153,777 results match your criteria Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association[Journal]


Inconsistency in Opioid Prescribing Practices After Pediatric Ambulatory Hernia Surgery.

J Surg Res 2019 Apr 19;241:57-62. Epub 2019 Apr 19.

Cohen Children's Medical Center, Northwell Health System, Division of Pediatric Surgery, New York, New York; Zucker School of Medicine at Hofstra/Northwell Health System, Department of Surgery, Manhasset, New York.

Introduction: Nonmedical opioid use is a major public health problem. There is little standardization in opioid-prescribing practices for pediatric ambulatory surgery, which can result in patients being prescribed large quantities of opioids. We have evaluated the variability in postoperative pain medication given to pediatric patients following routine ambulatory pediatric surgical procedures. Read More

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http://dx.doi.org/10.1016/j.jss.2019.03.043DOI Listing

Ambivalence in the Early Years of Marriage: Impact on Ambulatory Blood Pressure and Relationship Processes.

Ann Behav Med 2019 Apr 22. Epub 2019 Apr 22.

Mannheim Institute of Public Health, Universität Heidelberg, Heidelberg, Germany.

Background: Marriage is associated with lower cardiovascular morbidity and mortality, but quality matters. Marriages characterized by ambivalent behaviors (containing both highly positive and highly negative behaviors concurrently) may not confer the same cardiovascular benefits as characterized by purely positive behavior. Ambivalence is assumed to take time to develop but couples in the early years of marriage may already exhibit ambivalent behaviors and thus be at increased risk for future cardiovascular events. Read More

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https://academic.oup.com/abm/advance-article/doi/10.1093/abm
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http://dx.doi.org/10.1093/abm/kaz017DOI Listing

Cancer-related fatigue stratification system based on patient-reported outcomes and objective outcomes: A cancer-related fatigue ambulatory index.

PLoS One 2019 22;14(4):e0215662. Epub 2019 Apr 22.

Department of Physiotherapy, Faculty of Health Sciences, Universidad de Malaga, Málaga, Spain.

Although breast cancer mortality is decreasing, morbidity following treatment remains a significant issue, as patients face symptoms such as cancer-related fatigue (CRF). The aim of the present study is to develop a classification system that monitors fatigue via integration of an objective clinical assessment with patient self-report. Forty-three women participated in this research. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215662PLOS

Building an Ambulatory Safety Program at an Academic Health System.

J Patient Saf 2019 Apr 18. Epub 2019 Apr 18.

Division of General Medicine, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland.

Background: Patient safety has traditionally focused on the inpatient setting; however, there is an increased awareness of ambulatory safety risk. However, successful strategies and programs to mitigate risk in the ambulatory setting are lacking.

Program: In 2012, we started building a multidisciplinary ambulatory safety program at an academic health system. Read More

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http://dx.doi.org/10.1097/PTS.0000000000000594DOI Listing

Clinician Perspectives on Electronic Health Records, Communication, and Patient Safety Across Diverse Medical Oncology Practices.

J Oncol Pract 2019 Apr 22:JOP1800507. Epub 2019 Apr 22.

3 University of Michigan School of Nursing, Ann Arbor, MI.

Purpose: We know little about how increased technological sophistication of clinical practices affects safety of chemotherapy delivery in the outpatient setting. This study investigated to what degree electronic health records (EHRs), satisfaction with technology, and quality of clinician-to-clinician communication enable a safety culture.

Methods: We measured actions consistent with a safety culture, satisfaction with practice technology, and quality of clinician communication using validated instruments among 297 oncology nurses and prescribers in a statewide collaborative. Read More

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https://ascopubs.org/doi/10.1200/JOP.18.00507
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http://dx.doi.org/10.1200/JOP.18.00507DOI Listing
April 2019
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Blood Pressure Profile, Catecholamine Phenotype and Target Organ Damage in Pheochromocytoma/Paraganglioma.

J Clin Endocrinol Metab 2019 Apr 22. Epub 2019 Apr 22.

Center of Hypertension, 3rd Department of Medicine, First Faculty of Medicine and General Faculty Hospital, Charles University in Prague, Czech Republic.

Context: Impaired diurnal blood pressure (BP) variability is related to higher cardiovascular risk.

Objective: To assess diurnal variability of BP and its relation to target organ damage (TOD) and catecholamine phenotype in a consecutive sample of pheochromocytoma/paraganglioma (PPGL).

Design: We included 179 patients with PPGL (96 females). Read More

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http://dx.doi.org/10.1210/jc.2018-02644DOI Listing

Designing and implementing an outpatient management pathway for patients with newly diagnosed insulin-dependent diabetes mellitus.

Endocrinol Diabetes Metab 2019 Apr 18;2(2):e00055. Epub 2019 Jan 18.

Division of Pediatric Emergency Medicine, Department of Pediatrics University of North Carolina at Chapel Hill Chapel Hill North Carolina.

Objective: Recently, our team transitioned to an outpatient diabetes education model for patients with newly diagnosed insulin-dependent diabetes mellitus (IDDM) after concerns arose regarding inconsistent education provided in the hospital, as well as additional emotional stress attributed to hospitalization. To optimize this model, an improvement initiative was implemented to redesign the outpatient care processes, refine patient education content and identify ideal educational strategies. Specific aims were to (a) achieve family self-management, (b) reduce stress and (c) ensure family and provider satisfaction with the outpatient pathway. Read More

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http://dx.doi.org/10.1002/edm2.55DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458463PMC

Successful Tenckhoff catheter salvage in a patient with peritoneovesical fistula: A case report.

Clin Nephrol Case Stud 2019 16;7:17-22. Epub 2019 Apr 16.

Department of Nephrology, Sri Ramachandra Medical College, Chennai.

Introduction: Many techniques are available for inserting peritoneal dialysis (PD) or continuous ambulatory peritoneal dialysis (CAPD) catheters, with varying possible complications. We report a case of bladder perforation that was managed with catheter salvage.

Case Report: A 48-year-old man with end-stage renal disease (ESRD) underwent CAPD catheter placement percutaneously, with tip in the pelvis. Read More

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http://dx.doi.org/10.5414/CNCS109656DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6472324PMC

Use of atypical antipsychotics and risk of hypertension: A case report and review literature.

SAGE Open Med Case Rep 2019 9;7:2050313X19841825. Epub 2019 Apr 9.

University Center of Votuporanga (UNIFEV), São Paulo, Brazil.

Atypical antipsychotics is being considered in the treatment of "negative" symptoms of psychoses, such as schizophrenia. In this case report, we presented a case of a patient with psychiatric disorder who developed hypertension soon after starting using atypical antipsychotic. A 53-year-old woman had reported having episodes of tachycardia, nausea, headache and high blood pressure. Read More

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http://dx.doi.org/10.1177/2050313X19841825DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457028PMC

Design and Rationale of Gulf Documentation of Ambulatory Sick Patients with Heart Failure (Gulf DYSPNEA) Registry.

Heart Views 2018 Jul-Sep;19(3):81-84

Department of Medicine, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait.

Aim: The aim of this study is to describe the clinical characteristics of ambulatory patients with chronic heart failure (HF) in the Arabian Gulf and to examine several aspects including types of HF, causes, and adherence to management guidelines.

Methods: Gulf documentation of ambulatory sick patients with HF (Gulf DYSPNEA) registry is a multicenter, cross-sectional study, recruiting adult ambulatory HF patients from 24 hospitals in five Arabian Gulf countries. Consecutive patients are recruited prospectively from participating clinics with no follow-up data collection. Read More

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http://dx.doi.org/10.4103/HEARTVIEWS.HEARTVIEWS_9_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448477PMC

Perioperative lidocaine in ambulatory surgery: A useful addition.

Authors:
Abhijit S Nair

Saudi J Anaesth 2019 Apr-Jun;13(2):150-151

Department of Anaesthesiology, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, Telangana, India.

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http://dx.doi.org/10.4103/sja.SJA_629_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448432PMC

Association of pneumonia, wound infection and sepsis with clinical outcomes after acute traumatic spinal cord injury.

J Neurotrauma 2019 Apr 22. Epub 2019 Apr 22.

St. Michael's Hospital, Division of Neurosurgery, Toronto, Canada ;

Pneumonia, wound infections and sepsis (PWS) are the leading causes of acute mortality after traumatic spinal cord injury (SCI). However, the impact of PWS on neurological and functional outcomes is largely unknown. The present study analysed participants from the prospective North American Clinical Trials Network (NACTN) registry and the Surgical Timing in Acute SCI Study (STASCIS) for the association between PWS and functional outcome (assessed as Spinal Cord Independence Measure subscores for respiration and indoor ambulation) at 6 months postinjury. Read More

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http://dx.doi.org/10.1089/neu.2018.6245DOI Listing

Nighttime Blood Pressure Measured by Home Blood Pressure Monitoring as an Independent Predictor of Cardiovascular Events in General Practice.

Hypertension 2019 Apr 22:HYPERTENSIONAHA11812740. Epub 2019 Apr 22.

From the Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine (JMU), Tochigi, Japan (K.K., H.K., N.T., T.F., S.H.).

We developed an innovative automated home blood pressure (BP) monitoring method that measures BP while asleep repeatedly over several days. Our aim was to assess the predictive ability of nighttime BP obtained using the home BP device for incident cardiovascular disease (CVD) in general practice patients. We used data from the nationwide practice-based J-HOP (Japan Morning Surge-Home Blood Pressure) Nocturnal BP Study, which recruited 2545 Japanese with a history of or risk factors for CVD (mean age 63 years; antihypertensive medication use 83%). Read More

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http://dx.doi.org/10.1161/HYPERTENSIONAHA.118.12740DOI Listing

Protocol for the Gut Bugs Trial: a randomised double-blind placebo-controlled trial of gut microbiome transfer for the treatment of obesity in adolescents.

BMJ Open 2019 Apr 20;9(4):e026174. Epub 2019 Apr 20.

Liggins Institute, University of Auckland, Auckland, New Zealand.

Introduction: Animal studies showed that germ-free mice inoculated with normal mouse gut bacteria developed obesity, insulin resistance and higher triglyceride levels, despite similar food intake. In humans, an association has been found between obesity and gut microbiome dysbiosis. However, gut microbiome transfer has not been evaluated for the treatment of human obesity. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02617
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http://dx.doi.org/10.1136/bmjopen-2018-026174DOI Listing
April 2019
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Multidimensional analysis of factors responsible for the low prevalence of ambulatory peritoneal dialysis in Germany (MAU-PD): a cross-sectional Mixed-Methods Study Protocol.

BMJ Open 2019 Apr 20;9(4):e025451. Epub 2019 Apr 20.

Dr Klaus-Ketzler-Zentrum, KfH-Nierenzentrum, Wiesbaden, Germany.

Introduction: Patients with end-stage kidney failure can be treated either by transplant or by dialysis, which can be administered as haemodialysis (HD) or peritoneal dialysis (PD). Although they are equivalent therapeutic options in terms of mortality, the percentage of patients in Germany treated with PD is currently very low (∼6%) compared with other countries. The aim of our study is to analyse the factors behind this percentage and their relevance to the choice of dialysis treatment in Germany. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-025451DOI Listing

Pediatric urinary stone disease in the United States: The Urologic Diseases in America Project.

Urology 2019 Apr 18. Epub 2019 Apr 18.

Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address:

Objective: To examine the recent epidemiology of pediatric urinary stone disease (USD) in the United States.

Methods: We utilized the 2004-2016 Optum Clinformatics Data Mart database, a de-identified adjudicated administrative health claims database that includes 15-18 million individuals covered annually by commercial insurance in all 50 US states. The analysis included 12,739,125 children aged 0-18 years. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00904295193035
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http://dx.doi.org/10.1016/j.urology.2019.04.012DOI Listing
April 2019
2 Reads

Elective Fenestrated and Branched Endovascular Thoraco-abdominal Aortic Repair with Supracoeliac Sealing Zones and without Prophylactic Cerebrospinal Fluid Drainage: Early and Medium-term Outcomes.

Eur J Vasc Endovasc Surg 2019 Apr 17. Epub 2019 Apr 17.

Complex Aortic Team, Birmingham Heartlands Hospital, The Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK. Electronic address:

Objective: To report the outcome of elective fenestrated and branch (FEVAR-BEVAR) endovascular aortic repair with supracoeliac (SC) sealing zones and the impact of staged repair without prophylactic cerebrospinal fluid (CSF) drainage on the incidence of spinal cord ischaemia (SCI).

Methods: Two hundred and seventy consecutive patients (217 men; mean [SD] age, 72.8 ± 6. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10785884183089
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http://dx.doi.org/10.1016/j.ejvs.2018.12.012DOI Listing
April 2019
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Application of Ambulatory Phonation Monitoring (APM) in the measurement of daily speaking-time and voice intensity before and after cochlear implant in deaf adult patients.

Auris Nasus Larynx 2019 Apr 17. Epub 2019 Apr 17.

Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy; ENT Unit, San Giuseppe Hospital, IRCCS Multimedica, Milan, Italy.

Objective: to evaluate the changes in daily voice production, analysed through the Ambulatory Phonation Monitoring (APM), and their relationship with Quality of Life (QOL) measurements in a group of profound deaf patients treated with Cochlear Implant (CI).

Methods: A total of 12 consecutive post-lingual deaf patients (8 females and 4 males) treated with CI for bilateral severe-to-profound hearing loss were enrolled. Each patient was evaluated before and after 6 months of CI use. Read More

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http://dx.doi.org/10.1016/j.anl.2019.03.009DOI Listing

In-vivo treatment accuracy analysis of active motion-compensated liver SBRT through registration of plan dose to post-therapeutic MRI-morphologic alterations.

Radiother Oncol 2019 May 15;134:158-165. Epub 2019 Feb 15.

University Medical Center Schleswig-Holstein, Department of Radiation Oncology, Kiel, Germany; Saphir Radiosurgery Center, Güstrow, Germany.

Background/purpose: In-vivo-accuracy analysis (IVA) of dose-delivery with active motion-management (gating/tracking) was performed based on registration of post-radiotherapeutic MRI-morphologic-alterations (MMA) to the corresponding dose-distributions of gantry-based/robotic SBRT-plans.

Methods: Forty targets in two patient cohorts were evaluated: (1) gantry-based SBRT (deep-inspiratory breath-hold-gating; GS) and (2) robotic SBRT (online fiducial-tracking; RS). The planning-CT was deformably registered to the first post-treatment contrast-enhanced T1-weighted MRI. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01678140193002
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http://dx.doi.org/10.1016/j.radonc.2019.01.023DOI Listing
May 2019
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Spatiotemporal gait parameters and tremor distribution in essential tremor.

Gait Posture 2019 Apr 14;71:32-37. Epub 2019 Apr 14.

University of Florida, Gainesville, FL, United States.

Background: Essential Tremor is characterized by an action tremor of the upper extremities, which may or may not be accompanied by a head, voice, leg or trunk tremor. Problems with gait and balance have also been identified in persons with Essential Tremor. Therefore, understanding gait performance is an important area of focus for clinicians and researchers. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2019.04.004DOI Listing
April 2019
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Psychotropic polypharmacy reconsidered: Between-class polypharmacy in the context of multimorbidity in the treatment of depressive disorders.

J Affect Disord 2019 Apr 8;252:450-457. Epub 2019 Apr 8.

Department of Psychiatry, School of Medicine, Yale University, New Haven, CT, United States; Veterans Affairs (VA) New England Mental Illness Research, Education and Clinical Centers (MIRECC), West Haven, CT, United States; Veterans Affairs (VA) Connecticut Healthcare System, West Haven, CT, United States.

Objectives: Both psychiatric polypharmacy and multimorbidity are common in depressed adults. We examine recent patterns of psychotropic polypharmacy with attention to concurrent multimorbidity in the treatment of depressive disorders in outpatient psychiatric care.

Methods: Data from the 2006-2015 National Ambulatory Medical Care Survey offer nationally representative samples of office-based psychiatric care in adults with depressive disorders (ICD-9-CM codes 296. Read More

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http://dx.doi.org/10.1016/j.jad.2019.04.018DOI Listing

Fluctuations in premature ventricular contraction burden can impact medical assessment and management.

Heart Rhythm 2019 Apr 17. Epub 2019 Apr 17.

Gill Heart and Vascular Institute, University of Kentucky. Electronic address:

Background: Frequent premature ventricular contractions (PVCs) can cause disabling symptoms and decrease left ventricle ejection fraction. The PVC burden, typically quantified by a 24-hour monitor, is one of the factors that determines the clinical management of PVCs.

Objective: Evaluate the extent of variability in 24-hour PVC burden during a 14-day ambulatory cardiac monitor among patients with significant PVC burden. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15475271193036
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http://dx.doi.org/10.1016/j.hrthm.2019.04.033DOI Listing
April 2019
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A constitutional activating MET mutation makes the genetic link between malignancies and chronic inflammatory diseases.

Clin Cancer Res 2019 Apr 19. Epub 2019 Apr 19.

Inserm U1165, University Paris 7.

Purpose: The genesis of all cancers results from an accumulation of mutations, constitutional and/or acquired when induced by external mutagenic factors. High-speed technologies for genome sequencing have completely changed the study of disease genetics, but with limited knowledge of the functional value of most genetic changes.

Experimental Design: Here, we proposed an innovative individual approach by studying tissue samples from a young woman with an unusual association of breast cancer, polycythemia vera and rheumatoid arthritis. Read More

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http://dx.doi.org/10.1158/1078-0432.CCR-18-3261DOI Listing

Inflammation during acute coronary syndromes - Risk of cardiovascular events and bleeding.

Int J Cardiol 2019 Mar 27. Epub 2019 Mar 27.

Department of Cardiology, University Heart Center, University Hospital Zurich and University of Zurich, Zurich, Switzerland.

Background: Many parameters can affect the level of inflammation during acute coronary syndromes (ACS). We aimed to assess the one-year risk of major adverse cardiovascular events (MACE) and bleeding associated with elevated hsCRP levels during ACS, taking into account the severity of myocardial infarction, the timing of blood sampling and established long-term prognostic factors.

Methods: We studied 1864 consecutive patients with ACS enrolled in a contemporary multicenter prospective cohort study in Switzerland. Read More

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http://dx.doi.org/10.1016/j.ijcard.2019.03.049DOI Listing
March 2019
2 Reads

Single visit PDT for basal cell carcinoma - a new therapeutic protocol.

Photodiagnosis Photodyn Ther 2019 Apr 16. Epub 2019 Apr 16.

Skin Department, Foundation Hospital Amaral Carvalho, Jau, São Paulo, Brazil. Electronic address:

Non-melanoma skin cancer is the most prevalent type of cancer in Brazil and worldwide. Topical Photodynamic Therapy is a technique that offers advantages as: excellent aesthetic result, possibility of application for outpatients in ambulatory, and presenting a minimum functional impact of the treated anatomycal site. Fractionated Photodynamic Therapy is a modification of the usual technique in which the full dose of light is delivered in steps separated by a periods of time ("dark intervals"). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15721000193012
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http://dx.doi.org/10.1016/j.pdpdt.2019.04.016DOI Listing
April 2019
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Does insurance coverage affect use of tests and treatments for working age individuals with carpal tunnel syndrome in the United States? Analysis of the National Ambulatory Medical Care Survey (2005-2014).

Arch Phys Med Rehabil 2019 Apr 16. Epub 2019 Apr 16.

University of Pittsburgh, School of Health and Rehabilitation Science, Department of Physical Therapy.

Objective: Carpal tunnel syndrome (CTS) is frequently seen as a work-related disorder. Few studies have examined the treatment of CTS by insurance coverage, and none have used a large, population-based data set. This study examined the extent to which the use of CTS tests/treatments varied for those on worker's compensation (WCI) versus private insurance and Medicaid, controlling for patient and provider characteristics. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00039993193024
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http://dx.doi.org/10.1016/j.apmr.2019.03.014DOI Listing
April 2019
1 Read

US Emergency Department Visits and Hospital Discharges Among Uninsured Patients Before and After Implementation of the Affordable Care Act.

JAMA Netw Open 2019 Apr 5;2(4):e192662. Epub 2019 Apr 5.

US Acute Care Solutions, Canton, Ohio.

Importance: The US Patient Protection and Affordable Care Act of 2010 (ACA) was enacted in 2010 with several provisions that targeted reducing numbers of uninsured Americans.

Objective: To assess the numbers and proportion of emergency department (ED) visits (2006-2016) and hospital discharges (2006-2016) by uninsured patients, focusing on the 2014 ACA insurance reforms (Medicaid expansion, individual mandate, and private insurance exchanges).

Design, Setting, And Participants: Cross-sectional study of visitors to US EDs and patients discharged from US hospitals using National Hospital Ambulatory Care Survey data and Healthcare Cost and Utilization Project data, respectively, from 2006 to 2016. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2019.2662DOI Listing

Cost-Effectiveness Analysis of Integrated Care in Management of Advanced Chronic Obstructive Pulmonary Disease (COPD).

Med Sci Monit 2019 Apr 19;25:2879-2885. Epub 2019 Apr 19.

Department of Allergology, Medical University of Gdańsk, Gdańsk, Poland.

BACKGROUND Chronic obstructive pulmonary disease (COPD) is a common disease that occurs all over the world. Models of care, initially accessed from the clinical point of view, must also be evaluated in terms of their economic effectiveness, as health care systems are limited. The Integrated Care Model (ICM) is a procedure dedicated to patients suffering from advanced COPD that offers home-oriented support from a multidisciplinary team. Read More

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https://www.medscimonit.com/abstract/index/idArt/913358
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http://dx.doi.org/10.12659/MSM.913358DOI Listing
April 2019
2 Reads

[Selection of Patients with Resistant Arterial Hypertension for the Catheter-Based Renal Sympathetic Denervation].

Kardiologiia 2019 Apr 16;59(4):21-25. Epub 2019 Apr 16.

Samara State Medical University.

Purpose: elaboration of algorithm for selection of patients with resistant arterial hypertension (AH) for Catheter-Based Renal Sympathetic Denervation (CBRSD).

Materials And Methods: We examined 284 patients with resistant AH. On stage 1 we excluded most frequent causes of secondary AH. Read More

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http://dx.doi.org/10.18087/cardio.2019.4.10234DOI Listing

Relationship between systolic hypertension assessed by 24-h ambulatory blood pressure monitoring and aortic diameters in young women with Turner syndrome.

Clin Endocrinol (Oxf) 2019 Apr 18. Epub 2019 Apr 18.

Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.

Objective: Patients with Turner syndrome (TS) are at high risk for cardiovascular morbidity and mortality due to aortic dilation. We evaluated the prevalence of hypertension and its risk factors, and investigated the relationship between systolic hypertension and aortic diameter in young TS patients.

Design: Observational, cross-sectional study. Read More

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http://dx.doi.org/10.1111/cen.13995DOI Listing

Haptoglobin and C-Reactive Protein-Non-specific Markers for Nursery Conditions in Swine.

Front Vet Sci 2019 28;6:92. Epub 2019 Mar 28.

Institute for Animal Hygiene, Animal Welfare and Farm Animal Behaviour, University of Veterinary Medicine Hannover, Foundation, Hanover, Germany.

A quality concept for production in the pork market includes granting a good health status of pigs from birth to slaughter. This concept is a precondition for animal welfare as well as reducing antibiotic usage in farm animals. The demand for fighting bacterial antimicrobial resistance in humans, animals, and in the environment is one driving force for the development of innovative technical solutions to improve husbandry. Read More

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https://www.frontiersin.org/article/10.3389/fvets.2019.00092
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http://dx.doi.org/10.3389/fvets.2019.00092DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6455069PMC
March 2019
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Standalone Instrumented Posterior Approach Used as Universal Approach for Tuberculosis Spondylodiscitis.

J Neurosci Rural Pract 2019 Apr-Jun;10(2):225-233

Department of Neurosurgery, AIIMS, Bhubaneswar, Odisha, India.

Background: Surgical management of spinal tuberculosis (TB) has been classically the anterior, then combined, and of late increasingly by the posterior approach. The posterior approach has been successful in early disease. There has been a paradigm shift and inquisitive to explore this approach in the more advanced and even long-segment disease. Read More

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http://dx.doi.org/10.4103/jnrp.jnrp_294_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454971PMC

Ambulatory blood pressure monitoring in clinical practice.

Indian Heart J 2019 Jan - Feb;71(1):91-97. Epub 2018 Nov 27.

Dharma Vira Heart Center, Sir Ganga Ram Hospital, New Delhi 110060, India. Electronic address:

Being one of the most widely prevalent diseases throughout the world, hypertension has emerged as one of the leading causes of global premature morbidity and mortality. Hence, blood pressure (BP) measurements are essential for physicians in the diagnosis and management of hypertension. Current American College of Cardiology/American Heart Association (ACC/AHA) guidelines recommend initiating antihypertensive medications on the basis of office BP readings. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00194832183057
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http://dx.doi.org/10.1016/j.ihj.2018.11.015DOI Listing
November 2018
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Ambulatory venous pressure, air plethysmography, and the role of calf venous pump in chronic venous disease.

J Vasc Surg Venous Lymphat Disord 2019 May;7(3):428-440

The Rane Center at St. Dominic Hospital, Jackson, Miss.

Background: Ambulatory venous pressure (AMVP) records pressure dynamics with calf exercise. Air plethysmography (APG) measures related volume detail. APG has been suggested as a noninvasive surrogate for AMVP. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2213333X183040
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http://dx.doi.org/10.1016/j.jvsv.2018.08.009DOI Listing
May 2019
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Improving proteinuria screening with mailed smartphone urinalysis testing in previously unscreened patients with hypertension: a randomized controlled trial.

BMC Nephrol 2019 Apr 18;20(1):132. Epub 2019 Apr 18.

Geisinger Health System, Department of Nephrology, 100 N Academy Ave, Danville, PA17822, USA.

Background: Proteinuria screening is recommended for patients with hypertension to screen for kidney disease and identify those at elevated risk for cardiovascular disease. However, screening rates among hypertensive patients are low. Home testing strategies may be useful in improving proteinuria screening adherence. Read More

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http://dx.doi.org/10.1186/s12882-019-1324-zDOI Listing

Incidence and risk factors for invasive pneumococcal disease in HIV-positive individuals in the era of highly active antiretroviral therapy.

Int J STD AIDS 2019 Apr 4;30(5):472-478. Epub 2019 Feb 4.

1 Department of Genitourinary Medicine and Infectious Diseases (GUIDE), St James's Hospital, Dublin, Ireland.

Invasive pneumococcal diseases (IPDs) remain a significant cause of morbidity and mortality in human immunodeficiency virus (HIV)-positive individuals despite the widespread use of highly active antiretroviral therapy (HAART) and availability of pneumococcal vaccines. The aim of this study was to measure temporal trends in incidence and risk factors for IPD (defined as culture of Streptococcus pneumoniae from blood, cerebrospinal fluid or both) in a cohort of HIV-positive patients attending an ambulatory HIV care centre in Dublin, Ireland over a 10-year period 2006-2015. Incidence of IPD was determined as events per 100,000 person-years' follow-up. Read More

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http://dx.doi.org/10.1177/0956462418817034DOI Listing
April 2019
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Detection of dicistroviruses RNA in blood of febrile Tanzanian children.

Emerg Microbes Infect 2019 ;8(1):613-623

a Division of Infectious Diseases and Laboratory of Virology , University of Geneva Hospitals Geneva , Switzerland.

Fever is the leading cause of paediatric outpatient consultations in Sub-Saharan Africa. Although most are suspected to be of viral origin, a putative causative pathogen is not identified in over a quarter of these febrile episodes. Using a de novo assembly sequencing approach, we report the detection (15. Read More

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https://www.tandfonline.com/doi/full/10.1080/22221751.2019.1
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http://dx.doi.org/10.1080/22221751.2019.1603791DOI Listing
January 2019
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Outpatient talc administration via indwelling pleural catheters for malignant effusions.

Curr Opin Pulm Med 2019 Apr 16. Epub 2019 Apr 16.

Academic Respiratory Unit, University of Bristol, Bristol, UK.

Purpose Of Review: Malignant pleural effusion is a common cause of breathlessness and signifies advanced disease. Common options for definitive pleural intervention include insertion of an indwelling pleural catheter (IPC) or talc pleurodesis.

Recent Findings: Administration of graded talc through an IPC offers an increased chance of pleurodesis compared with IPC drainage alone and is not associated with a significant risk of adverse events. Read More

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http://dx.doi.org/10.1097/MCP.0000000000000587DOI Listing
April 2019
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Obtaining and Modeling Variability in Travel Times From Off-Site Satellite Clinics to Hospitals and Surgery Centers for Surgeons and Proceduralists Seeing Office Patients in the Morning and Performing a To-Follow List of Cases in the Afternoon.

Anesth Analg 2019 Apr 15. Epub 2019 Apr 15.

From the Department of Anesthesiology, Pain Management and Perioperative Medicine, University of Miami, Miami, Florida.

Background: Hospitals achieve growth in surgical caseload primarily from the additive contribution of many surgeons with low caseloads. Such surgeons often see clinic patients in the morning then travel to a facility to do 1 or 2 scheduled afternoon cases. Uncertainty in travel time is a factor that might need to be considered when scheduling the cases of to-follow surgeons. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004148DOI Listing

Twenty-four hour ambulatory blood pressure reference values in Africans.

Blood Press Monit 2019 Apr 16. Epub 2019 Apr 16.

South African Hypertension and Diet Study, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Objective: We aimed to establish reference values for 24 h ambulatory blood pressure (ABP) monitoring in an African community.

Patients And Methods: We randomly recruited 1219 participants of African ancestry from Soweto, a township in Johannesburg. Twenty-four hour ABP was measured using ABP monitors (model 90207; Spacelab). Read More

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http://dx.doi.org/10.1097/MBP.0000000000000376DOI Listing

Screening for hypertension: an elevated office blood pressure measurement is valuable, adding an automated one is even better.

Blood Press Monit 2019 Apr 16. Epub 2019 Apr 16.

Department of Nusing, Université du Québec à Trois-Rivières, Trois-Rivières.

Background: Previous studies have examined the relevance of hypertension (HTN) screening in walk-in clinics. So far, no valid algorithm has been proposed on how to integrate HTN screening in this context. The aim of our study was to assess, in a walk-in clinic setting, the HTN screening strategy for performing an automated office blood pressure (AOBP) measurement following an initially high office blood pressure (OBP) measurement. Read More

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http://dx.doi.org/10.1097/MBP.0000000000000382DOI Listing

Automated Ambulatory Blood Pressure Measurements and Intraoperative Hypotension in Patients Having Noncardiac Surgery with General Anesthesia: A Prospective Observational Study.

Anesthesiology 2019 Apr 15. Epub 2019 Apr 15.

From the Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine (B.S., P.C.R., C.B., J.Y.N., S.S.) the Department of Medical Biometry and Epidemiology (H.O.P.) University Medical Center Hamburg-Eppendorf, Hamburg, Germany the Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio (D.I.S.) the Department of Anesthesiology and Intensive Care Medicine, University Medical Center Rostock, Rostock, Germany (D.A.R.).

What We Already Know About This Topic: Intraoperative hypotension is associated with significant postoperative complicationsIntraoperative hypotension has been defined relative to preinduction blood pressureBlood pressure varies during the day, and the relationship between preinduction blood pressure and usual blood pressure over 24 h is incompletely describedSimilarly the relationship between low blood pressure intraoperatively and 24-h usual blood pressure is unknown WHAT THIS ARTICLE TELLS US THAT IS NEW: There is a poor correlation between preinduction blood pressure and the usual blood pressure over 24 hIn two thirds of patients, the lowest postinduction and intraoperative pressures were lower than the lowest nighttime blood pressure BACKGROUND:: Normal blood pressure varies among individuals and over the circadian cycle. Preinduction blood pressure may not be representative of a patient's normal blood pressure profile and cannot give an indication of a patient's usual range of blood pressures. This study therefore aimed to determine the relationship between ambulatory mean arterial pressure and preinduction, postinduction, and intraoperative mean arterial pressures. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002703DOI Listing

Analysis of miniaturization effects and channel selection strategies for EEG sensor networks with application to auditory attention detection.

IEEE Trans Biomed Eng 2019 Apr 17. Epub 2019 Apr 17.

Objective: Concealable, miniaturized electroencephalography ('mini-EEG') recording devices are crucial enablers towards long-term ambulatory EEG monitoring. However, the resulting miniaturization limits the inter-electrode distance and the scalp area that can be covered by a single device. The concept of wireless EEG sensor networks (WESNs) attempts to overcome this limitation by placing a multitude of these mini-EEG devices at various scalp locations. Read More

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http://dx.doi.org/10.1109/TBME.2019.2911728DOI Listing

Reliability and validity of the function in sitting test among non-ambulatory individuals with spinal cord injury.

J Spinal Cord Med 2019 Apr 18:1-8. Epub 2019 Apr 18.

a Department of Kinesiology and Community Health , College of Applied Health Sciences, University of Illinois at Urbana-Champaign , Urbana , Illinois , USA.

Context: Trunk impairment among non-ambulatory individuals with spinal cord injury (SCI) reduces the ability to maintain a functional sitting position and perform activities of daily living. Measuring functional sitting balance is complex and difficult in a clinical setting. The function in sitting test (FIST) is a clinical measure that includes the assessment of all the components of sitting balance. Read More

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http://dx.doi.org/10.1080/10790268.2019.1605749DOI Listing

Wearable Sensors Reveal Menses-Driven Changes in Physiology and Enable Prediction of the Fertile Window: Observational Study.

J Med Internet Res 2019 Apr 18;21(4):e13404. Epub 2019 Apr 18.

Department of Reproductive Endocrinology, University Hospital, Zurich, Switzerland.

Background: Previous research examining physiological changes across the menstrual cycle has considered biological responses to shifting hormones in isolation. Clinical studies, for example, have shown that women's nightly basal body temperature increases from 0.28 to 0. Read More

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http://www.jmir.org/2019/4/e13404/
Publisher Site
http://dx.doi.org/10.2196/13404DOI Listing
April 2019
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Comparative ultrasonographic examination and measurements of the urethra and penis of castrated and intact male lambs.

Pol J Vet Sci 2019 Mar;22(1):127-132

Clinic for Obstetrics, Gynecology and Andrology of Large and Small Animals with Ambulatory Services, Frankfurter Str. 106, 35392 Giessen, Faculty of Veterinary Medicine, Justus-Liebig-University Giessen, Germany.

Early castration of male small ruminants is regarded as a risk factor for urolithiasis, although the underlying correlations are still unclear. One possible reason is a deferred development of the penis and the urethra after castration. Therefore, we examined the penis and urethra of castrated and intact lambs by ultrasonography to determine the correlation between urethral area and pe- nile cross-sectional area. Read More

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http://journals.pan.pl/dlibra/publication/127079
Publisher Site
http://dx.doi.org/10.24425/pjvs.2019.127079DOI Listing
March 2019
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Automated sleep stage classification based on tracheal body sound and actigraphy.

Ger Med Sci 2019 22;17:Doc02. Epub 2019 Feb 22.

Department of Internal Medicine II, University Hospital Ulm, Germany.

The current gold standard for assessment of most sleep disorders is the in-laboratory polysomnography (PSG). This approach produces high costs and inconveniences for the patients. An accessible and simple preliminary screening method to diagnose the most common sleep disorders and to decide whether a PSG is necessary or not is therefore desirable. Read More

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http://www.egms.de/en/journals/gms/2019-17/000268.shtml
Publisher Site
http://dx.doi.org/10.3205/000268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449867PMC
February 2019
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Kidney Disease Awareness and Knowledge among Survivors ofAcute Kidney Injury.

Am J Nephrol 2019 Apr 17;49(6):449-459. Epub 2019 Apr 17.

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center, Vanderbilt Center for Kidney Diseases (VCKD) and Integrated Program for AKI Research (VIP-AKI), Nashville, Tennessee, USA.

Background: Acute kidney injury (AKI) survivors are at risk for chronic kidney disease, recurrent AKI, and cardiovascular disease. The transition from hospital to ambulatory care is an opportunity to reduce these sequelae by launching self-care plans through effective patient education. How well AKI survivors are informationally prepared to apply kidney-specific self-care is unknown. Read More

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https://www.karger.com/Article/FullText/499862
Publisher Site
http://dx.doi.org/10.1159/000499862DOI Listing
April 2019
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EVALUATION OF INSULIN GLARGINE AND EXENATIDE ALONE AND IN COMBINATION: A RANDOMIZED CLINICAL TRIAL WITH CONTINUOUS GLUCOSE MONITORING AND AMBULATORY GLUCOSE PROFILE ANALYSIS.

Endocr Pract 2019 Apr;25(4):306-314

Characterize the effectiveness of insulin glargine alone, exenatide alone, or combined in subjects taking stable doses of metformin and evaluate their impact on hemoglobin A1C, hypoglycemia, weight, and glucose variability. Open-label, randomized, parallel-arm study of adults with type 2 diabetes naïve to both insulin and glucagon-like peptide 1 (GLP-1) agonist who were not at A1C goal despite treatment with metformin. This prospective interventional study employed blinded continuous glucose monitoring ambulatory glucose profile (AGP) reports over 32 weeks. Read More

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http://dx.doi.org/10.4158/EP-2018-0177DOI Listing
April 2019
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