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https://www.readbyqxmd.com/read/29762164/cervical-cancer-screening-among-hiv-infected-women-in-an-urban-u-s-safety-net-healthcare-system
#1
Arti Barnes, Andrea C Betts, Eric K Borton, Joanne M Sanders, Sandi L Pruitt, Claudia Werner, Andres Bran, Carolee D Estelle, Bijal A Balasubramanian, Stephen J Inrig, Ethan A Halm, Celette Sugg Skinner, Jasmin A Tiro
OBJECTIVE: Little is known about cervical cancer screening and results patterns among HIV infected (HIV+) women in real-world healthcare settings. We characterized two periods of screening opportunity. DESIGN: Retrospective cohort. SETTING: U.S. safety-net healthcare system in Dallas County, Texas. SUBJECTS: We analyzed data from electronic medical records (EMR) of 1,490 HIV+ women receiving care 2010-2014. MAIN OUTCOME MEASURES: At baseline, we categorized a woman's Pap status 15 months prior to index date as under-screened (vs...
May 11, 2018: AIDS
https://www.readbyqxmd.com/read/29746651/the-impact-of-the-veteran-s-affairs-medical-system-on-an-otolaryngology-residency-training-program
#2
Alexander Lanigan, Mark Spaw, Christopher Donaghe, Joseph Brennan
Introduction: The field of otolaryngology has become the leading specialty in the management of head and neck pathology and trauma. Graduate medical education programs tasked to train military head and neck surgeons within the Department of Defense (DoD) maintain certification by ensuring adequate surgical case volume and training. In recent years, surgical case numbers have declined due to an overall healthy active duty patient population and deployments of residency faculty. As such, a novel initiative between the San Antonio Military Medical Center and the South Texas Veteran's Healthcare system was developed to provide seamless care among active duty service members, dependents, retirees, and veterans...
May 9, 2018: Military Medicine
https://www.readbyqxmd.com/read/29696982/coccidioidomycosis-active-component-u-s-armed-forces-2007-2017
#3
Valerie F Williams, Shauna Stahlman, Gi-Taik Oh
During 2007-2017, there were 574 incident cases of coccidioidomycosis among active component service members, with an overall unadjusted incidence rate of 3.9 cases per 100,000 person-years (p-yrs). Compared to their respective counterparts, the overall rates were highest among those aged 40 years or older, Navy members, enlisted service members, and those in healthcare occupations. Overall incidence rates were similar for males and females. Within race/ethnicity groups, the overall rates of coccidioidomycosis were highest among Asian/Pacific Islanders and lowest among non-Hispanic whites...
April 2018: MSMR
https://www.readbyqxmd.com/read/29656260/racial-ethnic-differences-in-the-treatment-of-adolescent-major-depressive-disorders-mdd-across-healthcare-providers-participating-in-the-medicaid-program
#4
Aylin Yucel, Ekere J Essien, Swarnava Sanyal, Osaro Mgbere, Rajender R Aparasu, Vinod S Bhatara, Joy P Alonzo, Hua Chen
BACKGROUND: To examine whether racial/ethnic differences in receipt of MDD treatment could be explained by the specialty of provider diagnosing the adolescent. METHOD: Adolescents (10-20 years-old) with ≥2 MDD diagnoses were identified using 2005-2007 Medicaid data from Texas. Patients were categorized based on the types of provider who gave the initial MDD diagnosis (psychiatrist (PSY-I), social worker/psychologist (SWP-I), and primary care physician (PCP-I))...
April 6, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29649520/development-and-validation-of-a-prognostic-score-to-predict-tuberculosis-mortality
#5
Duc T M Nguyen, Edward A Graviss
OBJECTIVE: To develop and validate a simple prognostic scoring system to predict the mortality risk during treatment in tuberculosis patients. METHODS: Using data from the CDC's Tuberculosis Genotyping Information Management System of TB patients in Texas reported from 01/2010 to 12/2016, age ≥ 15 years and having an outcome as "completed" or "died", we developed and validated a prognostic mortality scoring system-based logistic regression beta-coefficients...
April 9, 2018: Journal of Infection
https://www.readbyqxmd.com/read/29627815/protocol-for-a-mixed-methods-study-of-hospital-readmissions-sensemaking-in-veterans-health-administration-healthcare-system-in-the-usa
#6
Lauren S Penney, Luci K Leykum, Polly Noël, Erin P Finley, Holly Jordan Lanham, Jacqueline Pugh
INTRODUCTION: Effective delivery of healthcare in complex systems requires managing interdependencies between professions and organisational units. Reducing 30-day hospital readmissions may be one of the most complex tasks that a healthcare system can undertake. We propose that these less than optimal outcomes are related to difficulties managing the complex interdependencies among organisational units and to a lack of effective sensemaking among individuals and organisational units regarding how best to coordinate patient needs...
April 7, 2018: BMJ Open
https://www.readbyqxmd.com/read/29625901/megalopyge-opercularis-caterpillar-stings-reported-to-texas-poison-centers
#7
Mathias B Forrester
INTRODUCTION: The Megalopyge opercularis caterpillar is covered with spines that break off and release venom on contact, resulting in severe pain, erythema, rash, and other adverse effects. In Texas, these caterpillars are abundant and of potential health threat. This study describes M opercularis caterpillar stings reported to Texas poison centers. METHODS: Cases were M opercularis caterpillar stings reported to Texas poison centers during 2000-2016. The distribution of stings was determined related to exposure circumstances and management...
April 3, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29582892/frequency-of-hospital-use-before-and-after-home-delivery-meal-by-meals-on-wheels-of-tarrant-county-texas
#8
J Cho, J L Thorud, S Marishak-Simon, L Hammack, A B Stevens
BACKGROUND: Patients recently discharged from the hospital are vulnerable and are at high risk for readmission. Home-delivered meals may be beneficial in improving their health and facilitating independent living in the community. The purpose of this study was to identify the association between home-delivered meals and use of hospital services. METHODS: This study includes 120 clients recently discharged from an inpatient hospital stay or from an emergency department (ED) visit who received meal services from Meals On Wheels, Inc...
2018: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29558433/an-energy-efficient-algorithm-for-wearable-electrocardiogram-signal-processing-in-ubiquitous-healthcare-applications
#9
Ali Hassan Sodhro, Arun Kumar Sangaiah, Gul Hassan Sodhro, Sonia Lohano, Sandeep Pirbhulal
Rapid progress and emerging trends in miniaturized medical devices have enabled the un-obtrusive monitoring of physiological signals and daily activities of everyone's life in a prominent and pervasive manner. Due to the power-constrained nature of conventional wearable sensor devices during ubiquitous sensing (US), energy-efficiency has become one of the highly demanding and debatable issues in healthcare. This paper develops a single chip-based wearable wireless electrocardiogram (ECG) monitoring system by adopting analog front end (AFE) chip model ADS1292R from Texas Instruments...
March 20, 2018: Sensors
https://www.readbyqxmd.com/read/29546356/clonal-emergence-of-invasive-multidrug-resistant-staphylococcus-epidermidis-deconvoluted-via-a-combination-of-whole-genome-sequencing-and-microbiome-analyses
#10
Xiqi Li, Cesar A Arias, Samuel L Aitken, Jessica Galloway Peña, Diana Panesso, Michael Chang, Lorena Diaz, Rafael Rios, Yazan Numan, Sammi Ghaoui, Sruti DebRoy, Micah M Bhatti, Dawn E Simmons, Isaam Raad, Ray Hachem, Stephanie A Folan, Pranoti Sahasarabhojane, Awdhesh Kalia, Samuel A Shelburne
Background: Pathobionts, bacteria that are typically human commensals but can cause disease, contribute significantly to antimicrobial resistance. Staphylococcus epidermidis is a prototypical pathobiont as it is a ubiquitous human commensal but also a leading cause of healthcare-associated bacteremia. We sought to determine the etiology of a recent increase in invasive S. epidermidis isolates resistant to linezolid. Methods: Whole-genome sequencing (WGS) was performed on 176 S...
March 12, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29542247/functional-classification-of-heart-failure-before-and-after-implementing-a-healthcare-transition-program-for-youth-and-young-adults-transferring-from-a-pediatric-to-an-adult-congenital-heart-disease-clinics
#11
Albert C Hergenroeder, Douglas S Moodie, Daniel J Penny, Constance M Wiemann, Blanca Sanchez-Fournier, Lauren K Moore, Jane Head
OBJECTIVE: To describe changes in functional status between the last pediatric and first adult congenital heart disease (CHD) clinic visits in patients with moderate to severe CHD after implementing a healthcare transition (HCT) planning program. DESIGN: Quasi-experimental design. Patients were followed prospectively following the implementation of the intervention; Control patients transitioned from the Pediatric CHD Clinic into Adult CHD Clinic before the intervention...
March 15, 2018: Congenital Heart Disease
https://www.readbyqxmd.com/read/29460756/characteristics-associated-with-negative-interferon-%C3%AE-release-assay-results-in-culture-confirmed-tuberculosis-patients-texas-usa-2013-2015
#12
Duc T Nguyen, Larry D Teeter, Julie Graves, Edward A Graviss
Interferon-γ release assays (IGRAs) are the preferred diagnostic test for tuberculosis (TB) infection in at-risk populations in developed countries. However, IGRAs have high false-negative rates in patients with TB disease. Population-based studies assessing the factors associated with negative IGRA results in TB patients have not been performed. Using statewide TB surveillance data of culture-confirmed TB patients in Texas, USA, during 2013-2015, we describe the patient characteristics and treatment outcomes associated with false-negative IGRA results...
March 2018: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29454848/multicentre-derivation-and-validation-of-a-simple-predictive-index-for-healthcare-associated-clostridium-difficile-infection
#13
M L Davis, H G Sparrow, J O Ikwuagwu, W L Musick, K W Garey, K K Perez
OBJECTIVES: Clostridium difficile infection (CDI) is the most common cause of healthcare-associated infections in the United States. Despite well-established risk factors, little research has focused on use of these variables to identify a patient population at high risk for CDI to target with primary prevention strategies. A predictive index for healthcare-associated CDI could improve clinical care and guide research for primary prevention trials. Our objective was to develop a predictive index to identify patients at high risk for healthcare-associated CDI...
February 16, 2018: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/29451350/an-economic-assessment-of-contemporary-kidney-transplant-practice
#14
David A Axelrod, Mark A Schnitzler, Huiling Xiao, William Irish, Elizabeth Tuttle-Newhall, Su-Hsin Chang, Bertram L Kasiske, Tarek Alhamad, Krista L Lentine
Kidney transplantation is the optimal therapy for end-stage renal disease, prolonging survival and reducing spending. Prior economic analyses of kidney transplantation, using Markov models, have generally assumed compatible, low-risk donors. The economic implications of transplantation with high Kidney Donor Profile Index (KDPI) deceased donors, ABO incompatible living donors, and HLA incompatible living donors have not been assessed. The costs of transplantation and dialysis were compared with the use of discrete event simulation over a 10-year period, with data from the United States Renal Data System, University HealthSystem Consortium, and literature review...
May 2018: American Journal of Transplantation
https://www.readbyqxmd.com/read/29397802/environmental-validation-of-legionella-control-in-a-vha-facility-water-system
#15
Chetan Jinadatha, Eileen M Stock, Steve E Miller, William F McCoy
OBJECTIVES We conducted this study to determine what sample volume, concentration, and limit of detection (LOD) are adequate for environmental validation of Legionella control. We also sought to determine whether time required to obtain culture results can be reduced compared to spread-plate culture method. We also assessed whether polymerase chain reaction (PCR) and in-field total heterotrophic aerobic bacteria (THAB) counts are reliable indicators of Legionella in water samples from buildings. DESIGN Comparative Legionella screening and diagnostics study for environmental validation of a healthcare building water system...
March 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29297659/fetal-fibronectin-testing-and-pregnancy-outcomes-among-texas-medicaid-patients-at-risk-for-preterm-birth
#16
Jamie C Barner, Allison A Petrilla, Hyeun Ah Kang, Xian Shen, Ahmed M Alshehri, Erin M Sullivan, Kathleen A Troeger, Kristin M Richards, Sean C Blackwell
OBJECTIVES: Fetal fibronectin (fFN) testing between the 24th and 34th weeks of pregnancy in patients with symptomatic preterm labor (PTL) helps assess the risk of spontaneous preterm birth (sPTB), yet the extent of its use is unknown. We assessed use of fFN testing among Texas Medicaid enrollees with symptomatic PTL and evaluated time to infant delivery and healthcare utilization/costs. STUDY DESIGN: Retrospective cohort study using medical and pharmacy claims for Texas Medicaid enrollees...
December 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/29236294/acute-myeloid-leukemia-and-myelodysplastic-syndrome-after-adjuvant-chemotherapy-a-population-based-study-among-older-breast-cancer-patients
#17
Aron S Rosenstock, Jiangong Niu, Sharon H Giordano, Hui Zhao, Antonio C Wolff, Mariana Chavez-MacGregor
BACKGROUND: Chemotherapy for early breast cancer is associated with a small risk of developing myelodysplastic syndrome (MDS) and/or acute myeloid leukemia (AML). The aim of this study was to determine the risk of developing AML or MDS after modern adjuvant chemotherapy in older breast cancer patients and to further define the risk of individual chemotherapy regimens. METHODS: Patients diagnosed with stage I to III breast cancer from 2003 to 2009 were identified in the Surveillance, Epidemiology, and End Results-Medicare and Texas Cancer Registry-Medicare linked databases...
March 1, 2018: Cancer
https://www.readbyqxmd.com/read/29215422/maternity-nurses-perceptions-of-implementation-of-the-ten-steps-to-successful-breastfeeding
#18
Emilie M Cunningham, Eva I Doyle, Rodney G Bowden
OBJECTIVE: The purpose of this study was to determine maternity nurses' perceptions of implementing the Ten Steps to Successful Breastfeeding. METHODS: An online survey and a focus group were used to evaluate perceptions of maternity nurses of implementing the Ten Steps to Successful Breastfeeding in an urban Texas hospital at the onset of the project initiation. Responses were transcribed and coded using Nvivo software. Thematic analysis was conducted and consensus was reached among the research team to validate themes...
January 2018: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/29189574/the-role-of-mental-health-disease-in-potentially-preventable-hospitalizations-findings-from-a-large-state
#19
Laura N Medford-Davis, Rohan Shah, Danielle Kennedy, Emilie Becker
BACKGROUND: Preventable hospitalizations are markers of potentially low-value care. Addressing the problem requires understanding their contributing factors. OBJECTIVE: The objective of this study is to determine the correlation between specific mental health diseases and each potentially preventable hospitalization as defined by the Agency for Healthcare Research and Quality. DESIGN/SUBJECTS: The Texas Inpatient Public Use Data File, an administrative database of all Texas hospital admissions, identified 7,351,476 adult acute care hospitalizations between 2005 and 2008...
January 2018: Medical Care
https://www.readbyqxmd.com/read/29187244/social-media-usage-among-health-care-providers
#20
Zoya Surani, Rahim Hirani, Anita Elias, Lauren Quisenberry, Joseph Varon, Sara Surani, Salim Surani
OBJECTIVE: The objective of this study was to evaluate the use of social media among healthcare workers in an attempt to identify how it affects the quality of patient care. RESULTS: An anonymous survey of 35 questions was conducted in South Texas, on 366 healthcare workers. Of the 97% of people who reported owning electronic devices, 87.9% indicated that they used social media. These healthcare workers indicated that they spent approximately 1 h on social media every day...
November 29, 2017: BMC Research Notes
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