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https://www.readbyqxmd.com/read/29763777/incorporation-of-point-of-care-ultrasound-into-morning-round-is-associated-with-improvement-in-clinical-outcomes-in-critically-ill-patients-with-sepsis
#1
Zhonghua Chen, Yucai Hong, Junru Dai, Lifeng Xing
OBJECTIVES: Point-of-care ultrasound (POCUS) has been widely used in the intensive care unit (ICU). However, it is largely unknown whether the use of POCUS is associated with improved patient-important outcomes. The study aimed to investigate whether incorporation of POCUS during morning round on a routine basis was able to improve clinical outcomes in critically ill patients with sepsis. DESIGN: It was a prospective observational study. SETTING: A tertiary care emergency intensive care unit...
May 11, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29739414/psychiatric-consultation-requests-by-inpatient-medical-teams-an-observational-study
#2
Carla Pezzia, Jacqueline A Pugh, Holly J Lanham, Luci K Leykum
BACKGROUND: We describe the way psychiatric issues are addressed by inpatient medical teams through analysis of discussions of patients with behavioral health concerns and examination of teams' subsequent consultation practices. METHODS: We observed morning rounds for nine inpatient medical teams for approximately month-long periods, for a total of 1941 observations. We compared discussions of patients admitted for behavioral health related medical conditions between those who did and did not receive a psychiatric consultation, developing categories to describe factors influencing consultation or other management...
May 8, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29687753/cleaning-up-the-paper-trail-our-clinical-notes-in-open-view
#3
Gerard Lambe, Niall Linnane, Ian Callanan, Marcus W Butler
Purpose Ireland's physicians have a legal and an ethical duty to protect confidential patient information. Most healthcare records in Ireland remain paper based, so the purpose of this paper is to: assess the protection afforded to paper records; log highest risk records; note the variations that occurred during the working week; and observe the varying protection that occurred when staff, students and public members were present. Design/methodology/approach A customised audit tool was created using Sphinx software...
April 16, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29683053/multidisciplinary-prerounding-meeting-as-a-continuous-quality-improvement-tool-leveraging-to-reduce-continuous-benzodiazepine-use-at-an-academic-medical-center
#4
Alexander H Flannery, Melissa L Thompson Bastin, Ashley Montgomery-Yates, Corrine Hook, Evan Cassity, Phillip M Eaton, Peter E Morris
BACKGROUND: Evidence-based medicine often has many barriers to overcome prior to implementation in practice, hence the importance of continuous quality improvement. We report on a brief (≤10 minutes) multidisciplinary meeting prior to rounds to establish a dashboard for continuous quality improvement and studied the success of this meeting on a particular area of focus: continuous infusion benzodiazepine minimization. METHODS: This was a prospective observational study of patients admitted to the medical intensive care unit (MICU) of a large academic medical center over a 4-month period...
January 1, 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29607602/bedside-nurses-roles-in-discharge-collaboration-in-general-internal-medicine-disconnected-disempowered-and-devalued
#5
Joanne Goldman, Kathleen MacMillan, Simon Kitto, Robert Wu, Ivan Silver, Scott Reeves
Collaboration among nurses and other healthcare professionals is needed for effective hospital discharge planning. However, interprofessional interactions and practices related to discharge vary within and across hospitals. These interactions are influenced by the ways in which healthcare professionals' roles are being shaped by hospital discharge priorities. This study explored the experience of bedside nurses' interprofessional collaboration in relation to discharge in a general medicine unit. An ethnographic approach was employed to obtain an in-depth insight into the perceptions and practices of nurses and other healthcare professionals regarding collaborative practices around discharge...
April 1, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29589174/asking-a-variety-of-questions-on-walk-rounds-a-pilot-study
#6
Helen M Shields, Stephen R Pelletier, Christopher L Roy, James P Honan
BACKGROUND: Morning walk rounds have lost some of their engagement while remaining a useful and valued practice. AIM: We created a pilot study to evaluate the impact on rounds of learning to asking a variety of different questions. SETTING: One-hour intervention sessions were voluntarily offered to members of the Department of Medicine and taught by an expert in the question, listen, and respond method. PARTICIPANTS: Participants included attendings and residents in Internal Medicine on medical teams...
March 27, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29562284/daytime-stem-swelling-and-seasonal-reversal-in-the-peristaltic-depletion-of-stored-water-along-the-stem-of-avicennia-marina-forssk-vierh
#7
Alicia Donnellan Barraclough, Roman Zweifel, Jarrod Cusens, Sebastian Leuzinger
Diurnal courses of stem radial water dynamics represent the sum of all internal and external conditions affecting tree water relations. Changes in stem radius due to early morning water depletion and night time refilling of storage tissues is generally well documented. This study seeks to understand the unusual daytime refilling of stem elastic storage tissues present in the mangrove species Avicennia marina (Forssk.) Vierh, which deviates from our traditional understanding of hydraulics in terrestrial trees...
March 17, 2018: Tree Physiology
https://www.readbyqxmd.com/read/29387647/orthopaedics-injuries-in-male-professional-football-players-in-brazil-a-prospective-comparison-between-two-divisions
#8
Gustavo Gonçalves Arliani, Paulo Henrique Schmidt Lara, Diego Costa Astur, André Pedrinelli, Jorge Roberto Pagura, Moisés Cohen
Background: Football is a high-speed contact sport and the risk of injury is high. The objective of this study was to compare the two main divisions (A1 and A2) of the São Paulo Football Championship and to perform a correlation analysis of the variables studied. Methods: A prospective study was conducted using an electronic questionnaire previously developed by the Medical Committee of the São Paulo Football Federation. The questionnaire was sent to the doctors of the teams playing in the A1 and A2 divisions of the São Paulo Football Championship after each round...
July 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/29344805/salivary-biomarkers-for-oral-cancer-and-pre-cancer-screening-a-review
#9
REVIEW
J Kaur, R Jacobs, Y Huang, N Salvo, C Politis
OBJECTIVE: The objective of the study was to conduct a systematic review of the literature assessing potential salivary biomarkers of oral cancer and pre-cancer and discuss emerging issues and challenges in relation to oral cancer and pre-cancer diagnostics. MATERIALS AND METHODS: Search for articles involved the Medline, PubMed, and EMBASE. Specific terms were used from January 1995 to March 2017 by three experts. RESULTS: This search collected 270 articles, of which 105 articles such as reviews, case reports, news, letter to editor, etc...
January 17, 2018: Clinical Oral Investigations
https://www.readbyqxmd.com/read/29208032/junior-rounds-an-educational-initiative-to-improve-role-transitions-for-junior-residents
#10
Richard Dunbar-Yaffe, Wayne L Gold, Peter E Wu
OBJECTIVE: At our institution, Morning Report focuses mostly on diagnostic reasoning. This makes it a challenge for first-year residents to learn to manage common on-call emergencies, such as hyperkalemia. We sought to improve their preparedness for the transitions they would encounter: from medical student to physician at the beginning of the academic year, and from junior resident to senior resident toward the end. In response to feedback, we developed the Junior Rounds curriculum: a weekly session focused on the approach to commonly encountered on-call emergencies and internal medicine referrals...
December 6, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29177228/a-systems-analysis-of-ward-rounds-in-plastic-surgery-at-a-single-center
#11
Riaz Agha
Ward rounds permeate health care delivery worldwide and form an important daily activity within all hospitals. In this study, the daily morning ward round in plastic surgery was examined from a teleological and systems point of view. Methods: Data were gathered from the following sources to inform the systems analysis: patient interviews, staff interviews, direct observations of the ward round on multiple occasions, and through process mapping. Results: To better understand the ward and its layout, a schematic of it was developed...
August 2017: International Journal of Surgery. Oncology
https://www.readbyqxmd.com/read/29165941/-allocation-of-time-in-internal-medicine
#12
Nathalie Wenger, Pedro Marques-Vidal
The hospital internal medicine practice is changing : increasing complexity of patients; implementation of the Electronic Medical Record (EMR); growing volume of medical data and administrative tasks, and limitation of working hours. We quantified the daily tasks of our internal medicine residents. They didn't manage to fulfill their duties in the scheduled time and had to stay after hours ; further, activities indirectly related to patients predominated. Residents spent a daily average of 1.7 hours with patients, 5...
November 22, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29046269/what-clinical-information-is-valuable-to-doctors-using-mobile-electronic-medical-records-and-when
#13
Junetae Kim, Yura Lee, Sanghee Lim, Jeong Hoon Kim, Byungtae Lee, Jae-Ho Lee
BACKGROUND: There has been a lack of understanding on what types of specific clinical information are most valuable for doctors to access through mobile-based electronic medical records (m-EMRs) and when they access such information. Furthermore, it has not been clearly discussed why the value of such information is high. OBJECTIVE: The goal of this study was to investigate the types of clinical information that are most valuable to doctors to access through an m-EMR and when such information is accessed...
October 18, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28864648/assessment-of-disease-activity-in-large-vessel-vasculitis-results-of-an-international-delphi-exercise
#14
Sibel Z Aydin, Haner Direskeneli, Peter A Merkel
OBJECTIVE: To arrive at consensus for candidate outcomes for disease activity assessment in large-vessel vasculitis (LVV) in clinical trials. METHODS: A Delphi survey including 99 items was circulated among international experts for 3 rounds. RESULTS: Fifty-seven items were accepted for both giant cell arteritis and Takayasu arteritis. Sixty-seven percent of experts voted to have a common approach for both diseases with additional disease-specific items such as weight loss, scalp tenderness/necrosis, morning stiffness, dizziness, visual symptoms, and imaging...
December 2017: Journal of Rheumatology
https://www.readbyqxmd.com/read/28737595/time-of-admission-to-the-picu-and-mortality
#15
Michael C McCrory, Michael C Spaeder, Emily W Gower, Thomas A Nakagawa, Sean L Simpson, Mary A Coleman, Peter E Morris
OBJECTIVES: To evaluate for any association between time of admission to the PICU and mortality. DESIGN: Retrospective cohort study of admissions to PICUs in the Virtual Pediatric Systems (VPS, LLC, Los Angeles, CA) database from 2009 to 2014. SETTING: One hundred and twenty-nine PICUs in the United States. PATIENTS: Patients less than 18 years old admitted to participating PICUs; excluding those post cardiac bypass...
October 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28705759/implementation-of-an-electronic-checklist-in-the-icu-association-with-improved-outcomes
#16
Gary Duclos, Laurent Zieleskiewicz, François Antonini, Djamel Mokart, Véronique Paone, Marie Hélène Po, Coralie Vigne, Emmanuelle Hammad, Frédéric Potié, Claude Martin, Sophie Medam, Marc Leone
OBJECTIVE: To assess the impact of an electronic checklist during the morning rounds on ventilator-associated pneumonia (VAP) in the intensive care unit (ICU). PATIENTS AND METHODS: We conducted a retrospective, before/after study in a single ICU of a university hospital. A systematic electronic checklist focusing on guidelines adherence was introduced in January 2012. From January 2008 to June 2014, we screened patients with ICU stay durations of at least 48hours...
February 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28699144/palliative-care-needs-assessment-in-the-neuro-icu-effect-on-family
#17
Claire J Creutzfeldt, Marina G Hanna, C Sherry Cheever, Abhijit V Lele, Charles Spiekerman, Ruth A Engelberg, J Randall Curtis
BACKGROUND: Examine the association of a daily palliative care needs checklist on outcomes for family members of patients discharged from the neurosciences intensive care unit (neuro-ICU). METHODS: We conducted a prospective, longitudinal cohort study in a single, thirty-bed neuro-ICU in a regional comprehensive stroke and level 1 trauma center. One of two neuro-ICU services that admit patients to the same ICU on alternating days used a palliative care needs checklist during morning work rounds...
October 2017: Neurocritical Care
https://www.readbyqxmd.com/read/28689320/pollutant-loading-from-low-density-residential-neighborhoods-in-california
#18
Andrew E Bale, Steven E Greco, Bruno J L Pitton, Darren L Haver, Lorence R Oki
This paper presents a comparison of pollutant load estimations for runoff from two geographically distinct residential suburban neighborhoods in northern and southern California. The two neighborhoods represent a single urban land use type: low-density residential in small catchments (<0.3 km(2)) under differing regional climates and irrigation practices. Pollutant loads of pesticides, nutrients, and drinking water constituents of concern are estimated for both storm and non-storm runoff. From continuous flow monitoring, it was found that a daily cycle of persistent runoff that peaks mid-morning occurs at both sites...
August 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/28584707/rituals-decrease-the-neural-response-to-performance-failure
#19
Nicholas M Hobson, Devin Bonk, Michael Inzlicht
Rituals are found in all types of performance domains, from high-stakes athletics and military to the daily morning preparations of the working family. Yet despite their ubiquity and widespread importance for humans, we know very little of ritual's causal basis and how (if at all) they facilitate goal-directed performance. Here, in a fully pre-registered pre/post experimental design, we examine a candidate proximal mechanism, the error-related negativity (ERN), in testing the prediction that ritual modulates neural performance-monitoring...
2017: PeerJ
https://www.readbyqxmd.com/read/28582768/investigation-on-the-influence-of-time-of-day-on-benzene-metabolic-pharmacokinetics-by-direct-breath-analysis-in-mice
#20
Yuling Zhang, Wanyang Sun, Dewei Shang, Hao Gao, Zhen Zhou, Xue Li
Benzene, well known as a ubiquitous environmental pollutant, can lead to increasing risk of cancer, bone marrow failure as well as other serious diseases. Benzene has been classified as carcinogenic to humans with no recommended safe level of exposure. In this study, the influence of time-of-day on benzene metabolism has been tentatively explored in a mouse model based on direct real-time breath analysis by using membrane inlet single photon ionization time of flight mass spectrometry (MI-SPI-TOFMS). The exhaled breath of eight mice was monitored at a time resolution of less than 20 s after intraperitoneal (I...
October 2017: Chemosphere
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