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https://www.readbyqxmd.com/read/29075017/assessment-of-a-novel-pinhole-supplementary-implant-for-sulcus-fixation-in-pseudophakic-cadaver-eyes
#1
K T Tsaousis, L Werner, C L C Trindade, J Guan, J Li, N Reiter
PurposeTo evaluate a novel small-aperture supplementary implant that applies the principle of pinholes for management of irregular astigmatism, in postmortem human eyes.MethodsPseudophakic human cadaver eyes were imaged by anterior segment optical coherence tomography (AS-OCT) to assess position of the in-the-bag intraocular lens (IOL). Eyes were prepared as per the Miyake-Apple technique. Two versions of the supplementary implant (open-loop and tripod designs) were then inserted into the sulcus of each eye...
October 27, 2017: Eye
https://www.readbyqxmd.com/read/29050658/addressing-health-disparities-from-within-the-community-community-based-participatory-research-and-community-health-worker-policy-initiatives-using-a-gender-based-approach
#2
Sara E Simonsen, Brenda Ralls, Anna Guymon, Teresa Garrett, Patricia Eisenman, Jeannette Villalta, O Fahina Tavake-Pasi, Valentine Mukundente, France A Davis, Kathleen Digre, Stephen Hayes, Stephanie Alexander
BACKGROUND: The Coalition for a Healthier Community for Utah Women and Girls (CHC-UWAG) focused on addressing obesity-related health disparities impacting Utah women of color using community-based participatory research, a gender-based approach, and culturally sensitive health promotion activities delivered through community health workers (CHWs). A randomized trial of low vs. high intensity wellness coaching by CHWs was initiated. During this process, numerous policy issues emerged and were tracked...
October 17, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29045274/recruiting-american-indian-alaska-native-students-to-medical-school-a-multi-institutional-alliance-in-the-u-s-southwest
#3
Marlene P Ballejos, Polly Olsen, Tanisha Price-Johnson, Cindy Garcia, Tassy Parker, Robert E Sapién, Valerie Romero-Leggott
PROBLEM: Despite national efforts to diversify the physician workforce, American Indian/Alaska Native (AI/AN) individuals have the least representation of all major racial and ethnic groups. Limited resources at state medical schools present institution-level recruitment challenges. Unified efforts to engage AI/AN students in premedical education activities are needed. APPROACH: The medical schools at the Universities of Arizona (Phoenix and Tucson), Colorado, New Mexico, and Utah identified a collective need to increase student diversity, particularly with regard to AI/AN students...
October 17, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29016990/age-and-sex-differences-in-atrial-fibrosis-among-patients-with-atrial-fibrillation
#4
Nazem Akoum, Christian Mahnkopf, Eugene G Kholmovski, Johannes Brachmann, Nassir F Marrouche
Aim: Age and female sex are associated with a higher risk of stroke in atrial fibrillation (AF). We sought to determine whether advancing age and female sex are associated with higher atrial fibrosis. Methods and results: We conducted an observational cohort study of patients with AF enrolled in the University of Utah AF Database and a non-AF control group who underwent late-gadolinium enhancement magnetic resonance imaging (LGE-MRI) for atrial fibrosis quantification...
August 9, 2017: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/28991618/optimization-of-transversal-phacoemulsification-settings-in-peristaltic-mode-using-a-new-transversal-ultrasound-machine
#5
Dannen D Wright, Alex J Wright, Tyler D Boulter, Ashlie A Bernhisel, Brian C Stagg, Brian Zaugg, Jeff H Pettey, Larry Ha, Brian T Ta, Randall J Olson
PURPOSE: To determine the optimum bottle height, vacuum, aspiration rate, and power settings in the peristaltic mode of the Whitestar Signature Pro machine with Ellips FX tip action (transversal). SETTING: John A. Moran Eye Center Laboratories, University of Utah, Salt Lake City, Utah, USA. DESIGN: Experimental study. METHODS: Porcine lens nuclei were hardened with formalin and cut into 2.0 mm cubes. Lens cubes were emulsified using transversal and fragment removal time (efficiency), and fragment bounces off the tip (chatter) were measured to determine optimum aspiration rate, bottle height, vacuum, and power settings in the peristaltic mode...
September 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28973094/effect-of-3-commercially-available-botulinum-toxin-neuromodulators-on-facial-synkinesis-a-randomized-clinical-trial
#6
Andrew J Thomas, Michael O Larson, Samuel Braden, Richard B Cannon, P Daniel Ward
Importance: Botulinum toxin neuromodulators are an important treatment for facial synkinesis. Whether a difference in efficacy exists among the 3 different botulinum neuromodulators used in treating this condition remains unknown. Objective: To evaluate the effectiveness of 3 commercially available botulinum toxin neuromodulators in the treatment of facial synkinesis. Design, Setting, and Participants: In this single-blind, 3-arm comparison randomized clinical trial, 28 patients at the Facial Nerve Center, University of Utah, Salt Lake City, were randomized to onabotulinumtoxinA, abobotulinumtoxinA, or incobotulinumtoxinA treatment...
September 28, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/28970246/u-s-vaccine-and-immune-globulin-product-shortages-2001-15
#7
Victoria C Ziesenitz, Maryann Mazer-Amirshahi, Mark S Zocchi, Erin R Fox, Larissa S May
PURPOSE: Trends in shortages of vaccines and immune globulin products from 2001 through 2015 in the United States are described. METHODS: Drug shortage data from January 2001 through December 2015 were obtained from the University of Utah Drug Information Service. Shortage data for vaccines and immune globulins were analyzed, focusing on the type of product, reason for shortage, shortage duration, shortages requiring vaccine deferral, and whether the drug was a single-source product...
October 2, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28944731/the-fda-unapproved-drugs-initiative-an-observational-study-of-the-consequences-for-drug-prices-and-shortages-in-the-united-states
#8
Ravi Gupta, Sanket S Dhruva, Erin R Fox, Joseph S Ross
BACKGROUND: Hundreds of drug products are currently marketed in the United States without approval from the FDA. The 2006 Unapproved Drugs Initiative (UDI) requires manufacturers to remove these drug products from the market or obtain FDA approval by demonstrating evidence of safety and efficacy. Once the FDA acts against an unapproved drug, fewer manufacturers remain in the market, potentially enabling drug price increases and greater susceptibility to drug shortages. There is a need for systematic study of the UDI's effect on prices and shortages of all targeted drugs...
October 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28917413/biocompatibility-of-intraocular-lens-power-adjustment-using-a-femtosecond-laser-in-a-rabbit-model
#9
Liliana Werner, Jason Ludlow, Jason Nguyen, Joah Aliancy, Larry Ha, Bryan Masino, Sean Enright, Ray K Alley, Ruth Sahler, Nick Mamalis
PURPOSE: To evaluate the biocompatibility (uveal and capsular) of intraocular lens (IOL) power adjustment by a femtosecond laser obtained through increased hydrophilicity of targeted areas within the optic, creating the ability to build a refractive-index shaping lens within an existing IOL. SETTING: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. DESIGN: Experimental study. METHODS: Six rabbits had phacoemulsification with bilateral implantation of a commercially available hydrophobic acrylic IOL...
August 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28864404/toxicity-and-outcomes-in-patients-with-and-without-esophageal-stents-in-locally-advanced-esophageal-cancer
#10
Samual R Francis, Andrew Orton, Cameron Thorpe, Greg Stoddard, Shane Lloyd, Christopher J Anker
PURPOSE: Esophageal stenting is often considered to relieve dysphagia in patients with locoregionally advanced esophageal cancer. We sought to determine the effects of stenting on the incidence of acute toxicity and oncologic outcomes in patients undergoing chemoradiation therapy (CRT). METHODS AND MATERIALS: The data from patients treated with curative intent CRT for locoregionally advanced esophageal cancer at the University of Utah were retrospectively analyzed...
November 15, 2017: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/28860045/the-effect-of-pulsing-on-transverse-ultrasound-efficiency-and-chatter
#11
Alex J Wright, Austin D Bohner, Ashlie A Bernhisel, Brian Zaugg, William R Barlow, Jeff H Pettey, Randall J Olson
PURPOSE: To evaluate the effects of micropulse, long pulse, and continuous ultrasound on transverse ultrasound using Abbott Medical Optics' (AMO) WhiteStar Signature Pro with the Ellips FX handpiece. DESIGN: In vitro laboratory study. METHODS: This study was conducted at the John A. Moran Eye Center Laboratory, University of Utah, Salt Lake City, Utah, USA. Porcine lenses were hardened in formalin for 2 hours and equilibrated in basic salt solution (BSS) over a 24-hour period...
November 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/28842126/immediate-postpartum-levonorgestrel-intrauterine-device-insertion-and-breast-feeding-outcomes-a-noninferiority-randomized-controlled-trial
#12
David K Turok, Lawrence Leeman, Jessica N Sanders, Lauren Thaxton, Jennifer L Eggebroten, Nicole Yonke, Holly Bullock, Rameet Singh, Lori M Gawron, Eve Espey
BACKGROUND: Immediate postpartum levonorgestrel intrauterine device insertion is increasing in frequency in the United States, but few studies have investigated the effect of early placement on breast-feeding outcomes. OBJECTIVE: This study examined the effect of immediate vs delayed postpartum levonorgestrel intrauterine device insertion on breast-feeding outcomes. STUDY DESIGN: We conducted this noninferiority randomized controlled trial at the University of Utah and the University of New Mexico Health Sciences Centers from February 2014 through March 2016...
August 23, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28837409/use-of-a-gc-ms-organic-aerosol-monitor-for-in-field-detection-of-fine-particulate-organic-compounds-in-source-apportionment
#13
Paul M Cropper, Delbert J Eatough, Devon K Overson, Jaron C Hansen, Fern Caka, Robert A Cary
A study was conducted on the Brigham Young University campus during January and February 2015 to identify winter-time sources of fine particulate material in Utah Valley, Utah. Fine particulate mass and components and related gas phase species were all measured on an hourly average basis. Light scattering was also measured during the study. Included in the sampling was the first-time source apportionment application of a new monitoring instrument for the measurement of fine particulate organic marker compounds on an hourly average basis...
August 24, 2017: Journal of the Air & Waste Management Association
https://www.readbyqxmd.com/read/28801303/health-care-providers-knowledge-of-hpv-vaccination-barriers-and-strategies-in-a-state-with-low-hpv-vaccine-receipt-mixed-methods-study
#14
Echo L Warner, Qian Ding, Lisa Pappas, Julia Bodson, Brynn Fowler, Ryan Mooney, Anne C Kirchhoff, Deanna Kepka
BACKGROUND: Human papillomavirus (HPV) vaccination is below national goals in the United States. Health care providers are at the forefront of improving vaccination in the United States, given their close interactions with patients and parents. OBJECTIVE: The objective of this study was to assess the associations between demographic and practice characteristics of the health care providers with the knowledge of HPV vaccination and HPV vaccine guidelines. Furthermore, our aim was to contextualize the providers' perceptions of barriers to HPV vaccination and strategies for improving vaccination in a state with low HPV vaccine receipt...
August 11, 2017: JMIR Cancer
https://www.readbyqxmd.com/read/28693347/improving-physician-communication-with-patients-as-measured-by-hcahps-using-a-standardized-communication-model
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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