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https://www.readbyqxmd.com/read/27799017/the-perceived-impact-of-42-cfr-part-2-on-coordination-and-integration-of-care-a-qualitative-analysis
#1
Dennis McCarty, Traci Rieckmann, Robin L Baker, K John McConnell
OBJECTIVE: Title 42 of the Code of Federal Regulations Part 2 (42 CFR Part 2) controls the release of patient information about treatment for substance use disorders. In 2016, the Substance Abuse and Mental Health Services Administration (SAMHSA) released a proposed rule to update the regulations, reduce provider burdens, and facilitate information exchange. Oregon's Medicaid program (Oregon Health Plan) altered the financing and structure of medical, dental, and behavioral care to promote greater integration and coordination...
November 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27540979/a-comparison-of-facemask-and-respirator-filtration-test-methods
#2
Samy Rengasamy, Ronald Shaffer, Brandon Williams, Sarah Smit
NIOSH published a Federal Register Notice to explore the possibility of incorporating FDA required filtration tests for surgical masks (SMs) in the 42 CFR Part 84 respirator certification process. There have been no published studies comparing the filtration efficiency test methods used for NIOSH certification of N95 filtering facepiece respirators (N95 FFRs) with those used by the FDA for clearance of SMs. To address this issue, filtration efficiencies of "N95 FFRs" including six N95 FFR models and three surgical N95 FFR models, and three SM models were measured using the NIOSH NaCl aerosol test method, and FDA required particulate filtration efficiency (PFE) and bacterial filtration efficiency (BFE) methods, and viral filtration efficiency (VFE) method...
August 19, 2016: Journal of Occupational and Environmental Hygiene
https://www.readbyqxmd.com/read/27456069/declining-incidence-of-intracerebral-hemorrhage-over-two-decades-in-a-population-based-study
#3
S Sacco, R Ornello, D Degan, C Tiseo, F Pistoia, A Carolei
BACKGROUND AND PURPOSE: The incidence and case-fatality rate (CFR) of primary intracerebral hemorrhage (PICH) over two decades were assessed in a prospective population-based study. METHODS: Cases of incident first-ever PICH were recorded over a 2-year period (2011-2012) from multiple sources in the district of L'Aquila, central Italy. Included patients were followed up to 1 year after the event to ascertain CFRs. Current data were compared with those previously collected from 1994 through 1998...
November 2016: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/27328564/proposed-hhs-rule-could-modernize-42-cfr-part-2-at-last
#4
Donna Marbury
No abstract text is available yet for this article.
2016: Behavioral Healthcare
https://www.readbyqxmd.com/read/27146399/middle-east-respiratory-syndrome-coronavirus-current-situation-and-travel-associated-concerns
#5
REVIEW
Jaffar A Al-Tawfiq, Ali S Omrani, Ziad A Memish
The emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) in 2012 brought back memories of the occurrence of severe acute respiratory syndrome coronavirus (SARS-CoV) in 2002. More than 1500 MERS-CoV cases were recorded in 42 months with a case fatality rate (CFR) of 40%. Meanwhile, 8000 cases of SARS-CoV were confirmed in six months with a CFR of 10%. The clinical presentation of MERS-CoV ranges from mild and non-specific presentation to progressive and severe pneumonia. No predictive signs or symptoms exist to differentiate MERS-CoV from community-acquired pneumonia in hospitalized patients...
June 2016: Frontiers of Medicine
https://www.readbyqxmd.com/read/27143679/invasive-assessment-of-coronary-physiology-predicts-late-mortality-after-heart-transplantation
#6
Hyoung-Mo Yang, Kiran Khush, Helen Luikart, Kozo Okada, Hong-Seok Lim, Yuhei Kobayashi, Yasuhiro Honda, Alan C Yeung, Hannah Valantine, William F Fearon
BACKGROUND: The aim of this study is to determine the prognostic value of invasively assessing coronary physiology early after heart transplantation. METHODS AND RESULTS: Seventy-four cardiac transplant recipients had fractional flow reserve, coronary flow reserve, index of microcirculatory resistance (IMR), and intravascular ultrasound performed down the left anterior descending coronary artery soon after (baseline) and 1 year after heart transplantation. The primary end point was the cumulative survival free of death or retransplantation at a mean follow-up of 4...
May 17, 2016: Circulation
https://www.readbyqxmd.com/read/27076220/early-vascular-healing-after-titanium-nitride-oxide-coated-stent-versus-platinum-chromium-everolimus-eluting-stent-implantation-in-patients-with-acute-coronary-syndrome
#7
Ville Varho, Tuomas O Kiviniemi, Wail Nammas, Jussi Sia, Hannu Romppanen, Mikko Pietilä, Juhani K Airaksinen, Jussi Mikkelsson, Petri Tuomainen, Anssi Perälä, Pasi P Karjalainen
Data on early vascular healing response of novel stent designs are scarce. In this randomized prospective trial, we sought to compare early neointimal coverage of cobalt-chromium-based titanium-nitride-oxide-coated bioactive stents (CoCr-BAS) versus platinum-chromium everolimus-eluting stents (PtCr-EES) at 2-month follow-up in patients with acute coronary syndrome (ACS). Forty patients with ACS were randomized to receive either CoCr-BAS (n = 19) or PtCr-EES (n = 21). Neointimal strut coverage and strut apposition were examined by optical coherence tomography; and coronary flow reserve (CFR), fractional flow reserve (FFR) and index of microcirculatory resistance (IMR) were assessed using a coronary pressure wire at 2 months...
July 2016: International Journal of Cardiovascular Imaging
https://www.readbyqxmd.com/read/27068676/pharmacokinetic-pharmacodynamic-adequacy-of-echinocandins-against-candida-spp-in-intensive-care-unit-patients-and-general-patient-populations
#8
Qianting Yang, Taotao Wang, Jiao Xie, Yan Wang, Xiaowei Zheng, Lu Chen, Ying Li, Ti Meng, Yalin Dong
This study evaluated whether contemporary echinocandin regimens achieved pharmacokinetic/pharmacodynamic targets in ICU patients and general patient populations (GPPs) and assessed caspofungin (CAS) regimens in hepatic impairment (HI) patients. A Monte Carlo simulation was performed using previously published data. Recommended dosing regimens of echinocandins in ICU patients, GPPs and healthy volunteers were evaluated: 70mg loading dose then 50mg maintenance dose (70/50mg) for CAS; 100mg q24h for micafungin (MCF); and 200/100mg for anidulafungin (ANF)...
May 2016: International Journal of Antimicrobial Agents
https://www.readbyqxmd.com/read/26981218/association-of-arterial-stiffness-with-coronary-flow-reserve-in-revascularized-coronary-artery-disease-patients
#9
Vlassis Tritakis, Stavros Tzortzis, Ignatios Ikonomidis, Kleanthi Dima, Georgios Pavlidis, Paraskevi Trivilou, Ioannis Paraskevaidis, Giorgos Katsimaglis, John Parissis, John Lekakis
AIM: To investigate the association of arterial wave reflection with coronary flow reserve (CFR) in coronary artery disease (CAD) patients after successful revascularization. METHODS: We assessed 70 patients with angiographically documented CAD who had undergone recent successful revascularization. We measured (1) reactive hyperemia index (RHI) using fingertip peripheral arterial tonometry (RH-PAT Endo-PAT); (2) carotid to femoral pulse wave velocity (PWVc-Complior); (3) augmentation index (AIx), the diastolic area (DAI%) and diastolic reflection area (DRA) of the central aortic pulse wave (Arteriograph); (4) CFR using Doppler echocardiography; and (5) blood levels of lipoprotein-phospholipase A2 (Lp-PLA2)...
February 26, 2016: World Journal of Cardiology
https://www.readbyqxmd.com/read/26930074/comparative-epidemiology-of-human-infections-with-middle-east-respiratory-syndrome-and-severe-acute-respiratory-syndrome-coronaviruses-among-healthcare-personnel
#10
COMPARATIVE STUDY
Shelan Liu, Ta-Chien Chan, Yu-Tseng Chu, Joseph Tsung-Shu Wu, Xingyi Geng, Na Zhao, Wei Cheng, Enfu Chen, Chwan-Chuen King
The largest nosocomial outbreak of Middle East respiratory syndrome (MERS) occurred in South Korea in 2015. Health Care Personnel (HCP) are at high risk of acquiring MERS-Coronavirus (MERS-CoV) infections, similar to the severe acute respiratory syndrome (SARS)-Coronavirus (SARS-CoV) infections first identified in 2003. This study described the similarities and differences in epidemiological and clinical characteristics of 183 confirmed global MERS cases and 98 SARS cases in Taiwan associated with HCP. The epidemiological findings showed that the mean age of MERS-HCP and total MERS cases were 40 (24~74) and 49 (2~90) years, respectively, much older than those in SARS [SARS-HCP: 35 (21~68) years, p = 0...
2016: PloS One
https://www.readbyqxmd.com/read/26845493/substance-use-disorder-patient-privacy-and-comprehensive-care-in-integrated-health-care-settings
#11
Elizabeth Schaper, Howard Padwa, Darren Urada, Steven Shoptaw
The Affordable Care Act (ACA) expands health insurance coverage for substance use disorder (SUD) treatment, underscoring the value of improving SUD service integration in primarily physical health care settings. It is not yet known to what degree specialized privacy regulations-Code of Federal Regulations Title 42, Part 2 (42 CFR Part 2), in particular-will affect access to or the utilization and delivery of SUD treatment in primary care. In addition to exploring the emerging benefits and barriers that specialized confidentiality regulations pose to treatment in early adopting integrated health care settings, this article introduces and explicates 42 CFR Part 2 to support provider and administrator implementation of SUD privacy regulations in integrated settings...
February 2016: Psychological Services
https://www.readbyqxmd.com/read/26817297/-nicotine-and-tar-free-cigarette-smoke-extract-reduces-the-penile-erectile-function-of-rats
#12
Shu-chao Liu, Tian-peng Wu, Qi-xin Duan, Ling-qi Liu, Chao Song, Wen-biao Liao, Si-xing Yang
OBJECTIVE: To evaluate the impact of nicotine- and tar-free cigarette smoke extract (fCSE) on the serum testosterone (T) level and erectile function of male rats. METHODS: We randomized 30 male SD rats to three groups of equal number to receive subcutaneous injection of PBS (1.0 ml / 300 g body weight per day), fCSE (1.0 ml/300 g body weight per day), and reduced glutathione hormone (GSH, 200 mg per kg body weight per day) in addition to fCSE (fCSE + GSH), respectively, all for 8 weeks...
December 2015: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/26751034/major-bleeding-and-case-fatality-rate-with-the-direct-oral-anticoagulants-in-orthopedic-surgery-a-systematic-review-and-meta-analysis
#13
Nicoletta Riva, Francesco Dentali, Eleonora Tamborini Permunian, Walter Ageno
The novel direct oral anticoagulants (DOACs) have been proposed as alternatives to low-molecular-weight heparins (LMWHs) for the prevention of venous thromboembolism in orthopedic surgery. However, the clinical impact of postsurgical bleeding with the DOACs has not been extensively evaluated. MEDLINE and EMBASE databases, supplemented with conference abstract books and www.clinicaltrial.gov, were searched up to the first week of March 2015. We included phase II and phase III randomized controlled trials comparing the DOACs with LMWHs in patients undergoing major orthopedic surgery...
February 2016: Seminars in Thrombosis and Hemostasis
https://www.readbyqxmd.com/read/26527312/using-participatory-epidemiology-to-investigate-management-options-and-relative-importance-of-tick-borne-diseases-amongst-transhumant-zebu-cattle-in-karamoja-region-uganda
#14
C Byaruhanga, M C Oosthuizen, N E Collins, D Knobel
A participatory epidemiological (PE) study was conducted with livestock keepers in Moroto and Kotido districts, Karamoja Region, Uganda, between October and December 2013 to determine the management options and relative importance of tick-borne diseases (TBDs) amongst transhumant zebu cattle. Data collection involved 24 focus group discussions (each comprising 8-12 people) in 24 settlement areas (manyattas), key informant interviews (30), direct observation, a review of surveillance data, clinical examination, and laboratory confirmation of cases of TBDs...
December 1, 2015: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/25989730/apparent-left-ventricular-cavity-dilatation-during-pet-ct-in-hypertrophic-cardiomyopathy-clinical-predictors-and-potential-mechanisms
#15
Paco E Bravo, Abdel Tahari, Iraklis Pozios, Hong-Chang Luo, Frank M Bengel, Richard L Wahl, M Roselle Abraham, Theodore P Abraham
BACKGROUND: Apparent left ventricular cavity dilatation (LVCD) in patients with hypertrophic cardiomyopathy (HCM) is an incompletely understood phenomenon. We aimed at investigating its clinical predictors and potential mechanisms. METHODS: Sixty one HCM patients underwent N-13-ammonia PET for visual evaluation of LVCD, transient ischemic dilatation (TID) index, myocardial blood flow (MBF), coronary flow reserve (CFR), and regional myocardial perfusion (rMP). TID index was also derived at 2-4 and 15-20 minutes...
May 20, 2015: Journal of Nuclear Cardiology: Official Publication of the American Society of Nuclear Cardiology
https://www.readbyqxmd.com/read/25971450/assessment-of-absolute-tc-99m-tetrofosmin-retention-in-the-myocardium-as-an-index-of-myocardial-blood-flow-and-coronary-flow-reserve-by-gated-spect-ct-a-feasibility-study
#16
Dimitris J Apostolopoulos, Agaristi Kaspiri, Trifon Spyridonidis, Nikolaos Patsouras, Christos A Savvopoulos, Pericles Davlouros, Pavlos J Vassilakos, Dimitrios Alexopoulos
OBJECTIVE: Estimation of myocardial blood flow (MBF) and coronary flow reserve (CFR) by SPECT myocardial perfusion imaging (MPI) remains challenging. Our aim was to approximate MBF and CFR by quantifying the absolute Tc-99m tetrofosmin retention in the myocardium via gated-SPECT/CT MPI. METHODS: Tracer retention was calculated on the basis of the microsphere kinetic model and served as an index of MBF at stress and rest (sMBFi, rMBFi). CFR was given by the sMBFi/rMBFi ratio...
August 2015: Annals of Nuclear Medicine
https://www.readbyqxmd.com/read/25726423/ribosomal-protein-l3-mutations-are-associated-with-cfr-mediated-linezolid-resistance-in-clinical-isolates-of-staphylococcus-cohnii
#17
Hongtao Xu, Rui Tian, Yanming Li, Dongke Chen, Yalin Liu, Yunjian Hu, Fei Xiao
From June, 2012 to November, 2013 five linezolid-resistant Staphylococcus cohnii isolates were identified in our hospital in Beijing, China. The investigation of the resistance mechanisms confirmed that the cfr-carrying plasmids were the main cause of linezolid resistance in those clinical isolates. Moreover, all the five isolates had ribosomal protein L3 mutations, which had different coordinate effect on cfr-mediated linezolid resistance directly through the substitution of serine 158 by phenylalanine or tyrosine in L3 protein...
June 2015: Current Microbiology
https://www.readbyqxmd.com/read/25589834/impact-of-an-endothelial-progenitor-cell-capturing-stent-on-coronary-microvascular-function-comparison-with-drug-eluting-stents
#18
COMPARATIVE STUDY
Woong Gil Choi, Soo Hyun Kim, Hyung Seok Yoon, Eun Joo Lee, Dong Woon Kim
BACKGROUND/AIMS: Although drug-eluting stents (DESs) effectively reduce restenosis following percutaneous coronary intervention (PCI), they also delay re-endothelialization and impair microvascular function, resulting in adverse clinical outcomes. Endothelial progenitor cell (EPC) capturing stents, by providing a functional endothelial layer on the stent, have beneficial effects on microvascular function. However, data on coronary microvascular function in patients with EPC stents versus DESs are lacking...
January 2015: Korean Journal of Internal Medicine
https://www.readbyqxmd.com/read/25589702/lesion-flow-coefficient-a-combined-anatomical-and-functional-parameter-for-detection-of-coronary-artery-disease-a-clinical-study
#19
Srikara V Peelukhana, Mohamed Effat, Kranthi K Kolli, Imran Arif, Tarek Helmy, Massoud Leesar, Hanan Kerr, Lloyd H Back, Rupak Banerjee
Invasive diagnosis of coronary artery disease utilizes either anatomical or functional measurements. In this study, we tested a futuristic parameter, lesion flow coefficient (LFC, defined as the ratio of percent coronary area stenosis (%AS) to the square root of the ratio of the pressure drop across the stenosis to the dynamic pressure in the throat region), that combines both the anatomical (%AS) and functional measurements (pressure and flow) for application in a clinical setting. In 51 vessels, simultaneous pressure and flow readings were obtained using a 0...
January 2015: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/25480813/interaction-of-impaired-coronary-flow-reserve-and-cardiomyocyte-injury-on-adverse-cardiovascular-outcomes-in-patients-without-overt-coronary-artery-disease
#20
Viviany R Taqueti, Brendan M Everett, Venkatesh L Murthy, Mariya Gaber, Courtney R Foster, Jon Hainer, Ron Blankstein, Sharmila Dorbala, Marcelo F Di Carli
BACKGROUND: Minimally elevated serum cardiac troponin reflects myocardial injury and is associated with increased mortality, even absent coronary artery disease (CAD). We sought to investigate the relationship between low-level troponin elevation and impaired coronary flow reserve (CFR), an integrated measure of coronary vasomotor function, and to assess their contributions to adverse outcomes in patients without overt CAD. METHODS AND RESULTS: Consecutive patients (n=761) undergoing evaluation for suspected CAD with troponin before stress myocardial perfusion positron emission tomography were followed up (median, 2...
February 10, 2015: Circulation
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