keyword
https://read.qxmd.com/read/38527027/mechanisms-of-near-peer-learning-in-a-longitudinal-clerkship-a-grounded-theory-study
#1
JOURNAL ARTICLE
Lauren E Smith, Mary E McBride, Bruce Henschen, Jennifer Bierman, Toshiko Uchida, Walter Eppich
PURPOSE: Many medical schools incorporate longitudinal clerkships, which promote continuity and may offer early clinical exposure during the preclinical curriculum. However, the mechanisms of near-peer learning and how it contributes to the development of clinical skills in longitudinal clinical experiences are less clear. The authors explored how peer-to-peer interactions among medical students influenced their developmental trajectories from nascent clinicians to more seasoned practitioners capable of juggling dual roles of clinical care and clinical supervision within longitudinal clerkships...
March 25, 2024: Academic Medicine
https://read.qxmd.com/read/38525198/glucose-rate-of-change-and-insulin-on-board-jointly-weighted-zone-model-predictive-control
#2
JOURNAL ARTICLE
Sunil Deshpande, Francis J Doyle, Eyal Dassau
We present design and evaluation of closed-loop insulin delivery using zone model predictive control (MPC) featuring an adaptive weighting scheme to address prolonged hyperglycemia due to changes in insulin sensitivity, underdelivery from profile mismatch, and meal composition. In the MPC cost function, the penalty on predicted glucose deviation from the upper zone boundary is weighted by a joint function of predicted glucose rate-of-change (ROC) and insulin-on-board (IOB). The asymmetric weighting gradually increases when glucose ROC and IOB were jointly low, independent of glucose magnitude, to limit hyperglycemia while aggressively reduces for negative glucose ROC to avoid hypoglycemia...
September 2023: IEEE Transactions on Control Systems Technology: a Publication of the IEEE Control Systems Society
https://read.qxmd.com/read/38524150/successful-transition-to-same-calendar-day-discharge-in-total-joint-arthroplasty-at-an-academic-center
#3
JOURNAL ARTICLE
Candler G Mathews, Jeffrey B Stambough, Benjamin Stronach, Eric R Siegel, C Lowry Barnes, Simon C Mears
BACKGROUND: There has been a shift toward same-day discharge (SDD) in total joint arthroplasty (TJA) in recent years. Our clinical standard had been next-day discharge, but the COVID pandemic led to a hospital bed shortage, causing us to shift to SDD directly from the Post-Anesthesia Care Unit (PACU). The aim of our project was to investigate if the SDD protocol was successful and if it changed complications or 90-day readmission rates. Our secondary aim was to investigate if the protocol created disparities in patient selection...
June 2024: Arthroplasty Today
https://read.qxmd.com/read/38522024/-everybody-needs-to-find-the-best-path-for-them-insights-into-recovery-strategies-of-people-who-have-not-used-specialty-treatment-for-alcohol-use-disorder
#4
JOURNAL ARTICLE
Loulwa Soweid, Paul A Gilbert, Gaurab Maharjan, Paul J Holdefer, Sydney Evans, Nina Mulia
BACKGROUND: Most people with alcohol use disorder (AUD) do not use treatment services, yet the majority ultimately resolve their AUD. As the phenomenon of untreated recovery remains poorly understood, we investigated the strategies used for recovery without treatment. METHODS: We conducted semi-structured interviews with 65 adults (27 women, 37 White) with resolved AUD and no history of using specialty services (e.g., inpatient or outpatient rehabilitation, medication-assisted treatment)...
March 24, 2024: Alcohol Clin Exp Res (Hoboken)
https://read.qxmd.com/read/38505206/a-novel-technique-using-the-dorsal-capsule-of-the-distal-radioulnar-joint-for-extensor-carpi-ulnaris-tendon-subsheath-reconstruction
#5
JOURNAL ARTICLE
Christina Png, Muntasir Mannan Choudhury, Andrew Yuan Hui Chin
Background  Ulnar-sided wrist pain is a common problem encountered by hand surgeons. Symptomatic recurrent subluxation of the extensor carpi ulnaris (ECU) tendon has become increasingly recognized as one of the pathological conditions leading to ulnar-sided wrist pain. Surgical reconstruction of the subsheath is usually needed. ECU tendon subsheath reconstruction with the periosteal flap was first described by Schlesinger in 1907. Since then, various other techniques have been widely used. We describe a technique of ECU subsheath reconstruction using the dorsal capsule of the distal radioulnar joint (DRUJ)...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38501710/do-patients-with-insulin-dependent-and-non-insulin-dependent-diabetes-have-different-risks-for-complications-after-total-ankle-arthroplasty
#6
JOURNAL ARTICLE
Ibraheem Qureshi, Charles C Lin, Utkarsh Anil, James J Butler, Raymond J Walls
BACKGROUND: Patients with diabetes undergoing total ankle arthroplasty tend to be at greater risk for complications than those without diabetes. However, the effect of diabetes severity and how it impacts the risk for perioperative complications is less clear. The purpose of this study was to compare (1) complications, (2) length of hospital stay, and (3) readmissions within 30 days for total ankle arthroplasty (TAA) patients without diabetes, patients with non-insulin-dependent diabetes, and patients with insulin-dependent diabetes...
March 19, 2024: Foot & Ankle International
https://read.qxmd.com/read/38501508/towards-telemonitoring-in-immune-mediated-inflammatory-diseases-implementation-of-a-mixed-attention-model
#7
JOURNAL ARTICLE
Marta Novella-Navarro, Jose M Iniesta-Chamorro, Diego Benavent, Javier Bachiller-Corral, Enrique Calvo-Aranda, Helena Borrell-Paños, Laura Berbel-Arcobé, Victoria Navarro-Compan, Xabier Michelena-Vegas, Leticia Lojo-Oliveira, Jaime Arroyo-Palomo, Verónica García García, Claudia María Gómez González, Irene Monjo-Henry, Enrique J Gomez, Alejandro Balsa, Chamaida Plasencia-Rodríguez
BACKGROUND: Rheumatic and musculoskeletal diseases (RMDs) are chronic diseases that may alternate between asymptomatic periods and flares. These conditions require complex treatments and close monitoring by rheumatologists to adjust their effects and improve patient quality of life. Many times, delays in outpatient consultations or patient´s difficulties in keeping appointments make such close follow-up problematic. For this reason, it is very important to have fluid communication channels between patients and health professionals...
March 14, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38499819/unravelling-the-longitudinal-relations-between-developmental-milestones-general-psychopathology-and-personality-functioning-in-a-youth-clinical-sample
#8
JOURNAL ARTICLE
Sara Iannattone, Hilde D Schuiringa, Anouk Aleva, Nagila Koster, Marcel A G van Aken, Christel J Hessels, Paul T van der Heijden, Odilia M Laceulle
Personality functioning, general psychopathology, and developmental milestones achievement are critical domains in the field of young people's mental health; however, no prior research has considered these variables jointly or examined the temporal dynamics between them. To fill these gaps, the present study aimed to investigate the longitudinal associations between the above constructs in a clinical sample of Dutch youth. 525 outpatients (72.5% women; age range: 12-26 years, M = 18.8 ± 2...
March 18, 2024: Journal of Youth and Adolescence
https://read.qxmd.com/read/38489682/the-outcome-of-early-screening-and-treatment-of-developmental-dysplasia-of-the-hip-in-infants-and-toddlers-in-the-northern-guizhou-region
#9
JOURNAL ARTICLE
Xin Lv, Song Yu, Tianjiu Zhang, Xiaohong Yang, Yanpeng Xu, Tangjiang Li
This study is an observation of the early screening and treatment effect of infant developmental dysplasia of the hip (DDH) in an area in China. From January 2016 to December 2017, we selected infants and toddlers with high-risk factors for DDH, such as asymmetric gluteal folds, unequal length of lower limbs, and limited hip joint abduction, who visited the Department of Child Health Care and the Outpatient Clinic of Pediatric Orthopedics at the Affiliated Hospital of Zunyi Medical University. In total, 1485 cases were divided into age groups, examined using Graf ultrasound and X-ray, and the results were analyzed...
March 15, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38484093/planned-glenoid-implant-utilization-a-comparison-of-preoperative-planning-with-and-without-computer-assisted-navigation
#10
JOURNAL ARTICLE
Bradley S Schoch, Kevin A Hao, Jennifer M Traverse, William R Aibinder, Joseph J King, Sandrine Polakovic, Josie Elwell, Ryan W Simovitch, John G Horneff
BACKGROUND: Preoperative planning for anatomic total shoulder arthroplasty (aTSA) and reverse total shoulder arthroplasty (rTSA) is becoming increasingly common. While preoperative planning allows surgeons to determine individualized implant types, utilization of intraoperative navigation improves the accuracy of implant placement and may increase confidence in the preoperative plan. The purpose of this study was to evaluate and compare the rate at which surgeons use a glenoid implant different than their preoperative plan with and without the use of computer navigation...
March 13, 2024: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/38466828/site-of-service-disparities-exist-for-total-joint-arthroplasty
#11
JOURNAL ARTICLE
Nicole M Truong, Chelsea V Leversedge, Thompson Zhuang, Lauren M Shapiro, Matthew Whittaker, Robin N Kamal
BACKGROUND: The rate of outpatient total joint arthroplasty procedures, including those performed at ambulatory surgical centers (ASCs) and hospital outpatient departments, is increasing. The purpose of this study was to analyze if type of insurance is associated with site of service (inpatient vs outpatient) for total joint arthroplasty and adverse outcomes. MATERIALS AND METHODS: We identified patients undergoing unicompartmental knee arthroplasty (UKA), total knee arthroplasty (TKA), or total hip arthroplasty (THA) using Current Procedural Terminology codes in a national administrative claims database...
March 12, 2024: Orthopedics
https://read.qxmd.com/read/38458332/practice-management-strategies-among-current-members-of-the-american-association-of-hip-and-knee-surgeons
#12
JOURNAL ARTICLE
Jay R Lieberman, Ran Schwarzkopf, Javad Parvizi
BACKGROUND: A survey was conducted at the 2023 Annual Meeting of the American Association of Hip and Knee Surgeons (AAHKS) to assess practice management strategies among current AAHKS members. METHODS: Members of AAHKS used an application to answer both multiple-choice, and yes or no questions related to a variety of issues related to their practices. RESULTS: The number of AAHKS members in private practice (37%) continues to decline, and 4% are now in private equity-employed practices...
March 6, 2024: Journal of Arthroplasty
https://read.qxmd.com/read/38452268/trends-in-the-adoption-of-outpatient-joint-arthroplasties-and-patient-risk-a-retrospective-analysis-of-2019-to-2021-medicare-claims-data
#13
JOURNAL ARTICLE
Catherine J Fedorka, Uma Srikumaran, Joseph A Abboud, Harry Liu, Xiaoran Zhang, Jacob M Kirsch, Jason E Simon, Matthew J Best, Adam Z Khan, April D Armstrong, Jon J P Warner, Mohamad Y Fares, John Costouros, Evan A O'Donnell, Ana Paula Beck da Silva Etges, Porter Jones, Derek A Haas, Michael B Gottschalk
INTRODUCTION: Total joint arthroplasties (TJAs) have recently been shifting toward outpatient arthroplasty. This study aims to explore recent trends in outpatient total joint arthroplasty (TJA) procedures and examine whether patients with a higher comorbidity burden are undergoing outpatient arthroplasty. METHODS: Medicare fee-for-service claims were screened for patients who underwent total hip, knee, or shoulder arthroplasty procedures between January 2019 and December 2022...
March 6, 2024: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/38450396/perioperative-differences-between-outpatient-and-inpatient-pathways-following-hip-and-knee-arthroplasty
#14
JOURNAL ARTICLE
Mark H F Keulen, Yoeri F L Bemelmans, B Boonen, Roel P M Hendrickx, Ide C Heyligers, Martijn G M Schotanus
BACKGROUND: Optimization of clinical pathways and logistics led to the introduction of outpatient joint arthroplasty of the hip and knee. Nevertheless, little is known about what these current protocols look like and how they differ from "standard" inpatient protocols. This study aimed to find preoperative, intraoperative, and postoperative differences between outpatient and inpatient pathways. METHODS: A questionnaire (ranging between 23 and 37 items) was developed and administered by email to orthopedic surgeons who were a member of the Dutch Hip Society and Dutch Knee Society...
April 2024: Arthroplasty Today
https://read.qxmd.com/read/38448068/atme-needs-requirements-and-cross-sectoral-patient-journeys-of-patients-with-out-of-hospital-mechanical-ventilation-and-intensive-care-in-outpatient-settings-study-protocol-for-an-observational-study
#15
JOURNAL ARTICLE
Nahne-Alina Knizia, Josefine Hirschler, Constance Stegbauer, Antje Schwinger, Andreas Büscher, Nathalie Englert, Lara Peters, Hakim A Bayarassou, Leonie Mallmann, Gerald Willms
INTRODUCTION: An increasing number of tracheotomised and/or ventilated patients with high-cost out-of-hospital intensive care needs and, at the same time, a decreasing number of healthcare professionals inevitably lead to challenges in the care of this patient population. In addition, little is known about this population, their health restrictions, needs, patient journeys, care structures and processes. The project 'Needs, requirements and cross-sectoral care pathways of out-of-hospital ventilated intensive care patients' (ATME) aims to analyse these aspects and explore current care structures to inform further development of care in line with patients' needs and requirements...
March 5, 2024: BMJ Open
https://read.qxmd.com/read/38439725/neutrophilic-dermatosis-of-the-hands-a-case-report
#16
JOURNAL ARTICLE
Reza Yaghoobi, Nooshin Bagherani, Bruce R Smoller, Nader Pazyar
Neutrophilic dermatosis of the hands (NDDH) is a localized variant of Sweet's syndrome which has been recently introduced. Strutton et al.in 1996 and then in Galaria et al. in 2000 reported cases with violaceous papulonodules on the dorsal surfaces of the hands with histopathological findings of a neutrophilic dermatosis in association with leukocytoclasia, but clinically and histologically without true vasculitis findings. Eventually, they proposed the term NDDH for these lesions (1,2). A 46-year-old man was referred to our outpatient dermatology clinic with a painful ulcerative lesion on the dorsal side of the left hand that had been present for one year...
December 2023: Acta Dermatovenerologica Croatica: ADC
https://read.qxmd.com/read/38425773/sodium-fluoride-pet-ct-with-arthrography-for-cartilage-evaluation-of-the-knee
#17
Alina van de Burgt, Rachèl E L Hezemans, Frits Smit, Menno R Bénard, Joris A Jansen
The presence of healthy cartilage in the knee joint, featuring smooth articular surfaces, is crucial for normal physiological knee function. However, noninvasive in-vivo assessment of cartilage quality in the knee remains challenging and has not been thoroughly investigated. We aimed to illustrate two clinical cases, a 62-year-old male and a 67-year-old male, presented to the orthopaedic outpatient clinic with severe knee complaints. The novel combination of sodium fluoride-18 positron emission tomography/computed tomography and intra-articular injection of a contrast agent (Na[18 F]F-PET/CT arthrography) was performed to evaluate cartilage defects of the knee as part of a prospective patient study...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38423095/clinical-and-radiological-outcomes-with-an-augmented-baseplate-for-superior-glenoid-wear-in-reverse-shoulder-arthroplasty
#18
JOURNAL ARTICLE
Jong H Park, Jong H Lee, Dae Y Kim, Hyun G Kim, Jae S Kim, Sang M Lee, Su C Kim, Jae C Yoo
AIMS: This study aimed to assess the impact of using the metal-augmented glenoid baseplate (AGB) on improving clinical and radiological outcomes, as well as reducing complications, in patients with superior glenoid wear undergoing reverse shoulder arthroplasty (RSA). METHODS: From January 2016 to June 2021, out of 235 patients who underwent primary RSA, 24 received a superior-AGB after off-axis reaming (Group A). Subsequently, we conducted propensity score matching in a 1:3 ratio, considering sex, age, follow-up duration, and glenoid wear (superior-inclination and retroversion), and selected 72 well-balanced matched patients who received a standard glenoid baseplate (STB) after eccentric reaming (Group B)...
March 1, 2024: Bone & Joint Journal
https://read.qxmd.com/read/38420738/bone-health-evaluations-and-secondary-fragility-fractures-in-hip-fracture-patients
#19
JOURNAL ARTICLE
Emily M Pflug, Ariana Lott, Sanjit R Konda, Philipp Leucht, Nirmal Tejwani, Kenneth A Egol
PURPOSE: This study sought to examine the utilization of bone health evaluations in geriatric hip fracture patients and identify risk factors for the development of future fragility fractures. MATERIALS AND METHODS: A consecutive series of patients ≥55 years who underwent surgical management of a hip fracture between September 2015 and July 2019 were identified. Chart review was performed to evaluate post-injury follow-up, performance of a bone health evaluation, and use of osteoporosis-related diagnostic and pharmacologic treatment...
March 1, 2024: Hip & Pelvis
https://read.qxmd.com/read/38414696/emerging-burkholderia-musculoskeletal-infections-with-delayed-diagnosis-in-non-endemic-regions-affect-patient-morbidity-a-case-series-of-10-patients-with-a-review-of-the-literature
#20
JOURNAL ARTICLE
Sandeep Kumar, Vivek Bhambhu, Shataayu Gugale, Rohit Goyal, Anchin Kalia
INTRODUCTION:  Burkholderia infection commonly presents as bacteraemic pulmonary disease; however, it is notorious for its wide variety of presentations in chronic cases, including musculoskeletal manifestations. It is common in patients living in endemic areas with comorbidities such as diabetes and who have chronic alcoholism. It was previously under-reported due to a low index of suspicion. Now, there is an increasing trend of diagnosis of these infections in non-endemic areas because of various factors, such as MALDI-TOF, molecular tests, and PCR...
January 2024: Curēus
keyword
keyword
161334
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.