keyword
https://read.qxmd.com/read/38493433/the-impact-of-pulmonary-hydatid-cyst-rupture-on-covid-19-symptom-severity
#1
JOURNAL ARTICLE
Abdol Sattar Pagheh, Hossein Pazoki, Ghodsiyeh Azarkar, Effat Alemzadeh, Jafar Hajavi, Masood Ziaee
BACKGROUND: Co-infection with other microorganisms such as parasites in patients with COVID-19 can affect the clinical outcome and require prompt diagnosis and appropriate therapy. CASE PRESENTATION: We present a case of an adult male with chest pain, dyspnea, cough, diplopia, and anorexia who was confirmed to have acute COVID-19 pneumonia. 2 weeks prior to admission, a hydatid lung cyst was identified on examination, but the patient refused surgery. Thoracoabdominal computed tomography (CT) revealed a rupture of the lung hydatid cyst and co-infection with COVID-19...
March 17, 2024: Acta Parasitologica
https://read.qxmd.com/read/38493404/the-speaking-up-climate-of-nurses-for-patient-safety-concerns-and-unprofessional-behaviors-the-effects-of-teamwork-and-safety-climate
#2
JOURNAL ARTICLE
Özlem Soyer Er, İsa Gül
PURPOSE: This study aims to investigate the influence of teamwork and safety climate on nurses' speaking up for patient safety concerns and unprofessional behaviors. DESIGN: This study incorporates a cross-sectional research design. METHODS: The study included 217 surgical nurses employed in a Turkish university hospital. The research data were collected between April and June 2023 using the Teamwork Climate, Safety Climate Survey, Speaking Up Climate for Patient Safety, and Speaking Up Climate for Professionalism instruments...
March 14, 2024: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/38493376/national-institute-on-drug-abuse-clinical-trials-network-meeting-report-managing-patients-exposed-to-xylazine-adulterated-opioids-in-emergency-hospital-and-addiction-care-settings
#3
REVIEW
Jeanmarie Perrone, Rachel Haroz, Joseph D'Orazio, Giacomo Gianotti, Jennifer Love, Matthew Salzman, Margaret Lowenstein, Ashish Thakrar, Stephanie Klipp, Lisa Rae, Megan K Reed, Edward Sisco, Rachel Wightman, Lewis S Nelson
Used as a veterinary sedative and not approved for human use, xylazine has been increasingly linked with opioid overdose deaths in the United States. A growing number of people have been exposed to xylazine in the illicit opioid supply (especially fentanyl) or in other drugs, particularly in some areas of the Northeast. Xylazine is an α-2 adrenergic agonist that decreases sympathetic nervous system activity. When combined with fentanyl or heroin, it is purported to extend the duration of the opioid's sedative effect and to cause dependence and an associated withdrawal syndrome; however, data to support these concerns are limited...
March 15, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38493290/satisfaction-with-clinical-pathway-implementation-versus-job-performance-of-clinicians-empirical-evidence-on-the-mediating-role-of-work-engagement-from-public-hospitals-in-sichuan-china
#4
JOURNAL ARTICLE
Junlong Li, Lu Ao, Jay Pan
BACKGROUND: The job performance of clinicians is a clear indicator of both hospital capacity and the level of hospital service. It plays a crucial role in maintaining the effectiveness and quality of medical care. Clinical pathways are a systematic method of quality improvement successfully recommended by broader healthcare systems. Since clinicians play a key role in implementing clinical pathways in public hospitals, this study aims to investigate the effect of the satisfaction of clinicians in public hospitals with clinical pathway implementation on their job performance...
March 16, 2024: BMC Health Services Research
https://read.qxmd.com/read/38492986/infection-control-measure-performance-in-long-term-care-hospitals-and-their-relationship-to-joint-commission-accreditation
#5
JOURNAL ARTICLE
Stephen P Schmaltz, Beth A Longo, Scott C Williams
BACKGROUND: This study evaluated the relationship between Joint Commission accreditation and health care-associated infections (HAIs) in long-term care hospitals (LTCHs). METHODS: This observational study used Centers for Medicare & Medicaid Services (CMS) LTCH data for the period 2017 to June 2021. The standardized infection ratio (SIR) of three measures used by the Centers for Disease Control and Prevention's National Healthcare Safety Network were used as dependent variables in a random coefficient Poisson regression model (adjusting for CMS region, owner type, and bed size quartile): catheter-associated urinary tract infections (CAUTIs), Clostridioides difficile infections (CDIs), and central line-associated bloodstream infections (CLABSIs) for the periods 2017 to 2019 and July 1, 2020, to June 30, 2021...
February 16, 2024: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/38492766/contemporary-management-of-blunt-splenic-trauma-in-adults-an-analysis-of-the-trauma-quality-improvement-program-registry
#6
JOURNAL ARTICLE
Arrix L Ryce, Tarek Hanna, Randi Smith, Richard Duszak, Osman Ahmed, Minzhi Xing, Nima Kokabi
PURPOSE: To evaluate the effectiveness of management strategies for blunt splenic injuries in adult patients. MATERIALS AND METHODS: Patients 18 years and older with blunt splenic injuries registered via the Trauma Quality Improvement Program (2013-19) were identified. Management strategies initiated within 24 hours of hospital presentation were classified as watchful waiting (WW), embolization, surgery, or combination therapy. Patients were stratified by injury grade...
March 14, 2024: Journal of the American College of Radiology: JACR
https://read.qxmd.com/read/38492727/stroke-prevention-in-blunt-cerebrovascular-injury-role-of-aspirin-81-mg
#7
JOURNAL ARTICLE
Sina Asaadi, Christopher B Khoury, Julia Han, Martin G Rosenthal, Allen G Murga, Justin Dye, Kaushik Mukherjee, Miguel Lopez-Gonzalez, Ian Kershisnik, Marie L Crandall, Maryam B Tabrizi
BACKGROUND: The stroke rate in blunt cerebrovascular injury (BCVI) varies from 25% without treatment to less than 8% with antithrombotic therapy (ATT). There is no consensus on the optimal management to prevent stroke BCVI. We investigated the efficacy and safety of oral Aspirin (ASA) 81 mg to prevent BCVI-related stroke compared to historically reported stroke rates with ASA 325 mg and heparin. METHOD: A single-center retrospective study included adult trauma patients who received oral ASA 81 mg for BCVI management between 2013 and 2022...
March 14, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38492724/work-environment-differences-between-outpatient-and-inpatient-surgery-a-pilot-study-on-the-vascular-surgeons-perceptions
#8
JOURNAL ARTICLE
Laurence Destrieux, Youssra Yemmas, Sydney Williams, Nolwenn Le Meur
BACKGROUND: In France, outpatient endovascular surgical procedures have been slowly implemented in hospitals since 2015. Their development has been heterogeneous across France and is not yet the standard of care despite their benefits concerning patients' outcomes and healthcare professionals' satisfaction. However, since the COVID-19 pandemic, the demand for patient beds has been increasing, while human resources have been decreasing. This encouraged the surgery service reorganization and accelerated the shift from inpatient to outpatient surgery...
March 14, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38492667/maternal-and-neonatal-outcomes-of-french-prospective-multicenter-cohort-study-covipreg-during-the-first-two-covid-19-waves
#9
JOURNAL ARTICLE
Alexandre J Vivanti, Camille Couffignal, Jeanne Sibiude, Anne-Gael Cordier, Vassilis Tsatsaris, Flore Rozenberg, Odile Launay, Alexandra Benachi, Daniele De Luca, Pierre-Yves Ancel, Estelle Marcault, Yves Ville, Julie Carrara, Dominique Luton, Marc Dommergues, Constance Borie, Gilles Kayem, Laurence Lecomte, Marianne Leruez-Ville, Claire Périllaud-Dubois, Valérie Biran, Pauline Manchon, Olivier Picone, Christelle Vauloup-Fellous
BACKGROUND: SARS-CoV-2 infection on pregnant women was the subject of many questions since the COVID-19 pandemic. METHODS: We aim to assess maternal and neonatal outcomes of SARS-CoV-2 infection contracted during 2nd and 3rd trimesters of pregnancy during the first two COVID-19 waves across a prospective French multicenter cohort study. Patients were included between April 2020 and January 2021 in 10 maternity hospitals in Paris area with two groups (i) pregnant women with a positive SARS-CoV-2 nasopharyngeal RT-PCR between [14WG; 37WG[(symptomatic infection), (ii) pregnant women with a negative serology (or equivocal) at delivery and without a positive SARS-CoV-2 nasopharyngeal RT-PCR at any time during pregnancy (G2 group) MAIN FINDINGS: 2410 pregnant women were included, of whom 310 had a positive SARS-CoV-2 nasopharyngeal RT-PCR and 217 between [14WG; 37WG[...
March 14, 2024: Journal of Gynecology Obstetrics and Human Reproduction
https://read.qxmd.com/read/38492626/prospective-randomized-double-blind-study-to-evaluate-the-superiority-of-vasopressin-versus-norepinephrine-in-the-management-of-the-patient-at-renal-risk-undergoing-cardiac-surgery-with-cardiopulmonary-bypass-novacc-trial
#10
JOURNAL ARTICLE
Pierre-Grégoire Guinot, Olivier Desebbe, Guillaume Besch, Philippe Guerci, Philippe Gaudard, Diane Lena, Paul Michel Mertes, Osama Abou-Arab, Belaid Bouhemad
BACKGROUND: Cardiac surgery-associated acute kidney injury (CS-AKI) affects up to 30% of patients, increasing morbidity and healthcare costs. This condition results from complex factors like ischemia-reperfusion injury and renal hemodynamic changes, often exacerbated by surgical procedures. Norepinephrine, commonly used in cardiac surgeries, may heighten the risk of CS-AKI. In contrast, vasopressin, a non-catecholaminergic agent, shows potential in preserving renal function by favorably affecting renal hemodynamic...
March 14, 2024: American Heart Journal
https://read.qxmd.com/read/38492231/co-design-of-an-intervention-to-improve-patient-participation-in-discharge-medication-communication
#11
JOURNAL ARTICLE
Georgia Tobiano, Sharon Latimer, Elizabeth Manias, Andrea P Marshall, Megan Rattray, Kim Jenkinson, Trudy Teasdale, Kellie Wren, Wendy Chaboyer
Patients can experience medication-related harm and hospital readmission because they do not understand or adhere to post-hospital medication instructions. Increasing patient medication literacy and, in turn, participation in medication conversations could be a solution. The purposes of this study were to co-design and test an intervention to enhance patient participation in hospital discharge medication communication. In terms of methods, co-design, a collaborative approach where stakeholders design solutions to problems, was used to develop a prototype medication communication intervention...
March 16, 2024: International Journal for Quality in Health Care
https://read.qxmd.com/read/38492168/residents-satisfaction-and-suggestions-to-improve-nephrology-residency-in-italy-and-comparison-with-the-organization-in-other-european-countries
#12
JOURNAL ARTICLE
Adolfo Marco Perrotta, Silverio Rotondi, Maria Amicone, Irene Cirella, Rossella Siligato, Simone Fontana, Carmen Sivo, Anna Rita Vestri, Giovanni Gambaro, Giorgina Barbara Piccoli, Sandro Mazzaferro
BACKGROUND: In Italy, nephrology residency is available in twenty-one nephrology schools, each with its own strengths and weaknesses. The present study is aimed at exploring the residents' satisfaction with their training programs. METHODS: Between April 20th and May 19th, 2021, a questionnaire on residency satisfaction consisting of 49 items was sent to 586 residents and 175 recently certified specialists (qualified to practice as nephrologists in 2019 and 2020), with a response rate of 81% and 51%, respectively...
March 16, 2024: Journal of Nephrology
https://read.qxmd.com/read/38492150/eating-disorders-and-covid-19-different-or-just-more
#13
JOURNAL ARTICLE
Cathal Rafferty, Angela O'Donnell, Sally Campbell, Bohan Sun, Jenny King, Zeinab Ali, Diarmuid Lynch, Elizabeth Barrett, Sarah Richardson, Michelle Clifford, Fiona McNicholas
BACKGROUND: COVID-19 saw an increase in child mental health presentations internationally. Clinicians analogised the exponential increase in anorexia nervosa to a 'tsunami' or 'outbreak', raising parallel concerns regarding medical and psychological risks (Marsh in The Guardian, 2021; Leask in NZ Herald, 2021; Monteleone et al. in Eat Weight Disord 26(8):2443-2452, 2021) . It is unclear whether Ireland emulated this picture of increased referrals with increased medical compromise...
March 16, 2024: Irish Journal of Medical Science
https://read.qxmd.com/read/38492132/prophylaxis-of-hepatic-encephalopathy-current-and-future-drug-targets
#14
REVIEW
Sudhir Maharshi, Barjesh Chander Sharma
Hepatic encephalopathy is described by a broad spectrum of neurological and psychiatric aberrations resulting due to advanced liver dysfunction. It is a neurological disorder due to hepatic insufficiency and/or portosystemic shunts. Its clinical presentation includes neuropsychiatric dysfunction ranging from subclinical changes to comatose state. It is a sign of poor prognosis in cirrhotics with a high 1-year mortality. Each episode of hepatic encephalopathy leads to high hospitalization rate, poor prognosis and raised burden of healthcare...
March 16, 2024: Hepatology International
https://read.qxmd.com/read/38492131/optimizing-outcome-reporting-after-robotic-flexible-ureteroscopy-for-management-of-renal-calculi-introducing-the-concept-of-tetrafecta
#15
JOURNAL ARTICLE
Morshed Salah, Mahmoud Laymon, Tawiz Gul, Hossameldin Alnawasra, Mohammed Ibrahim, Bela Tallai, Mohamed Ebrahim, Maged Alrayashi, Mohamed Abdelkareem, Abdulla Al-Ansari
Robotic flexible ureteroscopy (RFURS) has shown encouraging results in terms of stone free rate (SFR) and better ergonomics compared to conventional FURS. However, few studies have reported its outcomes. The goal of this study was to report our initial results of RFURS, furthermore we proposed a novel metrics for composite outcome reporting named tetrafecta. A retrospective analysis of electronic records of 100 patients treated with RFURS for renal stones between 2019 till 2023 was performed. Tetrafecta criteria included, complete stone removal after a single treatment session, without auxiliary procedures, absence of high-grade complications (GIII-V) and same-day hospital discharge...
March 16, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38492046/nursing-and-allied-health-workforce-in-australian-public-rheumatology-departments-is-inadequate-a-cross-sectional-observational-study
#16
JOURNAL ARTICLE
Glen A Whittaker, Catherine L Hill, Linda A Bradbury, Janet R Millner, Harrison Cliffe, Daniel R Bonanno, Sia Kazantzis, Hylton B Menz
Rheumatological conditions are complex and impact many facets of daily life. Management of people with rheumatological conditions can be optimised through multidisciplinary care. However, the current access to nursing and allied health professionals in Australia is unknown. A cross-sectional study of nursing and allied health professionals in Australian public rheumatology departments for adult and paediatric services was conducted. The heads of Australian public rheumatology departments were invited to report the health professionals working within their departments, referral pathways, and barriers to greater multidisciplinary care...
March 16, 2024: Rheumatology International
https://read.qxmd.com/read/38492023/association-between-intuitive-eating-and-health-outcomes-in-outpatients-with-type-2-diabetes-a-cross-sectional-study
#17
JOURNAL ARTICLE
Olívia Garbin Koller, Vanessa Machado Menezes, Aline Busanello, Jussara Carnevale de Almeida
PURPOSE: To evaluate the association between intuitive eating and health outcomes in patients with type 2 diabetes in a cross-sectional study. METHODS: Consecutively, outpatients attending at university hospital underwent clinical, laboratory, lifestyle, and eating behavior evaluations. Intuitive eating was assessed using the Intuitive Eating Scale-2 (IES-2), and the Three Factor Eating Questionnaire-21 was adopted as a confirmatory tool for disordered eating behavior...
March 16, 2024: European Journal of Nutrition
https://read.qxmd.com/read/38491775/the-use-of-mhealth-apps-to-improve-hospital-nurses-mental-health-and-well-being-a-systematic-review
#18
REVIEW
Cynthia Moore, Stephanie Kelly, Bernadette Melnyk
BACKGROUND: Nursing well-being has become a heightened focus since the COVID-19 pandemic. Nurses are leaving the profession early in their careers or retiring sooner than expected. Those who remain in the workforce report higher levels of burnout, anxiety, depression, and exhaustion. There is concern that there may be a shortage of at least half a million nurses by 2030. AIMS: This systematic review aimed to investigate the evidence of using a mental health promotion mHealth app to improve the mental health of hospital nurses...
March 15, 2024: Worldviews on Evidence-based Nursing
https://read.qxmd.com/read/38491737/knowledge-attitude-and-practice-toward-postoperative-self-management-among-patients-after-percutaneous-coronary-intervention-a-structural-equation-modeling-analysis
#19
JOURNAL ARTICLE
Hailing Lei, Lin Zhu, Xin Zhang
OBJECTIVE: The knowledge, attitude, and practice (KAP) toward post-percutaneous coronary intervention (PCI) self-management among Chinese patients remains unknown. This study investigated the KAP toward postoperative self-management among patients after PCI. HYPOTHESIS: Patients exhibit poor knowledge, attitudes, and practices regarding post-PCI self-management, requiring enhanced education strategies. METHODS: This cross-sectional study recruited patients after PCI at Jishuitan Hospital, Beijing, between November 2022 and May 2023...
March 2024: Clinical Cardiology
https://read.qxmd.com/read/38491718/tranexamic-acid-versus-oxytocin-for-primary-postpartum-haemorrhage-in-the-out-of-hospital-setting-a-systematic-review-with-implications-for-rural-practice
#20
REVIEW
Megan De Silva, Gabrielle Mizzi, Emily Potts, Jayden Webb, Elizabeth Thyer, Navindhra Naidoo
INTRODUCTION: Primary postpartum haemorrhage causes approximately 25% of global maternal deaths and accounts for significant maternal morbidity. While high certainty evidence demonstrates that tranexamic acid reduces comparative blood loss in postpartum haemorrhage in hospital settings, limited data exist on the specific pharmacological management of this condition in out-of-hospital settings, and the implications for rural communities. OBJECTIVE: To determine the efficacy of oxytocin compared to tranexamic acid in women suffering postpartum haemorrhage in the out-of-hospital environment...
March 15, 2024: Australian Journal of Rural Health
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