keyword
https://read.qxmd.com/read/33634915/the-united-states-experience-in-nuchal-translucency-variation-by-provider-characteristics-in-over-5-million-ultrasound-measurements
#21
L L Thornburg, B Bromley, L Dugoff, L D Platt, K M Fuchs, M E Norton, J McIntosh, G J Toland, H Cuckle
OBJECTIVE: The Nuchal Translucency Quality Review (NTQR) program has provided standardized education, credentialing, and epidemiologic monitoring of nuchal translucency (NT) measurements since 2005. We reviewed the effect of provider characteristics on the median NT measurement (NT median MoM) since the program's inception. METHODS: Distributions were derived for all NT measurements performed between 01/2005 and 12/2019 for each of the three primary performance indicators of NT (median MoM, SD of log10 MoM and slope of NT on CRL)...
February 26, 2021: Ultrasound in Obstetrics & Gynecology
https://read.qxmd.com/read/33634830/effect-of-neuromuscular-electrical-stimulation-on-the-recovery-of-people-with-covid-19-admitted-to-the-intensive-care-unit-a-narrative-review
#22
Louise C Burgess, Lalitha Venugopalan, James Badger, Tamsyn Street, Gad Alon, Jonathan C Jarvis, Thomas W Wainwright, Tamara Everington, Paul Taylor, Ian D Swain
The rehabilitation of patients with COVID-19 after prolonged treatment in the intensive care unit is often complex and challenging. Patients may develop a myriad of long-term multi-organ impairments, affecting the respiratory, cardiac, neurological, digestive and musculoskeletal systems. Skeletal muscle dysfunction of respiratory and limb muscles, commonly referred to as intensive care unit acquired weakness, occurs in approximately 40% of all patients admitted to intensive care. The impact on mobility and return to activities of daily living is severe...
February 26, 2021: Journal of Rehabilitation Medicine
https://read.qxmd.com/read/33634718/an-unusual-retained-choanal-foreign-body-a-possible-complication-of-covid-19-testing-with-nasopharyngeal-swab
#23
Michele Gaffuri, Pasquale Capaccio, Sara Torretta, Marco Daga, Gian Vincenzo Zuccotti, Lorenzo Pignataro
Testing for coronavirus disease 2019 is critical in controlling the pandemic all over the world. Diagnosis of severe acute respiratory syndrome coronavirus-2 infection is based on real-time polymerase chain reaction performed on nasopharyngeal swab. If not adequately performed, the viral specimen collection can be painful and lead to complications. We present a complication occurred during a nasopharyngeal swab collection performed in a noncooperative patient where the plastic shaft of the swab fractured during the procedure, resulting in swab tip retention deep into the nasal cavity...
February 26, 2021: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/33634668/barriers-to-healthcare-delivery-in-iranian-prisons-a-qualitative-study
#24
Ahmad Hajebrahimi, Khalil Alimohammadzadeh, Seyed Mojtaba Hosseini, Ali Maher, Mohammadkarim Bahadori
PURPOSE: High quality health-care delivery is not only the governments' responsibility but also every prisoner's right. Health care in prison and, particularly, of Iranian prisoners is increasingly important topic because of the rising number of the prison population. This paper aims to explore health-care managers' perspectives and experiences of prisons and the barriers to health-care delivery in Iranian prisons. DESIGN/METHODOLOGY/APPROACH: A qualitative research design was conducted in Iran from October 2018 to August 2019...
August 17, 2020: International Journal of Prisoner Health
https://read.qxmd.com/read/33634662/migrant-health-situation-when-detained-in-european-immigration-detention-centres-a-synthesis-of-extant-qualitative-literature
#25
REVIEW
Marie-Claire Van Hout, Cassie Lungu-Byrne, Jennifer Germain
PURPOSE: Many migrants are detained in Europe not because they have committed a crime but because of lack of certainty over their immigration status. Although generally in good physical health on entry to Europe, migrant detainees have complex health needs, often related to mental health. Very little is known about the current health situation and health care needs of migrants when detained in European immigration detention settings. The review aims to synthesize the qualitative literature available on this issue from the perspectives of staff and migrants...
June 1, 2020: International Journal of Prisoner Health
https://read.qxmd.com/read/33634660/does-criminal-justice-stigma-affect-health-and-health-care-utilization-a-systematic-review-of-public-health-and-medical-literature
#26
REVIEW
Karin Martin, Andrew Taylor, Benjamin Howell, Aaron Fox
PURPOSE: This paper aims to determine whether criminal justice (CJ) stigma affects health outcomes and health care utilization. DESIGN/METHODOLOGY/APPROACH: The authors reviewed medical and public health literature through May 2020. Structured terms were used to search four databases identifying articles that related to CJ stigma. Included articles were in English, examined CJ stigma and had people with CJ involvement as subjects. The studies without health outcomes were excluded...
July 15, 2020: International Journal of Prisoner Health
https://read.qxmd.com/read/33634267/intranasal-orexin-after-cardiac-arrest-leads-to-increased-electroencephalographic-gamma-activity-and-enhanced-neurologic-recovery-in-rats
#27
David L Sherman, Autumn Williams, Sahithi Gd, Hiren R Modi, Qihong Wang, Nitish V Thakor, Romergryko G Geocadin
Objectives: Prolonged cardiac arrest is known to cause global ischemic brain injury and functional impairment. Upon resuscitation, electroencephalographic recordings of brain activity begin to resume and can potentially be used to monitor neurologic recovery. We have previously shown that intrathecal orexin shows promise as a restorative drug and arousal agent in rodents. Our goal is to determine the electrophysiology effects of orexin in a rodent model of asphyxial cardiac arrest, focusing on the electroencephalographic activity in the gamma and super-gamma bands (indicative of return of higher brain function)...
February 2021: Critical care explorations
https://read.qxmd.com/read/33634266/first-and-second-waves-of-coronavirus-disease-2019-in-madrid-spain-clinical-characteristics-and-hematological-risk-factors-associated-with-critical-fatal-illness
#28
Irene Mollinedo-Gajate, Felipe Villar-Álvarez, María de Los Ángeles Zambrano-Chacón, Laura Núñez-García, Laura de la Dueña-Muñoz, Carlos López-Chang, Miguel Górgolas, Alfonso Cabello, Olga Sánchez-Pernaute, Fredeswinda Romero-Bueno, Álvaro Aceña, Nicolás González-Mangado, Germán Peces-Barba, Faustino Mollinedo
Objectives: This study aims to determine similarities and differences in clinical characteristics between the patients from two waves of severe acute respiratory syndrome coronavirus-2 infection at the time of hospital admission, as well as to identify risk biomarkers of coronavirus disease 2019 severity. Design: Retrospective observational study. Setting: A single tertiary-care center in Madrid. Patients: Coronavirus disease 2019 adult patients admitted to hospital from March 4, 2020, to March 25, 2020 (first infection wave), and during July 18, 2020, and August 20, 2020 (second infection wave)...
February 2021: Critical care explorations
https://read.qxmd.com/read/33634265/assessment-of-right-ventricular-function-with-ct-and-echocardiography-in-patients-with-severe-acute-respiratory-distress-syndrome-on-extracorporeal-membrane-oxygenation
#29
Dominik J Vogel, Ambra Fabbri, Andrea Falvo, Jonah Powell-Tuck, Nishita Desai, Francesco Vasques, Chris Meadows, Nicholas Ioannou, Guy Glover, Aimée Brame, Peter Sherren, Andrew Retter, Ronak Rajani, Luigi Camporota
Objectives: Changes in right ventricular size and function are frequently observed in patients with severe acute respiratory distress syndrome. The majority of patients who receive venovenous extracorporeal membrane oxygenation undergo chest CT and transthoracic echocardiography. The aims of this study were to compare the use of CT and transthoracic echocardiography to evaluate the right ventricular function and to determine the prevalence of acute cor pulmonale in this patient population...
February 2021: Critical care explorations
https://read.qxmd.com/read/33634264/life-support-limitations-in-mechanically-ventilated-stroke-patients
#30
Etienne de Montmollin, Carole Schwebel, Claire Dupuis, Maité Garrouste-Orgeas, Daniel da Silva, Elie Azoulay, Virginie Laurent, Guillaume Thiéry, Alexandra Grinea, Guillaume Marcotte, Johanna Oziel, Marc Gainnier, Shidasp Siami, Jean Reignier, Benjamin Sztrymf, Christophe Adrie, Stephane Ruckly, Romain Sonneville, Jean-François Timsit
Objectives: The determinants of decisions to limit life support (withholding or withdrawal) in ventilated stroke patients have been evaluated mainly for patients with intracranial hemorrhages. We aimed to evaluate the frequency of life support limitations in ventilated ischemic and hemorrhagic stroke patients compared with a nonbrain-injured population and to determine factors associated with such decisions. Design: Multicenter prospective French observational study...
February 2021: Critical care explorations
https://read.qxmd.com/read/33634214/age-of-thawed-plasma-does-not-affect-clinical-outcomes-or-biomarker-expression-in-patients-receiving-prehospital-thawed-plasma-a-pamper-secondary-analysis
#31
Katherine M Reitz, Danielle S Gruen, Frances Guyette, Joshua B Brown, Mark H Yazer, Yoram Vodovotz, Pär I Johanssen, Jakob Stensballe, Brian Daley, Richard S Miller, Brian G Harbrecht, Jeffrey Claridge, Herb A Phelan, Matthew D Neal, Brian S Zuckerbraun, Jason L Sperry
Background: Prehospital plasma administration during air medical transport reduces the endotheliopathy of trauma, circulating pro-inflammatory cytokines, and 30-day mortality among traumatically injured patients at risk of hemorrhagic shock. No clinical data currently exists evaluating the age of thawed plasma and its association with clinical outcomes and biomarker expression post-injury. Methods: We performed a secondary analysis from the prehospital plasma administration randomized controlled trial, PAMPer...
2021: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/33634213/decreased-adult-trauma-admission-volumes-and-changing-injury-patterns-during-the-covid-19-pandemic-at-85-trauma-centers-in-a-multistate-healthcare-system
#32
Gina M Berg, Ransom J Wyse, Jennifer L Morse, John Chipko, Jeneva M Garland, Andrea Slivinski, Mark Lieser, Saptarshi Biswas, Matthew M Carrick, Heather Rhodes, David Acuna, Dorraine D Watts, Nina Y Wilson, Yan Shen, Shenequa Deas, Samir M Fakhry
Background: Reports indicate social distancing guidelines and other effects of the COVID-19 pandemic impacted trauma patient volumes and injury patterns. This report is the first analysis of a large trauma network describing the extent of these impacts. The objective of this study was to describe the effects of the COVID-19 pandemic on patient volumes, demographics, injury characteristics, and outcomes. Methods: For this descriptive, multicenter study from a large, multistate hospital network, data were collected from the system-wide centralized trauma registry and retrospectively reviewed to retrieve patient information including volume, demographics, and outcomes...
2021: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/33634212/incorporating-age-improves-the-glasgow-coma-scale-score-for-predicting-mortality-from-traumatic-brain-injury
#33
Kristin Salottolo, Ripul Panchal, Robert M Madayag, Laxmi Dhakal, William Rosenberg, Kaysie L Banton, David Hamilton, David Bar-Or
Background: The Glasgow Coma Scale (GCS) score has been adapted into categories of severity (mild, moderate, and severe) and are ubiquitous in the trauma setting. This study sought to revise the GCS categories to account for an interaction by age and to determine the discrimination of the revised categories compared with the standard GCS categories. Methods: The American College of Surgeons National Trauma Data Bank registry was used to identify patients with traumatic brain injury (TBI; ICD-9 codes 850-854...
2021: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/33634211/cardiac-arrest-after-severe-traumatic-brain-injury-can-be-survivable-with-good-outcomes
#34
Zirun Zhao, Justine J Liang, Zhe Wang, Nathan J Winans, Matthew Morris, Stephen Doyle, Adam Fry, Susan M Fiore, Sima Mofakham, Charles B Mikell
Background: Resuscitation for traumatic cardiac arrest (TCA) in patients with severe traumatic brain injury (sTBI) has historically been considered futile. There is little information on the characteristics and outcomes of these patients to guide intervention and prognosis. The purpose of the current study is to report the clinical characteristics, survival, and long-term neurological outcomes in patients who experienced TCA after sTBI and analyze the factors contributing to survival...
2021: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/33634198/feasibility-of-community-health-workers-using-a-clinical-decision-support-system-to-screen-and-monitor-non-communicable-diseases-in-resource-poor-settings-study-protocol
#35
Sojib Bin Zaman, Roger G Evans, Rajkumari Singh, Akash Singh, Parul Singh, Rajesh Singh, Amanda G Thrift
Background: It is imperative that coordinated and systematic action is undertaken, at all levels, to minimize the consequences of the growing global burden of non-communicable diseases (NCDs). An integrated multi-disciplinary primary care-based preventive program has the potential to reduce lifestyle-related risk factors contributing to NCDs. Accredited Social Health Activists (ASHAs), who are community health workers (CHWs), may be employed to screen populations for NCDs in rural India...
2021: MHealth
https://read.qxmd.com/read/33634153/d-dimer-driven-anticoagulation-reduces-mortality-in-intubated-covid-19-patients-a-cohort-study-with-a-propensity-matched-analysis
#36
Apostolos K Tassiopoulos, Sima Mofakham, Jerry A Rubano, Nicos Labropoulos, Mohsen Bannazadeh, Panagiotis Drakos, Panagiotis Volteas, Nathaniel A Cleri, Leor N Alkadaa, Anthony A Asencio, Anthony Oganov, Wei Hou, Daniel N Rutigliano, Adam J Singer, James Vosswinkel, Mark Talamini, Charles B Mikell, Kenneth Kaushansky
Objective: Examine the possible beneficial effects of early, D-dimer driven anticoagulation in preventing thrombotic complications and improving the overall outcomes of COVID-19 intubated patients. Methods: To address COVID-19 hypercoagulability, we developed a clinical protocol to escalate anticoagulation based on serum D-dimer levels. We retrospectively reviewed all our first 240 intubated patients with COVID-19. Of the 240, 195 were stratified into patients treated based on this protocol (ON-protocol, n = 91) and the control group, patients who received standard thromboprophylaxis (OFF-protocol, n = 104)...
2021: Frontiers in Medicine
https://read.qxmd.com/read/33633916/prolonged-oxygen-therapy-post-covid-19-infection-factors-leading-to-the-risk-of-poor-outcome
#37
Alokananda Ray, Rajan Chaudhry, Sudhir Rai, Sujata Mitra, Sridhar Pradhan, Ashok Sunder, Deb Sanjay Nag
BACKGROUND: Coronavirus disease 2019 (COVID-19) infection is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a single-stranded ribonucleic acid (RNA) β-coronavirus. Prolonged duration of symptoms, ill health, disability, and need for hospitalisation are all well-known features of severe COVID-19 disease. OBJECTIVE: To describe the epidemiological, clinical and imaging characteristics of hospitalised patients of COVID-19 who required prolonged oxygen therapy after testing negative for SARS-CoV-2 and attempt to determine the associated factors leading to delayed recovery, failure to wean, and mortality...
February 15, 2021: Curēus
https://read.qxmd.com/read/33633889/correlation-of-positive-blood-cultures-with-peripherally-inserted-central-catheter-line-infection-in-oncology-patients
#38
Christina Platanaki, Nicholas Zareifopoulos, Maria Lagadinou, Konstantinos Tsiotsios, Dimitrios Velissaris
INTRODUCTION: The use of peripherally inserted central catheter (PICC) lines offers several advantages compared to traditional central venous catheters (CVCs) as the insertion procedure is minimally invasive, they may be retained safely for longer periods of time, and their use is associated with fewer catheter-related infections. Their use in patients suffering from a malignant disease is common but may pose a greater risk of complications due to the severe immunosuppression associated with treatment...
January 22, 2021: Curēus
https://read.qxmd.com/read/33633863/pediatric-covid-19-presenting-as-supraglottitis-with-vocal-cord-hypomobility
#39
Meghana Nadiger, Manette Ness-Cochinwala, Carolina Sanchez-Vegas, Prithvi Sendi, Brian Ho, Balagangadhar R Totapally, Ramesh Sachdeva
In the United States, an estimated 7.3% of confirmed cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (COVID-19) are among persons aged less than 18 years. Data regarding clinical manifestations in this age group are still evolving. An upper airway predilection has been reported in children. We describe the case of a 15-year-old female with supraglottitis and unilateral hypomobility of vocal cord with concern for critical airway, associated with COVID-19. She was managed by a multidisciplinary team including critical care, infectious diseases, and otolaryngology...
2021: SAGE Open Medical Case Reports
https://read.qxmd.com/read/33633823/accessing-behavioral-health-care-during-covid-rapid-transition-from-in-person-to-teleconferencing-medical-group-visits
#40
Maria Juarez-Reyes, Heather Z Mui, Samantha M R Kling, Cati Brown-Johnson
Background and aim: Effective and safe behavioral health interventions in primary care are critical during pandemic and other disaster situations. California shelter-in-place orders necessitated rapid transition of an effective mindfulness-based medical group visit (MGV) program from in-person to videoconferenced sessions (VCSs). Aim: to Describe procedures, acceptability, and feasibility of converting from in-person to VCS. Patients and methods: Methods: qualitative...
2021: Therapeutic Advances in Chronic Disease
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