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https://www.readbyqxmd.com/read/28059971/geographical-information-system-evaluation-and-trends-of-nonaccidental-trauma-at-a-level-i-trauma-center-pilot-study
#1
Michael Robert Smith, Robert Lee Davis, Patricia Anne Phillips, Tatyana Shvilkina, Kamalijit Kaur, Heather Katrina Tabolt, Matthew Krause, Vincent Galdi
PREMISE: Although trauma may be considered a random act, geographical patterns of trauma potentially emerge. Our institution is unique in that it rests at an intersection of two of the highest areas of poverty and assault in New York City and has adequate data to analyze these patterns. METHODS: We review the incident reports logged by emergency medical services (EMS) technicians arriving with intentionally injured trauma patients from January 1 to December 31, 2013 at a single institution...
February 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28007845/cabergoline-for-cushing-s-disease-a-large-retrospective-multicenter-study
#2
Amandine Ferriere, Christine Cortet, Philippe Chanson, Brigitte Delemer, Philippe Caron, Olivier Chabre, Yves Reznik, Jerome Bertherat, Vincent Rohmer, Claire Briet, Isabelle Raingeard, Frédéric Castinetti, Albert Beckers, Laurent Vroonen, Dominique Maiter, Fritzline Cephise-Velayoudom, Marie-Laure Nunes, Magalie Haissaguerre, Antoine Tabarin
OBJECTIVE: The efficacy of cabergoline in Cushing's disease (CD) is controversial. The aim of this study was to assess the efficacy and tolerability of cabergoline in a large contemporary cohort of patients with CD. DESIGN: We conducted a retrospective multicenter study from thirteen French and Belgian university hospitals. METHODS: Sixty-two patients with CD received carbergoline monotherapy or add-on therapy. Symptom score, biological markers of hypercortisolism, and adverse effects were recorded...
December 22, 2016: European Journal of Endocrinology
https://www.readbyqxmd.com/read/27995731/treatment-of-prednisolone-induced-hyperglycaemia-in-hospitalized-patients-insights-from-a-randomized-controlled-study
#3
Anjana Radhakutty, Jessica L Stranks, Brenda L Mangelsdorf, Sophie M Drake, Gregory W Roberts, Anthony T Zimmermann, Stephen N Stranks, Campbell H Thompson, Morton G Burt
AIMS: Prednisolone predominantly causes hyperglycaemia between midday and midnight. Consequently glargine-based basal-bolus insulin regimens may under-treat day-time hyperglycaemia and cause nocturnal hypoglycaemia. We investigated whether an isophane-based insulin regimen is safer and more effective than a glargine-based regimen in hospitalized patients. MATERIALS AND METHODS: 50 inpatients prescribed ≥20 mg/day prednisolone acutely with one finger prick blood glucose level (BGL) ≥15 mmol/L or two BGLs ≥10 mmol/L within 24 hours were randomised to either insulin isophane or glargine before breakfast and insulin aspart before meals...
December 20, 2016: Diabetes, Obesity & Metabolism
https://www.readbyqxmd.com/read/27986184/the-canadian-gynaecologic-oncology-perioperative-management-survey-baseline-practice-prior-to-implementation-of-enhanced-recovery-after-surgery-eras-society-guidelines
#4
Alon D Altman, Gregg S Nelson
OBJECTIVE: To survey the current practice of Society of Gynecologic Oncology of Canada (GOC) members about preoperative, intraoperative, and postoperative phases of care. The survey was carried out prior to publication of the Enhanced Recovery After Surgery (ERAS) Society gynaecologic/oncology guidelines. METHODS: A survey was developed by the GOC and distributed to all surgical members between September and December 2015. RESULTS: The survey was completed by 77 of 92 practising gynaecologic oncologists (84%), representing 19 centres in 16 cities across Canada...
December 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/27853240/modulation-of-light-driven-arousal-by-lim-homeodomain-transcription-factor-apterous-in-large-pdf-positive-lateral-neurons-of-the-drosophila-brain
#5
Naoto Shimada, Show Inami, Shoma Sato, Toshihiro Kitamoto, Takaomi Sakai
Apterous (Ap), the best studied LIM-homeodomain transcription factor in Drosophila, cooperates with the cofactor Chip (Chi) to regulate transcription of specific target genes. Although Ap regulates various developmental processes, its function in the adult brain remains unclear. Here, we report that Ap and Chi in the neurons expressing PDF, a neuropeptide, play important roles in proper sleep/wake regulation in adult flies. PDF-expressing neurons consist of two neuronal clusters: small ventral-lateral neurons (s-LNvs) acting as the circadian pacemaker and large ventral-lateral neurons (l-LNvs) regulating light-driven arousal...
November 17, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27837400/are-readmissions-after-tha-preventable
#6
Douglas S Weinberg, Matthew J Kraay, Steven J Fitzgerald, Vasu Sidagam, Glenn D Wera
BACKGROUND: Readmissions after total joint arthroplasty have become a key quality measure in elective surgery in the United States. The Affordable Care Act includes the Hospital Readmission Reduction Program, which calls for reduced payments to hospitals with excessive readmissions. This policy uses a method to determine excess readmission ratios and calculate readmission payment adjustments to hospitals, however, it is unclear whether readmission rates are an effective quality metric...
November 11, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27800461/epidemiological-patterns-of-road-traffic-crashes-during-the-last-two-decades-in-iran-a-review-of-the-literature-from-1996-to-2014
#7
REVIEW
Homayoun Sadeghi-Bazargani, Erfan Ayubi, Saber Azami-Aghdash, Leila Abedi, Alireza Zemestani, Louiz Amanati, Mahmood Moosazadeh, Naeema Syedi, Saeid Safiri
CONTEXT: Despite considerable attention given to health statistics of road traffic crashes (RTCs), the epidemiological aspects of injuries resulting from RTCs are not fully understood in Iran and other developing countries. The aim of this review was to study the epidemiological pattern and issues arising due to RTCs in Iran. EVIDENCE ACQUISITION: The scope of this study involves data from a broad range of published literature on RTCs in Iran. Data collection for this study was conducted by searching for keywords such as traffic accidents, traffic crashes, motorcycle accidents, motorcycle crashes, motorcycle injury, motor vehicle injury, motor vehicle crashes and motor vehicle accidents, Iran and Iranian in various databases such as Embase, PubMed, Google Scholar, Scopus, Magiran, Iranian scientific information database (SID) and IranMedex...
September 2016: Archives of Trauma Research
https://www.readbyqxmd.com/read/27797672/low-dheas-a-sensitive-and-specific-test-for-detection-of-subclinical-hypercortisolism-in-adrenal-incidentalomas
#8
Michael Conall Dennedy, Anand K Annamalai, Olivia Prankerd Smith, Natalie Freeman, Kuhan Vengopal, Johann Graggaber, Olympia Koulouri, Andrew S Powlson, Ashley Shaw, David J Halsall, Mark Gurnell
CONTEXT: Subclinical hypercortisolism (SH) occurs in 5-30% of adrenal incidentalomas (AIs). Common screening tests for adrenocorticotropin (ACTH)-independent hypercortisolism have significant false positive rates, mandating further time and resource intensive investigations. OBJECTIVE: To determine whether low basal dehydroepiandrosterone sulphate (DHEAS) is a sensitive and specific screening test for SH in AI. SETTING AND PATIENTS: 185 patients with AI were screened for adrenal medullary (plasma metanephrines) and cortical [1 mg overnight dexamethasone suppression test (ONDST), 24h urinary free cortisol (UFC), serum DHEAS, plasma renin and aldosterone] hyperfunction...
October 31, 2016: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27677869/duration-of-nil-per-os-is-causal-in-hospital-length-of-stay-following-laparoscopic-bariatric-surgery
#9
Vaughn E Nossaman, William S Richardson, James B Wooldridge, Bobby D Nossaman
INTRODUCTION: A recent bariatric surgical study demonstrated an inverse relationship of intraoperative hydration with the incidence of extended hospital length of stay (ehLOS: >1 postoperative hospital day). In that study, a post hoc analysis of the preoperative duration of Nil Per Os (NPO) past midnight revealed a significant dose-response association on the incidence of ehLOS, with the lowest incidence (10-12 %) predicted within the 2-5-h NPO interval. As NPO is associated with a state of compensatory dehydration, the objectives of this study were to prospectively examine the role of decreasing preoperative NPO intervals on the incidence of ehLOS in a similar bariatric surgical population and to establish causality of this association...
September 27, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27390704/a-survey-of-clinical-practice-patterns-in-diagnosis-and-management-of-cushing-s-disease-in-iran
#10
Mojtaba Malek, Fatemeh Esfehanian, Atieh Amouzegar, Farzaneh Sarvghadi, Zohreh Moossavi, Mohammad R Mohajeri-Tehrani, Mohammad E Khamseh, Alireza Amirbaigloo, Ameneh Ebrahim Valojerdi
BACKGROUND: Cushing's disease is the most prevalent cause of endogenous adrenocorticotrophic hormone hypersecretion. The aim of this study was to document the current clinical practice pattern in the management of Cushing's disease by Iranian Endocrinologists to determine their opinions and compare them with the current clinical practice guidelines. METHODS: An eight-item questionnaire dealing with diagnosis, treatment and follow up of patients with Cushing's disease was developed, piloted, and sent to the members of Iranian Endocrinology Society...
2016: Medical Journal of the Islamic Republic of Iran
https://www.readbyqxmd.com/read/27338087/online-responses-to-the-ending-of-the-one-child-policy-in-china-implications-for-preconception-care
#11
Fuqin Liu, Jiaming Bao, Doris Boutain, Marcia Straughn, Olusola Adeniran, Heather DeGrande, Stevan Harrell
AIM: A critical analysis of online public postings in response to the news about the ending of China's one-child policy was conducted. The specific study aims were to 1) identify the dominant public discourse in response to the news about the ending of the one-child policy and the beginning of the new two-child policy, and 2) explore implications for preconception care from the public discourse. MATERIAL AND METHODS: Data sources were 10 top-ranked, online news media sites in China, including one Hong Kong-based media site...
June 24, 2016: Upsala Journal of Medical Sciences
https://www.readbyqxmd.com/read/27323512/cms-backs-off-cuts-due-to-two-midnight-rule
#12
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27323509/making-the-two-midnight-rule-work-for-you
#13
Toni Cesta
While the Two-Midnight Rule can be confusing to staff and patients alike, if you implement and hardwire your processes you will be more likely to maintain compliance going forward.
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27280006/epidemiological-aspect-of-scorpion-sting-in-bandar-abbas-iran-during-2009-2011
#14
Seyed Hamid Moosavy, Mehran Shahi, Javad Rafinejad, Shahram Zare, Abdoulhossain Madani, Shahrokh Navidpour
INTRODUCTION: People in tropical and semi-tropical areas are in danger of scorpion sting, and this can be a serious problem for them. Mortality due to scorpion sting in the tropical and semi-tropical areas of Iran is about 75%, and this makes scorpion sting in these areas a serious medical problem. Because of this problem, our aim was to assess the epidemiological aspects of scorpion sting in Bandar Abbas, Iran, during 2009-2011. METHODS: In this cross-sectional retrospective study, epidemiologic data of 698 scorpion sting cases, who were referred to the Shahid Mohamadi Hospital of Bandar Abbas in Hormozgan Province collected from 2009 until 2011...
April 2016: Electronic Physician
https://www.readbyqxmd.com/read/27121185/affect-school-and-script-analysis-versus-basic-body-awareness-therapy-in-the-treatment-of-psychological-symptoms-in-patients-with-diabetes-and-high-hba1c-concentrations-two-study-protocols-for-two-randomized-controlled-trials
#15
RANDOMIZED CONTROLLED TRIAL
Eva O Melin, Ralph Svensson, Sven-Åke Gustavsson, Agneta Winberg, Ewa Denward-Olah, Mona Landin-Olsson, Hans O Thulesius
BACKGROUND: Depression is linked with alexithymia, anxiety, high HbA1c concentrations, disturbances of cortisol secretion, increased prevalence of diabetes complications and all-cause mortality. The psycho-educational method 'affect school with script analysis' and the mind-body therapy 'basic body awareness treatment' will be trialled in patients with diabetes, high HbA1c concentrations and psychological symptoms. The primary outcome measure is change in symptoms of depression. Secondary outcome measures are changes in HbA1c concentrations, midnight salivary cortisol concentration, symptoms of alexithymia, anxiety, self-image measures, use of antidepressants, incidence of diabetes complications and mortality...
April 27, 2016: Trials
https://www.readbyqxmd.com/read/27083922/patient-comorbidity-predicts-hospital-length-of-stay-after-robot-assisted-prostatectomy
#16
Aaron M Potretzke, Eric H Kim, Brent A Knight, Barrett G Anderson, Alyssa M Park, R Sherburne Figenshau, Sam B Bhayani
We sought to examine the impact of baseline patient characteristics and perioperative outcomes on postoperative hospital length of stay (LOS), following the robot-assisted radical prostatectomy (RARP). We retrospectively reviewed consecutive patients receiving RARP at our institution by two surgeons between January 2012 and March 2014 (n = 274). Baseline patient characteristics were collected, including Charlson comorbidity index (CCI). Discharge criteria were identical for all patients and included: return of bowel function, pain controlled with oral medications, and ambulation without assistance...
June 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27051938/cms-eases-restrictions-imposed-under-the-two-midnight-rule
#17
Vinita Ollapally
No abstract text is available yet for this article.
March 2016: Bulletin of the American College of Surgeons
https://www.readbyqxmd.com/read/27039267/the-extent-and-nature-of-food-advertising-to-children-on-spanish-television-in-2012-using-an-international-food-based-coding-system-and-the-uk-nutrient-profiling-model
#18
M Á Royo-Bordonada, K León-Flández, J Damián, M J Bosqued-Estefanía, M Á Moya-Geromini, L López-Jurado
OBJECTIVE: To examine the extent and nature of food television advertising directed at children in Spain using an international food-based system and the United Kingdom nutrient profile model (UKNPM). STUDY DESIGN: Cross-sectional study of advertisements of food and drinks shown on five television channels over 7 days in 2012 (8am-midnight). METHODS: Showing time and duration of each advertisement was recorded. Advertisements were classified as core (nutrient-rich/calorie-low products), non-core, or miscellaneous based on the international system, and either healthy/less healthy, i...
August 2016: Public Health
https://www.readbyqxmd.com/read/27032172/hospitals-push-back-against-reimbursement-cuts-due-to-two-midnight-rule
#19
(no author information available yet)
The American Hospital Association (AHA) and other hospitals are suing CMS, challenging the 0.2% cut in Medicare reimbursement that CMS instituted to compensate for the financial effect of the Two-Midnight rule. CMS' actuaries reported that inpatient claims are likely to increase under the rule, resulting in $220 million additional reimbursement for hospitals. Hospitals disagree and a study commissioned by the AHA concluded that the CMS study was based on data not available to the public and that data from the Medicare Provider and Analysis Review (MedPAR) would lead to a different conclusion...
April 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27032166/inpatient-or-observation-will-the-difference-ever-be-clear
#20
(no author information available yet)
It's been more than two years since the Two-Midnight rule went into effect, but the Centers for Medicare & Medicaid Services' attempt to clear up confusion about patient status just has people more uncertain. Case managers should monitor patients at every access point in the hospital and work with the admitting physicians to ensure that patients are in the proper status. Observation patients should be easily identified, preferably in a dedicated observation unit, so clinicians know to give them priority and either admit or discharge them...
April 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
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