(©) (Careful Nursing) in an acute care hospital. BACKGROUND: Implementation of a professional practice model by nurses in hospitals supports nurses' control over their practice and enhances the quality of their contribution to patient care. Implementing such change is complex and initially best approached on a small scale...
October 19, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/29052050/inter-rater-reliability-of-the-dysphagia-outcome-and-severity-scale-doss-effects-of-clinical-experience-audio-recording-and-training
#5
Angeliki Zarkada, Julie Regan
The Dysphagia Outcome and Severity Scale (DOSS) is widely used to measure dysphagia severity based on videofluoroscopy (VFSS). This study investigated inter-rater reliability (IRR) of the DOSS. It also determined the effect of clinical experience, VFSS audio-recording and training on DOSS IRR. A quantitative prospective research design was used. Seventeen speech and language pathologists (SLPs) were recruited from an acute teaching hospital, Dublin (> 3 years' VFSS experience, n = 10) and from a postgraduate dysphagia programme in a university setting (< 3 years' VFSS experience; n = 7)...
October 19, 2017: Dysphagia
https://www.readbyqxmd.com/read/29051925/opportunities-and-design-considerations-for-peer-support-in-a-hospital-setting
#6
Shefali Haldar, Sonali R Mishra, Maher Khelifi, Ari H Pollack, Wanda Pratt
Although research has demonstrated improved outcomes for outpatients who receive peer support-such as through online health communities, support groups, and mentoring systems-hospitalized patients have few mechanisms to receive such valuable support. To explore the opportunities for a hospital-based peer support system, we administered a survey to 146 pediatric patients and caregivers, and conducted semi-structured interviews with twelve patients and three caregivers in a children's hospital. Our analysis revealed that hospitalized individuals need peer support for five key purposes: (1) to ask about medical details-such as procedures, treatments, and medications; (2) to learn about healthcare providers; (3) to report and prevent medical errors; (4) to exchange emotional support; and (5) to manage their time in the hospital...
May 2017: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
https://www.readbyqxmd.com/read/29051871/bilateral-divergent-shoulder-s-fracture-dislocation-case-in-an-ischemic-stroke-patient
#7
Atchi Walla, Faré Gnandi-Piou, Pilakimwé Egbohou, Komi Assogba, Mawuko Quacoe
INTRODUCTION: The literature review revealed that nowadays only about 15 cases of bilateral shoulder dislocation associated with the fracture of the upper end of the humerus have been published. The triad of lesional mechanism designated by the triple syndrome E composed of epilepsy, electrocution, and external trauma was the circumstances noted in which these fractures dislocations occur with migration of the two humeral heads either forward or backward. CASE REPORT: An architect of 36-year-old, right-handed, was admitted in emergency department for loss of knowledge of progressive installation...
May 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29051476/independent-factors-predicting-postoperative-30-day-mortality-in-101-infants-following-liver-transplantation
#8
Chan Woo Cho, Sanghoon Lee, Jong Man Kim, Gyu-Seong Choi, Choon Hyuck David Kwon, Jae-Won Joh, Suk-Koo Lee
BACKGROUND Liver transplantation (LT) in infants is a challenging procedure. This study was designed to identify risk factors of 30-day mortality of infant LT recipients. MATERIAL AND METHODS A total of 101 infants treated between May 1997 and March 2015 were assigned to one of two groups, a deceased infant group (n=9) or a live infant group (n=92), according to their mortality status at 30 days after LT. RESULTS Patient characteristics of height, weight, preoperative total bilirubin, creatinine clearance, primary diagnosis, and graft-to-recipient weight ratio (GRWR) were significantly different between the two groups...
October 20, 2017: Annals of Transplantation: Quarterly of the Polish Transplantation Society
https://www.readbyqxmd.com/read/29051001/episode-based-payment-variation-for-urological-cancer-surgery
#9
Chad Ellimoottil, Jonathan Li, Zaojun Ye, James M Dupree, Hye Sung Min, Deborah Kaye, Lindsey A Herrel, David C Miller
OBJECTIVE: To investigate payment variation for three common urological cancer surgeries and evaluate the potential for applying bundled payment programs to these procedures. METHODS: Using 2008-2011 Surveillance, Epidemiology, and End Results-Medicare linked data, we identified all beneficiaries aged greater than 65 years who underwent cystectomy, prostatectomy, or nephrectomy for cancer. Total episode payments were determined by aggregating hospital, professional, and post-acute care claims from the index surgical hospitalization through 90 days post-discharge...
October 16, 2017: Urology
https://www.readbyqxmd.com/read/29050923/a-systematic-review-of-in-hospital-worsening-heart-failure-as-an-endpoint-in-clinical-investigations-of-therapy-for-acute-heart-failure
#10
Cândida Fonseca, Aldo Pietro Maggioni, Filipa Marques, Inês Araújo, Daniel Brás, Ronald B Langdon, Carlo Lombardi, Paulo Bettencourt
BACKGROUND: In-hospital worsening heart failure (WHF) occurs frequently in patients hospitalized for acute heart failure (AHF) and has strongly negative prognostic associations. It may be a useful endpoint in studies of AHF management but important questions remain regarding optimization of its definition and variability in its incidence. METHODS: Our objective was to survey the full extent of clinical interest in WHF and assess the impact of baseline variables and trial design on outcomes...
October 6, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/29050901/medical-device-related-pressure-injuries-an-exploratory-descriptive-study-in-an-acute-tertiary-hospital-in-australia
#11
Michelle Barakat-Johnson, Catherine Barnett, Timothy Wand, Kathryn White
AIM: To examine and explore medical device-related pressure injuries in an 800-bed tertiary hospital. MATERIALS AND METHODS: An exploratory descriptive study design was employed. A prospective review of all data on reported hospital-acquired pressure injuries was conducted on a weekly basis from July 2015 to August 2016. This included a patient assessment and medical record review as well as brief semi-structured interviews with nurses. RESULTS: The overall incidence of medical device-related pressure injuries was 27...
October 4, 2017: Journal of Tissue Viability
https://www.readbyqxmd.com/read/29049310/molecular-epidemiology-of-influenza-b-virus-among-hospitalized-pediatric-patients-in-northern-italy-during-the-2015-16-season
#12
Antonio Piralla, Giovanna Lunghi, Luca Ruggiero, Alessia Girello, Sonia Bianchini, Francesca Rovida, Silvia Caimmi, Gian Luigi Marseglia, Nicola Principi, Fausto Baldanti, Susanna Esposito
BACKGROUND: The influenza B viruses belong to two lineages distinguished by their genetic and antigenic characteristics, which are referred to as the Yamagata and Victoria lineages, designated after their original isolates, B/Yamagata/16/88 and B/Victoria/2/87. The primary aim of this study was to evaluate the molecular characteristics of influenza B viruses circulating in a region of Northern Italy, Lombardia, during the influenza season of 2015-2016. METHODS: Influenza B virus was detected using a respiratory virus panel of assays and an influenza B-specific real-time polymerase chain reaction...
2017: PloS One
https://www.readbyqxmd.com/read/29049220/the-association-between-ccnd1-g870a-polymorphism-and-colorectal-cancer-risk-a-meta-analysis
#13
Mei Xie, Fen Zhao, Xiaoling Zou, Shuai Jin, Shaoquan Xiong
BACKGROUND: CyclinD1 (CCND1) is a key cell cycle regulatory protein. A large number of epidemiological studies have assessed the potential correlation between the CCND1 G870A polymorphism and the risk of colorectal cancer (CRC), but their findings have been inconsistent. To obtain a more precise understanding of the association between the G870A polymorphism in the CCND1 gene and the CRC risk, we conducted a more comprehensive meta-analysis. METHODOLOGY: We searched PubMed, Ovid, Springer, Weipu, China National Knowledge Infrastructure (CNKI), and Wanfang databases, covering all publications (the last search was updated on January 10, 2017)...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29048777/nurses-perspectives-on-how-an-e-message-system-supports-cross-sectoral-communication-in-relation-to-medication-administration-a-qualitative-study
#14
Signe Foged, Vibeke Nørholm, Ove Andersen, Helle Vendel Petersen
AIMS AND OBJECTIVES: The aim was to describe nurses' perspectives on how an e-message system supports communication between hospital and home care nurses in relation to medication administration. BACKGROUND: Medication administration is a complex process involving a high risk of error. Unclear communication and lack of updated information about medication have been identified as the leading cause of medication errors during care transitions. E-message systems are progressively being used to improve information exchange across sectors, yet little is known about their usage for exchange of medication information between nurses...
October 19, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29048767/risk-assessment-and-subsequent-nursing-interventions-in-a-forensic-mental-health-inpatient-setting-associations-and-impact-on-aggressive-behaviour
#15
Tessa Maguire, Michael Daffern, Steven J Bowe, Brian McKenna
AIM AND OBJECTIVES: To examine associations between risk of aggression and nursing interventions designed to prevent aggression. BACKGROUND: There is scarce empirical research exploring the nature and effectiveness of interventions designed to prevent inpatient aggression. Some strategies may be effective when patients are escalating, whereas others may be effective when aggression is imminent. Research examining level of risk for aggression and selection and effectiveness of interventions and impact on aggression is necessary...
October 19, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29048518/disease-related-predictors-of-health-related-quality-of-life-in-youth-with-eosinophilic-esophagitis
#16
Mary K Lynch, Margaux J Barnes, Reed A Dimmitt, Lisa Martin, Marc E Rothenberg, Burel R Goodin
Objective: To evaluate relations between health-related quality of life (HRQoL) and clinical symptom presentation in youth with eosinophilic esophagitis (EoE). We hypothesized that presence of dysphagia, reflux, nausea/vomiting, and epigastric pain would be related to poorer HRQoL. In predictive models, it was hypothesized that dysphagia, reflux, nausea/vomiting, and epigastric pain would each significantly and uniquely predict poorer HRQoL. Methods: This cross-sectional, two-study design included 91 dyads comprised children with EoE and their respective caregivers across two tertiary children's hospitals, Site 1 in the Midwest (N = 47) and Site 2 in the Deep South (N = 44)...
October 12, 2017: Journal of Pediatric Psychology
https://www.readbyqxmd.com/read/29048456/an-evaluation-of-attitude-toward-vaccines-among-healthcare-workers-of-a-university-hospital-in-southern-italy
#17
R Squeri, C Genovese, G Trimarchi, M A R Palamara, V La Fauci
BACKGROUND: Vaccination is an effective and safe health technology. Despite this vaccine coverage falls short of national and international targets. Study design. The aim of the study was to evaluate the views of medical staff at Messina University Hospital regarding vaccinations, their current and future vaccination status and whether they recommend it to their patients. METHODS: The study was conducted from April 2016 to March 2017 by an anonymous face-to-face questionnaire submitted to HCWs...
November 2017: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/29046942/antidepressants-and-the-risk-of-arrhythmia-in-elderly-affected-by-a-previous-cardiovascular-disease-a-real-life-investigation-from-italy
#18
A Biffi, F Rea, L Scotti, A Mugelli, E Lucenteforte, A Bettiol, A Chinellato, G Onder, C Vitale, N Agabiti, G Trifirò, G Roberto, G Corrao
PURPOSE: The study aimed to fill existing knowledge gaps on the safety of antidepressant drugs (ADs) by estimating the risk of hospitalization for arrhythmia associated with use of selective serotonin reuptake inhibitors (SSRIs) and newer atypical ADs (NAAs) among elderly with previous cardiovascular (CV) events. METHODS: The cohort was composed by 199,569 individuals aged ≥ 65 years from five Italian healthcare territorial units who were discharged for cardiovascular outcomes in the years 2008-2010...
October 18, 2017: European Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/29046819/interpersonal-art-psychotherapy-for-the-treatment-of-aggression-in-people-with-learning-disabilities-in-secure-care-a-protocol-for-a-randomised-controlled-feasibility-study
#19
Simon S Hackett, John L Taylor, Mark Freeston, Andrew Jahoda, Elaine McColl, Lindsay Pennington, Eileen Kaner
BACKGROUND: Art psychotherapy has greater potential for use with adults with mild to moderate learning disabilities as it places less of a burden on verbal interaction to achieve positive therapeutic, psychological, and behavioural goals. The feasibility study objectives include testing procedures, outcomes, validated tools, recruitment and attrition rates, acceptability, and treatment fidelity for manualised interpersonal art psychotherapy. METHODS: Adult males and females with mild to moderate learning disabilities will be recruited from four NHS secure hospitals...
2017: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29046798/monitoring-of-recurrent-and-superior-laryngeal-nerve-function-using-an-airwayscope%C3%A2-during-thyroid-surgery
#20
Kei Ijichi, Hiroshi Sasano, Megumi Harima, Shingo Murakami
In thyroid surgery, intraoperative identification and preservation of the recurrent laryngeal nerve (RLN) and superior laryngeal nerve external branch (SLNEB) are crucial. Several reports have proposed that electromyography (EMG) monitoring is an acceptable adjunct for identification and preservation of the RLN. However, a limited number of hospitals have access to an EMG monitoring system. Therefore, the development of another viable monitoring method is required. The aim of the present study was to design a new RLN and SLNEB monitoring method combining an Airwayscope™ (AWS) and a facial nerve stimulator...
October 2017: Molecular and Clinical Oncology
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