Peter Debbaneh, Priyanka Singh, Austin R Swisher, Julia C Wei, Jonathan Liang
BACKGROUND: Allergic fungal rhinosinusitis (AFRS) is a subtype of chronic rhinosinusitis (CRS) that has previously been associated with younger age and Black patients. However, the role of demographic and socioeconomic factors in AFRS severity remains to be fully elucidated. OBJECTIVE: The objective of this study was to determine whether demographic and socioeconomic factors are associated with incidence of AFRS, as well as with disease severity in Northern California...
May 15, 2024: Permanente Journal
Meagan C Brown, Andrea R Paolino, Katheen A Barnes, Dea Papajorgji-Taylor, Loel S Solomon, Cara C Lewis, Elizabeth Bojkov, Katie F Coleman
INTRODUCTION: Adapting clinical care decisions for patient-reported social risks is essential to social health integration and patient-centered care. Most research in this area focuses on awareness and assistance (social-needs-targeted care), such as screening and referral to food, financial, and other resources. Limited evidence for adjustment strategies (social risk-informed care) or adapting care for social risks made it difficult for Kaiser Permanente to implement new initiatives...
May 10, 2024: Permanente Journal
Morgan S Levy, Kelby N Hunt, Sarah Rinehart, Alyssa D Brown, Amelia G Kelly, Padmaja Sundaram, Alisha Crump, Tiffany J Sinclair, Kally Dey, Alexander Zoroufy, Alberto J Caban-Martinez, Torie Comeaux Plowden
OBJECTIVE: This study aimed to evaluate misinformation surrounding infertility and the COVID-19 vaccine on X (formerly known as Twitter) by analyzing the prevalence and content of this misinformation across a sample of posts on X. METHODS: This study is a retrospective review of posts on X (formerly known as tweets) from the COVID-19-TweetIDs dataset from July 2021 and November 2021. Included posts were from crucial time points in the COVID-19 vaccine discourse and contained at least one word related to COVID-19 vaccination and fertility...
May 3, 2024: Permanente Journal
Jeremy A Dubin, Sandeep S Bains, Daniel Hameed, Zhongming Chen, Erica Gaertner, James Nace, Michael A Mont, Ronald E Delanois
INTRODUCTION: With the rise of machine learning applications in health care, shifts in medical fields that rely on precise prognostic models and pattern detection tools are anticipated in the near future. Chat Generative Pretrained Transformer (ChatGPT) is a recent machine learning innovation known for producing text that mimics human conversation. To gauge ChatGPT's capability in addressing patient inquiries, the authors set out to juxtapose it with Google Search, America's predominant search engine...
April 26, 2024: Permanente Journal
Aditya Manoharan, Andrew Fithian, Virginia Xie, Kurt Hartman, William Schairer, Najeeb Khan
Anterior cruciate ligament (ACL) tears are one of the most common orthopedic injuries among athletes. Although a small proportion of patients with isolated tears can return to sports after completing a nonsurgical rehabilitation program, ACL reconstruction is frequently recommended for young athletes, especially those with concomitant knee injuries or symptomatic knee instability. Alongside emerging evidence for the effect of prehabilitation, the current standard of care for postoperative ACL physical therapy includes pain control, range of motion, quadriceps strengthening, weight bearing, postoperative bracing, and dynamic limb stabilization and control...
April 25, 2024: Permanente Journal
Erin M Jyo, Hyo-Chun Yoon, Bradford Burton
INTRODUCTION: There has been a rapid increase in the utilization of magnetic resonance imaging (MRI) for prostate cancer detection. The objective of this study was to measure the increase in utilization of MRI before prostate biopsy and the effects on the distribution of Prostate Imaging Reporting and Data System (PI-RAD) scores and Gleason grades over a 5-year interval in an integrated health system. METHODS: The authors conducted a retrospective analysis of prostate MRI studies prior to biopsy in the calendar years of 2017 and 2022...
April 24, 2024: Permanente Journal
Brandon K Vu, Jessica Lam, Matthew J Sherman, Michael S Tam
INTRODUCTION: Stoma site incisional hernias (SSIHs) are associated with substantial long-term morbidity, and the rate can be as high as 30% to 40%. Recent efforts using prophylactic mesh reinforcement (PMR) to reduce the development of hernias have shown encouraging outcomes. The objective of this study was to assess the use of prophylactic biosynthetic mesh at the time of stoma reversal on the overall SSIH rate. METHODS: This is an observational retrospective cohort study...
April 23, 2024: Permanente Journal
Burcu Bozkurt, Arrianna Marie Planey, Monisa Aijaz, Joshua M Weinstein, Dorothy Cilenti, Christopher M Shea, Saif Khairat
OBJECTIVE: The objective was to estimate the rural-urban differences in the receipt of prepregnancy, prenatal, and postpartum services. METHODS: The authors conducted a cross-sectional data analysis using data from the Pregnancy Risk Assessment and Monitoring System from 2016 to 2018 to analyze rural-urban differences in the receipt of medical visits and care content delivery during the prepregnancy year, as well as the prenatal and postpartum periods among birthing people in the US, using survey-weighted multivariable logistic regression models...
April 23, 2024: Permanente Journal
Dharmendra Dugar, Debajyoti Mohanty, Suhail Muhammed
The authors examined a 25-year-old man with a combined rupture of the diaphragm and urinary bladder following blunt trauma to the abdomen. The presence of hematuria, suprapubic tenderness, and elevated serum urea and creatinine levels in this patient raised suspicion of urinary bladder rupture. Documentation of bowel gas shadows on the chest x-ray suggested underlying diaphragm injury. A computed tomogram of the thorax and abdomen confirmed the tear in the left hemidiaphragm with intrathoracic herniation of abdominal contents; however, it failed to detect the intraperitoneal urinary bladder rupture...
April 17, 2024: Permanente Journal
Venkata Vineeth Vaddavalli, Ajay Savlania, Kishore Abuji, Lileshwar Kaman, Arunanshu Behera
INTRODUCTION: Extracranial carotid artery (CA) pseudoaneurysms are uncommon and can cause embolic stroke, compressive symptoms, or (rarely) can rupture. It is of paramount importance to treat this entity to avoid life-threatening complications. In this study, the authors described a cohort of patients that required open surgical repair. METHODS: This article reported the authors' experience with open surgical repair of extracranial CA pseudoaneurysms by presenting a retrospective review of data at their institution from 2016 to 2022...
March 29, 2024: Permanente Journal
G Richard Holt
No abstract text is available yet for this article.
March 15, 2024: Permanente Journal
Megan R Gerber, Martina Jelley, Jennifer Potter
BACKGROUND: Trauma is common in the United States, increases risk of long-term adverse health effects, and individuals who experience it often find seeking medical care difficult. Trauma-informed care (TIC) builds trust and fosters healing relationships between clinicians and patients; however medical education has lacked consistent training in TIC. Using recently published competencies for undergraduate medical education (UME), this manuscript provides curricular examples across 8 domains to assist faculty in developing educational content...
March 15, 2024: Permanente Journal
Victor Kim, Jiaxiao Shi, Jaejin An, Simran Bhandari, Jeffrey W Brettler, Michael H Kanter, John J Sim
INTRODUCTION: Hyperaldosteronism (HA) is a common cause of secondary hypertension and may contribute to resistant hypertension (RH). The authors sought to determine and characterize HA screening, positivity rates, and mineralocorticoid receptor antagonist (MRA) use among patients with RH. METHODS: A cross-sectional study was performed within Kaiser Permanente Southern California (7/1/2012-6/30/2017). Using contemporary criteria, RH was defined as blood pressure uncontrolled (≥ 130/80) on ≥ 3 medications or requiring ≥ 4 antihypertensive medications...
March 15, 2024: Permanente Journal
Ellen Goldstein, Audrey Stillerman, Martina Jelley, Brigid McCaw
No abstract text is available yet for this article.
March 14, 2024: Permanente Journal
Ellen Goldstein, Binny Chokshi, G J Melendez-Torres, Anna Rios, Martina Jelley, Annie Lewis-O'Connor
PURPOSE: Given the ubiquity of traumatic exposures and the profound impact of trauma on health, a trauma-informed care (TIC) approach in health care is critical. TIC seeks to promote safety within health care and prevent retraumatization. The lack of systems-level data has been a major barrier to TIC implementation. This study aimed to understand the mechanisms and outcomes effective in implementing TIC across health systems using a systematic review of reviews and realist synthesis. METHODS: A systematic search of MEDLINE, Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Applied Social Science Index & Abstracts identified reviews addressing TIC in health care published in the last 10 years in peer-reviewed journals...
March 6, 2024: Permanente Journal
Jelena Douillard, Sarah Lentz, Shaina Ganjian, Sherill Agdeppa, Ngoc Ho, Jane Chieh Lin, Paul Han
INTRODUCTION: Hospital readmissions are recognized as a prevalent, yet potentially preventable, personal and economic burden. Length of stay, Acuity of admission, Comorbidities, and number of Emergency Department visits in the preceding 6 months can be quantified into one score, the LACE score. LACE scores have previously been identified to correlate with hospital readmissions within 30 days of discharge, but research specific to the pediatric population is scant. The objective of the present study was to investigate if LACE scores, in addition to other factors, can be utilized to create a predictive pediatric hospital readmission model that may ultimately be used to decrease readmission rates...
February 23, 2024: Permanente Journal
(no author information available yet)
No abstract text is available yet for this article.
February 20, 2024: Permanente Journal
Edward L Machtinger, Alicia F Lieberman, Christina D Bethell, Marguerita Lightfoot
No abstract text is available yet for this article.
February 16, 2024: Permanente Journal
Cristina Ortiz Sobrinho Valete, Aline Albuquerque, Esther Angelica Luiz Ferreira
Clinical empathy is a multidimensional ability to feel the patient's suffering, branched into components such as cognitive, emotional, and action, which results in benefits for patients, parents, health professionals, medical students, and others. The authors performed a critical review of the literature about empathy in neonatal care, in 2 databases, and analyzed the co-occurrence of keywords in the last 10 years. Nine articles were included in the qualitative synthesis. They highlight the interconnection between empathy, communication, ethics, and palliative care...
February 9, 2024: Permanente Journal
Sadie Elisseou, Andrea Shamaskin-Garroway, Avi Joshua Kopstick, Jennifer Potter, Amy Weil, Constance Gundacker, Alisha Moreland-Capuia
No abstract text is available yet for this article.
February 9, 2024: Permanente Journal
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