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https://www.readbyqxmd.com/read/28693347/improving-physician-communication-with-patients-as-measured-by-hcahps-using-a-standardized-communication-model
#1
Devin J Horton, Peter M Yarbrough, Nathan Wanner, Ryan D Murphy, Polina V Kukhareva, Kensaku Kawamoto
Physicians often fail to communicate well with patients. The objective of this retrospective controlled interrupted time series study was to evaluate the impact of a standardized communication intervention to improve physician communication. All patients ages 18 years or older (N = 7739 visits) admitted to University of Utah Health Care in Salt Lake City, Utah, from July 1, 2012, to June 31, 2014, were included. Obstetrics, rehabilitation, and psychiatric patients were excluded. The primary outcome was the percentage of patients who answered "Always" to all HCAHPS questions regarding physician-patient communication...
February 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28672864/vicarious-calibration-of-suas-microbolometer-temperature-imagery-for-estimation-of-radiometric-land-surface-temperature
#2
Alfonso Torres-Rua
In recent years, the availability of lightweight microbolometer thermal cameras compatible with small unmanned aerial systems (sUAS) has allowed their use in diverse scientific and management activities that require sub-meter pixel resolution. Nevertheless, as with sensors already used in temperature remote sensing (e.g., Landsat satellites), a radiance atmospheric correction is necessary to estimate land surface temperature. This is because atmospheric conditions at any sUAS flight elevation will have an adverse impact on the image accuracy, derived calculations, and study replicability using the microbolometer technology...
June 26, 2017: Sensors
https://www.readbyqxmd.com/read/28657555/-it-feels-like-a-lot-of-extra-work-resident-attitudes-about-quality-improvement-and-implications-for-an-effective-learning-health-care-system
#3
Jorie M Butler, Katherine A Anderson, Mark A Supiano, Charlene R Weir
PURPOSE: The learning health care system promotes development and application of evidence generated within the health care system to enhance the quality of patient care. The purpose of this study was to understand resident attitudes about quality improvement (QI) in Accreditation Council for Graduate Medical Education-approved programs. METHOD: Four focus groups were conducted with 45 residents at the University of Utah School of Medicine during September and October 2014...
July 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28652697/efficacy-and-safety-of-a-3-month-loteprednol-etabonate-0-5-gel-taper-for-routine-prophylaxis-after-photorefractive-keratectomy-compared-to-a-3-month-prednisolone-acetate-1-and-fluorometholone-0-1-taper
#4
Mark D Mifflin, Brent S Betts, P Adam Frederick, Jason M Feuerman, Carlton R Fenzl, Majid Moshirfar, Brian Zaugg
PURPOSE: To compare the outcome of photorefractive keratectomy (PRK) and complications in patients treated with either loteprednol etabonate 0.5% gel or prednisolone acetate 1% suspension and fluorometholone (fml) 0.1% suspension. SETTING: John A Moran Eye Center, University of Utah, Salt Lake City, UT, USA. DESIGN: Prospective, randomized, partially masked trial. METHODS: PRK was performed on 261 eyes of 132 participants...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28650250/a-retrospective-longitudinal-claims-based-comparison-of-concomitant-diagnoses-between-individuals-with-and-without-down-syndrome
#5
Amanda M Kong, Dana Hurley, Kristin A Evans, Diana Brixner, Csilla Csoboth, Jeannie Visootsak
BACKGROUND: Individuals with Down syndrome (DS) experience various comorbidities in excess of the prevalence seen among the non-DS population. However, the extent of the excess burden of comorbidities specifically within commercially and publicly insured DS populations aged < 21 years is not currently known. OBJECTIVES: To (a) describe the most common diagnoses among individuals with DS who have either commercial or Medicaid insurance and (b) compare the prevalence of those diagnoses between DS cases and non-DS controls...
July 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28647794/an-update-on-the-risk-of-lymph-node-metastasis-for-the-follicular-variant-of-papillary-thyroid-carcinoma-with-the-new-diagnostic-paradigm
#6
Aleksandra M Sowder, Benjamin L Witt, Jason P Hunt
Previous data has shown that the risk of nodal metastases is significantly greater for classical papillary thyroid carcinoma (PTC) as compared to the follicular variant (FVPTC). Given a recent change in diagnostic paradigm and definition of the noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) we intended to investigate if there remains a significant difference in nodal involvement between classical PTC and FVPTC. A 6-year retrospective review of all cases with FVPTC in the diagnostic line from the University of Utah/ARUP Laboratories was conducted...
June 24, 2017: Head and Neck Pathology
https://www.readbyqxmd.com/read/28645235/external-validity-of-the-new-york-university-caregiver-intervention-key-caregiver-outcomes-across-multiple-demonstration-projects
#7
Elizabeth B Fauth, Mark A Jackson, Donna K Walberg, Nancy E Lee, Leisa R Easom, Gayle Alston, Angel Ramos, Kristen Felten, Asenath LaRue, Mary Mittelman
PURPOSE OF THE STUDY: The Administration on Aging funded six New York University Caregiver Intervention (NYUCI) demonstration projects, a counseling/support intervention targeting dementia caregivers and families. Three sites (Georgia, Utah, Wisconsin) pooled data to inform external validity in nonresearch settings. This study (a) assesses collective changes over time, and (b) compares outcomes across sites on caregiver burden, depressive symptoms, satisfaction with social support, family conflict, and quality of life...
June 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28642336/the-evolving-genetic-risk-for-sporadic-als
#8
Summer B Gibson, Jonathan M Downie, Spyridoula Tsetsou, Julie E Feusier, Karla P Figueroa, Mark B Bromberg, Lynn B Jorde, Stefan M Pulst
OBJECTIVE: To estimate the genetic risk conferred by known amyotrophic lateral sclerosis (ALS)-associated genes to the pathogenesis of sporadic ALS (SALS) using variant allele frequencies combined with predicted variant pathogenicity. METHODS: Whole exome sequencing and repeat expansion PCR of C9orf72 and ATXN2 were performed on 87 patients of European ancestry with SALS seen at the University of Utah. DNA variants that change the protein coding sequence of 31 ALS-associated genes were annotated to determine which were rare and deleterious as predicted by MetaSVM...
July 18, 2017: Neurology
https://www.readbyqxmd.com/read/28636063/solving-interoperability-in-translational-health-perspectives-of-students-from-the-international-partnership-in-health-informatics-education-iphie-2016-master-class
#9
Anne M Turner, Julio C Facelli, Monique Jaspers, Thomas Wetter, Daniel Pfeifer, Laël Cranmer Gatewood, Terry Adam, Yu-Chuan Li, Ming-Chin Lin, R Scott Evans, Anna Beukenhorst, Hugo Johan Theodoore van Mens, Esmee Tensen, Christian Bock, Laura Fendrich, Peter Seitz, Julian Suleder, Ranyah Aldelkhyyel, Kent Bridgeman, Zhen Hu, Aaron Sattler, Shin-Yi Guo, Islam Md Mohaimenul Mohaimenul, Dina Nur Anggraini Ningrum, Hsin-Ru Tung, Jiantano Bian, Joseph M Plasek, Casey Rommel, Juandalyn Burke, Harkirat Sohih
BACKGROUND: In the summer of 2016 an international group of biomedical and health informatics faculty and graduate students gathered for the 16th meeting of the International Partnership in Health Informatics Education (IPHIE) masterclass at the University of Utah campus in Salt Lake City, Utah. This international biomedical and health informatics workshop was created to share knowledge and explore issues in biomedical health informatics (BHI). OBJECTIVE: The goal of this paper is to summarize the discussions of biomedical and health informatics graduate students who were asked to define interoperability, and make critical observations to gather insight on how to improve biomedical education...
June 20, 2017: Applied Clinical Informatics
https://www.readbyqxmd.com/read/28622641/u-s-drug-shortages-for-medications-used-in-adult-critical-care-2001-2016
#10
Maryann Mazer-Amirshahi, Munish Goyal, Suleman A Umar, Erin R Fox, Mark Zocchi, Kristy L Hawley, Jesse M Pines
PURPOSE: We describe trends in U.S. shortages impacting critical care drugs from 2001 to 2016. MATERIALS AND METHODS: Shortages within the scope of critical care were identified using data from the University of Utah Drug Information Services. Shortage characteristics were described using standard descriptive statistics and regression analysis. RESULTS: Of 1969 shortages reported, 1004 (51%) were for drugs used in critical care. New shortages fell from 2001 to 2004, then increased, peaking in 2011 (116)...
June 9, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/28583451/assessment-of-cost-drivers-in-transsphenoidal-approaches-for-resection-of-pituitary-tumors-using-the-value-driven-outcome-database
#11
Michael Karsy, Andrea A Brock, Jian Guan, Erica F Bisson, William T Couldwell
INTRODUCTION: Reducing healthcare costs while improving quality of care has become imperative in neurosurgical care. The Value-Driven Outcome (VDO) database at the University of Utah is one approach that identifies cost drivers and tracks changes over time. METHODS: A retrospective review by was performed for transsphenoidal resections of pituitary adenomas from July 2012 to September 2016. Total cost, subcategory costs, and potential cost drivers were evaluated...
June 2, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28575408/trends-in-sales-of-flavored-and-menthol-tobacco-products-in-the-united-states-during-2011-2015
#12
Nicole M Kuiper, Doris Gammon, Brett Loomis, Kyle Falvey, Teresa W Wang, Brian A King, Todd Rogers
Introduction: Flavors can mask the harshness of tobacco and make it appealing to young people. This study assessed flavored and menthol tobacco product sales at the national and state levels. Methods: Universal Product Code (UPC) tobacco sales data collected by Nielsen were combined for convenience stores and all-outlets-combined during October 22, 2011-January 9, 2016. Products were characterized as flavored, menthol, or non-flavored/non-menthol. Total unit sales, and the proportion of flavored and menthol unit sales, were assessed nationally and by state for seven tobacco products...
June 1, 2017: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/28572071/social-approval-bias-in-self-reported-fruit-and-vegetable-intake-after-presentation-of-a-normative-message-in-college-students
#13
Elizabeth Nix, Heidi J Wengreen
OBJECTIVE: To determine the accuracy of self-reported data regarding Fruit and Vegetable (FV) intake in college students at Utah State University after being presented with a descriptive normative message. INTERVENTION: Participants (N = 167) were recruited from general education courses and asked to complete a baseline survey containing a FV screener from the National Cancer Institute. They were then randomized to receive one of four messages one week after the initial survey and asked to immediately complete the same FV screener...
May 29, 2017: Appetite
https://www.readbyqxmd.com/read/28565979/flow-diversion-of-tandem-cerebral-aneurysms-a-multi-institutional-retrospective-study
#14
Al-Wala Awad, Karam Moon, Nam Yoon, Marcus D Mazur, M Yashar S Kalani, Philipp Taussky, Cameron G McDougall, Felipe C Albuquerque, Min S Park
OBJECTIVE Flow diversion has proven to be an efficacious means of treating cerebral aneurysms that are refractory to other therapeutic means. Patients with tandem aneurysms treated with flow diversion have been included in larger, previously reported series; however, there are no dedicated reports on using this technique during a single session to treat this unique subset of patients. Therefore, the authors analyzed the outcomes of patients who had undergone single-session flow diversion for the treatment of tandem aneurysms...
June 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/28561130/the-effects-of-natural-language-processing-on-cross-institutional-portability-of-influenza-case-detection-for-disease-surveillance
#15
Jeffrey P Ferraro, Ye Ye, Per H Gesteland, Peter J Haug, Fuchiang Rich Tsui, Gregory F Cooper, Rudy Van Bree, Thomas Ginter, Andrew J Nowalk, Michael Wagner
OBJECTIVES: This study evaluates the accuracy and portability of a natural language processing (NLP) tool for extracting clinical findings of influenza from clinical notes across two large healthcare systems. Effectiveness is evaluated on how well NLP supports downstream influenza case-detection for disease surveillance. METHODS: We independently developed two NLP parsers, one at Intermountain Healthcare (IH) in Utah and the other at University of Pittsburgh Medical Center (UPMC) using local clinical notes from emergency department (ED) encounters of influenza...
May 31, 2017: Applied Clinical Informatics
https://www.readbyqxmd.com/read/28533251/pharmacists-mourn-passing-of-university-of-utah-s-arthur-lipman-72
#16
Kate Traynor
No abstract text is available yet for this article.
June 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28526079/patient-needs-and-preferences-for-herb-drug-disease-interaction-alerts-a-structured-interview-study
#17
Carrie M Christensen, Rebecca S Morris, Seraphine Chepkemoi Kapsandoy, Melissa Archer, Jinqiu Kuang, Laura Shane-McWhorter, Bruce E Bray, Qing Zeng-Treitler
BACKGROUND: While complementary and alternative medicine (CAM) is commonly used in the United States and elsewhere, and hazardous interactions with prescription drugs can occur, patients do not regularly communicate with physicians about their CAM use. The objective of this study was to discover patient information needs and preferences for herb-drug-disease interaction alerts. METHODS: We recruited 50 people from several locations within the University of Utah Hospital to participate in this structured interview study...
May 19, 2017: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/28480058/understanding-investigators-attitudes-through-a-results-based-accountability-framework-within-a-single-ctsa-institution
#18
Erin Rothwell, Trent Matheson
PURPOSE: The National Center for Advancing Translation Science (NCATS) is implementing a new strategic management plan called the results-based accountability framework. This framework is part of the common metrics initiative. For successful implementation and adoption of new management strategies, it is important to assess current stakeholders' experiences and needs. METHODS: Interviews were conducted with principal investigators who are conducting research and supported by the Center for Clinical Translational Science at the University of Utah...
February 2017: Journal of clinical and translational science
https://www.readbyqxmd.com/read/28471932/board-review-course-as-intervention-impact-on-pance-performance
#19
Alan K Mirly, Melanie M Domenech Rodríguez, Jennifer M Coombs
PURPOSE: To analyze the effectiveness of an independent commercial 3-day Physician Assistant National Certifying Examination (PANCE)-Physician Assistant National Recertifying Examination (PANRE) board review course to improve first-time pass rates on the PANCE. METHODS: Data were extracted from academic files at 2 universities over 2 years. In the first year (2014), the universities had not implemented a requirement for participation in a commercial board review course...
May 1, 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/28395008/derivation-and-validation-of-a-serum-biomarker-panel-to-identify-infants-with-acute-intracranial-hemorrhage
#20
Rachel Pardes Berger, Brian J Pak, Mariya D Kolesnikova, Janet Fromkin, Richard Saladino, Bruce E Herman, Mary Clyde Pierce, David Englert, Paul T Smith, Patrick M Kochanek
Importance: Abusive head trauma is the leading cause of death from physical abuse. Missing the diagnosis of abusive head trauma, particularly in its mild form, is common and contributes to increased morbidity and mortality. Serum biomarkers may have potential as quantitative point-of-care screening tools to alert physicians to the possibility of intracranial hemorrhage. Objective: To identify and validate a set of biomarkers that could be the basis of a multivariable model to identify intracranial hemorrhage in well-appearing infants using the Ziplex System...
June 5, 2017: JAMA Pediatrics
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