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https://www.readbyqxmd.com/read/28203590/surgeon-directed-cost-variation-in-isolated-rotator-cuff-repair
#1
E Bailey Terhune, Peter C Cannamela, Jared S Johnson, Charles D Saad, John Barnes, Janette Silbernagel, Thomas Faciszewski, Kevin G Shea
BACKGROUND: As value becomes a larger component of heath care decision making, cost data can be evaluated for regional and physician variation. Value is determined by outcome divided by cost, and reducing cost increases value for patients. "Third-party spend" items are individual selections by surgeons used to perform procedures. Cost data for third-party spend items provide surgeons and hospitals with important information regarding care value, potential cost-saving opportunities, and the total cost of ownership of specific clinical decisions...
December 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28193200/determinants-of-repeated-abortion-among-women-of-reproductive-age-attending-health-facilities-in-northern-ethiopia-a-case-control-study
#2
Mussie Alemayehu, Henock Yebyo, Araya Abrha Medhanyie, Alemayehu Bayray, Misganaw Fantahun, Gelila Kidane Goba
BACKGROUND: Every year, an estimated 19-20 million unsafe abortions take place, almost all in developing countries, leading to 68,000 deaths and millions more injured many permanently. Many women throughout the world, experience more than one abortion in their lifetimes. Repeat abortion is an indicator of the larger problem of unintended pregnancy. This study aimed to identify determinants of repeat abortion in Tigray Region, Ethiopia. METHODS: Unmatched case-control study was conducted in hospitals in Tigray Region, northern Ethiopia, from November 2014 to June 2015...
February 13, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28185120/-one-for-sorrow-two-for-joy-american-embryo-transfer-guideline-recommendations-practices-and-outcomes-for-gestational-surrogate-patients
#3
REVIEW
Pamela M White
In January 2016, Melissa Cook, a California gestational surrogate experiencing a multiple-birth pregnancy following the in vitro fertilization (IVF) transfer of three embryos comprised of donor eggs and sperm provided by the intended father, went to the media when the intended father requested that she undergo a fetal reduction because twins were less expensive to raise than triplets. Much of the legal interest in this case to date has centered on the enforceability of surrogacy contracts. However, the Cook case also raises troubling issues about fertility treatment practices involving gestational surrogates, twin preference, and third-party reproduction medical decision-making...
February 9, 2017: Journal of Assisted Reproduction and Genetics
https://www.readbyqxmd.com/read/28181728/hypoglycemia-manifestations-and-recurrent-events-lessons-from-the-savor-timi-53-outcome-study
#4
Avivit Cahn, Ofri Mosenzon, Deepak L Bhatt, Gil Leibowitz, Ilan Yanuv, Aliza Rozenberg, Nayyar Iqbal, Boaz Hirshberg, Christina Stahre, KyungAh Im, Estella Kanevsky, Itamar Raz
Hypoglycemia is a well-known risk associated with the use of sulfonylureas and insulin, often limiting achievement of glycemic goals. Recognizing the precipitants and recurrence patterns of hypoglycemic events, particularly major events, is therefore clinically important. The SAVOR-TIMI-53 trial was a cardiovascular outcome study of 16,492 patients allocated to saxagliptin vs. placebo added to conventional care for a median of 2.1 years. Hypoglycemic events were a pre-specified outcome in the study and were defined as a symptomatic episode which recovered with carbohydrates or any recorded blood glucose <54 mg/dL...
February 9, 2017: Diabetes, Obesity & Metabolism
https://www.readbyqxmd.com/read/28181058/analysis-of-reimbursement-of-genetic-counseling-services-at-a-single-institution-in-a-state-requiring-licensure
#5
Jennifer R Leonhard, Paul J Munson, Jason D Flanagan, Kristen L De Berg, Paul A Thompson, Lori W Dean, Quinn P Stein
Reimbursement for genetic counseling services was examined at a single institution. Patient encounters utilizing the 96040 CPT® code from 7/31/2009 through 7/31/2013 were reviewed. Exclusion criteria included billing records of patients seen by a physician the same day, self-pay, Medicaid, and Medicare patients. Of the 8,630 encounters with a genetic counselor, 582 encounters were eligible for review. Descriptive statistics (i.e., percentage of encounters receiving some level of reimbursement, average reimbursement rate, number of third party payors providing any level of reimbursement, and number of ICD-9 codes receiving any level of reimbursement) depicted reimbursement of the 96040 CPT® code for the encounters analyzed...
February 8, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28170394/performance-and-cost-effectiveness-of-computed-tomography-lung-cancer-screening-scenarios-in-a-population-based-setting-a-microsimulation-modeling-analysis-in-ontario-canada
#6
Kevin Ten Haaf, Martin C Tammemägi, Susan J Bondy, Carlijn M van der Aalst, Sumei Gu, S Elizabeth McGregor, Garth Nicholas, Harry J de Koning, Lawrence F Paszat
BACKGROUND: The National Lung Screening Trial (NLST) results indicate that computed tomography (CT) lung cancer screening for current and former smokers with three annual screens can be cost-effective in a trial setting. However, the cost-effectiveness in a population-based setting with >3 screening rounds is uncertain. Therefore, the objective of this study was to estimate the cost-effectiveness of lung cancer screening in a population-based setting in Ontario, Canada, and evaluate the effects of screening eligibility criteria...
February 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28164318/-doing-good-by-proxy-human-animal-kinship-and-the-donation-of-canine-blood
#7
Vanessa Ashall, Pru Hobson-West
This article demonstrates the relevance of animals to medical sociology by arguing that pet owners' accounts of veterinary decision-making can highlight key sociological themes which are important to both human and animal health. Based on semi-structured interviews, the article argues that interspecies 'kinship' allows for the extension of sociological claims regarding altruism, self-interest and mutuality from human blood donation to companion animal blood 'donation'. Furthermore, this study extends sociological understanding of the human-animal bond by showing how the dog's status as kin meant they were expected to donate blood, and that the act of donation itself represents an important opportunity for family 'display'...
February 6, 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/28161522/emouseatlas-an-atlas-based-resource-for-understanding-mammalian-embryogenesis
#8
REVIEW
Chris Armit, Lorna Richardson, Shanmugasundaram Venkataraman, Liz Graham, Nicholas Burton, Bill Hill, Yiya Yang, Richard Baldock
The eMouseAtlas resource is an online database of 3D digital models of mouse development, an ontology of mouse embryo anatomy and a gene-expression database with about 30K spatially mapped gene-expression patterns. It is closely linked with the MGI/GXD database at the Jackson Laboratory and holds links to almost all available image-based gene-expression data for the mouse embryo. In this resource article we describe the novel web-based tools we have developed for 3D visualisation of embryo anatomy and gene expression...
February 1, 2017: Developmental Biology
https://www.readbyqxmd.com/read/28155094/ethical-implications-of-user-perceptions-of-wearable-devices
#9
REVIEW
L H Segura Anaya, Abeer Alsadoon, N Costadopoulos, P W C Prasad
Health Wearable Devices enhance the quality of life, promote positive lifestyle changes and save time and money in medical appointments. However, Wearable Devices store large amounts of personal information that is accessed by third parties without user consent. This creates ethical issues regarding privacy, security and informed consent. This paper aims to demonstrate users' ethical perceptions of the use of Wearable Devices in the health sector. The impact of ethics is determined by an online survey which was conducted from patients and users with random female and male division...
February 2, 2017: Science and Engineering Ethics
https://www.readbyqxmd.com/read/28152845/standardizing-architecture-and-governance-of-radiology-clinical-checklist-development
#10
Priyanka Jain, Deanna Langer, David Kwan, Julian Dobranowski
: 193 Background: To improve quality of radiology reporting, Cancer Care Ontario's (CCO) Cancer Imaging Program established synoptic radiology reporting as a priority area. Program goals are to implement standardized radiology reports across the province, improving communication between referring and interpreting physicians and providing a standardized foundation for staging data collection and population health research. Although there are libraries of structured radiology clinical checklists, development methodologies quality vary...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28150394/the-nature-and-prevalence-of-catatonic-symptoms-in-young-people-with-autism
#11
J Breen, D J Hare
BACKGROUND: A proportion of young people with autism are reported to show catatonic-like symptoms in adolescence. The aetiology and prevalence of such presentations is unknown but include a set of behaviours that can best be described as attenuated. METHOD: The current study empirically investigated the presence and nature of such attenuated behaviours in children and adolescents with autism using a newly developed 34-item third party report measure, the Attenuated Behaviour Questionnaire...
February 1, 2017: Journal of Intellectual Disability Research: JIDR
https://www.readbyqxmd.com/read/28148472/using-social-listening-data-to-monitor-misuse-and-nonmedical-use-of-bupropion-a-content-analysis
#12
Laurie S Anderson, Heidi G Bell, Michael Gilbert, Julie E Davidson, Christina Winter, Monica J Barratt, Beta Win, Jeffery L Painter, Christopher Menone, Jonathan Sayegh, Nabarun Dasgupta
BACKGROUND: The nonmedical use of pharmaceutical products has become a significant public health concern. Traditionally, the evaluation of nonmedical use has focused on controlled substances with addiction risk. Currently, there is no effective means of evaluating the nonmedical use of noncontrolled antidepressants. OBJECTIVE: Social listening, in the context of public health sometimes called infodemiology or infoveillance, is the process of identifying and assessing what is being said about a company, product, brand, or individual, within forms of electronic interactive media...
1, 2017: JMIR Public Health and Surveillance
https://www.readbyqxmd.com/read/28144181/herpetofauna-of-the-northwest-amazon-forest-in-the-state-of-maranh%C3%A3-o-brazil-with-remarks-on-the-gurupi-biological-reserve
#13
Marco Antonio de Freitas, Ruhan Saldanha Vieira, Omar Machado Entiauspe-Neto, Samantha Oliveira E Sousa, Tayse Farias, Alanna Grazieli Sousa, Geraldo Jorge Barbosa de Moura
Understanding the biodiversity of an area is the first step for establishing effective interventions for conservation, especially when it comes to herpetofauna, since 4.1% and 9.2%, respectively, of Brazilian amphibians and reptiles are endangered. The aim of this study is to identify the composition of the herpetofauna occurring in the Northwest Amazonian state of Maranhão, with a focus on the Gurupi Biological Reserve and surrounding areas. Samples were collected between May 2012 and October 2013 (18 months), through pitfall traps, time constrained active search, and opportunistic encounters, and these records were supplemented by specimens collected by third parties and by bibliographic records...
2017: ZooKeys
https://www.readbyqxmd.com/read/28143537/overview-of-findings-from-a-2-year-study-of-claimants-who-had-sustained-a-mild-or-moderate-injury-in-a-road-traffic-crash-prospective-study
#14
Bamini Gopinath, Jagnoor Jagnoor, Nieke Elbers, Ian D Cameron
BACKGROUND: Studies have shown that in people injured in a road traffic crash, persistent symptoms are common and can lead to significant ongoing personal impact. Hence, elucidating factors associated with the human costs are key to reducing the socio-economic burden of road traffic injuries. Therefore, in this study we aimed to track the experience and key outcomes of persons who had sustained mild/moderate injuries as they returned to health (and work, where relevant) following a road traffic crash...
February 1, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28137263/healthcare-providers-views-on-the-delivery-of-preconception-care-in-a-local-community-setting-in-the-netherlands
#15
M Poels, M P H Koster, A Franx, H F van Stel
BACKGROUND: The attention for preconception care (PCC) has grown substantially in recent years, yet PCC is far from routine in daily practice. One of the major challenges for the implementation of PCC is to identify how it can best be organized and provided within the primary care setting. The aim of this study was to identify bottlenecks and solutions for the delivery of PCC from a healthcare providers' perspective in a local community setting in the Netherlands. METHODS: Health professionals within the region of Zeist, the Netherlands, were invited for a meeting on the local implementation of PCC...
January 31, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28132869/bone-marrow-derived-mesenchymal-stromal-cells-from-sickle-cell-disease-patients-display-intact-functionality
#16
Elizabeth O Stenger, Raghavan Chinnadurai, Shala Yuan, Marco Garcia, Dalia Arafat, Greg Gibson, Lakshmanan Krishnamurti, Jacques Galipeau
Hematopoietic cell transplantation (HCT) is the only cure for sickle cell disease (SCD), but engraftment remains challenging in patients lacking matched donors. Infusion of mesenchymal stromal cells (MSCs) at time of HCT may promote hematopoiesis and ameliorate graft-versus-host disease. Experimental murine models suggest MSC major histocompatibility complex compatibility with recipient impacts their in vivo function, suggesting autologous MSCs could be superior to third-party MSCs for promoting HCT engraftment...
January 26, 2017: Biology of Blood and Marrow Transplantation
https://www.readbyqxmd.com/read/28125007/an-efficient-location-verification-scheme-for-static-wireless-sensor-networks
#17
In-Hwan Kim, Bo-Sung Kim, JooSeok Song
In wireless sensor networks (WSNs), the accuracy of location information is vital to support many interesting applications. Unfortunately, sensors have difficulty in estimating their location when malicious sensors attack the location estimation process. Even though secure localization schemes have been proposed to protect location estimation process from attacks, they are not enough to eliminate the wrong location estimations in some situations. The location verification can be the solution to the situations or be the second-line defense...
January 24, 2017: Sensors
https://www.readbyqxmd.com/read/28122285/evaluation-of-forensic-medical-history-taking-from-the-child-in-cases-of-child-physical-and-sexual-abuse-and-neglect
#18
Rachel Drummond, John A M Gall
BACKGROUND: Suspected child physical abuse, sexual abuse and neglect are not uncommon presentations. As part of the assessment of these cases, a forensic medical history may be taken. This forensic history is used not only to determine the steps necessary to address the child's wellbeing but also to direct the forensic examination. Currently, there is no clear consensus on whether or not a forensic medical history should consistently be considered an integral element within the paediatric forensic evaluation...
February 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28120803/vocal-matching-the-what-the-why-and-the-how
#19
REVIEW
Stephanie L King, Peter K McGregor
Over the years, vocal matching has progressed beyond being an interesting behavioural phenomenon to one that now has relevance to a wide range of fields. In this review, we use birds and cetaceans to explain what vocal matching is, why animals vocally match and how vocal matching can be identified. We show that while the functional aspects of vocal matching are similar, the contexts in which matching is used can differ between taxa. Whereas vocal matching in songbirds facilitates mate attraction and the immediate defence of resources, in parrots and cetaceans it plays a role in the maintenance of social bonds and the promotion of behavioural synchrony...
October 2016: Biology Letters
https://www.readbyqxmd.com/read/28119394/use-and-outcomes-of-targeted-therapies-in-early-and-metastatic-her2-positive-breast-cancer-in-australia-protocol-detailing-observations-in-a-whole-of-population-cohort
#20
Benjamin Daniels, Sarah J Lord, Belinda E Kiely, Nehmat Houssami, Philip Haywood, Christine Y Lu, Robyn L Ward, Sallie-Anne Pearson
BACKGROUND: The management of human epidermal growth factor receptor 2 (HER2)-positive breast cancer (BC) has changed dramatically with the introduction and widespread use of HER2-targeted therapies. However, there is relatively limited real-world information on patterns of use, effectiveness and safety in whole of population cohorts. The research programme detailed in this protocol will generate evidence on the prescribing patterns, safety monitoring and outcomes of patients with BC treated with HER2-targeted therapies in Australia...
January 24, 2017: BMJ Open
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