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Coping With Tinnitus During the COVID-19 Pandemic.

Am J Audiol 2021 May 12:1-9. Epub 2021 May 12.

Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX.

Purpose The COVID-19 pandemic disrupted normal operations of health care services, broad sectors of the economy, and the ability to socialize freely. For those with tinnitus, such changes can be factors in exacerbating tinnitus. The purpose of this study was to determine tinnitus help-seeking behavior, which resources individuals utilized to cope during the pandemic, and what additional support is desired. Read More

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Otorhinolaryngologists/head and neck surgeons' knowledge, attitudes, and practices regarding fertility preservation in young cancer patients treated with chemotherapy: an anonymous questionnaire survey.

Int J Clin Oncol 2021 May 6. Epub 2021 May 6.

Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1, Shikada-cho, Kita-ku, Okayama City, Okayama, 700-8558, Japan.

Background: It is well known that chemotherapy for adolescent and young adult (AYA) patients with cancer can reduce fertility regardless of the regimen. A decline in fertility greatly affects the quality of life of cancer survivors in the AYA age group; however, few patients are thought to be receiving fertility preservation measures.

Methods: A questionnaire survey was conducted to assess the current understanding and consideration of fertility among otorhinolaryngologists/head and neck surgeons who treat AYA patients with cancer, and to inform them of the guidelines for fertility preservation. Read More

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Utility of icteric index in clinical laboratories: more than a preanalytical indicator.

Biochem Med (Zagreb) 2021 Jun 15;31(2):020703. Epub 2021 Apr 15.

UGC Laboratory, Puerto Real University Hospital, Cádiz, Spain.

Introduction: Total bilirubin tests are highly demanded in clinical laboratories. Since icteric index (I-index) has zero cost, we aimed to evaluate its clinical utility and cost-effectiveness to determine if total bilirubin is necessary to be tested. We took into account if haemolysis could interfere to icteric index determination. Read More

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Reaching out for Help: Calls to a Mental Health Helpline Prior to and during the COVID-19 Pandemic.

Int J Environ Res Public Health 2021 04 23;18(9). Epub 2021 Apr 23.

Richmond Foundation 424, St. Joseph High Road, SVR 1013 St. Venera, Malta.

The COVID-19 pandemic is a major health crisis associated with adverse mental health consequences. This study examined 2908 calls made to a national mental health helpline over a 10 month period, 2 months prior to (Pre-COVID) and 8 months during the pandemic phase, that incorporated the imposition of a partial lockdown, followed by the removal and reintroduction of restrictive measures locally. Data collected included reason/s for call assistance, gender, age and number of daily diagnosed cases and deaths due to COVID-19. Read More

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Blindness and the Reliability of Downwards Sensors to Avoid Obstacles: A Study with the EyeCane.

Sensors (Basel) 2021 Apr 12;21(8). Epub 2021 Apr 12.

École D'optométrie, Université de Montréal, Montréal, QC H3T 1P1, Canada.

Vision loss has dramatic repercussions on the quality of life of affected people, particularly with respect to their orientation and mobility. Many devices are available to help blind people to navigate in their environment. The EyeCane is a recently developed electronic travel aid (ETA) that is inexpensive and easy to use, allowing for the detection of obstacles lying ahead within a 2 m range. Read More

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"I Still Don't Know What Happened, Complete Blackout": a Content Analysis of Tweets Referencing Alcohol-Induced Amnesia.

Subst Use Misuse 2021 Apr 28:1-6. Epub 2021 Apr 28.

Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island, USA.

Objective: We qualitatively examined the content of alcohol-related blackouts posts ("Tweets") on Twitter, focusing on reflections post-drinking that involved clear references to memory loss.

Methods: We examined publically available Tweets that referenced blackouts after an alcohol consumption event ( = 3,574).

Results: Twitter represents a relatively unfiltered glimpse at reflections on alcohol-induced amnesia. Read More

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Positive COVID19-PCR patients as negative controls for COVID19 antibody tests.

Ann Med Surg (Lond) 2021 May 19;65:102320. Epub 2021 Apr 19.

Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, 22110, Jordan.

COVID-19 serological antibody tests are recently needed for a relatively quick, affordable, and valuable assessment of the immunity toward COVID-19 infection. Furthermore, they can help with evaluating the sufficiency of the vaccination process and its longevity. There are limitations in the current approach of choosing the positive and negative control samples for the validation of those tests. Read More

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Actives from MMV Open Access Boxes? A suggested way forward.

PLoS Pathog 2021 Apr 22;17(4):e1009384. Epub 2021 Apr 22.

PJHW Consultancy Ltd, Marton, United Kingdom.

It is estimated that more than 1 billion people across the world are affected by a neglected tropical disease (NTD) that requires medical intervention. These diseases tend to afflict people in areas with high rates of poverty and cost economies billions of dollars every year. Collaborative drug discovery efforts are required to reduce the burden of these diseases in endemic regions. Read More

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Utilizing Lean software development strategies to improve global eHealth initiatives: viewpoint from a basic emergency care app.

JMIR Form Res 2021 Apr 13. Epub 2021 Apr 13.

Department of Emergency Medicine, University of California, San Francisco, San Francisco, US.

Background: Health systems in low- and middle-income countries (LMICs) face considerable challenges in providing high-quality, accessible care. eHealth has had mounting interest as a possible solution given the unprecedented growth in cell phone and internet technologies in these locations. However, few apps or software programs have as of yet gone beyond the testing phase, most downloads are never opened, and consistent use is extremely rare. Read More

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Applying a machine learning modelling framework to predict delayed linkage to care in patients newly diagnosed with HIV in Mecklenburg County, North Carolina, USA.

AIDS 2021 May;35(Suppl 1):S29-S38

HIV/STD Prevention and Care Branch, North Carolina Department of Health and Human Services, Raleigh, North Carolina, USA.

Background: Machine learning has the potential to help researchers better understand and close the gap in HIV care delivery in large metropolitan regions such as Mecklenburg County, North Carolina, USA.

Objectives: We aim to identify important risk factors associated with delayed linkage to care for HIV patients with novel machine learning models and identify high-risk regions of the delay.

Methods: Deidentified 2013-2017 Mecklenburg County surveillance data in eHARS format were requested. Read More

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Identifying disincentives to ethics consultation requests among physicians, advance practice providers, and nurses: a quality improvement all staff survey at a tertiary academic medical center.

BMC Med Ethics 2021 Apr 13;22(1):44. Epub 2021 Apr 13.

Department of Family Medicine and Public Health, Division of Biostatistics and Bioinformatics, University of California San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.

Background: Ethics consult services are well established, but often remain underutilized. Our aim was to identify the barriers and perceptions of the Ethics consult service for physicians, advance practice providers (APPs), and nurses at our urban academic medical center which might contribute to underutilization.

Methods: This was a cross-sectional single-health system, anonymous written online survey, which was developed by the UCSD Health Clinical Ethics Committee and distributed by Survey Monkey. Read More

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Availability of Emergency Medicine Away Rotations.

AEM Educ Train 2021 Apr 1;5(2):e10487. Epub 2020 Jul 1.

and the Department of Emergency Medicine University of Washington Seattle WA USA.

Objectives: Residency directors in emergency medicine (EM) have been placing increased value on the Standardized Letter of Evaluation to evaluate the escalating numbers of residency applications received each year. This has placed added significance on EM away rotations (ARs). We sought to determine the overall availability of ARs in EM. Read More

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Time Slotted Channel Hopping and ContikiMAC for IPv6 Multicast-Enabled Wireless Sensor Networks.

Sensors (Basel) 2021 Mar 4;21(5). Epub 2021 Mar 4.

Communications Department, Technical University of Cluj-Napoca, 400027 Cluj-Napoca, Romania.

Smart buildings benefit from IEEE 802.15.4e time slotted channel hopping (TSCH) medium access for creating reliable and power aware wireless sensor and actuator networks (WSANs). Read More

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A health-related social needs referral program for Medicaid beneficiaries treated in an emergency department.

Am J Emerg Med 2021 Mar 26;47:119-124. Epub 2021 Mar 26.

Department of Health Policy and Management, Milken Institute School of Public Health, The George Washington University, Washington, DC, United States of America.

Background: Social determinants of health (SDH) play an important role in health outcomes. This study sought to evaluate the effectiveness of a SDH screening and health-related social needs (HRSNs) referral program in an emergency department (ED) setting with adult Medicaid beneficiaries.

Methods: Between November 2016 and March 2017 we enrolled adult Medicaid patients in a prospective cohort study. Read More

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National Bariatric Surgery Registries: an International Comparison.

Obes Surg 2021 Mar 30. Epub 2021 Mar 30.

Department of Surgery, Groene Hart Hospital, Gouda, Netherlands.

Introduction: Pooling population-based data from all national bariatric registries may provide international real-world evidence for outcomes that will help establish a universal standard of care, provided that the same variables and definitions are used. Therefore, this study aims to assess the concordance of variables across national registries to identify which outcomes can be used for international collaborations.

Methods: All 18 countries with a national bariatric registry who contributed to The International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Global Registry report 2019 were requested to share their data dictionary by email. Read More

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Diabetes Engagement and Activation Platform for Implementation and Effectiveness of Automated Virtual Type 2 Diabetes Self-Management Education: Randomized Controlled Trial.

JMIR Diabetes 2021 Mar 29;6(1):e26621. Epub 2021 Mar 29.

Virginia Commonwealth University, Richmond, VA, United States.

Background: Patients with type 2 diabetes require recommendations for self-management education and support.

Objective: In this study, we aim to design the Diabetes Engagement and Activation Platform (DEAP)-an automated patient education tool integrated into primary care workflow-and examine its implementation and effectiveness.

Methods: We invited patients aged 18-85 years with a hemoglobin A (HbA) level ≥8 to participate in a randomized controlled trial comparing DEAP with usual care. Read More

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Recognition of posterior thoracolumbar instrumentations used in spinal deformity surgery and techniques for implant removal.

J Clin Neurosci 2021 Apr 10;86:217-222. Epub 2021 Feb 10.

Krembil Neuroscience Centre, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.

Spinal surgeries requiring implant removals/revisions are becoming more common, as a long time has passed since contemporary spinal instrumentation was developed and utilized. Recognizing implants and manufacturers preoperatively from radiographs and preparing appropriate instruments for removal are mandatory. The objective of the present paper was to review the various designs of contemporary posterior thoracolumbar spinal implants along with their radiographic features to facilitate the identification of previously used systems in removal or revision surgeries. Read More

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Molecular pathology as a diagnostic aid in difficult-to-classify melanocytic tumours with spitzoid morphology.

Eur J Cancer 2021 May 25;148:340-347. Epub 2021 Mar 25.

Department of Dermatology, University Hospital Essen, University of Duisburg-Essen, Hufelandstr. 55, 45122, Essen, Germany; German Cancer Consortium (DKTK), Heidelberg, Germany. Electronic address:

Accurate classification of melanocytic proliferations has important implications for prognostic prediction, treatment and follow-up. Although most melanocytic proliferations can be accurately classified using clinical and pathological criteria, classification (specifically distinction between nevus and melanoma) can be challenging in a subset of cases, including those with spitzoid morphology. Genetic studies have shown that mutation profiles differ between primary melanoma subtypes and Spitz nevi. Read More

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Autopsy-Based Learning is Essential But Underutilized in Medical Education: A Questionnaire Study.

Anat Sci Educ 2021 Mar 17. Epub 2021 Mar 17.

Department of Forensic Medicine, Research Unit of Internal Medicine, Medical Research Center Oulu, University of Oulu, Oulu, Finland.

To this day, autopsies and dissections have been essential in medical education, but declining autopsy numbers have endangered this long-standing tradition. Students' perceptions of these teaching methods should be constantly updated to help educators understand how to achieve their teaching goals. The purpose of this study was to explore the state of autopsy- and dissection-based teaching in two Finnish universities based on the experiences of the students, survey their perceptions of such teaching, and to compare the Finnish situation with students' perceptions in other countries as it emerges from medical literature. Read More

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Ethics Consultation in Surgical Specialties.

HEC Forum 2021 Mar 5. Epub 2021 Mar 5.

Department of Medicine, Division of Medical Ethics, Weill-Cornell Medicine, 407 E.61st St., RR-212, New York, NY, 10065, USA.

Multiple studies have been performed to identify the most common ethical dilemmas encountered by ethics consultation services. However, limited data exists comparing the content of ethics consultations requested by specific hospital specialties. It remains unclear whether the scope of ethical dilemmas prompting an ethics consultation differ between specialties and if there are types of ethics consultations that are more or less frequently called based on the specialty initiating the ethics consult. Read More

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Development and feasibility testing of a play-based psychosocial intervention for reduced patient stress in a pediatric care setting: experiences from Pakistan.

Pilot Feasibility Stud 2021 Mar 6;7(1):63. Epub 2021 Mar 6.

Teach for Pakistan, Karachi, Pakistan.

Background: Hospitalization can be a source of great stress for children and their families. In high-income countries, there are specialized staff to help children cope using different techniques including play. However, it is a major challenge in low and middle-income countries (LMIC) due to financial constraints and untrained human resource. Read More

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Improvement of the Working Environment and Daily Work-Related Tasks of Dental Hygienists Working in Private Dental Offices from the Japan Dental Hygienists' Association Survey 2019.

Dent J (Basel) 2021 Feb 19;9(2). Epub 2021 Feb 19.

Japan Dental Hygienists' Association, Tokyo 169-0071, Japan.

A dental hygienist performs various daily work-related tasks. The aim of this study was to elucidate the daily work-related tasks of Japanese dental hygienists and construct groups to understand the relationships between daily work-related tasks, the attractiveness of dental hygienist work, and the improvement of the working environment. The Japan Dental Hygienists' Association has conducted a postal survey on the employment status of dental hygienists in Japan every five years since 1981. Read More

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February 2021

[Effects of Palliative Care Consultation on Medicals in Peking Union Medical College Hospital].

Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2021 Feb;43(1):9-14

School of Nursing,CAMS and PUMC,Beijing 100144,China.

Objective To explore the effects of palliative care consultation on medical professionals who have requested it in Peking Union Medical College Hospital. Methods Semi-structured interviews were conducted with 17 medical professionals who had requested palliative care consultation.Results Palliative care consultation had the following positive effects:building a bridge for doctor-patient communication,providing psychological support to reduce the sense of occupational exhaustion for medical professionals,providing technical support for medical professionals to help patients relieve symptoms,helping medical professionals in the multidisciplinary learning of palliative care,adding humanistic care and neglected ethical concerns. Read More

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February 2021

Monitoring the effects of COVID-19 in emerging adults with pre-existing mood and anxiety disorders.

Early Interv Psychiatry 2021 Mar 3. Epub 2021 Mar 3.

Lawson Health Research Institute, London Health Sciences Centre, London, Ontario, Canada.

Aim: The COVID-19 quarantine closed many mental health services. Emerging adults with pre-existing mood or anxiety disorders were of concern for worsening symptoms. We sought to demonstrate a method for monitoring mental health status of a group of patients with reduced access to their usual mental health services during quarantine. Read More

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Exploring the feasibility and acceptability of integrating screening for gender-based violence into HIV counselling and testing for adolescent girls and young women in Tanzania and South Africa.

BMC Public Health 2021 Mar 3;21(1):433. Epub 2021 Mar 3.

Wits Reproductive Health Institute, Witwatersrand University, Johannesburg, South Africa.

Background: Gender-based violence (GBV) undermines HIV prevention and treatment cascades, particularly among women who report partner violence. Screening for violence during HIV testing, and prior to offering pre-exposure prophylaxis (PrEP) to HIV uninfected women, provides an opportunity to identify those at heightened HIV risk and greater potential for non-adherence or early discontinuation of PrEP. The paper describes our experience with offering integrated GBV screening and referral as part of HIV counselling and testing. Read More

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Unintentional exposure and incidental findings during conventional chest radiography in the pediatric intensive care unit.

Medicine (Baltimore) 2021 Mar;100(9):e24760

College of Medicine, King Saud University.

Abstract: Radiation overexposure is common in chest X-ray (CXRs) of pediatric patients. However, overexposure may reveal incidental findings that can help to guide patient management or warrant quality improvement.To assess the prevalence of overexposure in CXRs in pediatric intensive care unit (PICU); and identify the incidental findings within overexposed areas, we conducted a retrospective cohort study of children who were admitted to PICU. Read More

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Initial Results and Patient Survey of Virtual Inpatient Ophthalmology Consultations During the COVID-19 Pandemic.

Semin Ophthalmol 2021 Feb 27:1-8. Epub 2021 Feb 27.

Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

: To examine the uptake, results, and patient assessment of virtual inpatient ophthalmology consultations at our academic medical center during the COVID-19 pandemic. Retrospective review, pre and post COVID analysis, and teleophthalmology patient survey in the inpatient and emergency setting. Adult patients at our medical center for whom ophthalmology consultation was requested from February 24 through April 19, 2020. Read More

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February 2021

Combining a Hudl App With Telehealth to Increase Home Exercise Program Adherence in People With Chronic Diseases Experiencing Financial Distress: Randomized Controlled Trial.

JMIR Form Res 2021 Mar 18;5(3):e22659. Epub 2021 Mar 18.

Hennepin County Medical Center, Minneapolis, MN, United States.

Background: Patients with chronic diseases often need to adhere to long-term individualized home exercise programs (HEPs). Limited adherence to long-term exercise given during physical therapy (PT) visits reduces the capacity of exercise to manage or improve symptoms related to chronic disease. In addition, a lower socioeconomic status negatively impacts exercise adherence. Read More

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Co-Designing a Mobile App to Improve Mental Health and Well-Being: Focus Group Study.

JMIR Form Res 2021 Feb 26;5(2):e18172. Epub 2021 Feb 26.

Faculty of Computer Science, Dalhousie University, Halifax, NS, Canada.

Background: Recent advances in mobile technology have created opportunities to develop mobile apps to aid and assist people in achieving various health and wellness goals. Mental health apps hold significant potential to assist people affected by various mental health issues at any time they may need it, considering the ubiquitous nature of mobile phones. However, there is a need for research to explore and understand end users' perceptions, needs, and concerns with respect to such technologies. Read More

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February 2021

Diagnostic Reboot: A Proposal to Improve Diagnostic Reasoning.

Cureus 2021 Jan 14;13(1):e12698. Epub 2021 Jan 14.

Internal Medicine, University of Illinois College of Medicine at Peoria, Peoria, USA.

Background Diagnostic errors contribute to the morbidity and mortality of patients. We created and utilized a novel diagnostic tool (Diagnostic Reboot) and assessed its practical efficacy in the inpatient setting for improving diagnostic outcomes. Design This was a prospective sequential controlled study that involved University Hospitalist Adult Teaching Service (UHATS) teams. Read More

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January 2021