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https://www.readbyqxmd.com/read/27912778/medical-priority-dispatch-codes-comparison-with-national-early-warning-score
#1
Marko Hoikka, Sami Länkimäki, Tom Silfvast, Tero I Ala-Kokko
BACKGROUND: In Finland, calls for emergency medical services are prioritized by educated non-medical personnel into four categories-from A (highest risk) to D (lowest risk)-following a criteria-based national dispatch protocol. Discrepancies in triage may result in risk overestimation, leading to inappropriate use of emergency medical services units and to risk underestimation that can negatively impact patient outcome. To evaluate dispatch protocol accuracy, we assessed association between priority assigned at dispatch and the patient's condition assessed by emergency medical services on the scene using an early warning risk assessment tool...
December 3, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27907062/sepsis-prevalence-and-outcome-on-the-general-wards-and-emergency-departments-in-wales-results-of-a-multi-centre-observational-point-prevalence-study
#2
Tamas Szakmany, Robert M Lundin, Ben Sharif, Gemma Ellis, Paul Morgan, Maja Kopczynska, Amrit Dhadda, Charlotte Mann, Danielle Donoghue, Sarah Rollason, Emma Brownlow, Francesca Hill, Grace Carr, Hannah Turley, James Hassall, James Lloyd, Llywela Davies, Michael Atkinson, Molly Jones, Nerys Jones, Rhodri Martin, Yousef Ibrahim, Judith E Hall
Data on sepsis prevalence on the general wards is lacking on the UK and in the developed world. We conducted a multicentre, prospective, observational study of the prevalence of patients with sepsis or severe sepsis on the general wards and Emergency Departments (ED) in Wales. During the 24-hour study period all patients with NEWS≥3 were screened for presence of 2 or more SIRS criteria. To be eligible for inclusion, patients had to have a high clinical suspicion of an infection, together with a systemic inflammatory response (sepsis) and evidence of acute organ dysfunction and/or shock (severe sepsis)...
2016: PloS One
https://www.readbyqxmd.com/read/27890720/the-lawa-model-a-sustainable-integrated-opisthorchiasis-control-program-using-the-ecohealth-approach-in-the-lawa-lake-region-of-thailand
#3
Banchob Sripa, Sirikachorn Tangkawattana, Thinnakorn Sangnikul
Opisthorchiasis caused by the carcinogenic liver fluke Opisthorchis viverrini is a major foodborne parasitic zoonotic disease in Thailand and neighboring Mekong countries. The infection is associated with several hepatobiliary diseases including cholangiocarcinoma (CCA). The rates of CCA in regions where the parasite is endemic are unprecedented. Extensive research on various aspects of opisthorchiasis has been conducted in recent decades. However, the current status of O. viverrini infection in the country is approaching 85% prevalence in certain endemic areas even after more than 30years of control programs in Thailand...
November 24, 2016: Parasitology International
https://www.readbyqxmd.com/read/27885362/current-rural-drug-use-in-the-us-midwest
#4
Kirk Dombrowski, Devan Crawford, Bilal Khan, Kimberly Tyler
The nature and challenge of illicit drug use in the United States continues to change rapidly, evolving in reaction to myriad social, economic, and local forces. While the use of illicit drugs affects every region of the country, most of our current information about drug use comes from large urban areas. Data on rural drug use and its harms justify greater attention. Record overdose rates, unexpected outbreaks of HIV, and a dearth of treatment facilities point to a rapidly worsening health situation. While health sciences have made considerable progress in understanding the etiology of drug use and uncovering the link between drug use and its myriad associated harms, this promising scientific news has not always translated to better health outcomes...
2016: Journal of Drug Abuse
https://www.readbyqxmd.com/read/27849669/hospital-rating-systems-and-implications-for-patient-travel-to-better-rated-hospitals
#5
Arun Subramanian, Joel T Adler, Nilay D Shah, Joseph A Hyder
Publicly reported hospital ratings aim to encourage transparency, spur quality improvement, and empower patient choice. Travel burdens may limit patient choice, particularly for older adults (aged 65 years and more) who receive most medical care. For 3 major hospital ratings systems, we estimated travel burden as the additional 1-way travel distance to receive care at a better-rated hospital.Distances were estimated from publicly available data from the US Census, US News Top Hospitals, Society of Thoracic Surgeons composite rating for coronary artery bypass grafting (STS-CABG), and Centers for Medicare and Medicaid Services Hospital Consumer Assessment of Healthcare Providers and Services (HCAHPS)...
November 15, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27830258/some-innovative-approaches-for-public-health-and-epidemiology-informatics
#6
L Toubiana, N Griffon
OBJECTIVES: Summarize excellent current research published in 2015 in the field of Public Health and Epidemiology Informatics. METHODS: The complete 2015 literature concerning public health and epidemiology informatics has been searched in PubMed and Web of Science, and the returned references were reviewed by the two section editors to select 14 candidate best papers. These papers were then peer-reviewed by external reviewers to allow the editorial team an enlightened selection of the best papers...
November 10, 2016: Yearbook of Medical Informatics
https://www.readbyqxmd.com/read/27808530/how-readers-understand-causal-and-correlational-expressions-used-in-news-headlines
#7
Rachel C Adams, Petroc Sumner, Solveiga Vivian-Griffiths, Andrew Williams, Jacky Boivin, Christopher D Chambers, Lewis Bott
Science-related news stories can have a profound impact on how the public make decisions. The current study presents 4 experiments that examine how participants understand scientific expressions used in news headlines. The expressions concerned causal and correlational relationships between variables (e.g., "being breast fed makes children behave better"). Participants rated or ranked headlines according to the extent that one variable caused the other. Our results suggest that participants differentiate between 3 distinct categories of relationship: direct cause statements (e...
November 3, 2016: Journal of Experimental Psychology. Applied
https://www.readbyqxmd.com/read/27798809/a-review-of-us-drug-costs-relevant-to-medicare-medicaid-and-commercial-insurers-post-affordable-care-act-enactment-2010-2016
#8
REVIEW
Jacquelyn McRae, F Randy Vogenberg, Silky Webb Beaty, Elizabeth Mearns, Stefan Varga, Laura Pizzi
Since passage of the Affordable Care Act (ACA) in 2010, US stakeholders are increasingly being held accountable for the value of healthcare services and drugs administered to patients. Pharmacoeconomic analyses offer one method of demonstrating a product's value, yet there is a lack of resources specific to US drug costs relevant to each stakeholder. The aim of this study was to review current US drug costs (post-ACA). A literature review aimed at finding evidence on outpatient prescription drug costs was performed using the following sources: PubMed, governmental agencies, news websites, the Academy of Managed Care Pharmacy (AMCP) website, and Google Scholar...
October 31, 2016: PharmacoEconomics
https://www.readbyqxmd.com/read/27753172/life-science-based-neuroscience-education-at-large-western-public-universities
#9
Volkan Coskun, Ellen M Carpenter
The last 40 years have seen a remarkable increase in the teaching of neuroscience at the undergraduate level. From its origins as a component of anatomy or physiology departments to its current status as an independent interdisciplinary field, neuroscience has become the chosen field of study for many undergraduate students, particularly for those interested in medical school or graduate school in neuroscience or related fields. We examined how life science-based neuroscience education is offered at large public universities in the Western United States...
December 2016: Journal of Neuroscience Research
https://www.readbyqxmd.com/read/27753115/readability-of-pediatric-otolaryngology-information-by-children-s-hospitals-and-academic-institutions
#10
Kevin Wong, Jessica R Levi
OBJECTIVES/HYPOTHESIS: Evaluate the readability of pediatric otolaryngology-related patient education materials from leading online sources. STUDY DESIGN: Cross-sectional analysis. METHODS: All pediatric otolaryngology-related articles from the online patient health libraries of the top 10 US News & World Report-ranked children's hospitals, top 5 Doximity-ranked pediatric otolaryngology fellowships, and the American Academy of Otolaryngology-Head and Neck Surgery were collected...
October 18, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27732523/lethal-intimate-partner-violence-in-later-life-understanding-measurements-strengths-and-limitations-of-research
#11
Sonia Salari, Christopher Maxwell
The aim is to conduct a critical analysis of existing family violence literature related to elder abuse homicide, also known as "eldercide." The focus relates to fatal violence perpetrated by current or former intimates. Men are the most likely victims of homicide, but rarely murdered by partners. Older women are most often killed in the home by a spouse or other family, consistent with the notion of "femicide." The FBI Supplemental Homicide Reports (SHR) and the Bureau of Justice Statistics (BJS) National Crime Victimization Survey (NCVS) are utilized to illustrate trends by sex over time...
October 12, 2016: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/27719108/-basically-it-s-sorcery-for-your-vagina-unpacking-western-representations-of-vaginal-steaming
#12
Tycho Vandenburg, Virginia Braun
Vaginal steaming made global headlines in 2015 after its promotion by celebrity Gwyneth Paltrow. One of many female genital modification practices currently on offer in Anglo-Western nations - practices both heavily promoted and critiqued - vaginal steaming is claimed to offer benefits for fertility and overall reproductive, sexual or even general health and wellbeing. We analysed a selection of online accounts of vaginal steaming to determine the sociocultural assumptions and logics within such discourse, including ideas about women, women's bodies and women's engagement with such 'modificatory' practices...
October 10, 2016: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/27714472/function-preserving-gastrectomy-based-on-the-sentinel-node-concept-in-early-gastric-cancer
#13
Hiroya Takeuchi, Osamu Goto, Naohisa Yahagi, Yuko Kitagawa
Recent meta-analyses and a prospective multicenter trial of sentinel node (SN) mapping in early gastric cancer have demonstrated acceptable SN detection rates and accuracy of determination of lymph node status. SN mapping may play a key role in obtaining individual metastatic information. It also allows modification of surgical procedures, including function-preserving gastrectomy in patients with early gastric cancer. A dual-tracer method that uses radioactive colloids and blue dye is currently considered the most reliable method for the stable detection of SNs in patients with early gastric cancer...
October 6, 2016: Gastric Cancer
https://www.readbyqxmd.com/read/27706280/medical-school-ranking-and-student-research-opportunities
#14
Annika G Havnaer, Paul B Greenberg
OBJECTIVE: This study aimed to characterize the current state of student research opportunities in a sample of US medical schools ranked in three different tiers. METHODS: The authors examined the websites for five US medical schools in each of the first, second, and third tiers per National Institutes of Health funding and U.S. News & World Report rankings. Available research opportunities were identified and categorized. RESULTS: There were 26 schools in the first (n=6), second (n=10), and third (n=10) tiers...
October 4, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27663808/news-in-early-intervention-in-autism
#15
Marie-Maude Geoffray, Marion Thevenet, Nicolas Georgieff
BACKGROUND: Autism Spectrum Disorder (ASD) is a complex neurodevelopmental trouble which prevents the child from socio-communicative interaction, and learning from his environment. Non-medical early intervention attempts to improve prognosis. We will review the main current hypothesis, intervention models and scientific supports about early intervention. METHODS: We conducted a search of the literature published on Medline between 2010 and 2015 related to intervention models provided to children with ASD aged less than 3 years...
September 2016: Psychiatria Danubina
https://www.readbyqxmd.com/read/27663431/-can-we-walk-environmental-supports-for-physical-activity-in-india
#16
Deepti Adlakha, J Aaron Hipp, Ross C Brownson, Amy A Eyler, Carolyn K Lesorogol, Ramesh Raghavan
India is currently facing a non-communicable disease epidemic. Physical activity (PA) is a preventative factor for non-communicable diseases. Understanding the role of the built environment (BE) to facilitate or constrain PA is essential for public health interventions to increase population PA. The objective of this study was to understand BEs associations with PA occurring in two major life domains or life areas-travel and leisure-in urban India. Between December 2014 and April 2015, in-person surveys were conducted with participants (N=370; female=47...
September 20, 2016: Preventive Medicine
https://www.readbyqxmd.com/read/27652208/ethical-publishing-in-intensive-care-medicine-a-narrative-review
#17
REVIEW
Christian J Wiedermann
Ethical standards in the context of scientific publications are increasingly gaining attention. A narrative review of the literature concerning publication ethics was conducted as found in PubMed, Google Scholar, relevant news articles, position papers, websites and other sources. The Committee on Publication Ethics has produced guidelines and schedules for the handling of problem situations that have been adopted by professional journals and publishers worldwide as guidelines to authors. The defined requirements go beyond the disclosure of conflicts of interest or the prior registration of clinical trials...
August 4, 2016: World Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27650377/marine-genomics-news-and-views
#18
Ângela M Ribeiro, Andrew D Foote, Anne Kupczok, Bárbara Frazão, Morten T Limborg, Rosalía Piñeiro, Samuel Abalde, Sara Rocha, Rute R da Fonseca
Marine ecosystems occupy 71% of the surface of our planet, yet we know little about their diversity. Although the inventory of species is continually increasing, as registered by the Census of Marine Life program, only about 10% of the estimated two million marine species are known. This lag between observed and estimated diversity is in part due to the elusiveness of most aquatic species and the technical difficulties of exploring extreme environments, as for instance the abyssal plains and polar waters. In the last decade, the rapid development of affordable and flexible high-throughput sequencing approaches have been helping to improve our knowledge of marine biodiversity, from the rich microbial biota that forms the base of the tree of life to a wealth of plant and animal species...
September 17, 2016: Marine Genomics
https://www.readbyqxmd.com/read/27634369/current-challenges-and-future-directions-for-liver-transplantation
#19
Pierluigi Toniutto, Alberto Zanetto, Alberto Ferrarese, Patrizia Burra
Liver transplantation is an effective and widely used therapy for several patients with acute and chronic liver diseases. The discrepancy between the number of patients on the waiting list and available donors remains the key issue and is responsible for the high rate of waiting list mortality. The recent news is that the majority of patients with hepatitis C virus related liver disease will be cured by new antivirals therefore we should expect soon a reduction in the need of liver transplantation for these recipients...
September 16, 2016: Liver International: Official Journal of the International Association for the Study of the Liver
https://www.readbyqxmd.com/read/27619747/good-news-and-bad-news
#20
EDITORIAL
Donald J Hagler
Current delivery systems for the Sapien XT valve for the native pulmonary valve are unacceptable stiff and poorly design for implantation in the pulmonary outflow tract. This report details improvisation of the Melody Ensemble for easier pulmonary outflow tract delivery of the Sapien XT valve. The unacceptable cost of the utilization of two delivery systems for valve implantation, requires industry development of an safe, effective delivery system appropriate for the pulmonary outflow tract.
September 2016: Catheterization and Cardiovascular Interventions
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