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https://www.readbyqxmd.com/read/29223193/quality-indicators-for-evaluating-prehospital-emergency-care-a-scoping-review
#1
Ian Howard, Peter Cameron, Lee Wallis, Maaret Castren, Veronica Lindstrom
Introduction Historically, the quality and performance of prehospital emergency care (PEC) has been assessed largely based on surrogate, non-clinical endpoints such as response time intervals or other crude measures of care (eg, stakeholder satisfaction). However, advances in Emergency Medical Services (EMS) systems and services world-wide have seen their scope and reach continue to expand. This has dictated that novel measures of performance be implemented to compliment this growth. Significant progress has been made in this area, largely in the form of the development of evidence-informed quality indicators (QIs) of PEC...
December 10, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29222043/catheter-ablation-of-atrial-fibrillation-in-patients-with-heart-failure-and-preserved-ejection-fraction
#2
Eric Black-Maier, Xinru Ren, Benjamin A Steinberg, Cynthia L Green, Adam S Barnett, Normita Sta Rosa, Sana M Al-Khatib, Brett D Atwater, James P Daubert, Camille Frazier-Mills, Augustus O Grant, Donald D Hegland, Kevin P Jackson, Larry R Jackson, Jason I Koontz, Robert K Lewis, Albert Y Sun, Kevin L Thomas, Tristam D Bahnson, Jonathan P Piccini
BACKGROUND: Few studies have examined outcomes of catheter ablation for atrial fibrillation (AF) in patients with heart failure with preserved ejection fraction (HFpEF). OBJECTIVE: Compare outcomes of AF ablation in patients with HFpEF versus HF with reduced ejection fraction (HFrEF). METHODS: We performed a retrospective study of 230 patients with HF who underwent AF ablation, including 97 (42.2%) with HFrEF and 133 (57.8%) with HFpEF. Outcomes included adverse events, symptoms (Mayo AF Symptom Inventory [MAFSI]), New York Heart Association (NYHA) functional class, and freedom from recurrent atrial arrhythmia at 12-months...
December 5, 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/29218476/google-trends-as-a-resource-for-informing-plastic-surgery-marketing-decisions
#3
Brittany Ward, Max Ward, Boris Paskhover
BACKGROUND: Celebrities have long influenced the medical decisions of the general population. By analyzing Google search data using Google Trends, we measured the impact of highly publicized plastic surgery-related events on the interest level of the general population in specific search terms. Additionally, we investigated seasonal and geographic trends around interest in rhinoplasties, which is information that physicians and small surgical centers can use to optimize marketing decisions...
December 7, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29215499/post-operative-emergency-department-utilization-and-hospital-readmission-after-cervical-spine-arthrodesis-rates-trends-causes-and-risk-factors
#4
Peter B Derman, Lukas P Lampe, Ting Jung Pan, Stephan N Salzmann, Janina Kueper, Federico P Girardi, Stephen Lyman, Alexander P Hughes
STUDY DESIGN: Retrospective state database analysis. OBJECTIVE: To quantify the 30-day and 90-day emergency department (ED) utilization and inpatient readmission rates after primary cervical arthrodesis, to stratify these findings by surgical approach and to describe risk factors and conditions precipitating these events. SUMMARY OF BACKGROUND DATA: Limited data exist on ED utilization and hospital readmission rates after cervical spine arthrodesis...
December 5, 2017: Spine
https://www.readbyqxmd.com/read/29210202/amount-or-intensity-potential-targets-of-exercise-interventions-in-patients-with-heart-failure-with-preserved-ejection-fraction
#5
Anna Bobenko, Inke Bartels, Marlene Münch, Tobias Trippel, Ruhdja Lindhorst, Kathleen Nolte, Christoph Herrmann-Lingen, Martin Halle, André Duvinage, Hans-Dirk Düngen, Götz Gelbrich, Carsten Tschöpe, Gerd Hasenfuss, Rolf Wachter, Burkert Pieske, Frank Edelmann
AIMS: Heart failure with preserved ejection fraction (HFpEF) remains a common condition with no pharmacological treatment. Physical activity (PA) improves symptoms and quality of life (QoL), but no clear recommendations exist on PA in HFpEF patients. We investigated the association of PA (amount/intensity) on clinical phenotype in HFpEF. METHODS AND RESULTS: The Aldosterone in Diastolic Heart Failure trial investigated spironolactone vs. placebo in stable HFpEF patients...
December 6, 2017: ESC Heart Failure
https://www.readbyqxmd.com/read/29206990/measuring-the-impact-of-disasters-using-publicly-available-data-application-to-hurricane-sandy-2012
#6
Steven J Mongin, Sherry L Baron, Rebecca M Schwartz, Bian Liu, Emanuela Taioli, Hyun Kim
The unexpected nature of disasters leaves little time or resources for organized health surveillance of the affected population, and even less for those who are unaffected. An ideal epidemiologic study would monitor both groups equally well, but would typically be decided against as infeasible or costly. Exposure and health outcome data at the level of the individual can be difficult to obtain. Despite these challenges, the health effects of a disaster can be approximated. Approaches include 1) the use of publicly available exposure data in geographic detail, 2) health outcomes data-collected before, during, and after the event, and 3) statistical modeling designed to compare the observed frequency of health outcomes with the counterfactual frequency hidden by the disaster itself...
December 1, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/29203038/trends-in-medicaid-beneficiaries-receipt-of-breast-reconstruction-procedures-following-pre-affordable-care-act-aca-medicaid-expansion-in-new-york-state
#7
Oluseyi Aliu, Aviram M Giladi, Kevin C Chung
BACKGROUND: Expanding eligibility will increase the demand for surgical services within Medicaid but little is known of the response to such increase in demand. We examined how much of the increased demand for breast reconstruction was met after expansion of Medicaid eligibility. METHODS: We used New York state databases from 1998 to 2006 and a population of non-elderly adults (19-64) who underwent breast cancer treatment and reconstructive procedures. We used an Interrupted Time-Series design to examine the association between Medicaid expansion in 2001 and changes in the percentages of treatment and reconstructive procedures covered by Medicaid...
November 28, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29199900/a-prescribed-walking-regimen-plus-arginine-supplementation-improves-function-and-quality-of-life-for-patients-with-pulmonary-arterial-hypertension-a-pilot-study
#8
Mary Beth Brown, Attie Kempf, Catherine M Collins, Gary M Long, Matthew Owens, Shikha Gupta, Yaron Hellman, Vincent Wong, Mark Farber, Tim Lahm
Current evidence suggests that exercise training is beneficial in pulmonary arterial hypertension (PAH). Unfortunately, the standard supervised, hospital-based programs limit patient accessibility to this important intervention. Our proof-of-concept study aimed to provide insight into the usefulness of a prescribed walking regimen along with arginine supplementation to improve outcomes for patients with PAH. Twelve PAH patients (all women) in New York Heart Association (NYHA) functional class (FC) II (n = 7) or III (n = 5) and in stable condition for ≥ 3 months were enrolled...
January 2018: Pulmonary Circulation
https://www.readbyqxmd.com/read/29196383/opioid-analgesic-use-in-patients-with-ankylosing-spondylitis-an-analysis-of-the-prospective-study-of-outcomes-in-an-ankylosing-spondylitis-cohort
#9
Jonathan D Dau, MinJae Lee, Michael M Ward, Lianne S Gensler, Matthew A Brown, Thomas J Learch, Laura A Diekman, Amirali Tahanan, Mohammad H Rahbar, Michael H Weisman, John D Reveille
OBJECTIVE: Opioid analgesics may be prescribed to ankylosing spondylitis (AS) patients with pain that is unresponsive to antirheumatic treatment. Our study assessed factors associated with opioid usage in AS. METHODS: A prospective cohort of 706 patients with AS meeting modified New York criteria followed at least 2 years underwent comprehensive clinical evaluation of disease activity and functional impairment. These were assessed by the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and Bath Ankylosing Spondylitis Functional Index (BASFI)...
December 1, 2017: Journal of Rheumatology
https://www.readbyqxmd.com/read/29193462/contribution-of-cardiac-and-extra-cardiac-disease-burden-to-risk-of-cardiovascular-outcomes-varies-by-ejection-fraction-in-heart-failure
#10
Emil Wolsk, Brian Claggett, Lars Køber, Stuart Pocock, Salim Yusuf, Karl Swedberg, John J V McMurray, Christopher B Granger, Marc A Pfeffer, Scott D Solomon
AIMS: Patients with heart failure (HF) often have multiple co-morbidities that contribute to the risk of adverse cardiovascular (CV) and non-CV outcomes. We assessed the relative contribution of cardiac and extra-cardiac disease burden and demographic factors to CV outcomes in HF patients with reduced (HFrEF) or preserved (HFpEF) left ventricular ejection fraction (LVEF). METHODS AND RESULTS: We utilized data from the CHARM trial, which enrolled HF patients across the ejection fraction spectrum...
November 30, 2017: European Journal of Heart Failure
https://www.readbyqxmd.com/read/29191514/perceived-neighborhood-characteristics-predict-severity-and-emotional-response-to-daily-stressors
#11
Stacey B Scott, Elizabeth Munoz, Jacqueline A Mogle, Alyssa A Gamaldo, Joshua M Smyth, David M Almeida, Martin J Sliwinski
RATIONALE: Neighborhood characteristics may influence health and well-being outcomes through stressors in daily life. OBJECTIVES: This study tested whether a varied set of perceived characteristics of neighborhood (i.e., social cohesion, safety, aesthetic quality, violence) predicted stressor frequency and severity as well as negative emotional responses to stressors. We predicted greater reported cohesion and safety and less violence would be associated with less frequent stressor exposure and severity and less intense negative affect following stressors; we conducted subsequent tests of neighborhood aesthetic quality as a predictor...
November 9, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29190355/trends-in-practice-and-outcomes-from-2011-to-2015-for-surgical-aortic-valve-replacement-an-update-from-the-german-aortic-valve-registry-on-42%C3%A2-776-patients
#12
Buntaro Fujita, Stephan Ensminger, Timm Bauer, Helge Möllmann, Andreas Beckmann, Raffi Bekeredjian, Sabine Bleiziffer, Elke Schäfer, Christian W Hamm, Friedrich W Mohr, Hugo A Katus, Wolfgang Harringer, Thomas Walther, Christian Frerker
OBJECTIVES: Surgical aortic valve replacement (sAVR) is coming under close scrutiny with the recent upswing in the use of less invasive approaches. The aim of this analysis was to identify current trends in patient selection, procedural characteristics and outcomes after sAVR in Germany. METHODS: We analysed data from 42 776 patients included in the German Aortic Valve Registry who underwent sAVR with and without coronary artery bypass surgery (CABG) between 2011 and 2015...
November 27, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29180548/primary-care-providers-perspectives-on-errors-of-omission
#13
Lusine Poghosyan, Allison A Norful, Elaine Fleck, Jean-Marie Bruzzese, AkkeNeel Talsma, Angela Nannini
BACKGROUND: Despite recent focus on patient safety in primary care, little attention has been paid to errors of omission, which represent significant gaps in care and threaten patient safety in primary care but are not well studied or categorized. The purpose of this study was to develop a typology of errors of omission from the perspectives of primary care providers (PCPs) and understand what factors within practices lead to or prevent these omissions. METHODS: A qualitative descriptive design was used to collect data from 26 PCPs, both physicians and nurse practitioners, from the New York State through individual interviews...
November 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29177798/predicting-the-risk-of-cucurbit-downy-mildew-in-the-eastern-united-states-using-an-integrated-aerobiological-model
#14
K N Neufeld, A P Keinath, B K Gugino, M T McGrath, E J Sikora, S A Miller, M L Ivey, D B Langston, B Dutta, T Keever, A Sims, P S Ojiambo
Cucurbit downy mildew caused by the obligate oomycete, Pseudoperonospora cubensis, is considered one of the most economically important diseases of cucurbits worldwide. In the continental United States, the pathogen overwinters in southern Florida and along the coast of the Gulf of Mexico. Outbreaks of the disease in northern states occur annually via long-distance aerial transport of sporangia from infected source fields. An integrated aerobiological modeling system has been developed to predict the risk of disease occurrence and to facilitate timely use of fungicides for disease management...
November 25, 2017: International Journal of Biometeorology
https://www.readbyqxmd.com/read/29176106/the-rikers-island-hot-spotters-exploring-the-needs-of-the-most-frequently-incarcerated
#15
Alex Harocopos, Bennett Allen, Sarah Glowa-Kollisch, Homer Venters, Denise Paone, Ross Macdonald
A cohort of frequently incarcerated individuals in the New York City jail system was identified through "hot spotting" analysis. This group demonstrated higher levels of substance use, mental illness, and homelessness than the general jail population, and was typically incarcerated on minor criminal charges. To understand this population better, in-depth interviews (n = 20) were conducted at three Rikers Island correctional facilities with people who had entered the jail system at least 18 times in a six-year period...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/29171276/pericardial-effusion-following-cardiac-surgery-a-single-center-experience
#16
Hien Sinh Nguyen, Hung Doan-Thai Nguyen, Thang Duc Vu
Background Pericardial effusion is still a common postoperative complication after open heart surgery with cardiopulmonary bypass. Pericardial effusion significantly prolongs the hospital stay and associated costs as well as affecting overall outcomes after open heart surgery in Hanoi Heart Hospital, a tertiary hospital in Vietnam with an annual volume of 1000 patients. This study aimed to investigate the clinical presentation, incidence, and risk factors of postoperative pericardial effusion, which may ensure better prevention of pericardial effusion and improvement in surgical outcomes after open heart surgery...
January 1, 2017: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/29171209/relationship-between-pulmonary-artery-stiffness-and-functional-capacity-in-patients-with-heart-failure-with-reduced-ejection-fraction
#17
Erkan Yildirim, Murat Celik, Uygar Cagdas Yuksel, Mutlu Gungor, Baris Bugan, Deniz Dogan, Yalcin Gokoglan, Hasan Kutsi Kabul, Suat Gormel, Salim Yasar, Mustafa Koklu, Cem Barcin
BACKGROUND AND OBJECTIVES: Functional capacity varies significantly among patients with heart failure with reduced ejection fraction (HFrEF), and it remains unclear why functional capacity is severely compromised in some patients with HFrEF while it is preserved in others. In this study, we aimed to evaluate the role of pulmonary artery stiffness (PAS) in the functional status of patients with HFrEF. METHODS: A total of 46 heart failure (HF) patients without overt pulmonary hypertension or right HF and 52 controls were enrolled in the study...
November 6, 2017: Korean Circulation Journal
https://www.readbyqxmd.com/read/29168621/peripheral-muscle-training-with-resistance-exercise-bands-in-patients-with-chronic-heart-failure-long-term-effects-on-walking-distance-and-quality-of-life-a-pilot-study
#18
Charlotta Lans, Åsa Cider, Eva Nylander, Lars Brudin
AIMS: This study aimed to describe a method of peripheral muscle training with resistance bands in patients with chronic heart failure (CHF) and to evaluate its effects on the 6 min walk test and quality of life up to 12 months using a home-based programme. METHODS AND RESULTS: Twenty-two patients with stable CHF (19 men and 3 women), mean age 63.2 years (SD 8.1), New York Heart Association class II-III were randomized to individual home-based training (HT group), or home-based training with a group-based start-up in a hospital setting (GT group)...
November 23, 2017: ESC Heart Failure
https://www.readbyqxmd.com/read/29168204/early-and-medium-term-outcomes-of-alfieri-mitral-valve-repair-in-the-management-of-systolic-anterior-motion-during-septal-myectomy
#19
Richard Collis, Oliver Watkinson, Antonis Pantazis, Maria Tome-Esteban, Perry M Elliott, Christopher G A McGregor
BACKGROUND: This report studies the early and medium-term clinical and echocardiographic outcomes of the Alfieri edge-to-edge mitral valve repair, as adjunctive therapy, to prevent and treat systolic anterior motion (SAM) at the time of septal myectomy (SM) for left ventricular outflow tract obstruction in hypertrophic cardiomyopathy. METHODS: From 2009-2015, 11 consecutive patients had a trans-atrial Alfieri repair, to prevent (n = 7) or treat (n = 4) SAM at the time of SM...
November 23, 2017: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/29162531/mylarc-a-theory-based-interactive-smartphone-app-to-support-adolescents-use-of-long-acting-reversible-contraception
#20
Sarah E Timmons, Emily Birchfield Shakibnia, Melanie A Gold, Samantha Garbers
STUDY OBJECTIVE: Develop and test the feasibility of a Health Belief Model theory-based interactive smartphone application (app) aimed at providing information and support to adolescents with long-acting reversible contraception (LARC). DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS: Using a mixed-method design, we conducted 30 in-person interviews with adolescent LARC users who were enrolled in School-Based Health Centers (SBHCs) in New York City. Interviews were conducted in two phases: during Phase 1, 12 participants viewed a pilot version of the app (MyLARC); during Phase 2, 18 additional participants interacted with an expanded version of the app...
November 18, 2017: Journal of Pediatric and Adolescent Gynecology
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