keyword
https://read.qxmd.com/read/38531581/behavioural-mental-health-interventions-delivered-in-the-emergency-department-for-suicide-overdose-and-psychosis-a-scoping-review
#1
JOURNAL ARTICLE
Shannon M Nugent, Johanna Anderson, Sarah K Young
OBJECTIVE: To identify and describe evidence on brief emergency department (ED)-delivered behavioural and care process interventions among patients presenting with suicide attempt or acute ideation, substance overdose or psychosis. DESIGN: We employed a scoping review design and searched multiple data sources, clinical trial registries and references lists through March 2023. We included English-language trials and rigorously designed observational studies. In alignment with scoping review guidelines, we did not assess the quality of included studies or rate the strength of evidence of intervention effectiveness...
March 25, 2024: BMJ Open
https://read.qxmd.com/read/38530078/validation-of-adult-sepsis-event-and-epidemiologic-analysis-of-sepsis-prevalence-and-mortality-using-adult-sepsis-event-s-electronic-health-records-based-sequential-organ-failure-assessment-criteria-a-single-center-study-in-south-korea
#2
JOURNAL ARTICLE
Su Yeon Lee, Mi Hyeon Park, Dong Kyu Oh, Chae-Man Lim
OBJECTIVES: In 2018, the Centers for Disease Control and Prevention introduced the Adult Sepsis Event (ASE) definition, using electronic health records (EHRs) data for surveillance and sepsis quality improvement. However, data regarding ASE outside the United States remain limited. We therefore aimed to validate the diagnostic accuracy of the ASE and to assess the prevalence and mortality of sepsis using ASE. DESIGN: Retrospective cohort study. SETTING: A single center in South Korea, with 2732 beds including 221 ICU beds...
March 26, 2024: Critical Care Medicine
https://read.qxmd.com/read/38525582/the-burden-and-outcomes-of-firearm-injuries-at-two-district-level-emergency-centres-in-cape-town-south-africa-a-descriptive-analysis
#3
JOURNAL ARTICLE
L Bush, C Hendrikse, C Van Koningsbruggen, K Evans
BACKGROUND: In South Africa (SA), injuries are the second leading cause of years of healthy life lost, and interpersonal violence dominates the SA injury profile. Half of all injury-related deaths in SA are intentional, and firearms contribute to a quarter of these deaths. Injury surveillance systems are essential to develop, implement and monitor strategies that reduce preventable trauma. OBJECTIVES: To describe the burden of patients with firearm injuries and their outcomes at district-level emergency centres in the Western Cape...
February 13, 2024: South African Medical Journal
https://read.qxmd.com/read/38524355/adherence-to-doxycycline-for-uncomplicated-genitourinary-chlamydia-a-prospective-observational-study
#4
JOURNAL ARTICLE
Daniel Ridelman, Shira Heisler, Angela Groves
OBJECTIVES: Since 2020, the Center for Disease Control and Prevention (CDC) no longer recommends single-dose azithromycin as first-line therapy for uncomplicated genitourinary chlamydia, advising instead a 7-day course of doxycycline. Our study investigates self-reported adherence to the new regimen, reasons for nonadherence, and the impact of dispensing the regimen on-site compared to prescribing it. METHODS: We performed a prospective observational study of adult patients treated for suspected or laboratory-confirmed uncomplicated genitourinary chlamydia at three urban emergency departments (EDs), where patients receive a prescription for doxycycline, and in a sexually transmitted infection (STI) clinic, where the 14 doxycycline pills are dispensed on-site...
April 2024: Journal of the American College of Emergency Physicians open
https://read.qxmd.com/read/38523435/impact-of-headache-frequency-and-preventive-treatment-failure-on-quality-of-life-disability-and-direct-and-indirect-costs-among-individuals-with-episodic-migraine-in-the-united-states
#5
JOURNAL ARTICLE
David W Dodick, Michael L Reed, Lulu Lee, Bridget L Balkaran, Kandavadivu Umashankar, Mousam Parikh, Pranav Gandhi, Dawn C Buse
OBJECTIVE: To evaluate unmet needs among individuals with episodic migraine (EM) in the United States (US). BACKGROUND: Data are limited on the impact of headache frequency (HF) and preventive treatment failure (TF) on the burden of migraine in the US. METHODS: A retrospective, cross-sectional analysis of 2019 National Health and Wellness Survey (NHWS) data was conducted from an opt-in online survey that identified respondents (aged ≥18 years) in the US with self-reported physician-diagnosed migraine...
March 24, 2024: Headache
https://read.qxmd.com/read/38521385/positive-outliers-a-mixed-methods-study-of-resiliency-to-childhood-obesity-in-high-risk-neighborhoods
#6
JOURNAL ARTICLE
Michelle J White, Naomi N Duke, Janna Howard, Javier Rodriguez, Tracy Truong, Cynthia L Green, Ashley Nmoh, Moshen Gorveh, Eliana M Perrin
OBJECTIVE: Despite the high prevalence of obesity and the clustering of risk by neighborhood, few studies have examined characteristics which promote healthy child weight in neighborhoods with high obesity risk. We aimed to identify protective factors for children living in neighborhoods with high obesity risk. METHODS: We identified neighborhoods with high obesity risk using geolocated electronic health record data with measured body mass index (BMI) from well child visits (2012-2017)...
March 21, 2024: Academic Pediatrics
https://read.qxmd.com/read/38520802/epidemiology-and-patterns-of-gymnastics-related-head-neck-trauma-injuries-a-neiss-database-study
#7
JOURNAL ARTICLE
Hisham Abdou, Sarah G Wilkins, Amar H Sheth, Parsa P Salehi, Yan Ho Lee
OBJECTIVE: To describe the epidemiology and patterns of gymnastics-related Head & Neck trauma injuries using the NEISS database from 2001 to 2020. STUDY DESIGN AND SETTING: Cross-sectional analysis of a national database. METHODS: Gymnastics-related ED visits between 2001 and 2020 were queried from the NEISS database. Bivariate chi-squared analyses were used to compare injury demographics, location, type, and disposition. Fracture location was identified using the narrative description of each case and were divided into subtypes for further analysis...
March 15, 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38519347/beyond-drowning-characteristics-trends-the-impact-of-exposure-on-unintentional-non-drowning-coastal-fatalities-between-2012-and-22
#8
JOURNAL ARTICLE
Sean Kelly, Shane Daw, Jasmin C Lawes
OBJECTIVES: Drowning has been the focus of coastal safety, but a notable proportion of coastal mortality is due to other causes of death. This study describes that burden and quantifies the impact of exposure on Australian unintentional coastal fatalities not due to drowning. METHODS: Analyses of Australian non-drowning coastal fatalities (NDCF) between July 2012 and June 2022 were conducted. Population and exposure-based rates were calculated for Australians 16+ years and compared to all-cause mortality rates...
February 2, 2024: Australian and New Zealand Journal of Public Health
https://read.qxmd.com/read/38518789/interim-safety-and-immunogenicity-of-covid-19-omicron-ba-1-variant-containing-vaccine-in-children-in-the-usa-an-open-label-non-randomised-phase-3-trial
#9
JOURNAL ARTICLE
Avika Dixit, Richard Bennett, Kashif Ali, Carl Griffin, Robert A Clifford, Mark Turner, Rosanne Poston, Kelly Hautzinger, Anne Yeakey, Bethany Girard, Wen Zhou, Weiping Deng, Honghong Zhou, Sabine Schnyder Ghamloush, Barbara J Kuter, Karen Slobod, Jacqueline M Miller, Frances Priddy, Rituparna Das
BACKGROUND: Variant-containing mRNA vaccines for COVID-19 to broaden protection against SARS-CoV-2 variants are recommended based on findings in adults. We report interim safety and immunogenicity of an omicron BA.1 variant-containing (mRNA-1273.214) primary vaccination series and booster dose in paediatric populations. METHODS: This open-label, two-part, non-randomised phase 3 trial enrolled participants aged 6 months to 5 years at 24 US study sites. Eligible participants were generally healthy or had stable chronic conditions, without known SARS-CoV-2 infection in the previous 90 days...
March 19, 2024: Lancet Infectious Diseases
https://read.qxmd.com/read/38517065/assessing-the-revised-safer-dx-instrument-%C3%A2-in-the-understanding-of-ambulatory-system-design-changes-for-type-1-diabetes-and-autism-spectrum-disorder-in-pediatrics
#10
JOURNAL ARTICLE
Patrick W Brady, Richard M Ruddy, Jennifer Ehrhardt, Sarah D Corathers, Eric S Kirkendall, Kathleen E Walsh
OBJECTIVES: We sought within an ambulatory safety study to understand if the Revised Safer Dx instrument may be helpful in identification of diagnostic missed opportunities in care of children with type 1 diabetes (T1D) and autism spectrum disorder (ASD). METHODS: We reviewed two months of emergency department (ED) encounters for all patients at our tertiary care site with T1D and a sample of such encounters for patients with ASD over a 15-month period, and their pre-visit communication methods to better understand opportunities to improve diagnosis...
March 25, 2024: Diagnosis
https://read.qxmd.com/read/38515599/firearm-screening-and-secure-storage-counseling-among-home-visiting-providers-a-cross-sectional-study-of-safecare-%C3%A2-providers-in-the-u-s
#11
JOURNAL ARTICLE
Melissa C Osborne, Kate Guastaferro, Shelden Banks, Hari Vedantam, Shannon Self-Brown
BACKGROUND: Firearms used in pediatric firearm deaths are most often obtained from the child's home, making secure firearm storage initiatives imperative in prevention efforts. Evidence-based home visiting (EBHV) programs are implemented with over 277,000 families annually, providing an opportunity for secure firearm storage counseling. The purpose of this study was to assess EBHV providers' experiences with firearm screening ("assessment"), secure storage counseling, and their perceptions for related training needs...
2024: Frontiers in Public Health
https://read.qxmd.com/read/38512949/validation-of-the-emergency-department-paediatric-early-warning-score-ed-pews-for-use-in-low-and-middle-income-countries-a-multicentre-observational-study
#12
JOURNAL ARTICLE
Naomi Kemps, Natanael Holband, Navin P Boeddha, Abdoulie Faal, Amadu E Juliana, Godfrey A Kavishe, Kristina Keitel, Kevin H van 't Kruys, Elizabeth V Ledger, Henriëtte A Moll, Andrew M Prentice, Fatou Secka, Rainer Tan, Effua Usuf, Stefan A Unger, Joany M Zachariasse
Early recognition of children at risk of serious illness is essential in preventing morbidity and mortality, particularly in low- and middle-income countries (LMICs). This study aimed to validate the Emergency Department-Paediatric Early Warning Score (ED-PEWS) for use in acute care settings in LMICs. This observational study is based on previously collected clinical data from consecutive children attending four diverse settings in LMICs. Inclusion criteria and study periods (2010-2021) varied. We simulated the ED-PEWS, consisting of patient age, consciousness, work of breathing, respiratory rate, oxygen saturation, heart rate, and capillary refill time, based on the first available parameters...
2024: PLOS Glob Public Health
https://read.qxmd.com/read/38510338/human-ocular-thelaziasis-with-genetic-analysis-in-niigata-prefecture-japan-a-case-report-on-an-emerging-zoonosis
#13
Tianxiang Huang, Takenori Inomata, Jaemyoung Sung, Naoko Yoshida, Gaku Ishida, Hitomi Ohara, Masahiro Yamaguchi, Yasutsugu Akasaki, Yuichi Okumura, Ken Nagino, Kunihiko Hirosawa, Toshihiro Mita, Shintaro Nakao, Nobuo Ishida
PURPOSE: We report the clinical findings and molecular identification of ocular Thelazia callipaeda from Niigata Prefecture in the Hokuriku area of Japan during winter. OBSERVATIONS: A 77-year-old male visited an ophthalmology clinic in Niigata Prefecture in January 2022 after a 2-week-duration of a conjunctival injection in the left eye and foreign body sensation. Slit-lamp microscopy revealed 11 active nematodes in the left conjunctival sac. Morphological characteristics included longer female body length than male, buccal cavity lacking teeth and lips, and serrated striations along the body surface...
June 2024: American Journal of Ophthalmology Case Reports
https://read.qxmd.com/read/38508236/cost-effectiveness-and-cost-utility-study-of-a-psychoeducational-group-intervention-for-people-with-depression-and-physical-comorbidity-in-primary-care
#14
JOURNAL ARTICLE
Antonia Raya-Tena, María Isabel Fernández-San-Martín, Jaume Martín-Royo, Marc Casajuana-Closas, María Francisca Jiménez-Herrera
OBJECTIVE: To evaluate the cost-effectiveness and cost-utility of a psychoeducational group intervention led by primary care (PC) nurses in relation to customary care to prevent the depression and improve quality of life in patients with physical comorbidity. DESIGN: Economic evaluation based on data from randomized, multicenter clinical trial with blind response variables and a one-year follow-up, carried in the context of the PSICODEP study. LOCATION: 27 PC teams from Catalonia...
March 18, 2024: Enfermería clínica (English Edition)
https://read.qxmd.com/read/38507143/public-health-impact-of-the-adjuvanted-rsvpref3-vaccine-for-respiratory-syncytial-virus-prevention-among-older-adults-in-the-united-states
#15
JOURNAL ARTICLE
Daniel Molnar, Elizabeth M La, Frederik Verelst, Sara Poston, Jonathan Graham, Laure-Anne Van Bellinghen, Desmond Curran
INTRODUCTION: Respiratory syncytial virus (RSV) is an important cause of lower respiratory tract disease in older adults, resulting in substantial morbidity and mortality. METHODS: This study estimates the public health impact of vaccination with the adjuvanted RSVPreF3 vaccine among adults aged ≥ 60 years in the United States (US). A static, multi-cohort Markov model was used to estimate RSV-related outcomes over a 3-year time horizon for scenarios with and without one-time RSV vaccination...
March 20, 2024: Infectious Diseases and Therapy
https://read.qxmd.com/read/38502070/primary-care-interventions-to-prevent-child-maltreatment-evidence-report-and-systematic-review-for-the-us-preventive-services-task-force
#16
JOURNAL ARTICLE
Meera Viswanathan, Caroline Rains, Laura C Hart, Emma Doran, Nila Sathe, Kesha Hudson, Rania Ali, Daniel E Jonas, Roger Chou, Adam J Zolotor
IMPORTANCE: Child maltreatment is associated with serious negative physical, psychological, and behavioral consequences. OBJECTIVE: To review the evidence on primary care-feasible or referable interventions to prevent child maltreatment to inform the US Preventive Services Task Force. DATA SOURCES: PubMed, Cochrane Library, and trial registries through February 2, 2023; references, experts, and surveillance through December 6, 2023. STUDY SELECTION: English-language, randomized clinical trials of youth through age 18 years (or their caregivers) with no known exposure or signs or symptoms of current or past maltreatment...
March 19, 2024: JAMA
https://read.qxmd.com/read/38500694/impact-of-covid-19-pandemic-on-the-utilization-and-delivery-of-healthcare-services-among-outpatients-during-the-early-phase-of-the-pandemic-in-nigeria
#17
JOURNAL ARTICLE
Daniel Ehis Aigbonoga, Joshua Temidayo Obarombi, Williams Yobuh Shekinah, Tijani Shehu Adiat, Taye David Owoputi, Adebimpe Rukayat Jubril, Azeezat Morolake Salawudeen, Abiodun Opeyemi Lawal, Abiodun David Akintayo, Faith Anuoluwapo Oluwadamilare, Similoluwa Olamide Oluwalana, Dayo Sodiq Adesokan, Richard Ayobami Oguntoye
During the early phase of the COVID-19 pandemic, some infection control measures were implemented to keep people safe and control the spread of the virus. These measures however were observed to cause significant delay or interruption in the delivery and utilization of healthcare services. The purpose of this study was to determine the impact of the COVID-19 pandemic on the utilization and delivery of healthcare services by outpatients in Nigeria during the early phase of the pandemic. A retrospective cross-sectional study design was utilized...
November 30, 2023: Journal of Public Health in Africa
https://read.qxmd.com/read/38500138/factors-associated-with-hospitalization-in-a-pediatric-population-of-rural-tanzania-findings-from-a-retrospective-cohort-study
#18
JOURNAL ARTICLE
Vincenzo Mancini, Martina Borellini, Paolo Belardi, Maria Carolina Colucci, Emanuel Yuda Kadinde, Christina Mwibuka, Donald Maziku, Pasquale Parisi, Anteo Di Napoli
BACKGROUND: Despite pediatric acute illnesses being leading causes of death and disability among children, acute and critical care services are not universally available in low-middle income countries, such as Tanzania, even if in this country significant progress has been made in child survival, over the last 20 years. In these countries, the hospital emergency departments may represent the only or the main point of access to health-care services. Thus, the hospitalization rates may reflect both the health system organization and the patients' health status...
March 18, 2024: Italian Journal of Pediatrics
https://read.qxmd.com/read/38494047/examining-the-association-of-rurality-with-opioid-related-morbidity-and-mortality-in-georgia-a-geospatial-analysis
#19
JOURNAL ARTICLE
Kimberly B Roth, Dana K Goplerud, Jennifer S Babjak, Jennifer L Nguyen, Lauren R Gilbert
INTRODUCTION: The US opioid epidemic continues to escalate, with overdose deaths being the most-used metric to quantify its burden. There is significant geographic variation in opioid-related outcomes. Rural areas experience unique challenges, yet many studies oversimplify rurality characterizations. Contextual factors, such as area deprivation, are also important to consider when understanding a community's need for treatment services and prevention programming. This study aims to provide a geospatial snapshot of the opioid epidemic in Georgia using several metrics of opioid-related morbidity and mortality and explore differences by rurality across counties...
March 15, 2024: J Subst Use Addict Treat
https://read.qxmd.com/read/38491997/the-effects-of-a-large-scale-home-visiting-programme-for-child-development-on-use-of-health-services-in-brazil
#20
JOURNAL ARTICLE
Eduardo Viegas da Silva, Fernando Pires Hartwig, Aisha Yousafzai, Andréa Dâmaso Bertoldi, Joseph Murray
Partnership between early childhood development interventions and primary health care services can help catalyse health care uptake by socially vulnerable families. This study aimed to assess the real-life effects of a large-scale home visiting programme [Primeira Infância Melhor (PIM)] in Brazil on the use of preventive (prenatal visits, well child visits, dentist visits and vaccination) and recovery (emergency room visits and hospitalization) health services. A quasi-experiment nested in a population-based birth cohort study was conducted...
February 29, 2024: Health Policy and Planning
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