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https://www.readbyqxmd.com/read/28208030/intensive-care-unit-admission-and-survival-among-older-patients-with-chronic-obstructive-pulmonary-disease-heart-failure-or-myocardial-infarction
#1
Thomas S Valley, Michael W Sjoding, Andrew M Ryan, Theodore J Iwashyna, Colin R Cooke
RATIONALE: Admission to an intensive care unit (ICU) may be beneficial to pneumonia patients with uncertain ICU needs; however, evidence regarding the association between ICU admission and mortality for other common conditions is largely unknown. OBJECTIVES: To estimate the relationship between ICU admission and outcomes for hospitalized patients with exacerbation of chronic obstructive pulmonary disease (COPD), exacerbation of heart failure (HF), or acute myocardial infarction (AMI)...
February 16, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28207669/is-intraoperative-local-vancomycin-powder-the-answer-to-surgical-site-infections-in-spine-surgery
#2
Hwee Weng Dennis Hey, Desmond Wei Thiam, Zhi Seng Darren Koh, Joseph Shantakumar Thambiah, Naresh Kumar, Leok-Lim Lau, Ka-Po Gabriel Liu, Hee-Kit Wong
STUDY DESIGN: This is a retrospective cohort comparative study of all patients who underwent instrumented spine surgery at a single institution. OBJECTIVE: To compare the rate of surgical site infection (SSI) between the treatment (vancomycin) and the control group (no vancomycin) in patients undergoing instrumented spine surgery. SUMMARY OF BACKGROUND DATA: SSI after spine surgery is a dreaded complication associated with increased morbidity and mortality...
February 15, 2017: Spine
https://www.readbyqxmd.com/read/28205204/the-score-family-assessment-questionnaire-a-decade-of-progress
#3
Alan Carr, Peter Stratton
This paper reviews a decade of research (2006-2016) on a family assessment instrument called the Systemic Clinical Outcome and Routine Evaluation (SCORE). The SCORE was developed in Europe to monitor progress and outcome in systemic therapy and has been adopted by the European Family Therapy Association as the main instrument for assessing the outcome in systemic family and couple therapy. There are currently six main versions of this instrument: SCORE-40, SCORE-15, SCORE-28, SCORE-29, Child SCORE-15, and Relational SCORE-15...
February 15, 2017: Family Process
https://www.readbyqxmd.com/read/28202032/cost-effectiveness-analysis-for-a-tele-based-health-coaching-program-for-chronic-disease-in-primary-care
#4
Erja Oksman, Miika Linna, Iiris Hörhammer, Johanna Lammintakanen, Martti Talja
BACKGROUND: The burden of chronic disease and multimorbidity is rapidly increasing. Self-management support interventions are effective in reduce cost, especially when targeted at a single disease group; however, economical evidence of such complex interventions remains scarce. The objective of this study was to evaluate a cost-effectiveness analysis of a tele-based health-coaching intervention among patients with type 2 diabetes (T2D), coronary artery disease (CAD) and congestive heart failure (CHF)...
February 15, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28199068/the-relationship-between-stressful-life-events-and-axis-i-diagnoses-among-adolescent-offspring-of-probands-with-bipolar-and-non-bipolar-psychiatric-disorders-and-healthy-controls-the-pittsburgh-bipolar-offspring-study-bios
#5
Lisa A Pan, Tina R Goldstein, Brian T Rooks, Mary Hickey, Jie Yu Fan, John Merranko, Kelly Monk, Rasim S Diler, Dara J Sakolsky, Daniella Hafeman, Satish Iyengar, Benjamin Goldstein, David J Kupfer, David A Axelson, David A Brent, Boris Birmaher
BACKGROUND: Previous studies have explored the role of stressful life events in the development of mood disorders. We examined the frequency and nature of stressful life events as measured by the Stressful Life Events Schedule (SLES) among 3 groups of adolescent offspring of probands with bipolar (BD), with non-BD psychiatric disorders, and healthy controls. Furthermore, we examined the relationship between stressful life events and the presence of DSM-IV Axis I disorders in these offspring...
February 14, 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28198953/predictors-of-hope-among-women-with-breast-cancer-during-chemotherapy
#6
Alessandra Cristina Sartore Balsanelli, Sonia Aurora Alves Grossi
OBJECTIVE: Identifying the predictors of hope in patients with breast cancer during chemotherapy treatment. METHOD: A prospective longitudinal study. The sample was composed of 122 women who responded to the instruments of hope, anxiety and depression, coping, fatigue, religiosity and self-esteem in the first and last cycle of chemotherapy. These variables were used in adjusting the logistic regression model that characterized multivariate statistics, allowing identification of predictor variables...
November 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28198943/clinic-validation-protocol-for-venous-ulcers-in-high-complexity
#7
Daniele Vieira Dantas, Gilson de Vasconcelos Torres, Marina de Góes Salvetti, Isabelle Katherinne Fernandes Costa, Rodrigo Assis Neves Dantas, Rhayssa de Oliveira E Araújo
Objective: To perform clinical validation of a clinical protocol for treatment of individuals with venous ulcers in highly complex health services. Method: Methodological quantitative study conducted by four specialist nurses who evaluated 32 patients with venous ulcers, at the Onofre Lopes University Hospital, in Natal/Rio Grande do Norte. Data was collected between July and December/2013 and analysis was carried out using Kappa test (K), considering K ≥ 0.61...
February 9, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28198041/does-midwife-experience-affect-the-rate-of-severe-perineal-tears
#8
Yossi Mizrachi, Sophia Leytes, Michal Levy, Zvia Hiaev, Shimon Ginath, Jacob Bar, Michal Kovo
BACKGROUND: Our aim was to study whether midwife experience affects the rate of severe perineal tears (3rd and 4th degree). METHODS: A retrospective cohort study of all women with term vertex singleton pregnancies, who underwent normal vaginal deliveries, in a single tertiary hospital, between 2011 and 2015, was performed. Exclusion criteria were instrumental deliveries and stillbirth. All midwives used a "hands on" technique for protecting the perineum. The midwife experience at each delivery was calculated as the time interval between her first delivery and current delivery...
February 15, 2017: Birth
https://www.readbyqxmd.com/read/28196355/the-straightened-splenic-vessels-method-improves-surgical-outcomes-of-laparoscopic-distal-pancreatectomy
#9
Yuichi Nagakawa, Yatsuka Sahara, Yuichi Hosokawa, Chie Takishita, Kazuhiko Kasuya, Akihiko Tsuchida
BACKGROUND: In laparoscopic distal pancreatectomy (LDP), isolating the splenic artery and vein requires advanced techniques. This study aimed to assess the efficacy of a novel method termed the 'straightened splenic vessels' (SSV) method for isolating the splenic vessels in LDP. METHODS: In SSV, to adjust the instrument axis, the splenic artery was straightened by grasping 2 points of its nerve sheath. Then, the layer between the splenic artery's nerve sheath and the pancreatic parenchyma was dissected...
February 15, 2017: Digestive Surgery
https://www.readbyqxmd.com/read/28193469/effects-of-pressure-and-frictional-heating-on-protein-separation-using-monolithic-columns-in-reversed-phase-chromatography
#10
Benjamin F Mann, Alexey A Makarov, Heather Wang, Christopher J Welch
Pressure is not typically controlled or adjusted independently of flow rate during method development in reversed-phase LC (RPLC). However, it has been shown that pressure has an effect on analyte molecular molar volume, and the magnitude of this effect is greater for proteins and ionizable compounds than neutral small molecules. This phenomenon has received attention recently in the context of porous sub-2-micron particle packed columns. The present study surveys the effect of pressure and frictional heating on RPLC separations using commercially-available monolithic columns at constant flow rate and with controlled external temperature...
January 27, 2017: Journal of Chromatography. A
https://www.readbyqxmd.com/read/28193021/chemical-measurement-and-fluctuation-scaling
#11
Quentin S Hanley
Fluctuation scaling reports on all processes producing a data set. Some fluctuation scaling relationships, such as the Horwitz curve, follow exponential dispersion models which have useful properties. The mean-variance method applied to Poisson distributed data is a special case of these properties allowing the gain of a system to be measured. Here, a general method is described for investigating gain (G), dispersion (β), and process (α) in any system whose fluctuation scaling follows a simple exponential dispersion model, a segmented exponential dispersion model, or complex scaling following such a model locally...
December 20, 2016: Analytical Chemistry
https://www.readbyqxmd.com/read/28191312/mapping-eq-5d-utilities-to-gbd-2010-and-gbd-2013-disability-weights-results-of-two-pilot-studies-in-belgium
#12
C Maertens de Noordhout, B Devleesschauwer, L Gielens, M H D Plasmans, J A Haagsma, N Speybroeck
BACKGROUND: Utilities and disability weights (DWs) are metrics used for calculating Quality-Adjusted Life Years and Disability-Adjusted Life Years (DALYs), respectively. Utilities can be obtained with multi-attribute instruments such as the EuroQol 5 dimensions questionnaire (EQ-5D). In 2010 and 2013, Salomon et al. proposed a set of DWs for 220 and 183 health states, respectively. The objective of this study is to develop an approach for mapping EQ-5D utilities to existing GBD 2010 and GBD 2013 DWs, allowing to predict new GBD 2010/2013 DWs based on EQ-5D utilities...
2017: Archives of Public Health, Archives Belges de Santé Publique
https://www.readbyqxmd.com/read/28190543/quality-of-life-as-an-outcome-of-opioid-use-disorder-treatment-a-systematic-review
#13
Jeremy W Bray, Brandon Aden, Ashley A Eggman, Leah Hellerstein, Eve Wittenberg, Bohdan Nosyk, Judy C Stribling, Bruce R Schackman
BACKGROUND AND AIMS: The recent opioid epidemic has prompted renewed interest in opioid use disorder treatment, but there is little evidence regarding health-related quality-of-life (HRQoL) outcomes in treatment programs. Measuring HRQoL represents an opportunity to consider outcomes of opioid use disorder treatment that are more patient-centered and more relevant to overall health than abstinence alone. We conducted a systematic literature review to explore the extent to which the collection of HRQoL by opioid treatment programs is documented in the treatment program literature...
February 10, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28190374/the-use-of-quality-adjusted-life-years-in-cost-effectiveness-analyses-in-palliative-care-mapping-the-debate-through-an-integrative-review
#14
Anne B Wichmann, Eddy Mm Adang, Peep Fm Stalmeier, Sinta Kristanti, Lieve Van den Block, Myrra Jfj Vernooij-Dassen, Yvonne Engels
BACKGROUND: In cost-effectiveness analyses in healthcare, Quality-Adjusted Life Years are often used as outcome measure of effectiveness. However, there is an ongoing debate concerning the appropriateness of its use for decision-making in palliative care. AIM: To systematically map pros and cons of using the Quality-Adjusted Life Year to inform decisions on resource allocation among palliative care interventions, as brought forward in the debate, and to discuss the Quality-Adjusted Life Year's value for palliative care...
February 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28188253/frailty-physical-activity-and-mobility-in-patients-with-cardiac-implantable-electrical-devices
#15
Daniel B Kramer, Timothy Tsai, Poorna Natarajan, Elise Tewksbury, Susan L Mitchell, Thomas G Travison
BACKGROUND: This study aimed to demonstrate the feasibility of measuring frailty in patients with cardiac implantable electrical devices while validating the physiologic significance of device-detected physical activity by evaluating its association with frailty and mobility. METHODS AND RESULTS: Outpatients with cardiac implantable electrical devices compatible with physical activity analysis with at least 7 days of data were eligible. Office testing included frailty status (Study of Osteoporotic Fractures instrument), gait speed (m/s), mobility according to the Timed Up and Go (TUG) test (seconds), and daily physical activity (h/d) as measured by cardiac implantable electrical device...
February 10, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28188114/a-semi-quantitative-food-frequency-questionnaire-validated-in-hispanic-infants-and%C3%A2-toddlers-aged-0-to-24-months
#16
Cristina Palacios, Sona Rivas-Tumanyan, Eduardo J Santiago-Rodríguez, Olga Sinigaglia, Elaine M Ríos, Maribel Campos, Beatriz Diaz, Walter Willett
BACKGROUND: There are limited validated food frequency questionnaires (FFQs) for infants and toddlers, most of which were evaluated in Europe or Oceania, and the ones available for use in the United States have important limitations. OBJECTIVE: Our aim was to assess the validity of an FFQ developed for infants and toddlers. DESIGN: A semi-quantitative FFQ was developed that included 52 food items, their sources, and portion sizes. The FFQ inquired about diets over the previous 7 days...
February 7, 2017: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/28185560/inequalities-in-socio-economic-characteristics-and-health-and-wellbeing-of-men-with-and-without-disabilities-a-cross-sectional-analysis-of-the-baseline-wave-of-the-australian-longitudinal-study-on-male-health
#17
Anne M Kavanagh, Zoe Aitken, Eric Emerson, Sash Sahabandu, Allison Milner, Rebecca Bentley, Anthony D LaMontagne, Jane Pirkis, David Studdert
BACKGROUND: Internationally, men with disabilities have higher rates of social and economic disadvantage and poorer health and wellbeing than men without disabilities. No single study has provided comprehensive, population-level information about the magnitude of such differences among adult men using a well-validated instrument to measure disability. METHODS: We analysed baseline data from Ten to Men - an Australian longitudinal study of male health. Ten to Men used a stratified multi-stage cluster random sample design to recruit a national sample of males aged 10 to 55 years residing in private dwellings...
October 31, 2016: BMC Public Health
https://www.readbyqxmd.com/read/28182065/comparative-evaluation-of-canal-cleaning-ability-of-various-rotary-endodontic-filesin-apical-third-a-scanning-electron-microscopic-study
#18
Ganesh Ranganath Jadhav, Priya Mittal, Anish Kulkarni, Shibli Syed, Ravikiran Bagul, Saina Elahi, Dheeraj Kalra
BACKGROUND: The purpose of this study was to evaluate the canal cleaning ability of three novel endodontic rotary instruments and compare with ProTaper files as a control in apical third of root canals under scanning electron microscopy (SEM). MATERIALS AND METHODS: Eighty freshly extracted mandibular premolars were selected according to inclusion criteria. Buccal cusp tips were ground to ensure having a flat coronal reference point with a total tooth length of 16 mm for all samples...
November 2016: Dental Research Journal
https://www.readbyqxmd.com/read/28178977/diagnostic-performance-and-optimal-cut-off-scores-of-the-massachusetts-youth-screening-instrument-second-version-in-a-sample-of-swiss-youths-in-welfare-and-juvenile-justice-institutions
#19
Claudia Dölitzsch, Laura E W Leenarts, Klaus Schmeck, Jorg M Fegert, Thomas Grisso, Marc Schmid
BACKGROUND: There is a growing consensus about the importance of mental health screening of youths in welfare and juvenile justice institutions. The Massachusetts Youth Screening Instrument-second version (MAYSI-2) was specifically designed, normed and validated to assist juvenile justice facilities in the United States of America (USA), in identifying youths with potential emotional or behavioral problems. However, it is not known if the USA norm-based cut-off scores can be used in Switzerland...
February 8, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28178023/risk-factors-for-acute-care-hospital-readmission-in-older-persons-in-western-countries-a-systematic-review
#20
Mona Kyndi Pedersen, Gabriele Meyer, Lisbeth Uhrenfeldt
BACKGROUND: Hospital readmission in older persons is common and reported as a post-discharge adverse outcome from hospitalization. Readmission relates to a mix of factors associated with increasing age, living conditions, progression of disease as well as factors related to the processes of care. To allow health professionals to focus more intensively on patients at risk of readmission, there is a need to identify the characteristics of those patients. OBJECTIVES: To identify and synthesize the best available evidence on risk factors for acute care hospital readmission within one month of discharge in older persons in Western countries...
February 2017: JBI Database of Systematic Reviews and Implementation Reports
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