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https://www.readbyqxmd.com/read/29787411/perianesthetic-and-anesthesia-related-mortality-in-a-southeastern-united-states-population-a-longitudinal-review-of-a-prospectively-collected-quality-assurance-data-base
#1
Richard J Pollard, Thomas Hopkins, C Tyler Smith, Bryan V May, James Doyle, C Labron Chambers, Reese Clark, William Buhrman
BACKGROUND: Perianesthetic mortality (death occurring within 48 hours of an anesthetic) continues to vary widely depending on the study population examined. The authors study in a private practice physician group that covers multiple anesthetizing locations in the Southeastern United States. This group has in place a robust quality assurance (QA) database to follow all patients undergoing anesthesia. With this study, we estimate the incidence of anesthesia-related and perianesthetic mortality in this QA database...
May 21, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29785149/the-pregnant-female-surgical-resident
#2
Vanessa Shifflette, Susannah Hambright, Joseph Darryl Amos, Ernest Dunn, Maria Allo
Background: Surgery continues to be an intense, time-consuming residency. Many medical students decide against surgery as a profession due to the long work hours and family strain. The pregnant female surgical resident has an added stress factor compared to her male counterpart. Methods: We distributed an electronic, online 26-question survey to 32 general surgery programs in the southwestern region of the United States. Each program distributed our survey to the female surgical residents who had been pregnant during residency in the last 5 years...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29764522/treatment-resistant-depression-and-peripheral-c-reactive-protein
#3
Samuel R Chamberlain, Jonathan Cavanagh, Peter de Boer, Valeria Mondelli, Declan N C Jones, Wayne C Drevets, Philip J Cowen, Neil A Harrison, Linda Pointon, Carmine M Pariante, Edward T Bullmore
BACKGROUND: C-reactive protein (CRP) is a candidate biomarker for major depressive disorder (MDD), but it is unclear how peripheral CRP levels relate to the heterogeneous clinical phenotypes of the disorder.AimTo explore CRP in MDD and its phenotypic associations. METHOD: We recruited 102 treatment-resistant patients with MDD currently experiencing depression, 48 treatment-responsive patients with MDD not currently experiencing depression, 48 patients with depression who were not receiving medication and 54 healthy volunteers...
May 16, 2018: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/29723059/improving-expanded-access-in-the-united-states-the-role-of-the-institutional-review-board
#4
Kelly McBride Folkers, Alison Bateman-House
BACKGROUND: The FDA allows patients with a serious or immediately life-threatening illness to use investigational medical products outside of clinical trials through its "expanded access" program. In response to criticism that the process to apply for expanded access is too onerous, numerous changes have been made over the last few years. These have been largely focused on the FDA and the pharmaceutical industry, while institutional review boards (IRBs)-which must approve expanded access protocols, except in emergencies when there is not time to do so-have remained relatively unstudied...
May 2018: Therapeutic Innovation & Regulatory Science
https://www.readbyqxmd.com/read/29709621/workforce-trends-and-analysis-of-selected-pediatric-subspecialties-in-the-united-states
#5
Mary E Rimsza, Holly S Ruch-Ross, Conrad J Clemens, William B Moskowitz, Holly J Mulvey
OBJECTIVE: To update pediatric subspecialty workforce data to support evidence-based legislation and public policy decisions by replicating the American Academy of Pediatrics' 1998 Future of Pediatric Education (FOPE II) workforce survey. STUDY DESIGN: A descriptive and comparative analysis of survey responses from 9,950 US pediatric subspecialists who completed an electronic survey. RESULTS: Pediatric subspecialists are working fewer hours and spending less of their time in direct patient care than they did in 1998 but the mean hours worked differs significantly by subspecialty...
April 27, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29709232/preventive-medicine-a-hidden-asset-for-building-a-dominant-culture-of-prevention
#6
Stephanie Zaza, Wendy E Braund, Robert W Carr
We explore three issues related to the practice of preventive medicine. First, how does the dearth of preventive medicine physicians on state licensure boards affect quality of medical care? Second, should a process be established to assess the training and skills of candidates for population health positions, like the "credentialing" or "privilege-granting" process used by hospitals and health systems for clinical positions? And third, how should the pervasive lack of recognition of preventive medicine as a bona fide medical specialty be addressed? In exploring these issues, we conclude that preventive medicine physicians are critical to the US health care ecosystem at every level, and to building a dominant culture of prevention...
June 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29681038/five-years-of-clinical-informatics-board-certification-for-physicians-in-the-united-states-of-america
#7
Christoph U Lehmann, Adi V Gundlapalli, Jeffrey J Williamson, Douglas B Fridsma, William R Hersh, Marie Krousel-Wood, Christopher J Ondrula, Benson Munger
OBJECTIVES:  To review the highlights of the new Clinical Informatics subspecialty including its history, certification requirements, development of and performance on the certification examination in the United States. METHODS:  We reviewed processes for the development of a subspecialty. Data from board certification examinations were collated and analyzed. We discussed eligibility requirements in the fellowship as well as practice pathways. RESULTS:  Lessons learned from the development of the Clinical Informatics subspecialty, opportunities, challenges, and future directions for the field are discussed...
April 22, 2018: Yearbook of Medical Informatics
https://www.readbyqxmd.com/read/29644836/elevated-extracellular-nucleosomes-and-their-relevance-to-inflammation-in-stage-5-chronic-kidney-disease
#8
Trung Phan, Ryan McMillan, Leonidas Skiadopoulos, Amanda Walborn, Debra Hoppensteadt, Jawed Fareed, Vinod Bansal
BACKGROUND: Chronic kidney disease is a disorder characterized by a pro-inflammatory state that is associated with increased morbidity and mortality. Endogenous damage- associated molecular patterns, including nucleosomes, may contribute to this persistent inflammation. The aim of this study was to profile and evaluate the clinical significance of circulating nucleosomes in patients with Stage 5 chronic kidney disease (CKD5) on hemodialysis (HD). METHODS: Under institutional review board approval, plasma samples were collected from 90 CKD5-HD patients (45 male and 45 female) prior to hemodialysis...
April 11, 2018: International Angiology: a Journal of the International Union of Angiology
https://www.readbyqxmd.com/read/29609938/how-are-complementary-health-professions-regulated-in-australia-an-examination-of-complementary-health-professions-in-the-national-registration-and-accreditation-scheme
#9
David Sibbritt, Miranda Kaye, Jenni Millbank, Anita Stuhmcke, Jon Wardle, Isabel Karpin
OBJECTIVES: This study aims to provide an empirical examination of how complementary medicine practice in Australia is actually regulated under the current national registration model. METHODS: Data was obtained from Australian Health Practitioner Regulation Agency (AHPRA) Annual Reports for the years 2011/12-2014/15 and supplemented by the Chinese Medical Registration Board of Victoria (CMRBV) Annual Reports in 2011/12 for Chinese Medicine complaints. The data analysed includes complaint statistics, stage of closure of complaints and the outcome of complaints concerning Chinese medicine, chiropractic and osteopathy under the National Law...
April 2018: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/29609727/medical-cannabis-and-the-treatment-of-obstructive-sleep-apnea-an-american-academy-of-sleep-medicine-position-statement
#10
Kannan Ramar, Ilene M Rosen, Douglas B Kirsch, Ronald D Chervin, Kelly A Carden, R Nisha Aurora, David A Kristo, Raman K Malhotra, Jennifer L Martin, Eric J Olson, Carol L Rosen, James A Rowley
The diagnosis and effective treatment of obstructive sleep apnea (OSA) in adults is an urgent health priority. Positive airway pressure (PAP) therapy remains the most effective treatment for OSA, although other treatment options continue to be explored. Limited evidence citing small pilot or proof of concept studies suggest that the synthetic medical cannabis extract dronabinol may improve respiratory stability and provide benefit to treat OSA. However, side effects such as somnolence related to treatment were reported in most patients, and the long-term effects on other sleep quality measures, tolerability, and safety are still unknown...
April 15, 2018: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/29606330/characterization-of-disability-following-traumatic-through-knee-and-transfemoral-amputations
#11
David J Tennent, Elizabeth M Polfer, Nicole M Sgromolo, Chad A Krueger, Benjamin K Potter
INTRODUCTION: The purpose of this study is to characterize through knee and transfemoral amputations following severe traumatic injuries. METHODS: A retrospective review of all transfemoral and through knee amputations sustained by United States military service members from 1 October 2001 to 30 July 2011 was conducted. Data from the Department of Defense Trauma Registry, the Armed Forces Health Longitudinal Technology Application, inpatient medical records and the Physical Evaluation Board Liaison Offices were queried in order to obtain characteristics related to injury sustained, demographics, treatment, and disability/mental health outcome data...
March 27, 2018: Injury
https://www.readbyqxmd.com/read/29602744/description-and-comparison-of-medication-diversion-in-pharmacies-by-pharmacists-interns-and-pharmacy-technicians
#12
Juanita A Draime, Douglas C Anderson, Timothy S Anderson
OBJECTIVES: 1) To describe reported medication diversion within the practice of pharmacy; and 2) to compare diversion by employee type. DESIGN: Retrospective study. SETTING: A sample of state board of pharmacy records was examined from 9 states. Disciplinary actions were obtained from the records for the time period of May 2008 to May 2013. PARTICIPANTS: Pharmacy employees (pharmacist, technician, interns). INTERVENTION: Not applicable...
March 27, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29599947/an-elderly-care-system-based-on-multiple-information-fusion
#13
Zhiwei He, Dongwei Lu, Yuxiang Yang, Mingyu Gao
With the development of social economy in the 21st century, and the rising of medical level, the aging of population have become a global trend. However lots of elderly people are in "empty nest" state. In order to solve the problem of high risk of daily life in this group, this paper proposed a method to integrate the information of video images, sound, infrared, pulse, and other information into the elderly care system. The whole system consists of four major components, that is, the main control board, the information acquisition boards, the server, and the client...
2018: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29590447/staying-power-does-the-uniformed-services-university-continue-to-meet-its-obligation-to-the-nation-s-health-care-needs
#14
Ronald M Cervero, Dario Torre, Steven J Durning, Deanna Schreiber-Gregory, Brian V Reamy, Louis N Pangaro, John R Boulet
Introduction: The Uniformed Services University F. Edward Hebert School of Medicine just passed its 45th anniversary, opening in 1972. A goal of the medical school, like those nationally, is the production of high-quality physicians. The purpose of this study is to describe the practice characteristics of our USU graduates and to compare data with the national cohort of U.S. MD graduates. Materials and Methods: To accomplish this, we performed a retrospective analysis of U...
March 26, 2018: Military Medicine
https://www.readbyqxmd.com/read/29589821/the-2017-diabetes-educator-and-the-diabetes-self-management-education-national-practice-survey
#15
Joanne Rinker, Jane K Dickinson, Michelle L Litchman, Ann S Williams, Leslie E Kolb, Carla Cox, Ruth D Lipman
Purpose The American Association of Diabetes Educators conducts the National Practice Survey (NPS) biennially to document current practice in diabetes education in the United States. The purpose of the study is to obtain insight about factors influencing the work of the diabetes educator. Method The 2017 NPS was comprised of 100 questions covering diabetes educator demographics, profile populations of people with diabetes, practice information, program accreditation, program curriculum, staffing, education delivery methods, data collection, and reporting...
March 1, 2018: Diabetes Educator
https://www.readbyqxmd.com/read/29588237/john-c-vangilder-1935-2007-neurosurgical-leader-and-founder-of-the-department-of-neurosurgery-at-the-university-of-iowa
#16
REVIEW
Taylor J Abel, Marshall T Holland, Timothy Walch, Matthew A Howard
John C. VanGilder, the former professor and chairman of neurosurgery at the University of Iowa died on August 27, 2007 after making a lasting impact to the field of neurosurgery both in the United States and abroad. In this manuscript, we review VanGilder's life and achievements. VanGilder was born in 1935 in West Virginia and received his undergraduate education at West Virginia University in Morgantown. He studied medicine at the University of West Virginia, completing his final two years at the University of Pittsburgh, and after serving in the U...
March 24, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29583064/prescribing-bioidentical-menopausal-hormone-therapy-a-survey-of-physician-views-and-practices
#17
Jamie P Dubaut, Fanglong Dong, Bruce L Tjaden, David A Grainger, Jennifer Duong, Laura L Tatpati
BACKGROUND: It is estimated that 1-2.5 million U.S. women use compounded bioidentical menopausal hormone therapy (MHT). However, the proportion of American physicians prescribing compounded bioidentical hormones remains unknown. This study aims to evaluate obstetrician-gynecologists' (OB/GYNs) and family medicine physicians' decisions reflected in prescribing practices of MHT in Kansas, and level of agreement with the American College of Obstetricians and Gynecologists (ACOG) recommendations...
March 27, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29582953/-to-be-a-resident-in-the-department-of-medicine
#18
Matan Fischer, Zahi Abu Ghosh, Limor Rubin, Fadi Kharouf, Oshrat Ayalon, Danna Dror, Batla Falah, Dror Mevorach
Sir William Osler is considered to be one of the fathers of modern medicine who pioneered the practice of bedside teaching of clinical medicine for medical students and residents. Osler was well known as a diagnostician and outstanding therapist with a humanized approach and rare didactic capabilities. Medical training at Hadassah is built on the central tenets of Osler's approach, incorporating the tremendous advances in science and medicine. Training for residents in Internal Medicine is designed to develop a broad base of medical and, if possible, scientific knowledge, as well as skills and competencies to deliver a high standard of patient care...
March 2018: Harefuah
https://www.readbyqxmd.com/read/29582421/the-enhanced-recovery-after-surgery-eras-greenie-board-a-navy-inspired-quality-improvement-tool
#19
A J Smirk, J J Nicholson, Y L Console, N J Hunt, A Herschtal, M N H H Nguyen, B Riedel
The United States Navy uses a visual feedback system for pilots, named 'the Greenie Board', to improve flight manoeuvres on aircraft carriers. Given that increased compliance with enhanced recovery after surgery protocols reduces postoperative complications, we decided to apply a similar feedback system to our institutional enhanced recovery programme. We undertook a prospective 12-month audit of 194 patients assigned to our enhanced recovery programme and evaluated adherence to the anaesthesia-related components of our protocol, before and after implementing a Greenie Board...
March 26, 2018: Anaesthesia
https://www.readbyqxmd.com/read/29568017/the-use-of-chlorhexidine-in-the-prevention-of-alveolar-osteitis-after-third-molar-extractions
#20
Christopher Wright, Vinay Mistry, Joshua Smyth, Wei Ning Saik, Nicola Innes, Thomas Lamont
Data sourcesCochrane Central Register of Controlled Trials (CENTRAL), Medline through PubMed, Scopus, Science Direct, ISI Web of Science, Evidence-Based Dentistry, ClinicalTrials.gov, the European Union Clinical Trials Register, the Spanish General University Board database of doctoral theses in Spain (TESEO), the Spanish National Research Council (CSIC) bibliographic databases, and the Spanish Medical Index (IME).Study selectionRandomised controlled trials (RCTs) (with or without placebo) of patients of any age or gender who underwent maxillary or mandibular third molar extractions...
March 23, 2018: Evidence-based Dentistry
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