keyword
https://read.qxmd.com/read/38547478/long-term-risk-of-reintervention-after-surgical-leiomyoma-treatment-in-an-integrated-health-care-system
#1
JOURNAL ARTICLE
Susanna D Mitro, Fei Xu, Catherine Lee, Eve Zaritsky, L Elaine Waetjen, Lauren A Wise, Monique M Hedderson
OBJECTIVE: To compare long-term risk of reintervention across four uterus-preserving surgical treatments for leiomyomas and to assess effect modification by sociodemographic factors in a prospective cohort study in an integrated health care delivery system. METHODS: We studied a cohort of 10,324 patients aged 18-50 (19.9% Asian, 21.2% Black, 21.3% Hispanic, 32.5% White, 5.2% additional races and ethnicities) who had a first uterus-preserving procedure (abdominal, laparoscopic, or vaginal myomectomy [referred to as myomectomy]; hysteroscopic myomectomy; endometrial ablation; uterine artery embolization) after leiomyoma diagnosis in the 2009-2021 electronic health records of Kaiser Permanente Northern California...
March 28, 2024: Obstetrics and Gynecology
https://read.qxmd.com/read/38547317/analysis-of-temporal-artery-biopsy-by-provider-across-a-large-multi-state-health-care-network
#2
JOURNAL ARTICLE
Karling Gravenstein, Mikalah Maury, Priya Arya, Robert Liebman
Temporal artery biopsy (TAB) is the standard test for diagnosing giant cell arteritis. Our objective was to determine which specialists perform TABs and if there is variation across the United States. We performed a cross-sectional analysis in a multi-state health care system, evaluating differences between observed counts of surgical specialty by region, positive diagnoses by region, and positive diagnoses by specialty. Temporal arterial biopsy was performed on 3825 patients with the proportion of specialties performing TAB differing between regions...
March 28, 2024: American Surgeon
https://read.qxmd.com/read/38547025/birth-prevalence-of-sickle-cell-disease-and-county-level-social-vulnerability-sickle-cell-data-collection-program-11-states-2016-2020
#3
JOURNAL ARTICLE
Mariam Kayle, Audrey L Blewer, Wei Pan, Jennifer A Rothman, Carri S Polick, Joshua Rivenbark, Elliott Fisher, Camila Reyes, John J Strouse, Shelby Weeks, Jay R Desai, Angela B Snyder, Mei Zhou, Ankit Sutaria, Jhaqueline Valle, Sophia S Horiuchi, Marci K Sontag, Joshua I Miller, Ashima Singh, Mahua Dasgupta, Isaac A Janson, Najibah Galadanci, Sarah L Reeves, Krista Latta, Isabel Hurden, Shamaree J Cromartie, Allison P Plaxco, Ayesha Mukhopadhyay, Matthew P Smeltzer, Mary Hulihan
Sickle cell disease (SCD) remains a public health priority in the United States because of its association with complex health needs, reduced life expectancy, lifelong disabilities, and high cost of care. A cross-sectional analysis was conducted to calculate the crude and race-specific birth prevalence for SCD using state newborn screening program records during 2016-2020 from 11 Sickle Cell Data Collection program states. The percentage distribution of birth mother residence within Social Vulnerability Index quartiles was derived...
March 28, 2024: MMWR. Morbidity and Mortality Weekly Report
https://read.qxmd.com/read/38546771/the-impact-of-nurse-prescribing-on-health-care-delivery-for-patients-with-diabetes-a-rapid-review
#4
JOURNAL ARTICLE
Kylie Short, Cathy Andrew, Wenting Yang, Isabel Jamieson
Introduction The global prevalence of diabetes is a pressing public health concern. Over 400 million individuals live with the effects of the disease, predominantly in low- and middle-income countries. In Aotearoa New Zealand (NZ), over 300 000 people have diabetes, resulting in a population rate of 43.1 per 1000. Enabling nurses to prescribe diabetes medications enhances accessibility and improves health outcomes for large sections of the population. Aim This rapid review was undertaken to investigate the influence of nurse prescribing on health care delivery for individuals with diabetes in NZ, Australia, the United Kingdom, and Canada, countries sharing comparable health care systems and multicultural backgrounds...
March 2024: Journal of Primary Health Care
https://read.qxmd.com/read/38546728/a-mobile-app-concerto-to-empower-hospitalized-patients-in-a-swiss-university-hospital-development-design-and-implementation-report
#5
JOURNAL ARTICLE
Damien Dietrich, Helena Bornet Dit Vorgeat, Caroline Perrin Franck, Quentin Ligier
BACKGROUND: Patient empowerment can be associated with better health outcomes, especially in the management of chronic diseases. Digital health has the potential to promote patient empowerment. OBJECTIVE: Concerto is a mobile app designed to promote patient empowerment in an in-patient setting. This implementation report focuses on the lessons learned during its implementation. METHODS: The app was conceptualized and prototyped during a hackathon...
March 28, 2024: JMIR Medical Informatics
https://read.qxmd.com/read/38546709/telehealth-evaluation-in-the-united-states-protocol-for-a-scoping-review
#6
JOURNAL ARTICLE
Yunxi Zhang, Yueh-Yun Lin, Lincy S Lal, Jennifer C Reneker, Elizabeth G Hinton, Saurabh Chandra, J Michael Swint
BACKGROUND: The rapid expansion of telehealth services, driven by the COVID-19 pandemic, necessitates systematic evaluation to guarantee the quality, effectiveness, and cost-effectiveness of telehealth services and programs in the United States. While numerous evaluation frameworks have emerged, crafted by various stakeholders, their comprehensiveness is limited, and the overall state of telehealth evaluation remains unclear. OBJECTIVE: The overarching goal of this scoping review is to create a comprehensive overview of telehealth evaluation, incorporating perspectives from multiple stakeholder categories...
March 28, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38546682/ncpd-tests-enhanced-recovery-after-surgery-orthopedics-program-in-a-community-based-health-care-system
#7
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
March 2024: Orthopaedic Nursing
https://read.qxmd.com/read/38546681/enhanced-recovery-after-surgery-orthopaedics-program-in-a-community-based-health-care-system
#8
JOURNAL ARTICLE
Peter J Schams, Matthew W Tradewell, Charles P Nolte, Christine A Feller, Sandra J Elsen, Jamie L Ludlum, Andrew R Jagim, Micaela M Schollmeier
Enhanced Recovery After Surgery programs are common among healthcare systems and various surgical disciplines. Although evidence supporting the physiological rationale of multiple nutrition, physical activity, and pain control strategies before, during, and after surgical procedures is accumulating, implementing such strategies may pose a substantial challenge. The purpose of this quality improvement initiative was to outline the development, workflow, and implementation of an Enhanced Recovery After Surgery program for same-day total joint replacement procedures in a rural healthcare setting...
March 2024: Orthopaedic Nursing
https://read.qxmd.com/read/38546558/necessary-burdensome-or-threatening-awareness-of-black-white-disparities-in-health-care-access-and-self-rated-health-for-black-and-white-americans
#9
JOURNAL ARTICLE
Vanessa V Volpe, Courtney S Thomas Tobin, Donte L Bernard, Perusi B Muhigaba, Julia M Ross
Awareness of racial health care inequities is one prerequisite to eliminating them. Although extant research has described awareness of racial health care inequities in the United States, the health impacts of such awareness on communities that are most impacted by these inequities remains unknown. Therefore, we examined associations between awareness of Black-White racial health care inequities and self-rated health for Black and White adults in the United States. We used survey data from non-Hispanic Black and White participants ( N = 6,449) who responded to the national American Health Values Survey (2015-2016) to test associations between awareness of Black-White inequities in health care and self-rated health...
March 28, 2024: American Journal of Orthopsychiatry
https://read.qxmd.com/read/38546379/use-of-sequential-hot-deck-imputation-for-missing-health-care-systems-data-for-population-health-research
#10
JOURNAL ARTICLE
Ella A Chrenka, Steven P Dehmer, Michael V Maciosek, Inih J Essien, Bjorn C Westgard
Electronic medical record (EMR) data present many opportunities for population health research. The use of EMR data for population risk models can be impeded by the high proportion of missingness in key patient variables. Common approaches like complete case analysis and multiple imputation may not be appropriate for some population health initiatives that require a single, complete analytic data set. In this study, we demonstrate a sequential hot-deck imputation (HDI) procedure to address missingness in a set of cardiometabolic measures in an EMR data set...
March 28, 2024: Medical Care
https://read.qxmd.com/read/38544852/state-of-perinatal-mental-health-care-in-the-who-region-of-europe-a-scoping-review
#11
JOURNAL ARTICLE
Anna Horakova, Hana Nemcova, Kristyna Hrdlickova, Stefani Kalli, Alina Davletova, Mario Filipe Rodrigues Saraiva Duarte, Darya Molodina, Tiina Riekki, Antonin Sebela
BACKGROUND: Although perinatal mental disorders are the most common health complication among women in the perinatal period, there is a huge gap in the implementation of related research findings in the health care system. We mapped the state of perinatal mental health (PMH) care in the WHO Europe region with aim to identify leading countries, which can serve as models for countries with less developed perinatal mental health care. METHODS: Guidelines, policies, and documents related to screening and treatment services for PMH were searched as grey literature...
2024: Frontiers in Psychiatry
https://read.qxmd.com/read/38544735/communication-in-disasters-to-support-families-with-children-with-medical-complexity-and-special-healthcare-needs-a-rapid-scoping-review
#12
REVIEW
Neale Smith, Meghan Donaldson, Craig Mitton, Esther Lee
Disasters can disrupt normal healthcare processes, with serious effects on children who depend upon regular access to the health care system. Children with medical complexity (CMC) are especially at risk. These children have chronic medical conditions, and may depend on medical technology, like feeding tubes. Without clear, evidence-based processes to connect with healthcare teams, families may struggle to access the services and supports they need during disasters. There is limited research about this topic, which has been pushed forward in importance as a result of the COVID-19 pandemic...
2024: Frontiers in Public Health
https://read.qxmd.com/read/38541951/effects-of-probiotic-supplementation-during-chronic-rhinosinusitis-on-the-microbiome
#13
REVIEW
Arkadiusz Standyło, Aleksandra Obuchowska, Anna Horaczyńska-Wojtaś, Grażyna Mielnik-Niedzielska
Probiotics are live microorganisms that induce health benefits to the host. The consumption of probiotics can result in both prophylactic and therapeutic effects. Chronic rhinosinusitis (CRS) is an inflammatory condition that has a significant health and economic impact worldwide. Despite its great burden on the health-care system and patients' quality of life, the variety of therapy options for CRS is currently limited. Inflammation, mucociliary dysfunction and changes in the microbial environment are thought to be the main factors causing the disease...
March 17, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541946/proof-of-concept-of-telemedicine-assisted-abdominal-ultrasound-examinations-to-improve-the-quality-of-patient-care-in-rural-areas
#14
JOURNAL ARTICLE
Tobias Kleemann, Denise Müller, Carola Güther, Alina Duma, Awsan Mohamed, Helmut Ernst, Madlen Löbel, Robert Freund, Sven Kleemann, Sven Pannach, Rutker Stellke, Dirk Briesemann, Tina Diepelt, Ina Thomas, Viktoria Ermisch, Dimitrios Aretakis, Alexander Wree, Frank Tacke, Steffen Ortmann, Marten Schulz
(1) Background: Unclear sonographic findings without adequate specialist expertise in abdominal ultrasound (AU) may harm patients in rural areas, due to overlooked diagnoses, unnecessary additional imaging (e.g., CT scan), and/or patient transport to referral expert centers. Appropriate telemedical sonography assistance could lead to corresponding savings. (2) Methods: The study was designed as a randomized trial. Selected study centers performed AU with the best local expertise. Patients were selected and monitored according to the indication that they required AU...
March 17, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38540545/the-mediating-role-of-emotional-arousal-and-donation-anxiety-on-blood-donation-intentions-expanding-on-the-theory-of-planned-behavior
#15
JOURNAL ARTICLE
Stefanos Balaskas, Maria Koutroumani, Maria Rigou
Blood donation is essential in health-care systems worldwide, dealing with the demand for transfusions, and for the treatment of a variety of medical conditions. A major obstacle is raising the rate of blood donations by recruiting and retaining donors in an efficient manner. This paper presents a comprehensive analysis of blood donation, utilizing an enhanced framework based on the theory of planned behavior with an emphasis on emotional arousal (positive and negative), attitudes towards advertisements, and blood donation anxiety, revealing critical psychological and communicative determinants of blood donation intention...
March 17, 2024: Behavioral Sciences
https://read.qxmd.com/read/38539315/prevalence-of-somatic-symptoms-and-somatoform-disorders-among-a-german-adolescent-psychiatric-inpatient-sample
#16
JOURNAL ARTICLE
Adam Geremek, Clemens Lindner, Martin Jung, Claudia Calvano, Manuel Munz
Somatoform disorders (SD), commencing during adolescence, represent a major problem in health care systems. While literature underlines the high presence of mental health problems among children and adolescents afflicted by somatic symptoms in the general population, limited evidence is available on the prevalence of comorbid somatic symptoms in child and adolescent psychiatric populations. We assessed the prevalence of somatic symptoms, depression, and anxiety by validated questionnaires in an inpatient cohort...
February 24, 2024: Children
https://read.qxmd.com/read/38538711/period-of-hospitalization-and-mortality-in-transferred-versus-non-transferred-covid-19-patients-results-from-germany
#17
JOURNAL ARTICLE
Pascal Suski, Rudolf A Jörres, Sebastian Engelhardt, Kathrin Kahnert, Katharina Lenherr, Andreas Bauer, Stephan Budweiser
COVID-19 was a challenge for health-care systems worldwide, causing large numbers of hospitalizations and inter-hospital transfers. We studied whether transfer, as well as its reason, was associated with the duration of hospitalization in non-ICU and ICU patients. For this purpose, all patients hospitalized due to COVID-19 between August 1st and December 31st, 2021, in a network of hospitals in Southern Germany were comprehensively characterized regarding their clinical course, therapy, complications, transfers, reasons for transfer, involved levels of care, total period of hospitalization and in-hospital mortality, using univariate and multiple regression analyses...
March 28, 2024: Scientific Reports
https://read.qxmd.com/read/38538336/transitional-medicine-of-intractable-primary-dyslipidemias-in-japan
#18
JOURNAL ARTICLE
Masatsune Ogura, Sachiko Okazaki, Hiroaki Okazaki, Hayato Tada, Kazushige Dobashi, Kimitoshi Nakamura, Keiji Matsunaga, Takashi Miida, Tetsuo Minamino, Shinji Yokoyama, Mariko Harada-Shiba
Transitional medicine refers to the seamless continuity of medical care for patients with childhood-onset diseases as they grow into adulthood. The transition of care must be seamless in medical treatment as the patients grow and in other medical aids such as subsidies for medical expenses in the health care system. Inappropriate transitional care, either medical or social, directly causes poorer prognosis for many early-onset diseases, including primary dyslipidemia caused by genetic abnormalities. Many primary dyslipidemias are designated as intractable diseases in the Japanese health care system for specific medical aids, as having no curative treatment and requiring enormous treatment costs for lipid management and prevention of complications...
March 26, 2024: Journal of Atherosclerosis and Thrombosis
https://read.qxmd.com/read/38538329/-the-history-of-compensation-system-for-workers-with-pneumoconiosis-related-lung-cancer
#19
JOURNAL ARTICLE
Yoshimasa Ishii, Yoshiharu Aizawa, Takumi Kishimoto, Seichi Horie, Chikage Nagano, Hidesuke Shimizu
OBJECTIVE: To review the historical aspects of compensation system for workers with pneumoconiosis who developed lung cancer. METHODS: Materials and papers published on the compensation system as discussed in administrative meetings were utilized. RESULTS: Legal claims for compensation for lung cancer among individuals with pneumoconiosis increased during the period of rapid economic growth in Japan. A possible causal relationship between pneumoconiosis and lung cancer in workers has been discussed by committees of specialists...
March 26, 2024: Journal of Occupational Health
https://read.qxmd.com/read/38537703/epilepsy-care-in-latin-america-and-the-caribbean-overcoming-challenges-and-embracing-opportunities
#20
JOURNAL ARTICLE
Clio Rubinos, Daniel San-Juan, Carlos Alva-Diaz, Jorge Burneo, Andres Fernandez, Luis Carlos Mayor-Romero, Jorge Vidaurre, Loreto Rios-Pohl, Maria Jose Bruzzone
The burden of epilepsy in the Latin America and the Caribbean (LAC) region causes a profound regional impact on the health care system and significantly contributes to the global epilepsy burden. As in many other resource-limited settings worldwide, health care professionals and patients with epilepsy in LAC countries face profound challenges due to a combination of factors, including high disease prevalence, stigmatization of epilepsy, disparities in access to care, limited resources, substantial treatment gaps, insufficient training opportunities for health care providers, and a diverse patient population with varying needs...
March 27, 2024: Seminars in Neurology
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