403,725 results match your criteria American Fern Journal[Journal]

Medical Student Experiences With Electronic Health Records Nationally: A Longitudinal Analysis Including School-Level Effects.

Acad Med 2021 Aug 3. Epub 2021 Aug 3.

M.M. Cuddy is measurement scientist, National Board of Medical Examiners, Philadelphia, Pennsylvania. L.M. Foster is data analyst, National Board of Medical Examiners, Philadelphia, Pennsylvania. P.M. Wallach is executive associate dean, Educational Affairs and Institutional Improvement, and professor of medicine, Indiana University School of Medicine, Indianapolis, Indiana. M.M. Hammoud is professor of obstetrics and gynecology and professor of learning health sciences, University of Michigan Medical School, Ann Arbor, Michigan. D.B. Swanson is vice president, Certification Standards and Programs, American Board of Medical Specialties, Chicago, Illinois; professor (honorary) of medical education, University of Melbourne Medical School, Melbourne, Victoria, Australia; and professor (honorary), University of Queensland Faculty of Medicine, Brisbane, Queensland, Australia.

Purpose: Increasingly, medical school graduates have been expected to be competent in the knowledge and skills associated with effective electronic health record (EHR) use. Yet little is known about how student experiences with EHRs have changed over time or how these trends vary by medical school. This study examined shifts in U. Read More

View Article and Full-Text PDF

RIME 60 Years: Celebration and Future Horizons.

Acad Med 2021 Aug 3. Epub 2021 Aug 3.

Z. Zaidi is chair, Research in Medical Education (RIME) Program Planning Committee, and professor, Division of General Internal Medicine, University of Florida College of Medicine, Gainesville, Florida; ORCID: https://orcid.org/0000-0003-4328-5766. K.S. McOwen is senior director of educational affairs, Association of American Medical Colleges, Washington, D.C.; ORCID: https://orcid.org/0000-0002-1577-0206. D.F. Balmer is incoming co-chair, RIME Program Planning Committee, and associate professor of pediatrics, Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; ORCID: http://orcid.org/0000-0001-6805-4062. D.J. Schumacher is associate professor of pediatrics, Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine, Cincinnati, Ohio; ORCID: https://orcid.org/0000-0001-5507-8452. J. Sukhera is associate professor, Departments of Psychiatry and Paediatrics, and scientist, Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; ORCID: https://orcid.org/0000-0001-8146-4947. M. Young is incoming co-chair, RIME Program Planning Committee, and associate professor, Institute of Health Sciences Education and Department of Medicine, McGill University, Montreal, Quebec, Canada; ORCID: https://orcid.org/0000-0002-2036-2119. Y.S. Park is immediate past chair, RIME Program Planning Committee, associate professor, Harvard Medical School, and director of health professions education research, Massachusetts General Hospital, Boston, Massachusetts; ORCID: http://orcid.org/0000-0001-8583-4335.

This year marks the 60th Anniversary (1961-2021) of Research in Medical Education (RIME). Over the past 6 decades RIME has selected medical education research to be presented each year at the AAMC Annual Meeting: Learn Serve Lead (LSL) and published in a supplement of Academic Medicine. In this article the authors surveyed RIME chairs from the past 20 years to identify ways that RIME has advanced medical education research and to generate ideas for future directions. Read More

View Article and Full-Text PDF

Rheumatology Training in Latin America: A Collaborative Study by the Pan American League of Associations for Rheumatology.

J Clin Rheumatol 2021 Aug 2. Epub 2021 Aug 2.

From the Unidad de Reumatología, Hospital Universitario San Ignacio-Facultad de Medicina, Pontificia Universidad Javeriana, Unidad de Investigación PANLAR Departamento de Medicina Interna, Hospital Universitario San Ignacio-Pontificia Universidad Javeriana, Bogotá, Colombia Universidade Federal do Paraná, Unidad de Investigación PANLAR, Paraná, Brasil Hospital Italiano de Buenos Aires, Buenos Aires, Argentina Hospital Universitario Japonés, Santa Cruz, Bolivia Pacífica Salud-Hospital Punta Pacífica, Ciudad de Panamá, Panamá Hospital de la Policía Nacional N1 Quito, Quito, Ecuador Instituto Hondureño de Seguridad Social, Tegucigalpa, Honduras Sociedad Argentina de Reumatología, Buenos Aires, Argentina Universidade Federal do Paraná, Paraná, Brasil Instituto Nacional de Reumatología del Uruguay-Universidad de la República, Montevideo, Uruguay Pontificia Universidad Católica de Chile, Departamento de Inmunología Clínica y Reumatología, Santiago de Chile, Chile Hospital Italiano de Buenos Aires, Buenos Aires, Argentina Hospital México, Caja Costarricense del Seguro Social, San José de Costa Rica, Costa Rica Universidad de Ciencias Médicas de La Habana, La Habana, Cuba Hospital Metropolitano de Santiago, Santiago, República Dominicana Hospital Guillermo Almenara Irigoyen-Universidad Científica del Sur, Lima, Perú Centro de Investigación Clínica de Morelia, Morelia, México Hospital de Clínicas-Universidad Nacional de Asunción, Asunción, Paraguay Universidad San Carlos de Guatemala-Instituto Guatemalteco de Seguridad Social, Ciudad de Guatemala, Guatemala Pontificia Universidad Católica de Chile, Departamento de Inmunología Clínica y Reumatología, Santiago de Chile, Chile Consultorio de Especialidades del Instituto Salvadoreño del Seguro Social, San Salvador, El Salvador Instituto Médico GANNA, Managua, Nicaragua Universidad de Oriente, Ciudad Bolívar, Venezuela Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Background/objective: Demand for rheumatology care has steadily increased in recent years. The number of specialists in this field, however, seems insufficient. No recent studies have diagnosed the attributes of rheumatology training in Latin America. Read More

View Article and Full-Text PDF

Multivariable Analysis of Patient Satisfaction in the Pediatric Emergency Department.

Pediatr Emerg Care 2021 Aug 4. Epub 2021 Aug 4.

From the Department of Emergency Medicine, CHOC Children's, Orange Center on Stress & Health Department of Emergency Medicine, University of California, Irvine Department of Psychology, Crean College of Health and Behavioral Sciences, Chapman University Department of Information Systems, CHOC Children's School of Computational and Data Sciences, Chapman University, Orange Sue & Bill Gross School of Nursing Department of Anesthesiology and Perioperative Care, University of California, Irvine Department of Pediatric Psychology, CHOC Children's Department of Pediatrics, CHOC Children's, Orange, CA Yale Child Study Center, Yale University, New Haven, CT.

Background: Published data on predictive factors associated with parent satisfaction from care in a pediatric emergency department (ED) visit are limited to be descriptive and obtained from small data sets. Accordingly, the purpose of this study was to determine both modifiable and nonmodifiable demographic and operational factors that influence parental satisfaction using a large and ethnically diverse site data set.

Methods: Data consist of responses to the National Research Council (NRC) survey questionnaires and electronic medical records of 15,895 pediatric patients seen in a pediatric ED between the ages of 0 and 17 years discharged from May 2018 to September 2019. Read More

View Article and Full-Text PDF

A state-of-the-art implementation of a binaural cochlear-implant sound coding strategy inspired by the medial olivocochlear reflex.

Hear Res 2021 Jul 24;409:108320. Epub 2021 Jul 24.

Instituto de Neurociencias de Castilla y León, Universidad de Salamanca, Calle Pintor Fernando Gallego 1, Salamanca 37007, Spain.; Instituto de Investigación Biomédica de Salamanca, Universidad de Salamanca Salamanca 37007 Spain; Departamento de Cirugía, Facultad de Medicina, Universidad de Salamanca, Salamanca 37007 Spain. Electronic address:

Cochlear implant (CI) users find it hard and effortful to understand speech in noise with current devices. Binaural CI sound processing inspired by the contralateral medial olivocochlear (MOC) reflex (an approach termed the 'MOC strategy') can improve speech-in-noise recognition for CI users. All reported evaluations of this strategy, however, disregarded automatic gain control (AGC) and fine-structure (FS) processing, two standard features in some current CI devices. Read More

View Article and Full-Text PDF

Manifesto for an ECNP Neuromodulation Thematic Working Group (TWG): Non-invasive brain stimulation as a new Super-subspecialty.

Eur Neuropsychopharmacol 2021 Aug 1;52:72-83. Epub 2021 Aug 1.

Sheba Medical Center at Tel Hashomer, Israel, Sackler Faculty of Medicine, Tel Aviv.

Non-Invasive Brain Stimulation (NIBS) techniques and in particular, repetitive Transcranial Magnetic Stimulation (rTMS), are developing beyond mere clinical application. Although originally purposed for the treatment of resistant neuropsychiatric disorders, NIBS is also contributing to a deeper understanding of psychiatric disorders. rTMS is also changing the model of the disorder itself, from "mental" to one of neural connectivity. Read More

View Article and Full-Text PDF

Status of dysphagia after ischemic stroke: A Korean nationwide study.

Arch Phys Med Rehabil 2021 Aug 1. Epub 2021 Aug 1.

Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine; Department of Health Science and Technology, Department of Medical Device Management and Research, Department of Digital Healthcare, SAIHST, Sungkyunkwan University. Electronic address:

Objective: To identify the incidence of dysphagia after ischemic stroke and determine factors affecting the presence of dysphagia.

Design: Retrospective case-control study. This was an interim analysis of a prospective multicenter Korean stroke cohort. Read More

View Article and Full-Text PDF

Promoting indigenous cultural responsivity in addiction treatment work: the call for neurodecolonization policy and practice.

J Ethn Subst Abuse 2021 Aug 4:1-23. Epub 2021 Aug 4.

University of Regina, Regina, Saskatchewan, Canada.

Addiction is a multidimensional issue affecting North American, Indigenous peoples. Most federal and provincial-funded treatment programs follow a Western model. We argue for more comprehensive culturally responsive training for workers, and the concept of neurodecolonization be covered. Read More

View Article and Full-Text PDF

Classifying and communicating risks in prediabetes according to fasting glucose and/or glycated hemoglobin: PREDAPS cohort study.

Scand J Prim Health Care 2021 Aug 4:1-9. Epub 2021 Aug 4.

redGDPS Foundation, Madrid, Spain.

Objective: Information about prognostic outcomes can be of great help for people with prediabetes and for physicians in the face of scientific controversy about the cutoff point for defining prediabetes. We aimed to estimate different prognostic outcomes in people with prediabetes.

Design: Prospective cohort of subjects with prediabetes according to American Diabetes Association guidelines. Read More

View Article and Full-Text PDF

Hypogammaglobulinemia in rheumatoid arthritis patients treated with rituximab: Should we switch biologic? Comment on the article by Fraenkel et al (DOI: 10.1002/art.41752).

Arthritis Rheumatol 2021 Aug 4. Epub 2021 Aug 4.

Rheumatology Unit, First Department of Propaedeutic Internal Medicine, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

We read with great interest the recently published American College of Rheumatology guideline for the treatment of patients with rheumatoid arthritis (RA) (1). Among the various issues covered is the hypogammaglobulinemia that occasionally occurs in rituximab-treated RA patients. Hypogammaglobulinemia has been reported in about 17-43% of these patients (2). Read More

View Article and Full-Text PDF

Reply to: Hypogammaglobulinemia in rheumatoid arthritis patients treated with rituximab: Should we switch biologic?

Arthritis Rheumatol 2021 Aug 4. Epub 2021 Aug 4.

American University of Beirut, Lebanon.

We thank Dr. Evangelatos for his interest in the guideline and his efforts to provide further clarity to this clinical scenario. During the guideline process, the voting panel thoroughly discussed many of these aspects of hypogammaglobulinemia during rituximab treatment that Dr. Read More

View Article and Full-Text PDF

Geographic contact drives increased reproductive isolation in two cryptic Empidonax flycatchers.

Mol Ecol 2021 Aug 4. Epub 2021 Aug 4.

Department of Biological Sciences, University of Toronto Scarborough, Toronto, Ontario, Canada.

Geographic contact between sister lineages often occurs near the final stages of speciation, but its role in speciation's completion remains debated. Reproductive isolation may be essentially complete prior to secondary contact. Alternatively, costly interactions between partially reproductively isolated species - such as maladaptive hybridization or competition for resources - may select for divergence, increasing reproductive isolation and driving speciation toward completion. Read More

View Article and Full-Text PDF

2021 Update on Clinical Trials in β-Thalassemia.

Am J Hematol 2021 Aug 4. Epub 2021 Aug 4.

Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

The treatment landscape for patients with β-thalassemia is witnessing a swift evolution, yet several unmet needs continue to persist. Patients with transfusion-dependent β-thalassemia (TDT) primarily rely on regular transfusion and iron chelation therapy, which can be associated with considerable treatment burden and cost. Patients with non-transfusion-dependent β-thalassemia (NTDT) are also at risk of significant morbidity due to the underlying anemia and iron overload, but treatment options in this patient subgroup are limited. Read More

View Article and Full-Text PDF

Multiple approaches to enhancing cancer communication in the next decade: translating research into practice and policy.

Transl Behav Med 2021 Aug 4. Epub 2021 Aug 4.

Cancer Prevention and Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, USA.

Communicating risk and other health information in a clear, understandable, and actionable manner is critical for the prevention and control of cancer, as well as the care of affected individuals and their family members. However, the swift pace of development in communication technologies has dramatically changed the health communication landscape. This digital era presents new opportunities and challenges for cancer communication research and its impact on practice and policy. Read More

View Article and Full-Text PDF

Laboratory Detection and Initial Diagnosis of Monoclonal Gammopathies: Guideline From the College of American Pathologists in Collaboration With the American Association for Clinical Chemistry and the American Society for Clinical Pathology.

Arch Pathol Lab Med 2021 Aug 4. Epub 2021 Aug 4.

the Department of Pathology and Laboratory Medicine, Louis Stokes Veterans Affairs Medical Center, Cleveland, Ohio (Ansari).

Context.—: The process for identifying patients with monoclonal gammopathies is complex. Initial detection of a monoclonal immunoglobulin protein (M protein) in the serum or urine often requires compilation of analytical data from several areas of the laboratory. Read More

View Article and Full-Text PDF

Uplifting the voices of rural American Indian older adults to improve understanding of physical activity behavior.

Transl Behav Med 2021 Aug 4. Epub 2021 Aug 4.

Center for Behavioral Health Research and Services, University of Alaska Anchorage, AK, USA.

American Indian (AI) older adults experience pronounced health disparities and demonstrate one of the lowest levels of physical activity (PA) among racial and ethnic groups. Nearly half of AI older adults live in rural areas, indicating distinct challenges to participation in PA. Research to identify factors influencing PA in this population is missing from the literature, yet is critical to informing culturally relevant PA intervention development and implementation. Read More

View Article and Full-Text PDF

LDL cholesterol levels and in-hospital bleeding in patients on high-intensity antithrombotic therapy: findings from the CCC-ACS project.

Eur Heart J 2021 Jul 29. Epub 2021 Jul 29.

Department of Cardiology, Tianjin Medical University General Hospital, 154 Anshan Road, Heping District, Tianjin 300052, China.

Aims : Emerging evidence has linked cholesterol metabolism with platelet responsiveness. We sought to examine the dose-response relationship between low-density lipoprotein cholesterol (LDL-C) and major in-hospital bleeds in acute coronary syndrome (ACS) patients.

Methods And Results : Among 42 378 ACS patients treated with percutaneous coronary intervention (PCI) enrolled in 240 hospitals in the Improving Care for Cardiovascular Disease in China-ACS project from 2014 to 2019, a total of 615 major bleeds, 218 ischaemic events, and 337 deaths were recorded. Read More

View Article and Full-Text PDF

Genetic underpinnings of regional adiposity distribution in African Americans: Assessments from the Jackson Heart Study.

PLoS One 2021 4;16(8):e0255609. Epub 2021 Aug 4.

School of Public Health & Information Sciences, The University of Louisville, Louisville, KY, United States of America.

Background: African ancestry individuals with comparable overall anthropometric measures to Europeans have lower abdominal adiposity. To explore the genetic underpinning of different adiposity patterns, we investigated whether genetic risk scores for well-studied adiposity phenotypes like body mass index (BMI) and waist circumference (WC) also predict other, less commonly measured adiposity measures in 2420 African American individuals from the Jackson Heart Study.

Methods: Polygenic risk scores (PRS) were calculated using GWAS-significant variants extracted from published studies mostly representing European ancestry populations for BMI, waist-hip ratio (WHR) adjusted for BMI (WHRBMIadj), waist circumference adjusted for BMI (WCBMIadj), and body fat percentage (BF%). Read More

View Article and Full-Text PDF

Which determinants should be considered to reduce social inequalities in paediatric dental care access? A cross-sectional study in France.

PLoS One 2021 4;16(8):e0255360. Epub 2021 Aug 4.

Laboratoire Éducations et Pratiques de Santé, LEPS UR 3412, Université Sorbonne Paris Nord, Bobigny, France.

Better access to dental care through systemic and educational strategies is needed to lessen the burden of disease due to severe early caries. Our study aims to describe family characteristics associated with severe early caries: parental knowledge, attitudes, practices in oral health and socio-demographic factors. For this cross-sectional study, 102 parents of children aged under 6 years with severe early caries and attending paediatric dentistry service in France completed a questionnaire during face-to-face interviews. Read More

View Article and Full-Text PDF

Machine learning based approach to exam cheating detection.

PLoS One 2021 4;16(8):e0254340. Epub 2021 Aug 4.

Department of Communication and Media, Canadian University Dubai, Dubai, UAE.

The COVID-19 pandemic has impelled the majority of schools and universities around the world to switch to remote teaching. One of the greatest challenges in online education is preserving the academic integrity of student assessments. The lack of direct supervision by instructors during final examinations poses a significant risk of academic misconduct. Read More

View Article and Full-Text PDF

Poverty, deprivation, and mortality risk among women with HIV in the United States.

Epidemiology 2021 Aug 3. Epub 2021 Aug 3.

Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC NoviSci Inc., Durham, NC Division of Infectious Diseases, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC Department of Clinical Pharmacy, The University of California San Francisco, San Francisco, CA Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY Department of Medicine, Stroger Hospital, Cook County Bureau of Health Services, Chicago, IL Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD Department of Medicine, Georgetown University Medical Center, Washington, DC Department of Medicine, Albert Einstein College of Medicine, Bronx, NY Department of Medicine, The University of Mississippi Medical Center, Jackson, MS Department of Community Health Sciences, School of Public Health, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY.

Background: Prior studies suggest neighborhood poverty and deprivation are associated with adverse health outcomes including death, but evidence is limited among persons with HIV, particularly women. We estimated changes in mortality risk from improvement in three measures of area-level socioeconomic context among participants of the Women's Interagency HIV Study.

Methods: Starting in October 2013, we linked geocoded residential census block groups to the 2015 Area Deprivation Index (ADI) and two 2012-2016 American Community Survey poverty variables, categorized into national tertiles. Read More

View Article and Full-Text PDF

North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper on the Diagnosis and Management of Pediatric Acute Liver Failure.

J Pediatr Gastroenterol Nutr 2021 Aug 3. Epub 2021 Aug 3.

Division of Gastroenterology, Hepatology and Nutrition, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA Department Pediatric Hepatology, Ann and Robert H Lurie Children's Hospital, Chicago, Illinois, USA Department of Pediatrics, Division of Pediatric Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN Division of Pediatric Gastroenterology, Nutrition and Liver Diseases, Hasbro Children's Hospital, Providence, RI Division of Pediatric Gastroenterology, Hepatology and Nutrition, Children Hospital of Eastern Ontario, Ottawa, Ontario, Canada Department of Pediatrics, Vagelos College of Physician and Surgeons, Columbia University, New York, NY.

Abstract: Pediatric acute liver failure (PALF) is a rare, rapidly progressive clinical syndrome with significant morbidity and mortality. The phenotype of PALF manifests as abrupt onset liver dysfunction, which can be brought via disparate etiology. Management is reliant upon intensive clinical care and support, often provided by the collaborative efforts of hepatologists, critical care specialists, and liver transplant surgeons. Read More

View Article and Full-Text PDF

Curved Approach in High Jump Induces Greater Jumping Height without Greater Joint Kinetic Exertions than Straight Approach.

Med Sci Sports Exerc 2021 Aug 3. Epub 2021 Aug 3.

Faculty of Health and Sports Science, University of Tsukuba, Tsukuba, Japan Department of Life Sciences, The University of Tokyo, Tokyo, Japan Japan Women's College of Physical Education, Tokyo, Japan.

Purpose: The most height-specific jumping mode, the athletic high jump, is characterized as a running single-leg jump (RSLJ) from a curved approach. The main advantage of a curved approach is believed to be facilitation of bar clearance. Yet, the effect of a curved approach on center of mass (CoM) height generation has not been clarified. Read More

View Article and Full-Text PDF

Training Characteristics, Academic Accomplishments, and Motivation of Current Chairs in Physical Medicine and Rehabilitation.

Am J Phys Med Rehabil 2021 Aug 3. Epub 2021 Aug 3.

Department of Physical Medicine and Rehabilitation McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas. Department of Internal Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas. Boonshoft School of Medicine at Wright State University, Dayton, Ohio Department of Rehabilitation and Human Performance, The Mount Sinai Hospital/Icahn School of Medicine at Mount Sinai, New York, New York. Department of Rehabilitation Medicine, Long School of Medicine at the University of Texas Health Science Center at San Antonio, San Antonio, Texas. H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas.

Objectives: To report the training characteristics, academic accomplishments, and motivation of current United States (US) academic Physical Medicine and Rehabilitation (PM&R) Chairs.

Design: The authors developed a 23-question survey was developed and disseminated via email to 86 current chairs who were members of the Chairs Council from the Association of Academic Physiatrists (AAP) in May 2020. Follow-up emails were sent 2 and 4 weeks after the initial distribution, and the survey closed after 6 weeks in June 2020. Read More

View Article and Full-Text PDF

Interrater Reliability in the American Board of Physical Medicine and Rehabilitation Part II Certification Examination: Impact of a New Assessment Design.

Am J Phys Med Rehabil 2021 Aug 3. Epub 2021 Aug 3.

American Board of Physical Medicine and Rehabilitation, Rochester, Minnesota; Department of Physical Medicine and Rehabilitation, Mayo Clinic, Phoenix, Arizona Disclosure: employed by the American Board of Physical Medicine and Rehabilitation American Board of Physical Medicine and Rehabilitation, Rochester, Minnesota Disclosure: employed by the American Board of Physical Medicine and Rehabilitation Division of Physical Medicine and Rehabilitation, University of Toronto, Toronto, Ontario, Canada Disclosure: no disclosures Ascension Seton Healthcare Family, Dell Medical School, The University of Texas at Austin, Austin, Texas Disclosure: no disclosures VA Boston Health Care System, Harvard Medical School, Boston, Massachusetts Disclosure: no disclosures.

Objective: The design of medical board certification examinations continues to evolve with advances in testing innovations and psychometric analysis. The potential for subjectivity is inherent in the design of oral board examinations, making improvements in reliability and validity especially important. The purpose of this quality improvement study is to analyze the impact of using two examiners on the overall reliability of the oral certification examination in Physical Medicine and Rehabilitation (ABPMR). Read More

View Article and Full-Text PDF

Enhancing Recruitment and Retention of Minority Populations for Clinical Research in Pulmonary, Critical Care, and Sleep Medicine: An Official American Thoracic Society Research Statement.

Am J Respir Crit Care Med 2021 Aug;204(3):e26-e50

Well-designed clinical research needs to obtain information that is applicable to the general population. However, most current studies fail to include substantial cohorts of racial/ethnic minority populations. Such underrepresentation may lead to delayed diagnosis or misdiagnosis of disease, wide application of approved interventions without appropriate knowledge of their usefulness in certain populations, and development of recommendations that are not broadly applicable. Read More

View Article and Full-Text PDF

Atopic Asthma as a Potentially Significant but Unrecognized Risk Factor for Kawasaki Disease in Children.

J Asthma 2021 Aug 4:1-13. Epub 2021 Aug 4.

Precision Population Medicine Lab, Mayo Clinic, Rochester, Minnesota.

Childhood asthma is known to be associated with risks of both respiratory and non-respiratory infections. Little is known about the relationship between asthma and the risk of Kawasaki disease (KD). We assessed associations of asthma status and asthma phenotype (e. Read More

View Article and Full-Text PDF

STEMI telemedicine for 100 million lives.

Catheter Cardiovasc Interv 2021 Aug 4. Epub 2021 Aug 4.

Instituto de Corazón, Queretaro, Mexico.

Background: Developing countries struggle to diagnose and treat ST-segment elevation myocardial infarction (STEMI) patients in a timely manner, and subsequent outcomes are suboptimal.

Methods: The Latin America Telemedicine Network (LATIN) functioned between 2013 to present in four countries-Brazil, Colombia, Mexico, and Argentina. A Hub and Spoke platform was developed to expand access to >100 million population for STEMI care. Read More

View Article and Full-Text PDF