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Addressing virtual care disparities for patients with limited English proficiency.

Am J Manag Care 2022 Jan;28(1):36-40

Disparities Solutions Center, Massachusetts General Hospital, 100 Cambridge St, 16th Fl, Boston, MA 02114. Email:

During a surge of COVID-19 cases, the majority of care delivery at a large academic medical center moved to virtual care. Due to COVID-19-associated regulatory changes, virtual care is now delivered through telephone and videoconferencing platforms. Although virtual platforms allow patients to access care while socially distancing, patients with limited English proficiency (LEP) face structural barriers to these platforms, including lack of access to technology, need for medical interpreters, unfriendly patient portals, and increased privacy concerns. Read More

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January 2022

Parental Satisfaction from Telemedicine in the Follow-up of Children Operated for Craniosynostosis during COVID-19 Pandemic.

Cleft Palate Craniofac J 2022 Jan 19:10556656221074214. Epub 2022 Jan 19.

112816University Hospital with Polyclinic at F. D. Roosevelt, Banska Bystrica and Comenius University, Bratislava, Slovak Republic.

Objective: The current study aimed to evaluate the satisfaction level of parents from telemedicine use in the long-term follow-up of children operated for craniosynostosis during the COVID-19 pandemic.

Design: A cross-sectional 9-question survey analysis using Qualtrics survey software.

Setting: An institutional study carried out at a national, tertiary level academic center in the Slovak Republic. Read More

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January 2022

Automated evaluation of retinal pigment epithelium disease area in eyes with age-related macular degeneration.

Sci Rep 2022 Jan 18;12(1):892. Epub 2022 Jan 18.

Kobe City Eye Hospital, 2-1-8 Minatojima Minamimachi, Chuo-ku, Kobe, Hyogo, 650-0047, Japan.

The retinal pigment epithelium (RPE) is essential for the survival and function of retinal photoreceptor cells. RPE dysfunction causes various retinal diseases including age-related macular degeneration (AMD). Clinical studies on ES/iPS cell-derived RPE transplantation for RPE dysfunction-triggered diseases are currently underway. Read More

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January 2022

Analysis of urgent follow up visits and complications after intravitreal injections: a retrospective cohort study.

Int J Retina Vitreous 2022 Jan 18;8(1). Epub 2022 Jan 18.

Retina Associates of Cleveland Inc, 24075 Commerce Park, Cleveland, OH, USA.

Background: Intravitreal injections (IVIs), a common treatment in ophthalmology, result in acute complications and urgent follow-up visits causing significant burden to both patient and physician. We evaluated the incidence of acute complications following IVIs which occurred within seven days of injection.

Methods: A retrospective cohort study conducted at a private retinal practice, in Cleveland, Ohio. Read More

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January 2022

The Effect of Speed and Rotation for Protaper File Systems on Postobturation Pain in a Single Visit and Multiple (Two) Visits in Root Canal Therapy: An Study.

J Int Soc Prev Community Dent 2021 Nov-Dec;11(6):695-702. Epub 2021 Sep 28.

Department of Endodontics and Restorative Dentistry, Mekelle University, Mek'ele, Ethiopia.

Introduction: The basic idea of a root canal treatment is to alleviate the pain and heal the infection within the infected tooth, which can be resolved in a single visit or multiple visits in root canal therapy. Therefore, in this article, an comparison of single visits and multiple visits using different rotation and speed for two Protaper universal design file systems is done on the basis of time taken and incidence of pain.

Materials And Methods: One hundred single-rooted premolars with irreversible symptomatic pulpitis were assigned to two groups of 50 patients each using the odd-even method, GA to be treated endodontically in a single visit and GB to be treated endodontically in multiple visits. Read More

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September 2021

The Use of Scapular Bone Flaps During Head-and-Neck Reconstruction: Functional, Orthopedic, and Quality of Life Analyses of Flap-Harvest-Related Deficits.

J Craniofac Surg 2022 Jan 14. Epub 2022 Jan 14.

Department of Oncological, Reconstructive Maxillofacial Surgery, Umberto I Polyclinic, "La Sapienza University of Rome" Department of Shoulder Surgery, Concordia Hospital for Special Surgery, Rome, Italy.

Abstract: The authors sought correlations between harvesting of the scapular bone tip free flap used for head-and-neck reconstruction and any shoulder function deficit, particularly at the level of the rotator cuff. The flap permits reconstruction of large and diverse regions of the head and neck, but long-term harvest morbidity has not been investigated extensively. The authors analyzed the clinical records of all patients who underwent head-and-neck reconstructions using free scapular tip flaps in our department over the past 5 years. Read More

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January 2022

Development and validation of preconception care improvement scale (PCIS) in a resource-limited setting.

BMC Pregnancy Childbirth 2022 Jan 11;22(1):28. Epub 2022 Jan 11.

Department of Health, Behavior and Society, Faculty of Public Health, Jimma University, Jimma, Ethiopia.

Background: Preconception care helps to close the gaps in a continuum of care. It is of paramount importance to reduce maternal and child adverse pregnancy outcomes, increase the utilization of services such as antenatal care, skilled delivery care, and post-natal care, and improve the lives of future generations. Therefore, a validated instrument is required. Read More

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January 2022

Assaults in schools: Findings using a national data base.

J Forensic Leg Med 2022 Jan 4;86:102306. Epub 2022 Jan 4.

Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.

Background: Assaults can occur at schools/educational facilities involving students, teachers and other school employees. It was the purpose of this study to correlate injury patterns with patient demographics in school assault victims. Understanding injury patterns with their associated demographics will not only be useful for health care providers but can also assist in proposing prevention strategies for both students and school employees. Read More

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January 2022

Evaluation of compliance with early postbirth follow-up and unnecessary visits to the paediatric emergency department: a prospective observational study at the Lenval Children's Hospital in Nice.

BMJ Open 2022 Jan 6;12(1):e056476. Epub 2022 Jan 6.

Equipe de Recherche EA 3279 - Centre d'Études et de Recherche sur les Services de Santé et la Qualité de Vie, Aix-Marseille Université, Marseille, France.

Objective: To evaluate compliance with the French National Authority for Health's (Haute Autorité de Santé, HAS) postbirth follow-up recommendations for newborns attending our paediatric emergency department (PED) and identify risk factors associated with non-compliance and unnecessary emergency department utilisation.

Design: Prospective, single centre.

Setting: Fourth biggest PED in France in terms of attendance (CHU-Lenval). Read More

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January 2022

Do empowered women receive better quality antenatal care in Pakistan? An analysis of demographic and health survey data.

PLoS One 2022 6;17(1):e0262323. Epub 2022 Jan 6.

Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.

Introduction: Quality antenatal care is a window of opportunity for improving maternal and neonatal outcomes. Numerous studies have shown a positive effect of women empowerment on improved coverage of maternal and reproductive health services, including antenatal care (ANC). However, there is scarce evidence on the association between women's empowerment and improved ANC services both in terms of coverage and quality. Read More

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January 2022

Automated provision of clinical routine data for a complex clinical follow-up study: A data warehouse solution.

Health Informatics J 2022 Jan-Mar;28(1):14604582211058081

Comprehensive Heart Failure Center and Department of Internal Medicine I, 27207University and University Hospital Würzburg, Würzburg, Germany.

A deep integration of routine care and research remains challenging in many respects. We aimed to show the feasibility of an automated transformation and transfer process feeding deeply structured data with a high level of granularity collected for a clinical prospective cohort study from our hospital information system to the study's electronic data capture system, while accounting for study-specific data and visits. We developed a system integrating all necessary software and organizational processes then used in the study. Read More

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January 2022

Patient and retina specialists' preferences in neovascular age-related macular degeneration treatment. A discrete choice experiment.

PLoS One 2021 31;16(12):e0261955. Epub 2021 Dec 31.

Health Economics & Market Access. Novartis Farmacéutica S.A., Barcelona, Spain.

Introduction And Objective: Neovascular age-related macular degeneration (nAMD) leads to severe and permanent visual impairment, significantly impacting patients' quality of life and functional independence. Although treatment with anti- vascular endothelial growth factor (VEGF) prevents and, in some cases, reverses visual damage, the need for frequent monitoring visits and intravitreal injections represents a significant burden on patients, caregivers and retina specialists.

Objective: To elicit preferences for nAMD treatment characteristics from the perspectives of patients and retina specialists. Read More

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January 2022

Association of Physician Characteristics With Early Adoption of Virtual Health Care.

JAMA Netw Open 2021 12 1;4(12):e2141625. Epub 2021 Dec 1.

Department of Neurology, Massachusetts General Hospital, Boston.

Importance: The rapid transition to virtual health care has depended on physician and patient abilities to adopt new technology and workflows. Physicians transitioning more slowly or not at all could result in access challenges for their patients.

Objective: To identify physician characteristics associated with the transition to virtual health care in a large regional health care system. Read More

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December 2021

Changes in Choroidal Vascularity Index (CVI) in Intermediate Uveitis.

Transl Vis Sci Technol 2021 12;10(14):33

National Eye Institute, National Institutes of Health, Bethesda, Maryland, USA.

Purpose: To investigate the longitudinal changes in choroidal vascularity index (CVI) in eyes with active and quiescent intermediate uveitis using enhanced depth imaging optical coherence tomography (EDI-OCT).

Methods: EDI-OCT images of eyes with active and quiescent intermediate uveitis were retrospectively reviewed and binarized using ImageJ software. Choroidal parameters including CVI, total choroidal area (TCA), luminal area (LA), stromal area (SA), and subfoveal choroidal thickness (SCT) were measured and compared between baseline and follow-up visits among eyes with active and quiescent intermediate uveitis. Read More

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December 2021

Towards quality assurance: implementation of a POCUS image archiving system in a high-volume community emergency department.

CJEM 2021 Dec 29. Epub 2021 Dec 29.

North York General Hospital, 1NW-126 4001 Leslie St., Toronto, ON, M2K 1E1, Canada.

Background: Quality assurance review is an integral part of point-of-care ultrasound (POCUS) programs but may not be routine practice in community hospitals. Lack of image acquisition and documentation can result in suboptimal patient care. In cases with an adverse outcome and no record of images, there is no mechanism for quality improvement. Read More

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December 2021

Permeability of Gemcitabine and PBPK Modeling to Assess Oral Administration.

Curr Issues Mol Biol 2021 Dec 7;43(3):2189-2198. Epub 2021 Dec 7.

OncoPharma Research Group, Center for Health Technology and Services Research (CINTESIS), Rua Doutor Plácido da Costa, 4200-450 Porto, Portugal.

Gemcitabine is a nucleoside analog effective against several solid tumors. Standard treatment consists of an intravenous infusion over 30 min. This is an invasive, uncomfortable and often painful method, involving recurring visits to the hospital and costs associated with medical staff and equipment. Read More

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December 2021

Mobile Audio Recording Technology to Promote Informed Decision Making in Advanced Prostate Cancer.

JCO Oncol Pract 2021 Dec 21:OP2100480. Epub 2021 Dec 21.

Department of Surgery, University of California, San Francisco, San Francisco, CA.

Purpose: Men with metastatic castration-resistant prostate cancer increasingly encounter complex treatment decisions. Consultation audio recordings and summaries promote patient informed decision making but are underutilized. Mobile recording software applications may increase access. Read More

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December 2021

'Combined endo-perio lesions' - what is the best treatment?

Authors:
Mohammed Adam

Evid Based Dent 2021 12 16;22(4):158-159. Epub 2021 Dec 16.

Foundation Dentist, St Helens, UK.

Aims To assess the radiographic and periodontal healing of combined endo-perio lesions in anterior teeth treated with orthograde root canal treatment (RCT), with and without guided tissue regeneration (GTR) and bone grafting.Sample selection A total of 120 individuals attending the Dental University Hospital in Riyadh, Saudi Arabia, diagnosed with true combined endo-perio lesions were selected. Inclusion criteria included being between 25 and 55 years old and having a single-rooted non-vital maxillary anterior tooth with a true combined endo-perio lesion, assessed using a cone beam computed tomography (CBCT) scan. Read More

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December 2021

A 57-Year-Old Man with Type 1 Diabetes Mellitus and a Chronic Foot Ulcer Successfully Managed with a Remote Patient-Facing Wound Care Smartphone Application.

Am J Case Rep 2021 Dec 15;22:e933879. Epub 2021 Dec 15.

Swift Medical Inc., Toronto, ON, Canada.

BACKGROUND Wounds affect millions of people world-wide, with care being costly and difficult to deliver remotely. The ongoing COVID-19 pandemic highlights the urgent need for telehealth solutions to play a larger role as part of remote care strategies for patient monitoring and care. We describe our findings on the use of a patient-facing wound care app (Swift Patient Connect App, Swift Medical, Canada) as an innovative solution in remote wound assessment and management of a diabetic patient's wound. Read More

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December 2021

Food handling practices and associated factors among food handlers working in public food and drink service establishments in Woldia town, Northeast Ethiopia.

Pan Afr Med J 2021 2;40:128. Epub 2021 Nov 2.

Department of Statistics, Faculty of Natural and Computational Sciences, Woldia University, Woldia, Ethiopia.

Introduction: foodborne disease (FBD) is a major public health problem globally. Inadequate food workers' knowledge, attitude, and low level of food handling practices (FHPs) may all contribute to the possibility of FBD outbreaks in public food service establishments. This study aimed to assess FHPs and associated factors among food handlers working in public food and drink service establishments in Woldia town, Northeast Ethiopia. Read More

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December 2021

Smartphone-based active vaccine safety surveillance (SmartVax) at a Swiss adult vaccination clinic - a pilot study.

Swiss Med Wkly 2021 12 14;151:w30090. Epub 2021 Dec 14.

Immunisation Clinic, Medical Outpatient Clinic, University Hospital Basel, Switzerland.

Introduction: Post-licensure surveillance of adverse events following immunisation (AEFI) is critical for detecting rare but severe AEFI. SmartVax software, using smartphone technology, actively solicits reports of AEFI via automated, opt-out SMS surveys to vaccine recipients in the days following immunisation. We report on a pilot study to test the feasibility and acceptance of SmartVax in Switzerland. Read More

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December 2021

Health Care Providers' and Professionals' Experiences With Telehealth Oncology Implementation During the COVID-19 Pandemic: A Qualitative Study.

J Med Internet Res 2022 01 19;24(1):e29635. Epub 2022 Jan 19.

Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL, United States.

Background: Rapid implementation of telehealth for cancer care during COVID-19 required innovative and adaptive solutions among oncology health care providers and professionals (HPPs).

Objective: The aim of this qualitative study was to explore oncology HPPs' experiences with telehealth implementation during the COVID-19 pandemic.

Methods: This study was conducted at Moffitt Cancer Center (Moffitt), an NCI (National Cancer Institute)-Designated Comprehensive Cancer Center. Read More

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January 2022

A Theory-Based, Multidisciplinary Approach to Cocreate a Patient-Centric Digital Solution to Enhance Perioperative Health Outcomes Among Colorectal Cancer Patients and Their Family Caregivers: Development and Evaluation Study.

J Med Internet Res 2021 12 7;23(12):e31917. Epub 2021 Dec 7.

Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore.

Background: Elective colorectal cancer (CRC) surgeries offer enhanced surgical outcomes but demand high self-efficacy in prehabilitation and competency in self-care and disease management postsurgery. Conventional strategies to meet perioperative needs have not been pragmatic, and there remains a pressing need for novel technologies that could improve health outcomes.

Objective: The aim of this paper was to describe the development of a smartphone-based interactive CRC self-management enhancement psychosocial program (iCanManage) in order to improve health outcomes among patients who undergo elective CRC surgeries and their family caregivers. Read More

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December 2021

Longitudinal Macular Retinal and Choroidal Microvasculature Changes in High Myopia.

Invest Ophthalmol Vis Sci 2021 12;62(15)

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.

Purpose: The purpose of this study was to determine the longitudinal changes in macular retinal and choroidal microvasculature in normal healthy and highly myopic eyes.

Methods: Seventy-one eyes, including 32 eyes with high myopia and 39 healthy control eyes, followed for at least 12 months and examined using optical coherence tomography angiography imaging in at least 3 visits, were included in this study. Fovea-centered 6 × 6 mm scans were performed to measure capillary density (CD) of the superficial capillary plexus (SCP), deep capillary plexus (DCP), and choriocapillaris (CC). Read More

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December 2021

THE IMPACT OF COVID-19 ON THE ORTHOPEDIC CARE SYSTEM IN A PRIVATE HOSPITAL.

Acta Ortop Bras 2021 Nov-Dec;29(6):289-292

IFOR Hospital, Rede D'Or São Luiz, São Bernardo do Campo, SP, Brazil.

Objective: To evaluate and compare the patient flow in the emergency department and the number of surgeries performed, as well as to determine the incidence of diseases due to the impact generated by the pandemic in April, May, June, and July 2020.

Methods: This is a retrospective cross-sectional study that analyzed medical records using the TASY Phillips software. The 2019 information was compiled and served as a basis accomplish our comparative analyses. Read More

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November 2020

[Telemedicine and epilepsy: healthcare experience of a national reference center during the COVID-19 pandemic].

Rev Neurol 2021 12;73(11):390-393

Centro de Epilepsia y Neurocirugía Funcional "Humana", Guatemala Ciudad, Guatemala.

Introduction: Countries worldwide are having to cope with the COVID-19 pandemic caused by SARS-CoV-2. The burden on their national health systems is currently at unprecedented levels. Telemedicine care was initiated at an early stage in our centre. Read More

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December 2021

Exploring Ophthalmologists' Adoption of Telemedicine during the COVID-19 Pandemic: A Mixed Methods Study.

Ophthalmic Epidemiol 2021 Nov 25:1-9. Epub 2021 Nov 25.

Department of Ophthalmology and Visual Sciences, McGill University, Montreal, Canada.

Introduction: The COVID-19 pandemic promoted hitherto unseen uptake of telemedicine by ophthalmologists. We performed a mixed methods study to explore patters of utilization during the pandemic and perceived future utility.

Methods: Ophthalmologists practicing in Canada between March and July 2020 were invited to complete an online questionnaire assessing demographics, clinical practice characteristics and telemedicine utilization prior to and during the pandemic. Read More

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November 2021

Effect of mobile application user interface improvements on minimum expected home visit coverage by community health workers in Mali: a randomised controlled trial.

BMJ Glob Health 2021 11;6(11)

Muso, San Francisco, California, USA.

Background: Proactive community case management (ProCCM) has shown promise to advance goals of universal health coverage (UHC). ProCCM community health workers (CHWs) face operational challenges when pursuing their goal of visiting every household in their service area at least twice monthly to proactively find sick patients. We developed a software extension (UHC Mode) to an existing CHW mobile application featuring user interface design improvements to support CHWs in planning daily home visits. Read More

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November 2021

Determining the impact of a clinic coordinator on patient access and clinic efficiency in a pediatric multidisciplinary spina bifida clinic using medical informatics.

J Pediatr Rehabil Med 2021 ;14(4):661-666

University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA.

Purpose: The objective of this study was to analyze the effects on patient access by decreasing missed appointments after hiring a clinic coordinator using medical informatics.

Methods: A single-center retrospective analysis of the rates of missed appointments before and after hiring a clinic coordinator in a multidisciplinary spinal differences clinic were analyzed using a commercially available business software system (SAP® Business Objects). The total number of clinic visits was collected for each month to determine the access available for patients. Read More

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January 2021

[Performance and cost calculation for a university ophthalmological outpatient clinic].

Ophthalmologe 2022 Jan 20;119(1):46-54. Epub 2021 Nov 20.

Universitäts-Augenklinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30652, Hannover, Deutschland.

Background: Outpatient procedures at a university hospital are generally considered to be unprofitable. In the present publication we evaluate the turnover and costs of the university eye outpatient department of the Hannover Medical School (MHH) in terms of a cost unit accounting as well as providing a summary of the workload.

Material And Method: Given the data of the hospital information system (IS-H/i. Read More

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January 2022