keyword
https://read.qxmd.com/read/38488884/effects-of-intra-operative-cardiopulmonary-variability-on-post-operative-pulmonary-complications-in-major-non-cardiac-surgery-a-retrospective-cohort-study
#21
JOURNAL ARTICLE
Sylvia Ranjeva, Alexander Nagebretsky, Gabriel Odozynski, Ana Fernandez-Bustamante, Gyorgy Frendl, R Alok Gupta, Juraj Sprung, Bala Subramaniam, Ricardo Martinez Ruiz, Karsten Bartels, Jadelis Giquel, Jae-Woo Lee, Timothy Houle, Marcos Francisco Vidal Melo
Intraoperative cardiopulmonary variables are well-known predictors of postoperative pulmonary complications (PPC), traditionally quantified by median values over the duration of surgery. However, it is unknown whether cardiopulmonary instability, or wider intra-operative variability of the same metrics, is distinctly associated with PPC risk and severity. We leveraged a retrospective cohort of adults (n = 1202) undergoing major non-cardiothoracic surgery. We used multivariable logistic regression to evaluate the association of two outcomes (1)moderate-or-severe PPC and (2)any PPC with two sets of exposure variables- (a)variability of cardiopulmonary metrics (inter-quartile range, IQR) and (b)median intraoperative cardiopulmonary metrics...
March 15, 2024: Journal of Medical Systems
https://read.qxmd.com/read/38488779/health-and-economic-value-of-eliminating-socioeconomic-disparities-in-us-youth-physical-activity
#22
JOURNAL ARTICLE
Tiffany M Powell-Wiley, Marie F Martinez, Jessie Heneghan, Colleen Weatherwax, Foster Osei Baah, Kavya Velmurugan, Kevin L Chin, Colby Ayers, Manuel A Cintron, Lola R Ortiz-Whittingham, Dana Sandler, Sonal Sharda, Meredith Whitley, Sarah M Bartsch, Kelly J O'Shea, Alexandra Tsintsifas, Alexis Dibbs, Sheryl A Scannell, Bruce Y Lee
IMPORTANCE: There are considerable socioeconomic status (SES) disparities in youth physical activity (PA) levels. For example, studies show that lower-SES youth are less active, have lower participation in organized sports and physical education classes, and have more limited access to PA equipment. OBJECTIVE: To determine the potential public health and economic effects of eliminating disparities in PA levels among US youth SES groups. DESIGN AND SETTING: An agent-based model representing all 6- to 17-year-old children in the US was used to simulate the epidemiological, clinical, and economic effects of disparities in PA levels among different SES groups and the effect of reducing these disparities...
March 1, 2024: JAMA health forum
https://read.qxmd.com/read/38488778/accountable-care-organization-leader-perspectives-on-the-medicare-shared-savings-program-a-qualitative-study
#23
JOURNAL ARTICLE
Dhruv Khullar, William L Schpero, Lawrence P Casalino, Reekarl Pierre, Samuel Carter, Yasin Civelek, Manyao Zhang, Amelia M Bond
IMPORTANCE: The Medicare Shared Savings Program (MSSP) includes more than 400 accountable care organizations (ACOs) and is among the largest and longest running value-based payment efforts in the US. However, given recent program reforms and other changes in the health care system, the experiences and perspectives of ACO leaders remain incompletely characterized. OBJECTIVE: To understand the priorities, strategies, and challenges of ACO leaders in MSSP. DESIGN, SETTING, AND PARTICIPANTS: In this qualitative study, interviews were conducted with leaders of 49 ACOs of differing sizes, leadership structures, and geographies from MSSP between September 29 and December 29, 2022...
March 1, 2024: JAMA health forum
https://read.qxmd.com/read/38488441/what-really-is-nontokenistic-fully-inclusive-patient-and-public-involvement-engagement-in-research
#24
EDITORIAL
Andrea Hilton, Molly Megson, Aidin Aryankhesal, Jessica Blake, George Rook, Anne Irvine, Jinpil Um, Anne Killett, Ian Maidment, Yoon Loke, Jayden van Horik, Chris Fox
Patient and public involvement and engagement (PPIE) is critically important in healthcare research. A useful starting point for researchers to understand the scope of PPIE is to review the definition from the National Institute for Health and Care Research (NIHR) as, 'research being carried out "with" or "by" members of the public rather than "to", "about" or "for" them'. PPIE does not refer to participation in research, but to actively shaping its direction. The 'Effectiveness of a decision support tool to optimise community-based tailored management of sleep for people living with dementia or mild cognitive impairment (TIMES)' study is funded through the NIHR programme grant for applied research...
April 2024: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://read.qxmd.com/read/38488051/current-management-of-type-1-diabetes-in-children-guideline-based-expert-opinions-and-recommendations
#25
JOURNAL ARTICLE
Sukru Hatun, Tugba Gokce, Ecem Can, Elif Eviz, Kagan Ege Karakus, Carmel Smart, Ragnar Hanas, Gul Yesiltepe Mutlu
Successful management of type 1 diabetes (T1D) requires not only optimal glycemic outcomes, but also a holistic approach that encompasses all aspects of life and recommendations to address needs. Current goals include optimal glycaemic values, quality of life and life expectancy similar to peers, prevention of long-term complications, prevention of severe hypoglycaemia as much as possible, facilitation of glucose management, etc. International Society for Pediatric and Adolescent Diabetes (ISPAD) has been updating its guidelines for diabetes care every 4 years since 1995, covering more and more topics...
March 15, 2024: Journal of Clinical Research in Pediatric Endocrinology
https://read.qxmd.com/read/38487928/oral-health-with-focus-on-dental-fear-and-dental-caries-in-swedish-preschool-child-populations-attending-public-dental-health-care-trends-over-30%C3%A2-years
#26
JOURNAL ARTICLE
Anna Nydell Helkimo, Bo Rolander, Göran Koch
OBJECTIVES: To study changes in oral health with focus on reported dental fear prevalence and interrelationships between dental fear and prevalence of dental caries and performed restorative dental treatment in preschool child populations attending regular public dental health care between 1983 and 2013. METHODS: Every 10 years, random samples of about 100 children aged 3 and 5 years, respectively, took part in cross-sectional studies based on oral examination and a questionnaire...
March 15, 2024: International Journal of Dental Hygiene
https://read.qxmd.com/read/38487793/nursing-activities-for-health-promotion-in-palliative-home-care-an-integrative-review
#27
REVIEW
Jérôme Leclerc-Loiselle, Sylvie Gendron, Serge Daneault
Palliative care in community contexts is undergoing significant change as a result of public policy and new models of care, which link health promotion principles with palliative care practices. These models support the creation of partnerships between formal care structures and the communities in which care is provided. Given the central role of nurses in the institutional delivery of palliative care, particularly in the home, it is important to provide a systematic description of the activities of nurses that fall within the principles of health promotion...
2024: Palliative care and social practice
https://read.qxmd.com/read/38487737/prevalence-determinants-and-fibrosis-risk-stratification-of-metabolic-associated-fatty-liver-disease-in-a-turkish-primary-care-setting-a-retrospective-study
#28
JOURNAL ARTICLE
Ayse Yazan Arslan, Sultannur Celik, Fatuhulah Amin, Ilayda Caylak, Irem Kesapli, Ibrahim Berke Kilic, Serdar Karakullukcu, Cuneyt Ardic, Yusuf Yilmaz
BACKGROUND AND AIM: Metabolic-associated fatty liver disease (MAFLD) is a condition that frequently goes unnoticed as it typically remains asymptomatic until progressing to an advanced stage. As a result, it is essential to implement opportunistic screening initiatives within family medicine practices to accurately identify and refer selected at-risk patients to specialized care. This study aims to investigate the prevalence of MAFLD and advanced hepatic fibrosis among primary care patients in Turkiye by utilizing non-invasive tests...
2024: Hepatol Forum
https://read.qxmd.com/read/38487051/integration-of-women-s-cardiovascular-health-content-into-healthcare-provider-education-results-of-a-rapid-review-and-national-survey
#29
REVIEW
Najah Adreak, Martha H Mackay, April Pike, Carley O'Neill, Evan Sterling, Varinder Randhawa, Lisa Comber, Keshandi Thompson, Kajenny Srivaratharajah, Amélie Paquin, Beth L Abramson, Kerri-Anne Mullen
Despite its importance, formal education in healthcare training programs on sex- and gender-specific cardiovascular disease (CVD) risk factors, symptoms, treatment, and outcomes is lacking. We completed rapid reviews of the academic and grey literature to describe the current state of women-specific CVD education in medical, nursing, and other healthcare education programs. Second, we analyzed results from a Canada-wide survey of healthcare professional education programs to identify gaps in curricula related to sex- and gender-specific training in CVD...
February 2024: CJC open
https://read.qxmd.com/read/38486877/prediction-of-severity-of-dengue-infection-in-children-based-on-hepatic-involvement
#30
JOURNAL ARTICLE
Rubaiyat Alam, Kaniz Fathema, Afsana Yasmin, Urmi Roy, Kamal Hossen, Md Rukunuzzaman
BACKGROUND AND AIM: To assess the spectrum of hepatic involvement in children with dengue fever (DF) and prediction of severity of dengue infection by early detection of elevated liver enzymes. METHODS: This prospective observational study was conducted at a tertiary care hospital from June 2019 to September 2019. Children admitted with DF were included. Severity of DF was graded as dengue without warning sign (DNWS), with warning sign (DWS), and severe dengue fever (SDF) according to WHO criteria...
March 2024: JGH Open: An Open Access Journal of Gastroenterology and Hepatology
https://read.qxmd.com/read/38486219/aligning-organisational-priorities-and-implementation-science-for-cancer-research
#31
JOURNAL ARTICLE
Stephanie Best, Karin Thursky, Mark Buzza, Marlena Klaic, Sanne Peters, Lisa Guccione, Alison Trainer, Jillian Francis
BACKGROUND: The challenge of implementing evidence into routine clinical practice is well recognised and implementation science offers theories, models and frameworks to promote investigation into delivery of evidence-based care. Embedding implementation researchers into health systems is a novel approach to ensuring research is situated in day-to-day practice dilemmas. To optimise the value of embedded implementation researchers and resources, the aim of this study was to investigate stakeholders' views on opportunities for implementation science research in a cancer setting that holds potential to impact on care...
March 14, 2024: BMC Health Services Research
https://read.qxmd.com/read/38486211/prognostic-value-of-near-infrared-spectroscopy-regional-oxygen-saturation-and-cerebrovascular-reactivity-index-in-acute-traumatic-neural-injury-a-canadian-high-resolution-traumatic-brain-injury-cahr-tbi-cohort-study
#32
JOURNAL ARTICLE
Alwyn Gomez, Logan Froese, Donald Griesdale, Eric P Thelin, Rahul Raj, Levi van Iperenburg, Jeanette Tas, Marcel Aries, Kevin Y Stein, Clare Gallagher, Francis Bernard, Andreas H Kramer, Frederick A Zeiler
BACKGROUND: Near-infrared spectroscopy regional cerebral oxygen saturation (rSO2 ) has gained interest as a raw parameter and as a basis for measuring cerebrovascular reactivity (CVR) due to its noninvasive nature and high spatial resolution. However, the prognostic utility of these parameters has not yet been determined. This study aimed to identify threshold values of rSO2 and rSO2 -based CVR at which outcomes worsened following traumatic brain injury (TBI). METHODS: A retrospective multi-institutional cohort study was performed...
March 14, 2024: Critical Care: the Official Journal of the Critical Care Forum
https://read.qxmd.com/read/38486206/perception-of-polish-pharmacy-students-on-simulation-exercise-in-pharmaceutical-care-for-diabetes-a-pilot-study
#33
JOURNAL ARTICLE
Beata Plewka, Magdalena Waszyk-Nowaczyk, Magdalena Cerbin-Koczorowska, Piotr Przymuszała, Tomasz Osmałek
BACKGROUND: The transformation of a pharmacist's role from that of a drug dispenser to an advisor and patient educator, partially accelerated by the COVID-19 pandemic, requires a thorough change in the pharmacy curriculum. Preparation for the provision of modern pharmaceutical services requires the use of the most advanced teaching methods, such as pharmaceutical simulation. Knowledge alone does not guarantee students' readiness and motivation to take on new challenges in their professional work, but it seems crucial that graduates of medical faculties have the ability to practically apply their knowledge, including in new and nonstandard situations...
March 14, 2024: BMC Medical Education
https://read.qxmd.com/read/38486174/determinants-of-viral-load-suppression-failure-among-hiv-adults-on-arv-attending-health-care-facilities-a-retrospective-study-in-tanga-region-tanzania
#34
JOURNAL ARTICLE
Eric Mboggo, Expeditho Mtisi, Stella E Mushy, Simon Mkawe, Frida Ngalesoni, Aisa Muya, Edwin Kilimba, Denice Kamugumya, Boniface Silvan Mlay
BACKGROUND: Availability and accessibility of Antiretroviral drugs (ARV's) improve the lives of People living with HIV (PLHIV) by improving client's immune system to overcome infections and prevent the development of AIDS and other HIV complications. Combination therapy, early initiation of ART, newer ART drugs, single dosage and drug affordability significantly contribute in the reduction of viral multiplication and suppression of HIV to undetectable plasma levels. METHODS: A retrospective longitudinal study design study was conducted from 1st October, 2018 to 30th June 2022 in all supported HIV care and treatment health facilities in Tanga region which were supported by Amref Health Africa, Tanzania...
March 14, 2024: BMC Infectious Diseases
https://read.qxmd.com/read/38486164/experiences-of-participants-in-the-co-design-of-a-community-based-health-service-for-people-with-high-healthcare-service-use
#35
JOURNAL ARTICLE
Deirdre McGowan, Claire Morley, Emily Hansen, Kelly Shaw, Tania Winzenberg
BACKGROUND: Incorporating perspectives of health consumers, healthcare workers, policy makers and stakeholders through co-design is essential to design services that are fit for purpose. However, the experiences of co-design participants are poorly understood. The aim of this study is to explore the experiences and perceptions of people involved in the co-design of a new service for people with high healthcare service utilisation. METHODS: A methodology informed by the principles of grounded theory was used in this qualitative study to evaluate the experiences and perceptions of co-design participants...
March 14, 2024: BMC Health Services Research
https://read.qxmd.com/read/38486156/telephone-triage-and-dispatch-of-ambulances-to-patients-with-suspected-and-verified-acute-stroke-a-descriptive-study
#36
JOURNAL ARTICLE
Bjørn Jamtli, Maren Ranhoff Hov, Trine Møgster Jørgensen, Jo Kramer-Johansen, Hege Ihle-Hansen, Else Charlotte Sandset, Håvard Wahl Kongsgård, Camilla Hardeland
OBJECTIVES: In this study we aimed to explore EMCC triage of suspected and confirmed stroke patients to gain more knowledge about the initial phase of the acute stroke response chain. Accurate dispatch at the Emergency Medical Communication Center (EMCC) is crucial for optimal resource utilization in the prehospital service, and early identification of acute stroke is known to improve patient outcome. MATERIALS AND METHODS: We conducted a descriptive retrospective study based on data from the Emergency Department and EMCC records at a comprehensive stroke center in Oslo, Norway, during a six-month period (2019-2020)...
March 14, 2024: BMC Emergency Medicine
https://read.qxmd.com/read/38486038/internet-of-things-enabled-open-source-assisted-real-time-blood-glucose-monitoring-framework
#37
JOURNAL ARTICLE
Abubeker K M, Ramani R, Raja Krishnamoorthy, Sreenivasulu Gogula, Baskar S, Sathish Muthu, Girinivasan Chellamuthu, Kamalraj Subramaniam
Regular monitoring of blood glucose levels is essential for the management of diabetes and the development of appropriate treatment protocols. The conventional blood glucose (BG) testing have an intrusive technique to prick the finger and it can be uncomfortable when it is a regular practice. Intrusive procedures, such as fingerstick testing has negatively influencing patient adherence. Diabetic patients now have an exceptional improvement in their quality of life with the development of cutting-edge sensors and healthcare technologies...
March 14, 2024: Scientific Reports
https://read.qxmd.com/read/38485990/knowledge-attitudes-and-associated-factors-towards-hiv-pre-exposure-prophylaxis-among-health-care-providers
#38
JOURNAL ARTICLE
Getachew Mekonnen, Tiliksew Liknaw, Alemayehu Anley, Abebe Dilie Afenigus
The knowledge and attitudes of health care providers were limited as reviewed in many studies. Attitudes and knowledge about pre-exposure prophylaxis among healthcare providers have not been investigated in Ethiopia even though pre-exposure prophylaxis is a novel healthcare topic. The aim was to assess knowledge, attitudes, and associated factors towards pre-exposure prophylaxis among healthcare providers in Gojjam health facilities, North West Ethiopia, 2022. An institutional-based cross-sectional study was conducted from June 1-30 among 410 healthcare providers in public health facilities in the East Gojjam zone...
March 14, 2024: Scientific Reports
https://read.qxmd.com/read/38485953/identification-of-a-hyperinflammatory-sepsis-phenotype-using-protein-biomarker-and-clinical-data-in-the-process-randomized-trial
#39
JOURNAL ARTICLE
Kimberley M DeMerle, Jason N Kennedy, Chung-Chou H Chang, Kevin Delucchi, David T Huang, Max S Kravitz, Nathan I Shapiro, Donald M Yealy, Derek C Angus, Carolyn S Calfee, Christopher W Seymour
Sepsis is a heterogeneous syndrome and phenotypes have been proposed using clinical data. Less is known about the contribution of protein biomarkers to clinical sepsis phenotypes and their importance for treatment effects in randomized trials of resuscitation. The objective is to use both clinical and biomarker data in the Protocol-Based Care for Early Septic Shock (ProCESS) randomized trial to determine sepsis phenotypes and to test for heterogeneity of treatment effect by phenotype comparing usual care to protocolized early, goal-directed therapy(EGDT)...
March 14, 2024: Scientific Reports
https://read.qxmd.com/read/38485260/update-on-the-pathophysiology-and-management-of-acute-trauma-hemorrhage-and-traumainduced-coagulopathy-tic-based-upon-viscoelastic-testing-vet
#40
JOURNAL ARTICLE
Marc Maegele
Uncontrolled hemorrhage and trauma-induced coagulopathy (TIC) remain the two predominante causes of preventable death after trauma. Early control of bleeding sources along with rapid detection, characterization and management of TIC have been associated with improved outcomes. However, recent surveys confirm vast heterogeneity in the clinical diagnosis and management of acute trauma hemorrhage and TIC even in advanced trauma centers. In addition, conventional coagulation assays, although still used frequently during the early assessment of bleeding trauma patients, have their limitations...
March 15, 2024: Clinical and Experimental Emergency Medicine
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