416 results match your criteria cahs


A decade post-HITECH: Critical access hospitals have electronic health records but struggle to keep up with other advanced functions.

J Am Med Inform Assoc 2021 Jul 1. Epub 2021 Jul 1.

Department of Medicine, University of California, San Francisco, San Francisco, California, USA.

Objective: Despite broad electronic health record (EHR) adoption in U.S. hospitals, there is concern that an "advanced use" digital divide exists between critical access hospitals (CAHs) and non-CAHs. Read More

View Article and Full-Text PDF

The association between hospital care transition planning and timely primary care follow-up.

J Rural Health 2021 Jun 10. Epub 2021 Jun 10.

College of Business, Healthcare Administration, University of Houston Clear Lake, Houston, Texas, USA.

Purpose: To determine whether Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Care Transitions (CTM-3) Scores were associated with timely (14-day) primary care provider (PCP) follow-up visits, and to look for disparities across various types of urban and rural hospitals.

Methods: Data were obtained for 3,299 hospitals: 2,000 urban, 544 micropolitan prospective payment system (PPS), 109 micropolitan critical access hospital (CAH), 252 noncore rural PPS, and 394 noncore rural CAH. HCAPPS data were drawn from CMS Hospital Compare (2015). Read More

View Article and Full-Text PDF

A mixed methods protocol to evaluate the effectiveness and acceptability of COVID-19 Community Assessment Hubs.

HRB Open Res 2021 12;4:16. Epub 2021 May 12.

Centre for Interdisciplinary Research Education and Innovation in Health Systems (IRIS), School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, D04 V1W8, Ireland.

Ireland's health system has been under significant strain due to staff shortages and inadequate capacity. Critical care bed capacity per capita in Ireland is among the lowest in Europe, thus, the coronavirus disease 2019 (COVID-19) pandemic has put additional strain on an over-stretched system. COVID-19 Community Assessment Hubs (CAHs) were established to mitigate unnecessary admission to acute hospitals, and reduce infection spread by supporting COVID-19 positive or suspected positive patients to isolate at home, or in isolation facilities. Read More

View Article and Full-Text PDF

Emergence of novel Porcine circovirus 2 genotypes in Southern India.

Transbound Emerg Dis 2021 May 18. Epub 2021 May 18.

Dean, Faculty of Basic Sciences, MVC campus, Chennai, Tamil Nadu, India.

A total of 200 samples from Porcine circovirus 2 suspected (n = 112) and healthy (n = 88) swine populations collected from different districts of Tamil Nadu, south India were used in this study. The samples comprising of serum (n = 124), swabs from natural orifices (n = 52), and postmortem tissues (n = 24). All the samples were processed and subjected to the screening and detection of the PCV2 genome by a specific PCR assay. Read More

View Article and Full-Text PDF

The Value Surgical Services Bring to Critical Access Hospitals.

Cureus 2021 Apr 8;13(4):e14367. Epub 2021 Apr 8.

Surgery, Edward Via College of Osteopathic Medicine, Spartanburg, USA.

Purpose Critical Access Hospitals (CAHs) serve rural populations and receive government subsidies to compensate for their relatively high overhead costs and low occupancy rates. Twenty-nine percent of all hospitalizations in the United States include a surgical procedure, and hospitalizations involving surgery accounted for nearly half of all hospital revenue in 2011. This study aims to determine the value surgical services bring to CAHs and their impact on the viability of these facilities. Read More

View Article and Full-Text PDF

When can I hold my baby? An audit of time to first cuddle for preterm babies (<32 weeks) pre introduction and post introduction of a Family-Integrated Care model.

J Clin Nurs 2021 May 12. Epub 2021 May 12.

Department Nursing Research, Child and Adolescent Health Service, Nedlands, WA, Australia.

Aim: The audit examined time to first cuddle between preterm babies (born < 32 weeks) and their parent pre- and post-introduction of a family-integrated care model. Secondary outcomes included time to full feeds and length of neonatal intensive care stay.

Background: Parental separation due to neonatal intensive care unit admission is known to negatively affect parental and baby wellbeing. Read More

View Article and Full-Text PDF

Sensitivity of the child behaviour checklist sleep items and convergent validity with the Sleep Disorders Scale for Children in a paediatric ADHD sample.

Sleep Med X 2021 Dec 19;3:100033. Epub 2021 Jan 19.

Complex Attention and Hyperactivity Disorders Service (CAHDS), Child and Adolescent Health Service (CAHS), Department of Health, Western Australia.

Objective: The Child Behavior Checklist (CBCL) is a commonly used measure of child and adolescent functioning, which includes seven items that can be aggregated to provide a purportedly valid measure of sleep functioning. The objective of this study was to examine the convergent validity of the CBCL in a paediatric ADHD population and to evaluate the sensitivity of the instrument when benchmarked against the Sleep Disorders Scale for Children (SDSC).

Methods: The parents of 215 individuals (ages 6-17 years, 86% male) completed the CBCL and SDSC as part of a battery of measured administered as part of a specialised ADHD service located in Perth, Western Australia. Read More

View Article and Full-Text PDF
December 2021

Effect of pH on the Structure and Dynamics of Wormlike Micelles in an Amino Acid-Derived Surfactant Composition.

Langmuir 2021 04 31;37(14):4112-4120. Epub 2021 Mar 31.

Beauty Care Research and Development & Corporate Functions Research and Development, The Procter & Gamble Company, Cincinnati, Ohio 45202, United States.

We studied the impact of pH as a thickening mechanism on the structure and dynamics of wormlike micelles in a mixture of sodium lauroyl sarcosinate (SLSar) and cocamidopropyl hydroxysultaine (CAHS). The viscoelastic properties were obtained using mechanical rheometry and diffusing wave spectroscopy, which provided access to a wide range of frequencies. By using a mesoscopic simulation method [Zou; Larson. Read More

View Article and Full-Text PDF

Utilization of a poison control center by critical access hospitals-one state's experience.

Clin Toxicol (Phila) 2021 Mar 31:1-8. Epub 2021 Mar 31.

Kansas Poison Control Center, University of Kansas Health System (KSPCC), Kansas City, KS, USA.

Purpose: Critical access hospitals (CAH) are an important source of exposures for poison control centers (PCC), yet there is a paucity of literature on how these calls differ from larger, more urban hospitals (UH). This study aimed to compare call characteristics from CAH and UH received by a regional PCC.

Methods: This retrospective chart review used the Toxicall database of the Kansas PCC. Read More

View Article and Full-Text PDF

The impact of interpersonal support, supervisory support, and employee engagement on employee turnover intentions: Differences between financially distressed and highly financially distressed hospitals.

Health Care Manage Rev 2021 Apr-Jun 01;46(2):135-144

Background: Critical access hospitals (CAHs) are small hospitals in rural communities in the United States. Because of changes in rural population demographics, legacy financial obligations, and/or structural issues in the U.S. Read More

View Article and Full-Text PDF
February 2021

Water content influences the vitrified properties of CAHS proteins.

Authors:
Thomas C Boothby

Mol Cell 2021 02;81(3):411-413

Department of Molecular Biology, University of Wyoming, Laramie, WY 82071, USA. Electronic address:

View Article and Full-Text PDF
February 2021

Reconsidering the "glass transition" hypothesis of intrinsically unstructured CAHS proteins in desiccation tolerance of tardigrades.

Mol Cell 2021 02;81(3):409-410

Biomacromolecules Research Team, RIKEN Center for Sustainable Resource Science, 2-1 Hirosawa, Wako-shi, Saitama 351-0198, Japan.

View Article and Full-Text PDF
February 2021

Maternity Units in Rural Hospitals in North Carolina: Successful Models for Staffing and Structure.

South Med J 2021 Feb;114(2):92-97

From the School of Medicine, the Department of Family Medicine, and the Department of Maternal and Child Health, Gilling School of Global Public Health, University of North Carolina, Chapel Hill.

Objectives: Almost 15% of all US births occur in rural hospitals, yet rural hospitals are closing at an alarming rate because of shortages of delivering clinicians, nurses, and anesthesia support. We describe maternity staffing patterns in successful rural hospitals across North Carolina.

Methods: All of the hospitals in the state with ≤200 beds and active maternity units were surveyed. Read More

View Article and Full-Text PDF
February 2021

Association Between Resistance to Cerebrospinal Fluid Flow Near the Foramen Magnum and Cough-Associated Headache in Adult Chiari Malformation Type I.

J Biomech Eng 2021 May;143(5)

Department of Mechanical Engineering, The University of Akron, 302 E Buchtel Avenue, Akron, OH 44325.

Cough-associated headaches (CAHs) are thought to be distinctive for Chiari malformation type I (CMI) patients and have been shown to be related to the motion of cerebrospinal fluid (CSF) near the foramen magnum (FM). We used computational fluid dynamics (CFD) to compute patient-specific resistance to CSF motion in the spinal canal for CMI patients to determine its accuracy in predicting CAH. Fifty-one symptomatic CMI patients with cerebellar tonsillar position (CTP) ≥ 5 mm were included in this study. Read More

View Article and Full-Text PDF

Hepatopancreatic Surgery in the Rural United States: Variation in Outcomes at Critical Access Hospitals.

J Surg Res 2021 May 7;261:123-129. Epub 2021 Jan 7.

Department of Surgery, Division of Surgical Oncology, The Urban Meyer III and Shelley Meyer Chair for Cancer Research, The Ohio State University Wexner Medical Center, Columbus, Ohio. Electronic address:

Background: Sixty million Americans live in rural America, with roughly 17.5% of the rural population being 65 y or older. Outcomes and costs of Medicare beneficiaries undergoing hepatopancreatic surgery at critical access hospitals (CAHs) are not known. Read More

View Article and Full-Text PDF

Congenital Adrenal Hyperplasias Presenting in the Newborn and Young Infant.

Front Pediatr 2020 22;8:593315. Epub 2020 Dec 22.

Pediatric Endocrinology Unit, Department of Medical and Surgical Sciences, Endo-ERN Centre IT11, S.Orsola-Malpighi University Hospital, Bologna, Italy.

Congenital adrenal hyperplasia includes autosomal recessive conditions that affect the adrenal cortex steroidogenic enzymes (cholesterol side-chain cleavage enzyme; 3β-hydroxysteroid dehydrogenase; 17α-hydroxylase/17,20 lyase; P450 oxidoreductase; 21-hydroxylase; and 11β-hydroxylase) and proteins (steroidogenic acute regulatory protein). These are located within the three major pathways of the steroidogenic apparatus involved in the production of mineralocorticoids, glucocorticoids, and androgens. Many countries have introduced newborn screening program (NSP) based on 17-OH-progesterone (17-OHP) immunoassays on dried blood spots, which enable faster diagnosis and treatment of the most severe forms of 21-hydroxylase deficiency (21-OHD). Read More

View Article and Full-Text PDF
December 2020

Site-specific delivery of green tea coated aluminium magnesium silicate beads and studies on their effect against chicken coccidiosis.

IET Nanobiotechnol 2020 Dec;14(9):750-755

Translational Research Platform for Veterinary Biologicals, Centre for Animal Health Studies (CAHS), Tamil Nadu Veterinary and Animal Sciences University (TANUVAS), Chennai 600051, India.

In this report, the site-specific co-delivery of green tea/aluminium magnesium silicate (AMS) was reported and the specific target delivery was achieved orally. The new co-precipitation process was developed to synthesis the green tea/AMS hybrid complex and using energy-dispersive X-ray spectroscopy, Fourier-transform infrared spectroscopy and Raman confirmed its successful synthesis. The blood biocompatibility of the green tea/AMS was tested using chicken blood, and the compound is safe up to 500 mg/ml. Read More

View Article and Full-Text PDF
December 2020

An Observational Study of Telemental Care Delivery and the Context for Involuntary Commitment for Mental Health Patients in a Group of Rural Emergency Departments.

Telemed Rep 2020 18;1(1):22-35. Epub 2020 Nov 18.

Department of Research, Richard Lugar Center for Rural Health, Union Hospital, Terre Haute, Indiana, USA.

Rates for all-cause U.S. emergency department (ED) visits to rural critical access hospitals (CAHs) have increased by 50% since 2005. Read More

View Article and Full-Text PDF
November 2020

Challenges confronting rural hospitals accentuated during COVID-19.

J Biomed Res 2020 Sep;34(6):397-409

Hospital Operations, Carilion Clinic, Roanoke, VA 24017, USA.

The Balanced Budget Act of 1997 created a designation for critical access hospitals (CAHs) to sustain care for people living in rural communities who lacked access to care due to hospital closures over the preceding decade. Twenty-five years later, 1350 CAHs serve approximately 18% of the US population and a systematic policy evaluation has yet to be performed. This policy analysis serves to define challenges faced by CAHs through a literature review addressing the four major categories of payment, quality, access to capital, and workforce. Read More

View Article and Full-Text PDF
September 2020

Lived experiences of new nurse graduates in critical access hospitals.

Nurs Forum 2021 Apr 26;56(2):255-263. Epub 2020 Nov 26.

School of Nursing, Department of Natural and Health Sciences, University of Northern Colorado, Greeley, Colorado, USA.

Background: Critical access hospitals (CAHs) may have less support for new hires than larger institutions, and are at risk for recruitment and retention issues.

Purpose: The purpose of this descriptive, phenomenological study was to explore the lived experiences of new nurse graduates in the first year of employment in CAHs.

Methods: Thirteen first-year critical access hospital nurses were interviewed, representing 3 midwestern states. Read More

View Article and Full-Text PDF

The biology of tardigrade disordered proteins in extreme stress tolerance.

Cell Commun Signal 2020 11 4;18(1):178. Epub 2020 Nov 4.

Department of Molecular Biology, University of Wyoming, Laramie, WY, 82071, USA.

Disordered proteins have long been known to help mediate tolerance to different abiotic stresses including freezing, osmotic stress, high temperatures, and desiccation in a diverse set of organisms. Recently, three novel families of intrinsically disordered proteins were identified in tardigrades, microscopic animals capable of surviving a battery of environmental extremes. These three families include the Cytoplasmic-, Secreted-, and Mitochondrial- Abundant Heat Soluble (CAHS, SAHS, and MAHS) proteins, which are collectively termed Tardigrade Disordered Proteins (TDPs). Read More

View Article and Full-Text PDF
November 2020

Toxicity and Immunogenicity of a Tardigrade Cytosolic Abundant Heat Soluble Protein in Mice.

Front Pharmacol 2020 7;11:565969. Epub 2020 Oct 7.

Department of Chemistry and Fermentation Sciences, Appalachian State University, Boone, NC, United States.

Tardigrades are microscopic animals well-known for their stress tolerance, including the ability to survive desiccation. This survival requires cytosolic abundant heat soluble (CAHS) proteins. CAHS D protects enzymes from desiccation- and lyophilization-induced inactivation and has the potential to stabilize protein-based therapeutics, including vaccines. Read More

View Article and Full-Text PDF
October 2020

Optimal Resources for Rural Surgery.

Am Surg 2020 Sep 21;86(9):1057-1061. Epub 2020 Sep 21.

24041 Department of General Surgery, West Virginia University, Morgantown, WV, USA.

Background: Timely access to emergency general surgery services, including trauma, is a critical aspect of patient care. This study looks to identify resource availability at small rural hospitals in order to improve the quality of surgical care.

Methods: Forty-five nonteaching hospitals in West Virginia were divided into large community hospitals with multiple specialties (LCHs), small community hospitals with fewer specialties (SCHs), and critical access hospitals (CAHs). Read More

View Article and Full-Text PDF
September 2020

What Is the Quality of Surgical Care for Patients with Hip Fractures at Critical Access Hospitals?

Clin Orthop Relat Res 2021 01;479(1):9-16

J. M. Bonsu, M. Roser, L. S. Phieffer, T. V. Ly, R. K. Harrison, C. E. Quatman, Division of Orthopaedic Trauma, Department of Orthopaedics, the Ohio State University Wexner Medical Center, Columbus, OH, USA.

Background: Critical access hospitals (CAHs) play an important role in providing access to care for many patients in rural communities. Prior studies have shown that these facilities are able to provide timely and quality care for patients who undergo various elective and emergency general surgical procedures. However, little is known about the quality and reimbursement of surgical care for patients undergoing surgery for hip fractures at CAHs compared with non-CAH facilities. Read More

View Article and Full-Text PDF
January 2021

Electron competition and electron selectivity in abiotic, biotic, and coupled systems for dechlorinating chlorinated aliphatic hydrocarbons in groundwater: A review.

Water Res 2020 Sep 22;183:116060. Epub 2020 Jun 22.

Key Lab of Marine Environmental Science and Ecology, Ministry of Education Shandong Provincial Key Laboratory of Marine Environment and Geological Engineering College of Environmental Science and Engineering, Ocean University of China, Qingdao, 266100, China.

Chlorinated aliphatic hydrocarbons (CAHs) have been frequently detected in aquifers in recent years. Owing to the bioaccumulation and toxicity of CAHs, it is essential to explore high-efficiency technologies for their complete dechlorination in groundwater. At present, the most widely used abiotic and biotic remediation technologies are based on zero-valent iron (ZVI) and functional anaerobic bacteria (FAB), respectively. Read More

View Article and Full-Text PDF
September 2020

Association of Diagnosis Coding With Differences in Risk-Adjusted Short-term Mortality Between Critical Access and Non-Critical Access Hospitals.

JAMA 2020 08;324(5):481-487

Department of Health Services, Policy, and Practice, Brown University, Providence, Rhode Island.

Importance: Critical access hospitals (CAHs) provide care to rural communities. Increasing mortality rates have been reported for CAHs relative to non-CAHs. Because Medicare reimburses CAHs at cost, CAHs may report fewer diagnoses than non-CAHs, which may affect risk-adjusted comparisons of outcomes. Read More

View Article and Full-Text PDF

A Rare Case of Congenital Adrenal Hyperplasia with Giant Adrenal Myelolipoma.

P R Health Sci J 2020 06;39(2):226-228

Department of General Surgery, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.

Adrenal incidentalomas are tumors located in the adrenal glands and found on imaging done for purposes not related to adrenal disease. In other cases adrenal mases can be radiologically found when an adrenal hormone secreting tumor is suspected, such as a pheochromocytoma or Cushing's diseases. Adrenal incidentalomas may be classified as functional or non-functional based on whether they produce hormones, such as aldosterone, cortisol, and androgens, or catecholamines. Read More

View Article and Full-Text PDF

Locomotion, posture, and the foramen magnum in primates: Reliability of indices and insights into hominin bipedalism.

Am J Primatol 2020 09 8;82(9):e23170. Epub 2020 Jul 8.

Department of Environmental Biology, Faculty of Mathematics Physics and Natural Sciences, Sapienza University of Rome, Rome, Italy.

The position (FMP) and orientation (FMO) of the foramen magnum have been used as proxies for locomotion and posture in extant and extinct primates. Several indices have been designed to quantify FMP and FMO but their application has led to conflicting results. Here, we test six widely used indices and two approaches (univariate and multivariate) for their capability to discriminate between postural and locomotor types in extant primates and fossil hominins. Read More

View Article and Full-Text PDF
September 2020

[Advances in microbial degradation of chlorinated hydrocarbons].

Sheng Wu Gong Cheng Xue Bao 2020 Jun;36(6):1083-1100

College of Chemistry and Chemical Engineering, Chongqing University of Technology, Chongqing 400050, China.

Chlorinated hydrocarbons (CAHs) threaten human health and the ecological environment due to their strong carcinogenic, teratogenic, mutagenic and heritable properties. Heterotrophic assimilation degradation can completely and effectively degrade CAHs, without secondary pollution. However, it is crucial to comprehensively understand the heterotrophic assimilation process of CAHs for its application. Read More

View Article and Full-Text PDF

Microrheological characterization of covalent adaptable hydrogel degradation in response to temporal pH changes that mimic the gastrointestinal tract.

Soft Matter 2020 Jul 5;16(27):6253-6258. Epub 2020 Jun 5.

Department of Chemical and Biomolecular Engineering, Lehigh University, 111 Research Dr, Iacocca Hall, Bethlehem, PA 18015, USA.

Covalent adaptable hydrogels (CAHs) reversibly adapt their structure in response to external stimuli, emerging as a new platform for biological applications. Due to the unique and complex nature of these materials, a characterization technique is needed to measure the rheology of these CAHs in biological processes. μrheology, microrheology in a microfluidic device, is a technique that can fully characterize real-time CAH degradation in a changing environment, such as the pH environment of the GI tract. Read More

View Article and Full-Text PDF