1,779 results match your criteria descriptive analytic


Barriers and facilitators of implementing an antimicrobial stewardship intervention for urinary tract infection in a long-term care facility.

Can Pharm J (Ott) 2021 Mar-Apr;154(2):100-109. Epub 2021 Feb 16.

McMaster University, Hamilton.

Background: Fifty percent of antibiotic courses in long-term care facilities (LTCFs) are unnecessary, leading to increased risk of harm. Most studies to improve antibiotic prescribing in LTCFs showed modest and unsustained results. We aimed to identify facilitators, barriers and strategies in implementing a urinary tract infection (UTI)-focused antimicrobial stewardship (AS) intervention at a LTCF, with the secondary objective of exploring the pharmacist's potential roles. Read More

View Article and Full-Text PDF
February 2021

High frequency of Taenia solium antigen positivity in patients admitted for neurological disorders in the Rural Hospital of Mosango, Democratic Republic of Congo.

BMC Infect Dis 2021 Apr 17;21(1):359. Epub 2021 Apr 17.

Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.

Background: The epidemiology of human cysticercosis and neurocysticercosis, caused by the larval stage of the pork tapeworm Taenia solium, is not well known in the Democratic Republic of Congo (DRC). Within a multicenter etiological and diagnostic study conducted by the NIDIAG consortium ("Better Diagnosis for Neglected Infections") and investigating several challenging syndromes, we consecutively evaluated from 2012 to 2015 all patients older than 5 years presenting with neurological disorders (neurology cohort) and with fever > 7 days (persistent fever cohort) at the rural hospital of Mosango, province of Kwilu, DRC. In both cohorts, etiological diagnosis relied on a systematic set of reference laboratory assays and on pre-established clinical case definitions. Read More

View Article and Full-Text PDF

Strategies to manage weight during the holiday season among US adults: A descriptive study from the National Weight Control Registry.

Obes Sci Pract 2021 Apr 15;7(2):232-238. Epub 2020 Dec 15.

The Department of Psychiatry and Human Behavior Alpert Medical School of Brown University Providence Rhode Island USA.

Background: Holidays are challenging for weight control and are consistently associated with weight gain. Managing holiday weight gain may be especially difficult for individuals with higher body weight or a history of overweight/obesity. The current study evaluated how individuals with a history of successful weight loss plan for the holiday season and how the use of weight control strategies was associated with weight change. Read More

View Article and Full-Text PDF

Adaptation of a quality improvement approach to implement eScreening in VHA healthcare settings: innovative use of the Lean Six Sigma Rapid Process Improvement Workshop.

Implement Sci Commun 2021 Apr 7;2(1):37. Epub 2021 Apr 7.

VA Center of Excellence for Stress and Mental Health, 3350 La Jolla Village Dr., San Diego, CA, USA.

Background: The Veterans Health Administration (VHA) developed a comprehensive mobile screening technology (eScreening) that provides customized and automated self-report health screening via mobile tablet for veterans seen in VHA settings. There is agreement about the value of health technology, but limited knowledge of how best to broadly implement and scale up health technologies. Quality improvement (QI) methods may offer solutions to overcome barriers related to broad scale implementation of technology in health systems. Read More

View Article and Full-Text PDF

Distinguishing between healthy and pathological orthorexia: a cluster analytic study.

Eat Weight Disord 2021 Apr 7. Epub 2021 Apr 7.

Centre d'Etudes et de Recherches en Psychopathologie et Psychologie de la Santé, Université de Toulouse-Jean Jaurès, UT2J, 5 allées Antonio Machado, 31058, Toulouse, France.

Purpose: This study represents a first attempt to explore the typology of female adults from a large non-clinical sample based on healthy orthorexia (HO) and pathological orthorexia (orthorexia nervosa, ON).

Methods: 1245 female adults (Mage = 38.04, SD = 9. Read More

View Article and Full-Text PDF

Ecological Systems Affecting Urban Childbearing Puerto Rican Women in the City of Philadelphia.

Matern Child Health J 2021 Mar 24. Epub 2021 Mar 24.

Fitzpatrick College of Nursing, Villanova University, 800 Lancaster Avenue, Villanova, PA, 19085, USA.

Objectives: The purpose of this study was to explore socio-ecological influences affecting the daily lives of urban, pregnant Puerto Rican women and factors negatively influencing their health seeking behaviors related to prenatal care.

Methods: Qualitative, descriptive methods were used including individual interviews and focus groups to obtain maximum understanding of the women's lives. The interviews and focus groups were conducted using a semi-structured interview guide based on various components of the study's conceptual framework. Read More

View Article and Full-Text PDF

High prevalence of dyslipidaemia subtypes and their associated personal and clinical attributes in Malaysian adults: the REDISCOVER study.

BMC Cardiovasc Disord 2021 Mar 23;21(1):149. Epub 2021 Mar 23.

Faculty of Medicine and Health Sciences, UCSI University, No.1, Jalan Menara Gading, UCSI Heights, Taman Connaught, 56000, Cheras, Kuala Lumpur, Malaysia.

Background: Dyslipidaemia refers to lipid abnormalities consisting of either one or any combination of the following: elevated total cholesterol (TC), elevated low-density lipoprotein cholesterol (LDL-c), elevated triglycerides (TG), and low high-density lipoprotein cholesterol (HDL-c). The prevalence of hypercholesterolaemia is steadily increasing in Malaysia. However, data on the prevalence of dyslipidaemia subtypes among Malaysians are lacking. Read More

View Article and Full-Text PDF

Children's Pain at Home After Laparoscopic Appendectomy.

Pain Manag Nurs 2021 Mar 17. Epub 2021 Mar 17.

KaviGlobal, Barrington, Illinois.

Background: Hospitalized children experience moderate-to-severe pain after laparoscopic appendectomy, but knowledge of children's pain experiences after discharge home is limited. Accurate pain assessments are needed to guide appropriate pain treatment.

Aims: To describe children's pain at home after laparoscopic appendectomy. Read More

View Article and Full-Text PDF

Evaluation of Self-medication for Management of Odontogenic Pain in Iranian Patients.

Oral Health Prev Dent 2021 Jan;19(1):179-188

Purpose: Analgesics (painkillers) are one of the most widely used medications to reduce and control pain. The objective of this study was to investigate the self-medication with analgesics (narcotic or non-narcotic) in controlling odontogenic pain in patients visiting dental offices, dental clinics, and the dental school of Kerman.

Materials And Methods: This was a descriptive-analytic study, conducted in 2018. Read More

View Article and Full-Text PDF
January 2021

Disturbed families or families disturbed: a reconsideration.

Eat Weight Disord 2021 Mar 15. Epub 2021 Mar 15.

Schoen Clinic Newbridge, Birmingham, UK.

Background: The relationship between anorexia nervosa (AN) and family disturbance has been a subject of debate since its first description. What began as a clear view of the pathologically disturbed family causing AN has become ever more complex over the decades.

Objective: The aim of this review is to explore the literature to examine the changes and evolution of clinical opinion around family dysfunction and AN over the last 20 years. Read More

View Article and Full-Text PDF

Real-time locating systems to improve healthcare delivery: A systematic review.

J Am Med Inform Assoc 2021 Mar 3. Epub 2021 Mar 3.

Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.

Objective: Modern health care requires patients, staff, and equipment to navigate complex environments to deliver quality care efficiently. Real-time locating systems (RTLS) are local tracking systems that identify the physical locations of personnel and equipment in real time. Applications and analytic strategies to utilize RTLS-produced data are still under development. Read More

View Article and Full-Text PDF

Airway status at arrival to the Emergency department among patients with life threatening emergencies.

J Family Med Prim Care 2020 Dec 31;9(12):6000-6004. Epub 2020 Dec 31.

Department of Emergency Medicine, Christian Medical College, Vellore, Tamil Nadu, India.

Background: Despite the improvement in prehospital care in the last decade in India through dedicated ambulance services, airway management is often performed by undertrained or untrained personnel and remains teetering to the edge of collapse. This study aimed at assessing the airway status in critically ill patients at their arrival to the Emergency Department (ED).

Methods: This prospective study included all triage priority I patients presenting to the ED during August 2017 and September 2017. Read More

View Article and Full-Text PDF
December 2020

A retrospective cohort of coronary artery disease development after at least two angiograms in patients with normal coronary angiograms or mild coronary artery disease.

Caspian J Intern Med 2021 ;12(1):84-90

Department of Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.

Background: Coronary Artery Disease is one of the leading causes of death in the world. CAD usually progresses slowly during time and patients with normal or near-normal coronary arteries are also at risk of developing CAD. It is now believed that even mild atherosclerosis can increase the rate of CAD. Read More

View Article and Full-Text PDF
January 2021

[Overview of the interstitial lung disease in the Southeast of Mexico].

Rev Med Inst Mex Seguro Soc 2021 02 2;59(1):55-64. Epub 2021 Feb 2.

Secretaría de Salud, Hospital Regional de Alta Especialidad de la Península de Yucatán, Departamento de Neumología y Cirugía del Tórax, Mérida, Yucatán, México.

Background: Interstitial lung disease (ILD) corresponds to a heterogeneous group of pathologies that differ in etiology with common clinical and radiological manifestations. In Latin America and Mexico, reports are scarce and the need for studies to understand the scenario is emphasized.

Objective: To analyze a multidimensional profile in patients with interstitial lung disease in Yucatan. Read More

View Article and Full-Text PDF
February 2021

A management model for Hospital Hygiene Unit: evidence-based proactive surveillance of potential environmental sources of infection in order to prevent patient's risk.

J Prev Med Hyg 2020 Dec 14;61(4):E628-E635. Epub 2021 Jan 14.

Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.

Introduction: The aim of this study is to describe a proactive surveillance system of food, water and environmental surfaces, in order to avoid Healthcare-Associated Infections (HAIs) from hospital environment.

Methods: It is a retrospective descriptive study. The surveillance system consists of two integrated phases: pre-analytic and post-analytic. Read More

View Article and Full-Text PDF
December 2020

General anaesthesia related mortality in a limited resource settings region: a retrospective study in two teaching hospitals of Butembo.

BMC Anesthesiol 2021 Feb 23;21(1):60. Epub 2021 Feb 23.

Department of Anaesthesia and Intensive Care, College of Medicine, University of Malawi, Blantyre, Malawi.

Background: General anaesthesia (GA) in developing countries is still a high-risk practice, especially in Africa, accompanied with high morbidity and mortality. No study has yet been conducted in Butembo in the Democratic Republic of the Congo to determine the mortality related to GA practice. The main objective of this study was to assess mortality related to GA in Butembo. Read More

View Article and Full-Text PDF
February 2021

A Novel Cluster Sampling Design that Couples Multiple Surveys to Support Multiple Inferential Objectives.

Health Serv Outcomes Res Methodol 2020 Sep 9;20(2-3):85-110. Epub 2020 Jun 9.

The Dartmouth Institute for Health Policy and Clinical Practice Geisel School of Medicine at Dartmouth Lebanon, NH, USA.

In the United States the number of health systems that own practices or hospitals have increased in number and complexity leading to interest in assessing the relationship between health organization factors and health outcomes. However, the existence of multiple types of organizations combined with the nesting of some hospitals and practices within health systems and the nesting of some health systems within larger health systems generates numerous analytic objectives and complicates the construction of optimal survey designs. An objective function that explicitly weighs all objectives is theoretically appealing but becomes unwieldy and increasingly ad hoc as the number of objectives increases. Read More

View Article and Full-Text PDF
September 2020

Poor Dietary Diversity Is Associated with Stunting among Children 6-23 Months in Area of Mergangsan Public Health Center, Yogyakarta.

J Nutr Sci Vitaminol (Tokyo) 2020 ;66(Supplement):S398-S405

Departement of Nutrition, Faculty of Medicine and Health Sciences Satya Wacana Christian University.

The period of pregnancy and the first two years of children are called the golden period so that the adequacy intake of macro and micronutrients must be fulfilled. Stunting is a chronic undernutrition condition as a result of inadequate quality and quantity of complementary foods with or without infectious diseases. Quality and quantity of complementary foods can affect linear growth. Read More

View Article and Full-Text PDF
January 2020

At-risk population for COVID-19: multimorbidity characteristics of a European small Island state.

Authors:
S Cuschieri S Grech

Public Health 2021 Mar 20;192:33-36. Epub 2021 Jan 20.

Mater Dei Hospital, Msida, Malta. Electronic address:

Objectives: Multimorbidity, defined as the co-occurrence of at least two chronic diseases, is a common occurrence with ageing and a recognised public health concern, especially during the COVID-19 pandemic. The multimorbidity population is more susceptible to the virus, its complications, and death. The study aimed to explore the multimorbidity characteristics and their associations at a population level for the first time in Malta. Read More

View Article and Full-Text PDF

Master Series Microsurgery for Residents: Results from a Comprehensive Survey of a Multitudinous Online Course during COVID-19 Pandemic.

J Reconstr Microsurg 2021 Feb 17. Epub 2021 Feb 17.

Department of Plastic and Reconstructive Surgery, Hospital General Dr. Manuel Gea Gonzalez, México City, México.

Objective:  Since COVID-19 emerged, it has significantly affected medical education. Surgical training has been blocked and the learning curve flattened. However, COVID-19 led to the outbreak of multitudinous online courses. Read More

View Article and Full-Text PDF
February 2021

Determination of Factors Affecting Self-Transcendence and Meaning in Life Among the Elderly Receiving Institutional Care.

J Relig Health 2021 Feb 15. Epub 2021 Feb 15.

Sağlık Hizmetleri Meslek Yüksekokulu Konuralp Yerleşkesi, Düzce University, 81620, Düzce, Turkey.

This study was conducted in order to determine factors that influence self-transcendence and meaning in life in the elderly receiving institutional care. This descriptive and analytic study was conducted on 72 elderly individuals living in a nursing home in Turkey. Data were collected with the Barthel Index of Activities of Daily Living (ADL), the Lawton&Brody Instrumental Activities of Daily Living (IADL), the Meaning in Life Questionnaire (MLQ) and the Self-Transcendence Scale (STS). Read More

View Article and Full-Text PDF
February 2021

Effect of patients beliefs about medications on adherence to drugs in diabetic patients attending family medicine outpatient clinic in Ismailia, Egypt.

J Diabetes Metab Disord 2020 Dec 18;19(2):951-958. Epub 2020 Jul 18.

Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Background: Adherence affected by many factors in the patient or in the treatment. One of these factors is beliefs about medicine, which is modifiable. This study aimed to assess the effect of beliefs about medicines on adherence to medications in diabetic patients. Read More

View Article and Full-Text PDF
December 2020

Nurses' perspectives regarding the relationship between professional ethics and organizational commitment in healthcare organizations.

J Med Ethics Hist Med 2020 8;13:17. Epub 2020 Nov 8.

Associate Professor, Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Nurses' professional and ethical performances are influenced by the health organizations' environment, and high quality and holistic care can only be provided by observing the principles of professional ethics and organizational commitment. Therefore, this study aimed at investigating the relationship between professional ethics and organizational commitment in nurses. This descriptive-analytic study was conducted in hospitals affiliated to Shiraz University of Medical Sciences (SUMS) in 2019 in Iran. Read More

View Article and Full-Text PDF
November 2020

Assessment of HER2 using the 2018 ASCO/CAP guideline update for invasive breast cancer: a critical look at cases classified as HER2 2+ by immunohistochemistry.

Virchows Arch 2021 Feb 1. Epub 2021 Feb 1.

Department of Pathology and Laboratory Medicine, Dalhousie University, Halifax, NS, Canada.

In 2018, the American Society of Clinical Oncology/College of American Pathologists revised the criteria for HER2 immunohistochemistry (IHC) equivocal (2+) classification in their updated guideline. We reviewed invasive breast cancer specimens originally classified as equivocal (2+) under the 2018 guideline that underwent HER2 fluorescence in situ hybridization (FISH) testing from August 2018 to August 2019 at our Canadian reference hospital to investigate cases with ambiguous staining patterns between the 1+ and 2+ definitions. Demographics, pathologic features, and pre-analytic conditions were recorded. Read More

View Article and Full-Text PDF
February 2021

Prevalence of Microalbuminuria in Type 2 Diabetes Mellitus.

Cureus 2020 Dec 27;12(12):e12318. Epub 2020 Dec 27.

Medicine, CMH Lahore Medical College and Institute of Dentistry, Lahore, PAK.

Objective: The presence of albumin in the urine is a marker of glomerular involvement in type 2 diabetes mellitus (T2DM), depicting diabetic nephropathy. Strict glycemic control can prevent and delay the occurrence of microalbuminuria and other diabetic complications. Therefore, we conducted a study to report the prevalence of microalbuminuria in type 2 diabetics along with its association with diabetic control. Read More

View Article and Full-Text PDF
December 2020

Perceived Barriers to Colorectal Cancer Screening among Eligible Adults in Qatar and the Associated Factors: A Cross- Sectional Study

Asian Pac J Cancer Prev 2021 01 1;22(1):45-51. Epub 2021 Jan 1.

Department of Family and Community Medicine, Primary Health Care Corporation, Doha, Qatar.

Background: In Qatar, colorectal cancer (CRC) is the second most common cancer and is projected to be more than triple by 2035. Therefore, CRC periodic screening is vitally important because early detection will improve the success of treatment. In 2016, Qatar established a population-based screening program for CRC targetting average-risk adults. Read More

View Article and Full-Text PDF
January 2021

Extracorporeal cardiopulmonary resuscitation for adults with shock-refractory cardiac arrest.

J Am Coll Emerg Physicians Open 2021 Feb 18;2(1):e12361. Epub 2021 Jan 18.

Department of Emergency Medicine Good Samaritan Hospital Aguadilla Puerto Rico USA.

Background: Veno-arterial extracorporeal membrane oxygenation has increasingly emerged as a feasible treatment to mitigate the progressive multiorgan dysfunction that occurs during cardiac arrest, in support of further resuscitation efforts.

Objectives: Because the recent systematic review commissioned in 2018 by the International Liaison Committee on Resuscitation Advanced Life Support task did not include studies without a control group, our objective was to conduct a review incorporating these studies to increase available evidence supporting the use of extracorporeal cardiopulmonary resuscitation (ECPR) for cardiac arrest patients, while waiting for high-quality evidence from randomized controlled trials (RCTs).

Methods: MEDLINE, Embase, and Science Citation Index (Web of Science) were searched for eligible studies from database inception to July 20, 2020. Read More

View Article and Full-Text PDF
February 2021

Satisfaction with appearance and sexual satisfaction in women with severe burn injuries.

Int J Impot Res 2021 Jan 25. Epub 2021 Jan 25.

Master of Science in Midwifery Consultation, Reproductive Health Research Center, Urmia University of Medical Sciences, Urmia, Iran.

Burn, particularly in women, can cause a variety of difficulties. Women's feelings of themselves and of life satisfaction are affected by their body dimensions and satisfaction with appearance, which can be significant predictors of their sexual satisfaction. Therefore, this study aimed to investigate the relationship between satisfaction with appearance and sexual satisfaction among female patients with severe burn. Read More

View Article and Full-Text PDF
January 2021

Main Concept, Sequencing, and Story Grammar Analyses of Cinderella Narratives in a Large Sample of Persons with Aphasia.

Brain Sci 2021 Jan 15;11(1). Epub 2021 Jan 15.

Department of Speech and Hearing Sciences, University of New Mexico, Albuquerque, NM 87131, USA.

Recently, a multilevel analytic approach called Main Concept, Sequencing, and Story Grammar (MSSG) was presented along with preliminary normative information. MSSG analyses leverage the strong psychometrics and rich procedural knowledge of both main concept analysis and story grammar component coding, complementing it with easy-to-obtain sequencing information for a rich understanding of discourse informativeness and macrostructure. This study is the next critical step for demonstrating the clinical usefulness of MSSG's six variables (main concept composite, sequencing, main concept+sequencing, essential story grammar components, total episodic components, and episodic complexity) for persons with aphasia (PWAs). Read More

View Article and Full-Text PDF
January 2021

The Global Impact of COVID-19 on Craniomaxillofacial Surgeons.

Craniomaxillofac Trauma Reconstr 2020 Sep 31;13(3):157-167. Epub 2020 May 31.

Department of Oral and Maxillofacial Surgery, Erasmus MC, Rotterdam, the Netherlands.

Study Design: The COrona VIrus Disease-19 (COVID-19) pandemic has disrupted craniomaxillofacial (CMF) surgeons practice worldwide. We implemented a cross-sectional study and enrolled a sample of CMF surgeons who completed a survey.

Objective: To measure the impact that COVID-19 has had on CMF surgeons by (1) identifying variations that may exist by geographic region and specialty and (2) measuring access to adequate personal protective equipment (PPE) and identify factors associated with limited access to adequate PPE. Read More

View Article and Full-Text PDF
September 2020