22,406 results match your criteria standardized healthcare

Evolving Cost-Quality Relationship in Pediatric Heart Surgery.

Ann Thorac Surg 2021 Jun 8. Epub 2021 Jun 8.

Department of Surgery, University of Florida, Gainesville, FL.

Background: For the >40,000 US children undergoing congenital heart surgery annually, the relationship between hospital quality and costs remains unclear. Prior studies report conflicting results and clinical outcomes have continued to improve over time. We examined a large contemporary cohort, aiming to better inform ongoing initiatives seeking to optimize healthcare value in this population. Read More

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Prevalence of active tuberculosis disease among healthcare workers and support staff in healthcare settings of the Amhara region, Ethiopia.

PLoS One 2021 11;16(6):e0253177. Epub 2021 Jun 11.

KNCV Tuberculosis Foundation, The Hague, The Netherlands.

Background: Health care workers (HCWs) are at an increased risk of acquiring tuberculosis (TB) compared to the general population, because of the frequent face to face contact or potential exposure to TB through shared air or space with infectious patient(s), regardless of economic setting and local TB incidence. Information on the burden of active TB disease among HCWs will help guide control measures, can be utilized to evaluate the effectiveness of TB infection prevention programs in the health care setting, and guide necessary actions. However, data on TB among HCW in Ethiopia is limited. Read More

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Can the Knee Outcome and Osteoarthritis Score (KOOS) Function Subscale Be Linked to the PROMIS Physical Function to Crosswalk Equivalent Scores?

Clin Orthop Relat Res 2021 Jun 11. Epub 2021 Jun 11.

Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Background: An increased focus on patient-reported outcome measures (PROMs) has led to a proliferation of these measures in orthopaedic surgery. Mandating a single PROM in clinical and research orthopaedics is not feasible given the breadth of data already collected with older measures and the emergence of psychometrically superior measures. Creating crosswalk tables for scores between measures allows providers to maintain control of measure choice. Read More

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Bladder and upper urinary tract cancers as first and second primary cancers.

Cancer Rep (Hoboken) 2021 Jun 11:e1406. Epub 2021 Jun 11.

Division of Molecular Genetic Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Background: Previous population-based studies on second primary cancers (SPCs) in urothelial cancers have focused on known risk factors in bladder cancer patients without data on other urothelial sites of the renal pelvis or ureter.

Aims: To estimate sex-specific risks for any SPCs after urothelial cancers, and in reverse order, for urothelial cancers as SPCs after any cancer. Such two-way analysis may help interpret the results. Read More

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Assessing the impact of multiple ultraviolet disinfection cycles on N95 filtering facepiece respirator integrity.

Sci Rep 2021 Jun 10;11(1):12279. Epub 2021 Jun 10.

Department of Civil and Resource Engineering, Centre for Water Resources and Studies, Dalhousie University, 1360 Barrington St., Halifax, NS, B3H 4R2, Canada.

During the COVID-19 pandemic, N95 filtering facepiece respirators (FFRs) were recommended to protect healthcare workers when providing care to infected patients. Despite their single-use disposable nature, the need to disinfect and repurpose FFRs is paramount during this global emergency. The objectives of this study were to (1) determine if UV treatment has an observable impact on respirator integrity; (2) test the impact of UV treatment on N95 FFR user fit; and (3) test the impact of UV treatment on FFR integrity. Read More

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The need for a standardized conceptual term to describe invalidation of patient symptoms.

J Health Psychol 2021 Jun 11:13591053211024718. Epub 2021 Jun 11.

Rutgers University, New Brunswick, NJ, USA.

In this paper, I comment on a growing literature documenting that many patients perceive their symptoms have been dismissed, ignored, not taken seriously, not believed, etc. (i.e. Read More

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Impact of a personalized mHealth program for type 2 diabetes mellitus during the COVID-19 pandemic: single-group pre-post retrospective analysis.

JMIR Diabetes 2021 Jun 6. Epub 2021 Jun 6.

NOVI Health, Singapore, SG.

Background: With increasing type 2 diabetes mellitus (T2DM) prevalence, there is a need for effective programs that support diabetes management and improve T2DM outcomes. Mobile health (mHealth) interventions have shown promising results. With advances in wearable sensors and improved integration, mHealth programs could become more accessible and personalized. Read More

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Subthreshold laser therapy with a standardized macular treatment pattern in chronic central serous chorioretinopathy.

Graefes Arch Clin Exp Ophthalmol 2021 Jun 10. Epub 2021 Jun 10.

Department of Ophthalmology, Ludwig-Maximilians-University Munich, Mathildenstrasse 8, 80336, Munich, Germany.

Purpose: There is an ongoing controversial debate about the effectiveness of laser treatments in chronic central serous chorioretinopathy (cCSC). We performed a prospective non-randomized interventional study to learn about the effects of a subthreshold laser treatment (Topcon Endpoint Management™, Topcon Healthcare Inc., Tokyo, Japan) in patients with cCSC. Read More

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Assessment of hand or foot eczema and contact dermatitis among car mechanics.

Eur Rev Med Pharmacol Sci 2021 May;25(10):3737-3744

Department of Dermatology, College of Medicine, Majmaah University, Al Majmaah, Saudi Arabia.

Objective: Exposure to mineral oil and petroleum derivatives is common among motor vehicle repair workers, leading to occupation-related dermatological conditions.

Objective: We aimed to determine the prevalence of contact dermatitis among workers of car garages in the unorganized sector and to explore their personal safety measures.

Subjects And Methods: This prospective community-based study was conducted among 200 workers aged 18 years and above employed at 70 car garages in Majmaah City, Saudi Arabia. Read More

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The role of combination therapy in the treatment of severe infections caused by carbapenem resistant gram-negatives: a systematic review of clinical studies.

BMC Infect Dis 2021 Jun 9;21(1):545. Epub 2021 Jun 9.

Division of Infectious Diseases, Department of Diagnostic and Public Health, University of Verona, P.Le L.A. Scuro 10, 37134, Verona, Italy.

Background: Effective treatment of sepsis due to carbapenem-resistant Gram-negative bacteria (CR-GNB) remains a challenge for clinicians worldwide. In recent years, the combination of antibiotics has become the preferred treatment strategy for CR-GNB infection. However, robust evidence to support this approach is lacking. Read More

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Prospective Assessment of SARS-CoV-2 Seroconversion (PASS) study: an observational cohort study of SARS-CoV-2 infection and vaccination in healthcare workers.

BMC Infect Dis 2021 Jun 9;21(1):544. Epub 2021 Jun 9.

Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

Background: SARS-CoV-2 is a recently emerged pandemic coronavirus (CoV) capable of causing severe respiratory illness. However, a significant number of infected people present as asymptomatic or pauci-symptomatic. In this prospective assessment of at-risk healthcare workers (HCWs) we seek to determine whether pre-existing antibody or T cell responses to previous seasonal human coronavirus (HCoV) infections affect immunological or clinical responses to SARS-CoV-2 infection or vaccination. Read More

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Hospital-in-the-Home as a Model for Mental Health Care Delivery: A Narrative Review.

Psychiatr Serv 2021 Jun 9:appips202000763. Epub 2021 Jun 9.

Barwon Health, Geelong, Victoria, Australia.

Objective: Hospital-in-the-home (HITH) is a service model widely adopted in medical specialties to help alleviate pressure on the availability of inpatient beds and allow patients to receive acute care in familiar surroundings. To date, such models are not widely utilized in mental health care. The authors review existing HITH-type mental health services, focusing on the domains of design, implementation, and outcomes. Read More

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Randomized Trial of Fetal Surgery for Severe Left Diaphragmatic Hernia.

N Engl J Med 2021 Jun 8. Epub 2021 Jun 8.

From the Department of Obstetrics and Gynecology, KU Leuven (J.A.D., F.M.R.) and Academic Department of Development and Regeneration, Biomedical Sciences, University Hospitals KU Leuven, Leuven, Belgium (J.A.D., B.V.C., F.M.R.); King's College Hospital (K.H.N.) and the Institute for Women's Health, University College London Hospital (J.A.D.) - both in London; Hospital Antoine-Béclère, Université Paris-Saclay, Clamart, France (A.B.); Hospital Clinic and Sant Joan de Déu, Barcelona (E.G.); Mount Sinai Hospital, Toronto (G.R.); Hospital Maggiore Policlinico, Milan (N.P.); the National Center for Child Health and Development, Tokyo (H.S.); Children's Memorial Hermann Hospital, Houston (A.J.); the Medical University of Warsaw, Warsaw, Poland (M.W.); and University Hospital Bonn, Bonn, Germany (C.B.).

Background: Observational studies have shown that fetoscopic endoluminal tracheal occlusion (FETO) has been associated with increased survival among infants with severe pulmonary hypoplasia due to isolated congenital diaphragmatic hernia on the left side, but data from randomized trials are lacking.

Methods: In this open-label trial conducted at centers with experience in FETO and other types of prenatal surgery, we randomly assigned, in a 1:1 ratio, women carrying singleton fetuses with severe isolated congenital diaphragmatic hernia on the left side to FETO at 27 to 29 weeks of gestation or expectant care. Both treatments were followed by standardized postnatal care. Read More

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A systematic review and meta-analysis of cell-based interventions in experimental diabetic kidney disease.

Stem Cells Transl Med 2021 Jun 9. Epub 2021 Jun 9.

Kern Center Affiliate, Mayo Clinic, Rochester, Minnesota, USA.

Regenerative, cell-based therapy is a promising treatment option for diabetic kidney disease (DKD), which has no cure. To prepare for clinical translation, this systematic review and meta-analysis summarized the effect of cell-based interventions in DKD animal models and treatment-related factors modifying outcomes. Electronic databases were searched for original investigations applying cell-based therapy in diabetic animals with kidney endpoints (January 1998-May 2019). Read More

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Pain Pharmacotherapy in a Large Cohort of Patients with Osteoarthritis: A Real-World Data Analysis.

Rheumatol Ther 2021 Jun 9. Epub 2021 Jun 9.

Barzilai Medical Center Ashkelon Israel, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Introduction: There is limited evidence on the consumption of analgesics in real-world large cohorts of patients with osteoarthritis (OA), especially in those with comorbidities. We aimed to characterize the use of pharmacological analgesic treatments, evaluate standardized comorbidity rates, and assess treatment trends. Our hypotheses were: (1) OA patients generally consume low and inconsistent pharmacological analgesic treatments; (2) analgesic treatment is often non-congruent with comorbidity-related safety concerns. Read More

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Trends in benzodiazepine receptor agonists use and associated factors in the Belgian general older population: analysis of the Belgian health interview survey data.

Ther Adv Psychopharmacol 2021 25;11:20451253211011874. Epub 2021 May 25.

Clinical Pharmacy Research Group, Louvain Drug Research Institute, Université catholique de Louvain, Brussels, Belgium.

Background: Benzodiazepine receptor agonists (BZRA), which include benzodiazepines and z-drugs, are commonly prescribed for insomnia and anxiety in older adults, and used often long term. Yet, the risk-benefit ratio of BZRA use in older adults may be unfavorable and many recommendations suggest avoidance or a maximal treatment duration of 4 weeks. The aim of this study was to describe trends of BZRA use in older adults and associated factors. Read More

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The determinants of 5th minute low Apgar score among newborns who delivered at public hospitals in Hawassa City, South Ethiopia.

BMC Pediatr 2021 Jun 8;21(1):266. Epub 2021 Jun 8.

Department of Public Health, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.

Background: Newborn morbidity and mortality are forecasted using the Apgar scores. Obstetricians worldwide have used the Apgar score for more than half a century for the assessment of immediate newborn conditions. It is a simple and convenient evaluation system that offers a standardized and effective assessment of newborn infants. Read More

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A core Outcome Set for Seamless, Standardized Evaluation of Innovative Surgical Procedures and Devices (COHESIVE): A Patient and Professional Stakeholder consensus Study.

Ann Surg 2021 Jun 7. Epub 2021 Jun 7.

National Institute for Health Research Bristol and Weston Biomedical Research Centre, Bristol Centre for Surgical Research, Bristol Medical School: Population Health Sciences, University of Bristol, 39 Whatley Road, Clifton, Bristol, BS8 2PS, UK Gastrointestinal Surgery, North Bristol NHS Trust, Southmead Road, Bristol, BS10 5NB Division of Surgery, Bristol Royal Infirmary, University Hospitals Bristol NHS Foundation Trust, Bristol, BS2 8HW Bristol Breast Care Centre, North Bristol NHS Trust, Southmead Road, Bristol, BS10 5NB.

Objective: To develop a core outcome set (COS), an agreed minimum set of outcomes to measure and report in all studies evaluating the introduction and evaluation of novel surgical techniques.

Summary Background Data: Agreement on the key outcomes to measure and report for safe and efficient surgical innovation is lacking, hindering transparency and risking patient harm.

Methods: (I) Generation of a list of outcome domains from published innovation-specific literature, policy/regulatory body documents, and surgeon interviews; (II) Prioritization of identified outcome domains using an international, multi-stakeholder Delphi survey; (III) Consensus meeting to agree the final COS. Read More

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Changes in Language Style and Topics in an Online Eating Disorder Community at the Beginning of the Global COVID-19 Pandemic: Observational Study.

J Med Internet Res 2021 May 18. Epub 2021 May 18.

Center for Psychotherapy Research, University Hospital Heidelberg, Bergheimer Strasse 54, Heidelberg, DE.

Background: The novel 2019 coronavirus disease (COVID-19) has affected individuals with lived experience of eating disorders (ED) strongly with many reporting higher psychological distress, higher prevalence of ED symptoms and compensatory behaviors. The COVID-19 pandemic and the health and safety measures taken to contain its spread also disrupted routines and reduced access to familiar coping mechanisms, social support networks, and healthcare services. Social media and the ED communities on social media platforms have been an important source for support for individuals with ED in the past. Read More

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A pre-post evaluation of oncology healthcare providers' knowledge, attitudes, and practices following the implementation of a complementary medicine practice guideline.

Support Care Cancer 2021 Jun 7. Epub 2021 Jun 7.

College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, 89 Curry Place, Winnipeg, MB, R3T 2N2, Canada.

Purpose: Complementary medicine (CM) use is prevalent among cancer patients, yet it is often not assessed by oncology healthcare providers (HCPs). The purpose of this study was to evaluate oncology HCPs' knowledge, attitudes, and practices surrounding CM use before and after the implementation of a practice guideline focusing on standardizing assessment and documentation of CM.

Methods: Oncology HCPs across a provincial cancer agency were invited to participate in the study. Read More

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Standardized reporting of gastroenterology-related social media scholarship for career advancement.

Nat Rev Gastroenterol Hepatol 2021 Jun 7. Epub 2021 Jun 7.

Division of Gastroenterology and Hepatology, Johns Hopkins School of Medicine, Washington, DC, USA.

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Development of priorities for a Canadian strategy to advance activity-based therapies after spinal cord injury.

Spinal Cord 2021 Jun 7. Epub 2021 Jun 7.

Spinal Cord Injury Ontario, Toronto, ON, Canada.

Study Design: Participatory design.

Objectives: Activity-based therapies (ABT) have physical and psychosocial benefits for individuals with spinal cord injury (SCI). A Canadian ABT summit was held to: (1) identify methods used in stroke rehabilitation that may be appropriate for SCI; (2) understand the current state of ABT activities in Canada; and (3) identify priorities for ABT research and care for the next five years. Read More

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Is the Consensual Threshold for Defining High Glucose Variability Implementable in Clinical Practice?

Diabetes Care 2021 Jun 7. Epub 2021 Jun 7.

Department of Diabetology and Endocrinology, Lariboisière Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France

Objective: Estimating glycemic variability (GV) through within-day coefficient of variation (%CV) is recommended for patients with type 1 Diabetes (T1D). High GV (hGV) is defined as %CV > 36%. However, continuous glucose monitoring (CGM) devices provide exclusively total CV (%CV). Read More

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An Interprofessional Approach to Advance Care Planning.

Am J Hosp Palliat Care 2021 Jun 7:10499091211019316. Epub 2021 Jun 7.

Dell Medical School, 12330The University of Texas, Austin, TX, USA.

Context: Advance care planning (ACP) can improve patients' outcomes at end of life, and interprofessional collaboration has been recommended to facilitate ACP. However, role confusion in ACP facilitation among team members from different disciplines exists, and health professional disciplines' expectations for interprofessional collaboration in ACP are unclear.

Objective: To review expectations of major health professional organizations for ACP competencies, in order to identify gaps and opportunities for promoting interprofessional collaboration in ACP facilitation. Read More

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Filmed Monologue Vignettes: a novel method for investigating how clinicians document consultations in electronic health records.

Int J Popul Data Sci 2018 Nov 14;3(1):430. Epub 2018 Nov 14.

Division of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, UK.

Introduction And Objectives: The accuracy of conclusions from research based on Electronic Healthcare Records (EHRs) is highly dependent on the correct selection of descriptors (codes) by users, but few methods exist for examining quality and drivers of documentation. We aimed to evaluate the feasibility and acceptability of filmed vignette monologues as a resource-light method of assessing and comparing how different EHR users record the same clinical scenario.

Methods: Six short monologues portraying simulated patients presenting allergic conditions to their General Practitioners were filmed head-on then electronically distributed for the study; no researcher was present during data collection. Read More

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November 2018

Survey of renin and aldosterone testing practices by Ontario laboratories - Providing insight into best practices.

Pract Lab Med 2021 May 23;25:e00229. Epub 2021 Apr 23.

Endocrinology and Immunology Scientific Committee, Institute for Quality Management in Healthcare, Toronto, Ontario, Canada.

Objectives: Testing for renin and aldosterone in clinical laboratories is complicated by pre-analytical considerations such as the posture for blood collection and susceptibility to cryoactivation of renin. From an analytical perspective, there are both renin activity and renin mass or concentration assays available. There can also be variability in result reporting practices and the aldosterone-renin ratio (ARR) cut-off applied to screen for primary aldosteronism (PA). Read More

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Knowledge, Attitude, and Practice towards Labor Pain Management and Associated Factors among Skilled Birth Attendants Working at Hospitals Found in Central, West, and North Gondar Zones, Northwest Ethiopia, 2019: A Multicenter Cross-Sectional Study.

Pain Res Manag 2021 13;2021:8835677. Epub 2021 May 13.

Department of Public Health, College of Health Sciences, Woldia University, Woldia, Ethiopia.

Introduction: Delivery of the infant into the arms of a conscious and pain-free mother is the most exciting and rewarding moment in maternal care services. Physical and mental care of women during delivery requires good knowledge and a positive insight to the needs and rights of the mothers. Little was known regarding skilled birth attendants' knowledge, attitude, and practice towards labor pain management in the study area. Read More

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On-road driving test performance in veterans: Effects of age, clinical diagnosis and cognitive measures.

J Safety Res 2021 Jun 23;77:40-45. Epub 2021 Feb 23.

Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, United States; Oregon Center for Aging & Technology, Portland, OR, United States; Department of Psychiatry, University of Minnesota, Minneapolis, MN, United States.

Introduction: Veterans are at heightened risk of being in a motor-vehicle crash and many fail on-road driving evaluations, particularly as they age. This may be due in part to the high prevalence of age-associated conditions impacting cognition in this population, including neurodegenerative diseases (e.g. Read More

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Changes in Superior Displacement, Angulation, and Shortening in the Early Phase of Healing for Completely Displaced Midshaft Clavicle Fractures in Adolescents: Results from a Prospective, Multicenter Study.

J Shoulder Elbow Surg 2021 Jun 2. Epub 2021 Jun 2.

Texas Scottish Rite Hospital for Children, Dallas, TX, USA.

Background: Progressive displacement of diaphyseal clavicle fractures has been observed in adult patients, at times necessitating a change from non-operative to operative treatment. Whether this occurs in adolescent patients has not been well investigated. The purpose of this study was to assess the rate and extent of progressive clavicle fracture displacement in adolescent patients following injury and during the early stages of healing. Read More

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