59,415 results match your criteria Administrative Eyecare[Journal]


Molecular epidemiology of acute HCV infection in HIV-positive patients from Hong Kong, Taipei, Tokyo.

Liver Int 2019 Feb 16. Epub 2019 Feb 16.

Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Shatin, Hong Kong.

Background: Acute hepatitis C virus (HCV) infections have been increasingly reported among human immunodeficiency virus (HIV)-positive men who have sex with men (MSM) in the Asia-Pacific region. It remains unknown whether international network of HCV transmission has occurred in this region.

Methods: HIV-positive patients with acute HCV infection, defined as HCV seroconversion within a year or documented acute hepatitis with seroconversion, diagnosed in Hong Kong, Taipei, and Tokyo during 2010-2016 were included in this molecular epidemiology study. Read More

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http://dx.doi.org/10.1111/liv.14073DOI Listing
February 2019

Validation of an algorithm for identifying MS cases in administrative health claims datasets.

Neurology 2019 Feb 15. Epub 2019 Feb 15.

From the Department of Veterans Affairs Post Deployment Health Services (W.J.C., M.T.W.), Multiple Sclerosis Center of Excellence; University of Maryland (W.J.C.), Baltimore; Departments of Internal Medicine and Community Health Sciences (R.A.M., S.L.), Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada; Neurology Department (A.L.-G., L.H.C.), Kaiser Permanente Southern California, Los Angeles; Georgetown University School of Medicine (M.T.W.), Washington, DC; University of Colorado (J.C.), Denver; Stanford University School of Medicine (L.M.N.), CA; McKing Consulting Corp (W.E.K., L.W.), Atlanta, GA; Faculty of Medicine (Neurology) and Centre for Brain Health (H.T.), University of British Columbia, Vancouver; College of Pharmacy and Nutrition (C.E.), University of Saskatchewan; Health Quality Council (Saskatchewan) (S.Y.), Saskatoon, Canada; and National Multiple Sclerosis Society (N.G.L.), New York, NY.

Objective: To develop a valid algorithm for identifying multiple sclerosis (MS) cases in administrative health claims (AHC) datasets.

Methods: We used 4 AHC datasets from the Veterans Administration (VA), Kaiser Permanente Southern California (KPSC), Manitoba (Canada), and Saskatchewan (Canada). In the VA, KPSC, and Manitoba, we tested the performance of candidate algorithms based on inpatient, outpatient, and disease-modifying therapy (DMT) claims compared to medical records review using sensitivity, specificity, positive and negative predictive values, and interrater reliability (Youden J statistic) both overall and stratified by sex and age. Read More

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http://dx.doi.org/10.1212/WNL.0000000000007043DOI Listing
February 2019

The prevalence of MS in the United States: A population-based estimate using health claims data.

Neurology 2019 Feb 15. Epub 2019 Feb 15.

From the Department of Veterans Affairs Multiple Sclerosis Center of Excellence (M.T.W., W.J.C.); Georgetown University School of Medicine (M.T.W.), Washington, DC; University of Maryland (W.J.C.), Baltimore; University of Colorado (J.D.C., P.D.), Aurora; Stanford University School of Medicine (L.M.N., B.T.), CA; Southern California Permanente Medical Group (A.L.-G., L.H.C.), Pasadena; Departments of Internal Medicine and Community Health Sciences (R.A.M.), Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada; University of Alabama at Birmingham (G.R.C.); McKing Consulting Corp (W.E.K., L.W.), Atlanta, GA; Faculty of Medicine (Neurology) and Centre for Brain Health (H.T.), University of British Columbia, Vancouver, Canada; Brown University (S.L.B.), Providence, RI; and National Multiple Sclerosis Society (N.G.L.), New York, NY.

Objective: To generate a national multiple sclerosis (MS) prevalence estimate for the United States by applying a validated algorithm to multiple administrative health claims (AHC) datasets.

Methods: A validated algorithm was applied to private, military, and public AHC datasets to identify adult cases of MS between 2008 and 2010. In each dataset, we determined the 3-year cumulative prevalence overall and stratified by age, sex, and census region. Read More

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http://dx.doi.org/10.1212/WNL.0000000000007035DOI Listing
February 2019

A new way to estimate neurologic disease prevalence in the United States: Illustrated with MS.

Neurology 2019 Feb 15. Epub 2019 Feb 15.

From the Division of Epidemiology, Department of Health Research and Policy (L.M.N.), Stanford University School of Medicine, Stanford, CA; Department of Veterans Affairs Multiple Sclerosis Center of Excellence (VA MSCoE) and Georgetown University School of Medicine (M.T.W.), Washington, DC; Department of Internal Medicine (R.A.M.), Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada; VA MS Center of Excellence and University of Maryland (W.J.C.), Baltimore; Neurology Department (A.L.-G.), Kaiser Permanente Southern California, Los Angeles; University of Colorado (J.C.), Denver; Brown University (S.B.), Providence, RI; University of British Columbia (H.T.), Vancouver, Canada; University of Alabama at Birmingham (G.C.); McKing Consulting Corporation (W.K., L.W.), Atlanta, GA; and National Multiple Sclerosis Society (N.G.L.), New York, NY.

Objective: Considerable gaps exist in knowledge regarding the prevalence of neurologic diseases, such as multiple sclerosis (MS), in the United States. Therefore, the MS Prevalence Working Group sought to review and evaluate alternative methods for obtaining a scientifically valid estimate of national MS prevalence in the current health care era.

Methods: We carried out a strengths, weaknesses, opportunities, and threats (SWOT) analysis for 3 approaches to estimate MS prevalence: population-based MS registries, national probability health surveys, and analysis of administrative health claims databases. Read More

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http://dx.doi.org/10.1212/WNL.0000000000007044DOI Listing
February 2019

Population-based outcomes of men with a single negative prostate biopsy: Importance of continued follow-up among older patients.

Urol Oncol 2019 Feb 13. Epub 2019 Feb 13.

Department of Surgical Oncology, University Health Network, Toronto, ON, Canada; Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada.

Purpose: To determine in Ontario-based men with a single negative transrectal ultrasound-guided prostate biopsy the long-term rates of prostate cancer-specific mortality, diagnosis, and treatment; number of repeat biopsies; and predictors of prostate cancer diagnosis and mortality.

Materials And Methods: This was a population-based cohort study, using data from linked, validated health administrative databases, of all Ontario-based men with a negative first biopsy between January 1994 and October 2014. Patients were followed from time of first biopsy till death, administrative censoring, or end of study period. Read More

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http://dx.doi.org/10.1016/j.urolonc.2019.01.030DOI Listing
February 2019

POLICI: A web application for visualising and extracting yellow fever vaccination coverage in Africa.

Vaccine 2019 Feb 12. Epub 2019 Feb 12.

MRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, Imperial College London, London W2 1PG, United Kingdom. Electronic address:

Recent yellow fever (YF) outbreaks have highlighted the increasing global risk of urban spread of the disease. In context of recurrent vaccine shortages, preventive vaccination activities require accurate estimates of existing population-level immunity. We present POLICI (POpulation-Level Immunization Coverage - Imperial), an interactive online tool for visualising and extracting YF vaccination coverage estimates in Africa. Read More

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http://dx.doi.org/10.1016/j.vaccine.2019.01.074DOI Listing
February 2019

Epidemiology study of pediatric primary intussusception aged ≤24 months in pre-rotavirus vaccine era of Jinan, China.

Vaccine 2019 Feb 12. Epub 2019 Feb 12.

Jinan Administrative Committee of International Center for Medical Sciences, Xiyuan building, Huaiyin District, Jinan, Shandong Province, China.

Introduction: Few studies have reported on the epidemiological characteristics of pediatric primary intussusception in the pre-rotavirus vaccine era of China. It is important to complementary baseline data before rotavirus vaccine introduction in China. This study conduct a retrospective investigation and evaluated the incidence rate, described the epidemiology of pediatric primary intussusception aged ≤24 months. Read More

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http://dx.doi.org/10.1016/j.vaccine.2019.01.060DOI Listing
February 2019

Malnutrition as a Fall Risk Factor.

Fed Pract 2017 Feb;34(2):27-30

is a research registered dietitian nutritionist and clinical coordinator of diabetes education; is a nurse researcher and advanced practice nurse; is an administrative systems dietitian; and is the director of the statistical resource center for the Geriatric Research Education and Clinical Center, all at the Louis Stokes Cleveland VAMC in Ohio. Dr. Burant is an assistant professor at the Frances Payne Bolton School of Nursing, and is an assistant professor in the department of nutrition, both at Case Western Reserve University in Cleveland, Ohio.

Examining various aspects of malnutrition in elderly patients may be helpful in determining the risk of falls. Read More

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February 2017

The Availability of Advanced Radiation Oncology Technology within the Veterans Health Administration Radiation Oncology Centers.

Fed Pract 2016 May;33(Suppl 4):18S-22S

and are both attending physicians at the James J. Peters VAMC in Bronx, New York. is an attending physician at the Blanchard Valley Regional Health Center in Findlay, Ohio. is an attending physician at the Washington DC VAMC. is an attending physician; is the national director of the VHA Radiation Oncology program; and is an administrative officer; all at the Hunter Holmes McGuire VAMC in Richmond, Virginia. is an attending physician at the VA Ann Arbor Health Care System in Michigan. and Dr. Dawson are both attending physicians at the East Orange Campus of the VA New Jersey Health Care System. is an attending physician at the Indianapolis VAMC in Indiana. is the VHA oncology clinical advisor for the Office of Nursing Services, VACO and cancer program director at the Stratton VAMC in Albany, New York.

Radiation oncologists were surveyed to determine how accessible advanced radiation delivery modalities are within the VHA. Read More

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Experiences of Veterans With Diabetes From Shared Medical Appointments.

Fed Pract 2015 May;32(5):40-45

is a clinical pharmacist; is a Graduate Healthcare Administrative Training Program resident and at the time of the study was a dietician; is a clinical pharmacist; is a doctoral student in sociology at the University of California, Los Angeles, and at the time of the study was a research associate; is a community nurse liaison and at the time of the study was a nurse case manager; is an investigator with the VA Health Services Research and Development Center to Improve Veteran Involvement in Care, all at the VA Portland Health Care System in Oregon.

Camaraderie and shared narratives, coupled with clinical guidance, may help motivate veterans to better manage their diabetes. Read More

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Using an Incident Command System Model for Initial Response to an Administrative Crisis at the Phoenix VA Health Care System.

Fed Pract 2015 Dec;32(12):8-10

is a hospitalist, is the chief health informatics officer and an emergency department physician, and is the associate chief of staff for education and a primary care physician, all at the Phoenix VA Health Care System in Arizona. Also, Dr. Chesser is a clinical assistant professor of internal medicine, Dr. Abbaszadegan is a clinical assistant professor of internal medicine and biomedical informatics, and Dr. Rehman is a professor of internal medicine, all at the University of Arizona College of Medicine-Phoenix.

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December 2015

Dissemination of a Care Collaboration Project.

Fed Pract 2015 Oct;32(10):38-42

is a research health scientist and is a program analyst, both at the White River Junction VAMC in Vermont. is associate director and is an administrative officer, both at the VA Maine Healthcare System in Lewiston. is the director of the VISN 1 Primary Care Service Line. All except Dr. Shirley are with the Veterans Rural Health Resource Center-Eastern Region.

A core project team was able to identify essential implementation components for a successful dual-care program aimed at improving communication and collaboration with non-VA health care providers. Read More

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October 2015

Development of a non-human primate model to support CNS translational research: Demonstration with D-amphetamine exposure and dopamine response.

J Neurosci Methods 2019 Feb 12. Epub 2019 Feb 12.

Mylan School of Pharmacy and Graduate School of Pharmaceutical Sciences, Division of Pharmaceutical, Administrative and Social Sciences, Duquesne University, Pittsburgh, PA, USA. Electronic address:

Background: Challenges specific to the discovery and development of candidate CNS drugs have led to implementation of various in silico, in vitro and in vivo approaches to improve the odds for commercialization of novel treatments.

New Method: Advances in analytical methodology and microdialysis probe design have enabled development of a non-human primate model capable of measuring concentrations of drugs or endogenous chemicals in brain extracellular fluid (ECF) and cerebrospinal fluid (CSF). Linking these to population modeling reduces animal numbers to support predictive translational sciences in primates. Read More

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http://dx.doi.org/10.1016/j.jneumeth.2019.02.005DOI Listing
February 2019

Medicare incentive payments to U.S. ophthalmologists for use of electronic health records: 2011-2016.

Ophthalmology 2019 Feb 12. Epub 2019 Feb 12.

Department of Ophthalmology, University of Washington, Seattle, Washington.

Purpose: To investigate ophthalmologists' rate of attestation to meaningful use (MU) of their electronic health record (EHR) systems in the Medicare EHR Incentive Program and their continuity and success in receiving payments in comparison with other specialties.

Design: Administrative database study.

Participants: Eligible professionals participating in the Medicare EHR Incentive Program. Read More

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http://dx.doi.org/10.1016/j.ophtha.2019.01.030DOI Listing
February 2019

How Much Green Does It Take to Be Orange? Determining the Cost Associated with Trauma Center Readiness.

J Trauma Acute Care Surg 2019 Feb 13. Epub 2019 Feb 13.

Doctors Hospital, Augusta, Georgia.

Background: Readiness Costs are real expenses incurred by trauma centers to maintain essential infrastructure to provide emergent services on a 24/7 basis. Although the components for readiness are well described in the American College of Surgeon's Resources for Optimal Care of the Injured Patient, the cost associated with each component is not well defined. We hypothesized that meeting the requirements of the 2014 Resources for Optimal Care of the Injured Patient would result in significant costs for trauma centers. Read More

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http://dx.doi.org/10.1097/TA.0000000000002213DOI Listing
February 2019

How the DSM Is Used in Clinical Practice.

J Nerv Ment Dis 2019 Feb 14. Epub 2019 Feb 14.

Psychopathology Committee of the Group for the Advancement of Psychiatry, New York, New York.

Despite widespread use, how clinicians use the DSM in psychiatric practice is not well understood. Recognizing public and professional attitudes toward the DSM are integral to future DSM development, to assess a commonly held assumption such as that the DSM is used primarily for coding, and to assess its clinical utility. A convenience sample of Psychiatric Times readers was surveyed to assess the DSM's use in clinical practice. Read More

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http://dx.doi.org/10.1097/NMD.0000000000000953DOI Listing
February 2019

Insomnia as an Independent Predictor of Incident Cardiovascular Disease in HIV: Data from the Veterans Aging Cohort Study.

J Acquir Immune Defic Syndr 2019 Feb 7. Epub 2019 Feb 7.

Department of Psychology, Indiana University-Purdue University Indianapolis (IUPUI), Indianapolis, Indiana.

Background: Insomnia is associated with increased cardiovascular disease (CVD) risk in the general population and is highly prevalent in people with HIV. The CVD risk conferred by insomnia in the HIV population is unknown.

Methods: Using the Veterans Aging Cohort Study-Survey Cohort, insomnia symptoms were measured and dummy coded with the item, "Difficulty falling or staying asleep?" (5-point scale from no difficulty to bothers a lot). Read More

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http://dx.doi.org/10.1097/QAI.0000000000001981DOI Listing
February 2019

Association of the Swiss Diagnosis-Related Group Reimbursement System With Length of Stay, Mortality, and Readmission Rates in Hospitalized Adult Patients.

JAMA Netw Open 2019 Feb 1;2(2):e188332. Epub 2019 Feb 1.

Division of General Internal and Emergency Medicine, University Department of Medicine, Kantonsspital Aarau, Aarau, Switzerland.

Importance: In 2012, hospital reimbursement in Switzerland changed from a fee-for-service per diem system to a diagnosis-related group (SwissDRG) system. Whether this change in reimbursement is associated with harmful implications for quality of care and patient outcomes remains unclear.

Objective: To examine the association of the SwissDRG implementation with length of hospital stay (LOS), in-hospital mortality, and 30-day readmission rates in the overall adult inpatient population and stratified by 5 individual diagnoses. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2018.8332DOI Listing
February 2019

Association of Nonsteroidal Anti-inflammatory Drug Prescriptions With Kidney Disease Among Active Young and Middle-aged Adults.

JAMA Netw Open 2019 Feb 1;2(2):e187896. Epub 2019 Feb 1.

Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Stanford, California.

Importance: Concern about the renal effects of nonsteroidand al anti-inflammatory drugs (NSAIDs) among young, healthy adults has been limited, but more attention may be warranted given the prevalent use of these agents.

Objective: To test for associations between dispensed NSAIDs and incident acute kidney injury and chronic kidney disease while controlling for other risk factors.

Design, Setting, And Participants: This retrospective, longitudinal cohort study used deidentified medical and administrative data on 764 228 active-duty US Army soldiers serving between January 1, 2011, and December 31, 2014. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2018.7896DOI Listing
February 2019

Smoking and Smoking Cessation Among Persons with Tobacco- and Non-tobacco-Associated Cancers.

J Community Health 2019 Feb 14. Epub 2019 Feb 14.

Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health, 4770 Buford Highway, MS F76, Atlanta, GA, 30341, Georgia.

Purpose: To examine smoking and use of smoking cessation aids among tobacco-associated cancer (TAC) or non-tobacco-associated cancer (nTAC) survivors. Understanding when and if specific types of cessation resources are used can help with planning interventions to more effectively decrease smoking among all cancer survivors, but there is a lack of research on smoking cessation modalities used among cancer survivors.

Methods: Kentucky Cancer Registry data on incident lung, colorectal, pancreatic, breast, ovarian, and prostate cancer cases diagnosed 2007-2011, were linked with health administrative claims data (Medicaid, Medicare, private insurers) to examine the prevalence of smoking and use of smoking cessation aids 1 year prior and 1 year following the cancer diagnosis. Read More

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http://dx.doi.org/10.1007/s10900-019-00622-zDOI Listing
February 2019

Status of Measles Elimination in Eleven Countries with High Routine Immunisation Coverage in The WHO African Region.

J Immunol Sci 2018 Jul;Suppl:140-144

WHO Regional Office for Africa, Brazzaville, Congo.

Background: Measles elimination is defined as the absence of endemic measles virus transmission in a defined geographic area for at least 12 months in the presence of a well-performing surveillance system. The WHO framework for verification of measles elimination indicates that the achievement of measles and/or rubella elimination should be verified for individual countries.

Objective: We identified 11 high performing countries based on their first dose measles vaccination coverage, and looked at their performance across the various programmatic parameters, to see if they are ready to undertake the verification of measles elimination. Read More

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Used-car market dataset for Latvia 2018.

Data Brief 2019 Feb 28;22:859-862. Epub 2018 Dec 28.

Riga Technical University, Latvia.

Used-car market monitoring was started in 2018, 03 January, when Federal Administrative Court in Leipzig (Germany) allowed cities and communes in Germany to impose bans for diesel cars in order to reduce the level of nitric oxide in the air. This decision can radically change used-car market in the EU, because Germany massive exports used cars to Eastern Europe. The database shows the influence of the Germany Court decision to the used-car market in Latvia, as part of the EU market. Read More

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http://dx.doi.org/10.1016/j.dib.2018.12.075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362865PMC
February 2019

Association of hyperuricemia with metabolic syndrome among university workers: sex and occupational differences.

Afr Health Sci 2018 Dec;18(4):842-851

State Key Laboratory of Food Science and Technology, Jiangnan University, 1800 Lihu Road, Wuxi, 214122, Jiangsu, China.

Background: The relationship between metabolic syndrome (MetS) and hyperuricemia is not fully understood.

Objective: To examine the association of hyperuricemia with MetS and the component of MetS that is mostly influenced by hyperuricemia among university workers.

Methods: Anthropometric measurements, blood pressure, glucose, lipid profiles, renal function tests were measured in 1198 male and 1075 female (22-60 years old) workers on annual medical examination. Read More

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http://dx.doi.org/10.4314/ahs.v18i4.2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354883PMC
December 2018

Psychotropic drug-prescribing correlates of disorganized speech in Asians with schizophrenia: The REAP-AP study.

Saudi Pharm J 2019 Feb 13;27(2):246-253. Epub 2018 Nov 13.

Department of Psychiatry, Inje University College of Medicine and Haeundae Paik Hospital, Busan, Republic of Korea.

Background: Although disorganized speech is seen as one of the nuclear features of schizophrenia, there have been few reports of disorganized speech-associated psychotropic drug-prescribing patterns in large samples of schizophrenia patients.

Objective: We aimed to examine the prevalence of disorganized speech and its correlates in terms of psychotropic drug prescribing, using the data from the Research on Asian Psychotropic Patterns for Antipsychotics (REAP-AP) study.

Method: A total of 3744 patients with the ICD-10 diagnosis of schizophrenia were enrolled from 71 survey centers in 15 Asian countries/areas. Read More

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http://dx.doi.org/10.1016/j.jsps.2018.11.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362172PMC
February 2019

Self-Management in Epilepsy Care: Untapped Opportunities.

Fed Pract 2018 Apr;35(Suppl 3):S10-S16

is a Nurse Practitioner at the Epilepsy Center of Excellence VA Puget Sound Health Care System in Seattle, Washington. is Regional Administrative Director, Southeast Epilepsy Centers of Excellence, Durham VAMC in North Carolina and an Assistant Professor at Liberty University in Lynchburg, Virginia. is the Director at the Epilepsy Centers of Excellence at Hunter Holmes McGuire Veterans Administration Medical Center and Professor at Virginia Commonwealth University, both in Richmond. is an Associate Professor at University of California, San Francisco and a Staff Physician at the Epilepsy Center of Excellence at the San Francisco VA Medical Center in California.

Constant accessibility, rapid scalability, and modest costs make digital and mobile epilepsy self-management platforms an attractive alternative to resource-intensive in-person programs. Read More

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Trends in hospitalisation rates for inflammatory bowel disease in western versus newly industrialised countries: a population-based study of countries in the Organisation for Economic Co-operation and Development.

Lancet Gastroenterol Hepatol 2019 Feb 11. Epub 2019 Feb 11.

Department of Medicine and Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada. Electronic address:

Background: Hospitalisation rates for inflammatory bowel disease (IBD) vary across the world. We aimed to investigate temporal patterns of hospitalisation for IBD in member countries of the Organisation for Economic Co-operation and Development (OECD).

Methods: From the OECD database, we assessed IBD-related hospitalisation rates (expressed as annual rates per 100 000 inhabitants) for 34 countries from 1990 to 2016. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24681253193001
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http://dx.doi.org/10.1016/S2468-1253(19)30013-5DOI Listing
February 2019
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Exploring leadership within a systems approach to reduce health care-associated infections: A scoping review of one work system model.

Am J Infect Control 2019 Feb 12. Epub 2019 Feb 12.

Division of Infectious Disease, University of Wisconsin School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI; William S. Middleton Memorial Veterans Hospital, Madison, WI.

Background: Despite efforts to prevent health care-associated infections (HAIs), these infections continue to challenge health care systems. The Centers for Disease Control and Prevention emphasizes implementation of evidence-based practices. Within the complex health care environment, sustained implementation calls for work systems that harness expertise of interprofessional teams, which, in turn, calls for suitable executive, mid-level, and local leadership. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.017DOI Listing
February 2019

Comparing Canadian and United States opioid agonist therapy policies.

Int J Drug Policy 2019 Feb 11. Epub 2019 Feb 11.

Oregon Health & Science University (OHSU) and Portland State University School of Public Health, Portland, OR, 97239, USA; Department of Psychiatry, School of Medicine, OHSU, Portland, OR, 97239, USA.

Canada and the United States (U.S.) face an opioid use disorder (OUD) and opioid overdose epidemic. Read More

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http://dx.doi.org/10.1016/j.drugpo.2019.01.020DOI Listing
February 2019

A visual interactive analytic tool for filtering and summarizing large health data sets coded with hierarchical terminologies (VIADS).

BMC Med Inform Decis Mak 2019 Feb 14;19(1):31. Epub 2019 Feb 14.

The New York Academy of Medicine, New York, NY, USA.

Background: Vast volumes of data, coded through hierarchical terminologies (e.g., International Classification of Diseases, Tenth Revision-Clinical Modification [ICD10-CM], Medical Subject Headings [MeSH]), are generated routinely in electronic health record systems and medical literature databases. Read More

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http://dx.doi.org/10.1186/s12911-019-0750-yDOI Listing
February 2019

Comparison of influenza disease burden in older populations of Hong Kong and Brisbane: the impact of influenza and pneumococcal vaccination.

BMC Infect Dis 2019 Feb 14;19(1):162. Epub 2019 Feb 14.

School of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia.

Background: Influenza and pneumococcal vaccine uptake in the older population aged 65 years or over of Hong Kong dramatically increased since the 2003 SARS outbreak. This study is aimed to evaluate the impact of increased coverage of influenza and pneumococcal vaccines by comparing the change of disease burden in the older population of Hong Kong, with the burden in the older population of Brisbane with relatively high vaccine coverage in the past fifteen years.

Methods: Time series segmented regression models were applied to weekly numbers of cause-specific mortality or hospitalization of Hong Kong and Brisbane. Read More

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https://bmcinfectdis.biomedcentral.com/articles/10.1186/s128
Publisher Site
http://dx.doi.org/10.1186/s12879-019-3735-7DOI Listing
February 2019
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2.613 Impact Factor

Organization and implementation of an oral cholera vaccination campaign in an endemic urban setting in Dhaka, Bangladesh.

Glob Health Action 2019 ;12(1):1574544

b Infectious Diseases Division , International Centre for Diarrhoeal Disease Research (ICDDR) , Dhaka , Bangladesh.

Bangladesh has historically been cholera endemic, with seasonal cholera outbreaks occurring each year. In collaboration with the government of Bangladesh, the Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) initiated operational research to test strategies to reach the high-risk urban population with an affordable oral cholera vaccine (OCV) "ShancholTM" and examine its effectiveness in reducing diarrhea due to cholera. Here we report a sub-analysis focusing on the organization, implementation and effectiveness of different oral cholera vaccine delivery strategies in the endemic urban setting in Bangladesh. Read More

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http://dx.doi.org/10.1080/16549716.2019.1574544DOI Listing
January 2019

LEGAL AND ORGANIZATIONAL BARRIERS TO THE DEVELOPMENT OF eHEALTH IN FRANCE.

Med Law 2015 Sep;34(1):361-379

Although the potential of eHealth in terms of improving quality, safety, efficacy and efficiency of health systems is known, the development of these new tools remains insufficient in Europe and also in France - the focus of the present article - due to the legal status of telemedicine and state involvement. National legislation should be harmonized by directives or standardized by regulations. European unification would considerably reduce the burden of administrative formalities that hold back telemedicine in France, and would lead to the emergence of community-based, non-hospital-dependent eHealth projects, in line with recommendations in the literature. Read More

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September 2015

DIFERENCES IN THE INTERPRETATION OF "DNR" AMONG PHYSICIANS AND NURSES ON INTERNAL MEDICINE WARDS.

Authors:
Tal Ilsar

Med Law 2015 Sep;34(1):121-133

In 2005, in an attempt to regulate care for patients expected to live no longer than six months, Israel enacted the Dying Patient Law. The law sets forth in detail actions that should be performed to respect the patient's wishes, and also defines treatment to be given to patients who have directed that there be no heroic measures taken to prolong life. In some terminal cases, such as a patient who stops breathing or has a cardiac arrest, health care providers are instructed not to perform cardiopulmonary resuscitation (CPR). Read More

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September 2015

Ionizing radiations epidemiology does not support the LNT model.

Chem Biol Interact 2018 Dec 6. Epub 2018 Dec 6.

Northern Ontario School of Medicine, Sudbury, Ontario, Canada. Electronic address:

Most cancers are multifactorial diseases. Yet, epidemiological modeling of the effect of ionizing radiation (IR) exposures based on the linear no-threshold model at low doses (LNT) has generally not included co-exposure to chemicals, dietary, socio-economic and other risk factors also known to cause the cancers imputed to IR. When so, increased cancer incidences are incorrectly predicted by being solely associated with IR exposures. Read More

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http://dx.doi.org/10.1016/j.cbi.2018.11.014DOI Listing
December 2018

Process reengineering and patient-centered approach strengthen efficiency in specialized care.

Am J Manag Care 2019 02 1;25(2):e50-e57. Epub 2019 Feb 1.

Hospital Universitario Puerta de Hierro Majadahonda, Calle Manuel de Falla 1, 28222 Majadahonda, Madrid, Spain. Email:

Objectives: To improve multiple levels of utilization and efficiency in specialized outpatient consults using information technology-based systems, process reengineering, and patient-centeredness.

Study Design: Prospective research from 2008 to 2014 conducted in a hospital in Madrid, Spain. Quantitative analysis of 1,162,477 consecutive consultation requests and qualitative techniques of 72,368 surveys using a structured questionnaire. Read More

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February 2019

Epilepsy Among Elderly Medicare Beneficiaries: A Validated Approach to Identify Prevalent and Incident Epilepsy.

Med Care 2019 Feb 12. Epub 2019 Feb 12.

Department of Medicine, Mongan Institute, Massachusetts General Hospital.

Background: Uncertain validity of epilepsy diagnoses within health insurance claims and other large datasets have hindered efforts to study and monitor care at the population level.

Objectives: To develop and validate prediction models using longitudinal Medicare administrative data to identify patients with actual epilepsy among those with the diagnosis.

Research Design, Subjects, Measures: We used linked electronic health records and Medicare administrative data including claims to predict epilepsy status. Read More

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http://dx.doi.org/10.1097/MLR.0000000000001072DOI Listing
February 2019

When Large Administrative Databases Provide Less Relevant Information than Randomized Studies.

Anesthesiology 2019 Mar;130(3):514-515

Department of Emergency Medicine and Surgery, Hôpital Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris and Sorbonne Université, UMR Inserm 1166, IHU ICAN, Paris, France (B.R.).

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http://dx.doi.org/10.1097/ALN.0000000000002569DOI Listing

Determining Best Practices for Management of Bacteriuria in Spinal Cord Injury: Protocol for a Mixed-Methods Study.

JMIR Res Protoc 2019 Feb 14;8(2):e12272. Epub 2019 Feb 14.

Center for Innovations in Quality, Effectiveness and Safety, Houston, TX, United States.

Background: Bacteriuria, either asymptomatic (ASB) or symptomatic, urinary tract infection (UTI), is common in persons with spinal cord injury (SCI). Current Veterans Health Administration (VHA) guidelines recommend a screening urinalysis and urine culture for every veteran with SCI during annual evaluation, even when asymptomatic, which is contrary to other national guidelines. Our preliminary data suggest that a positive urine culture (even without signs or symptoms of infection) drives antibiotic use. Read More

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https://www.researchprotocols.org/2019/2/e12272/
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http://dx.doi.org/10.2196/12272DOI Listing
February 2019
2 Reads

Obituary for Dr Kester Brown 9/12/1935 - 14/11/2018.

Authors:
Ian McKenzie

Paediatr Anaesth 2019 Feb 14. Epub 2019 Feb 14.

Royal Childrens Hospital, Melbourne, Anaesthesia and Pain Management, Flemington Rd, Parkville, Victoria, Australia, 3052.

Kester Brown was a giant of paediatric anaesthesia on whose shoulders so many of us stood. In the spirit of his valuing the importance of publishing as a key tool for others to benefit from his clinical, educational, research or administrative ideas, Kester summarised and published the story of his life and his philosophy. That story, not surprisingly, required two parallel volumes. Read More

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http://dx.doi.org/10.1111/pan.13611DOI Listing
February 2019

Validating peritonsillar abscess drainage rates using the Pediatric hospital information system data.

Laryngoscope 2019 Feb 13. Epub 2019 Feb 13.

Department of Otolaryngology-Pediatric Otolaryngology Division, UT Southwestern Medical Center and Children's Medical Center Dallas, Dallas, Texas, U.S.A.

Objectives: To evaluate the accuracy of the Children's Hospital Association's Pediatric Health Information System (PHIS) registry data in determining surgical drainage rates as compared to a chart review on the same cohort of children with diagnosis of peritonsillar abscess.

Study Design: Retrospective analysis.

Methods: Our analysis included 200 children, ages 2 to 17 years, treated for a peritonsillar abscess from 2011 to 2016. Read More

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http://dx.doi.org/10.1002/lary.27836DOI Listing
February 2019

Sepsis incidence and mortality are underestimated in Australian intensive care unit administrative data.

Med J Aust 2019 Feb 13. Epub 2019 Feb 13.

Peter MacCallum Cancer Centre, Melbourne, VIC.

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http://dx.doi.org/10.5694/mja2.50017DOI Listing
February 2019

L3MBTL2 regulates chromatin remodeling during spermatogenesis.

Cell Death Differ 2019 Feb 13. Epub 2019 Feb 13.

School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.

Lethal (3) malignant brain tumor like 2 (L3MBTL2) is a member of the MBT-domain proteins, which are involved in transcriptional repression and implicated in chromatin compaction. Our previous study has shown that L3MBTL2 is highly expressed in the testis, but its role in spermatogenesis remains unclear. In the present study, we found that L3MBTL2 was most highly expressed in pachytene spermatocytes within the testis. Read More

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http://dx.doi.org/10.1038/s41418-019-0283-zDOI Listing
February 2019

Assessment of incidence and various demographic risk factors of traumatic humeral shaft fractures in China.

Sci Rep 2019 Feb 13;9(1):1965. Epub 2019 Feb 13.

Department of Orthopaedic Surgery, the Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, P. R. China.

As a sub-study of the China National Fracture Study, this study aimed to better determine the incidence and risk factors of humeral shaft fracture in mainland China. We obtained all the data on humeral shaft fracture from the China National Fracture Study reported in 2017. Trained research teams personally interviewed all qualifying household members using a standardised questionnaire. Read More

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http://dx.doi.org/10.1038/s41598-018-38035-yDOI Listing
February 2019

Health Care Utilization After Ventricular Tachycardia Ablation: A Propensity Score-Matched Cohort Study.

Can J Cardiol 2019 Feb 25;35(2):169-177. Epub 2018 Oct 25.

University Health Network, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Background: Catheter ablation of ventricular tachycardia (VT) can reduce the burden of ventricular arrhythmia (VA) but its effect on health care utilization and costs after such therapy is poorly known. We sought to compare the rates of cardiovascular (CV)-related hospitalizations, survival, and health care costs in patients with recurrent VT treated either with VT ablation or with medical therapy.

Methods: One-hundred implantable cardioverter-defibrillator patients with structural heart disease who underwent VT ablation were included. Read More

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http://dx.doi.org/10.1016/j.cjca.2018.10.011DOI Listing
February 2019

Evaluation of interventions to improve electronic health record documentation within the inpatient setting: a protocol for a systematic review.

Syst Rev 2019 Feb 13;8(1):54. Epub 2019 Feb 13.

Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3rd Floor TRW Building, 3280 Hospital Dr. NW, Calgary, AB, T2N 4Z6, Canada.

Background: Electronic health records (EHRs) are increasing in popularity across national and international healthcare systems. Despite their augmented availability and use, the quality of electronic health records is problematic. There are various reasons for poor documentation quality within the EHR, and efforts have been made to address these areas. Read More

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http://dx.doi.org/10.1186/s13643-019-0971-2DOI Listing
February 2019

Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses.

BMC Health Serv Res 2019 Feb 13;19(1):119. Epub 2019 Feb 13.

Department of Midwifery, School of Nurising and Midwifery, University of Health and Allied Sciences, Ho, Ghana.

Background: Data on nurses' adherence to standard protocol on nasogastric (NG) tube feeding remain scanty in Ghana even though patients in critical medical conditions are routinely managed using this procedure. This study explored self-rated adherence to standard protocols on NG tube feeding among professional and auxiliary nurses and the perceived barriers impeding compliance to these standard protocols.

Methods: This is a descriptive analytical cross-sectional study among professional (n = 89) and auxiliary (n = 24) nurses in a major referral hospital in one of the ten administrative regions in Ghana. Read More

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http://dx.doi.org/10.1186/s12913-019-3931-6DOI Listing
February 2019
1.659 Impact Factor

Rural-Urban Differences in Stroke Risk Factors, Incidence, and Mortality in People With and Without Prior Stroke.

Circ Cardiovasc Qual Outcomes 2019 Feb;12(2):e004973

Division of General Internal Medicine, Department of Medicine (M.K.K., J.V.T.), University of Toronto, Toronto, Ontario, Canada.

Background Rural residence is associated with stroke incidence and mortality, but little is known about potential rural/urban differences in ambulatory stroke care. Methods and Results We used the CANHEART (Cardiovascular Health in Ambulatory Care Research Team) cohort, created from linked administrative databases from the province of Ontario, Canada, and divided into primary (N=6 207 032) and secondary (N=75 823) prevention cohorts based on the absence or presence of prior stroke. We defined rural communities as those with a population size of ≤10 000 and within each of the primary and secondary prevention cohorts, compared cardiovascular risk factors and care between rural and urban areas. Read More

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http://dx.doi.org/10.1161/CIRCOUTCOMES.118.004973DOI Listing
February 2019

A Comparison of Three Child OHRQoL Measures.

Dent J (Basel) 2019 Feb 12;7(1). Epub 2019 Feb 12.

Faculty of Dentistry, Otago University, Dunedin 9016, New Zealand.

Comparing oral health-related quality of life (OHRQoL) measures can facilitate selecting the most appropriate one for a particular research question/setting. Three child OHRQoL measures Child Perceptions Questionnaire (CPQ), the Child Oral Health Impact Profile (COHIP) and the Caries Impacts and Experiences Questionnaire for Children (CARIES-QC) were used with 335 10- to 13-year-old participants in a supervised tooth-brushing programme in New Zealand. The use of global questions enabled their validity to be examined. Read More

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http://dx.doi.org/10.3390/dj7010019DOI Listing
February 2019

Interventional radiology in European radiology departments: a joint survey from the European Society of Radiology (ESR) and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).

Authors:

Insights Imaging 2019 Feb 13;10(1):16. Epub 2019 Feb 13.

Objectives: To gather information from radiological departments in Europe about the organization and practice of interventional radiology (IR).

Methods: The European Society of Radiology (ESR) and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) developed an online survey with questions that addressed the organization of IR within radiology departments. The survey was sent to 1180 addresses of department heads throughout Europe. Read More

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http://dx.doi.org/10.1186/s13244-019-0698-6DOI Listing
February 2019

Is there a potential association between spironolactone and the risk of new-onset diabetes in a cohort of older patients with heart failure?

Eur J Clin Pharmacol 2019 Feb 13. Epub 2019 Feb 13.

Faculty of Pharmacy, Université de Montréal, Case Postale 6128, Succursale Centre-Ville, Montréal, QC, H3C 3J7, Canada.

Purpose: Some evidence suggests that spironolactone may have a deleterious effect on glucose homeostasis. The objective of this study was to assess whether spironolactone use is associated with a higher risk of developing diabetes in a large cohort of patients with heart failure (HF).

Methods: Two Quebec government administrative databases were used to identify a cohort of hospitalized patients discharged between January 1995 and December 2009 with a primary discharge diagnosis of HF and without secondary discharge diagnosis of diabetes. Read More

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http://dx.doi.org/10.1007/s00228-018-02615-8DOI Listing
February 2019