keyword
https://read.qxmd.com/read/38533906/social-determinants-associated-with-substance-use-and-treatment-seeking-in-females-of-reproductive-age-in-the-united-states
#41
JOURNAL ARTICLE
Holly Horan, Alyssa Thompson, Kendall Willard, Emmily Mobley, Justin McDaniel, Ellen Robertson, Shanna McIntosh, David L Albright
Introduction: Females of reproductive age (FoRA; 15-49 years) are the demographic most likely to be diagnosed with a substance use disorder. Preventative treatment prior to or during pregnancy is critical. Stigma and social inequities can delay access to care. There is limited research examining social determinants of health (SDoH) and how they are related to substance use and treatment seeking in this demographic. Methods: We analyzed the 2016-2019 data from the United States National Survey on Drug Use and Health using multivariable logistic regression models...
March 27, 2024: Journal of Women's Health
https://read.qxmd.com/read/38533785/gut-motility-and-hormone-changes-after-bariatric-procedures
#42
JOURNAL ARTICLE
Khushboo Gala, Wissam Ghusn, Barham K Abu Dayyeh
PURPOSE OF REVIEW: Metabolic and bariatric surgery (MBS) and endoscopic bariatric therapies (EBT) are being increasingly utilized for the management of obesity. They work through multiple mechanisms, including restriction, malabsorption, and changes in the gastrointestinal hormonal and motility. RECENT FINDINGS: Roux-en-Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy (LSG) cause decrease in leptin, increase in GLP-1 and PYY, and variable changes in ghrelin (generally thought to decrease)...
March 28, 2024: Current Opinion in Endocrinology, Diabetes, and Obesity
https://read.qxmd.com/read/38533775/impact-of-a-nationwide-medication-history-sharing-program-on-the-care-process-and-end-user-experience-in-a-tertiary-teaching-hospital-cohort-study-and-cross-sectional-study
#43
JOURNAL ARTICLE
Jungwon Cho, Sooyoung Yoo, Eunkyung Euni Lee, Ho-Young Lee
BACKGROUND: Timely and comprehensive collection of a patient's medication history in the emergency department (ED) is crucial for optimizing health care delivery. The implementation of a medication history sharing program, titled "Patient's In-home Medications at a Glance," in a tertiary teaching hospital aimed to efficiently collect and display nationwide medication histories for patients' initial hospital visits. OBJECTIVE: As an evaluation was necessary to provide a balanced picture of the program, we aimed to evaluate both care process outcomes and humanistic outcomes encompassing end-user experience of physicians and pharmacists...
March 20, 2024: JMIR Medical Informatics
https://read.qxmd.com/read/38533713/opioid-stewardship-program-implementation-in-rural-and-critical-access-hospitals-in-arizona
#44
JOURNAL ARTICLE
Benjamin R Brady, Bianca SantaMaria, Kathryn Tucker Ortiz Y Pino, Bridget S Murphy
OBJECTIVE: The objective of this study is to examine rural hospitals' status in implementing opioid stewardship program (OSP) elements and assess differences in implementation in emergency department (ED) and acute inpatient departments. DESIGN: Health administrator survey to identify the number and type of OSP elements that each hospital has implemented. SETTING: Arizona critical access hospitals (CAHs). PARTICIPANTS: ED and acute inpatient department heads at 17 Arizona CAHs (total of 34 assessments)...
2024: Journal of Opioid Management
https://read.qxmd.com/read/38533699/business-continuity-plan-in-the-management-and-operations-of-hospitals-first-experience-to-certify-the-pdta-processes-with-the-requirements-defined-by-iso-22301-2019-in-emergency-medical-services
#45
JOURNAL ARTICLE
Lucio Dell'Atti, Roberto Papa, Leonardo Incicchitti, Maria Katia Zanni, Andrea Zampa, Michele Caporossi
BACKGROUND: A business continuity plan (BCP) facilitates the performance of primary functions during emergencies or other situations that can disrupt normal operations. If risk management is done analytically, a business impact analysis (BIA), according to ISO 22301 certification, makes it possible to define the best strategy for supporting the company's assets and image, optimizing the operational efficiency of service recovery and redesigning spaces for health. Since 2015, our healthcare company has embarked on a certification process for all sectors and activities through the implementation and development of diagnostic and therapeutic paths for operational diagnos-tic-therapeutic-assistance pathways (PDTAs)...
2024: Journal of Emergency Management: JEM
https://read.qxmd.com/read/38533695/factors-influencing-nurses-use-of-sedation-interruptions-in-a-critical-care-unit-a-descriptive-qualitative-study
#46
JOURNAL ARTICLE
Nicole D Graham, Ian D Graham, Brandi Vanderspank-Wright, Letitia Nadalin Penno, Dean A Fergusson, Janet E Squires
INTRODUCTION AND AIMS: This study examined critical care nurses', physicians', and allied health professionals' perceptions of factors that support, inhibit, or limit the use of sedation interruption (SI) to improve the use of this integral component of care for mechanically ventilated patients. METHOD: We conducted a theory-based, descriptive qualitative study using semi-structured interviews with critical care registered nurses, respiratory therapists, a pharmacist, and a physician in a hospital in Ontario, Canada...
March 28, 2024: JBI evidence implementation
https://read.qxmd.com/read/38533650/experiences-of-patients-with-metachromatic-leukodystrophy-adrenoleukodystrophy-or-krabbe-disease-and-their-family-members-a-qualitative-systematic-review
#47
JOURNAL ARTICLE
Yuta Koto, Shingo Ueki, Miyae Yamakawa, Norio Sakai
OBJECTIVE: This review aimed to synthesize the experiences of patients with metachromatic leukodystrophy, adrenoleukodystrophy, or Krabbe disease and those of their families. INTRODUCTION: Leukodystrophies are metabolic diseases caused by genetic mutations. There are multiple forms of the disease, varying in age of onset and symptoms. The progression of leukodystrophies worsens central nervous system symptoms and significantly affects the lives of patients and their families...
March 28, 2024: JBI evidence synthesis
https://read.qxmd.com/read/38533449/clinical-pharmacist-interventions-in-an-intensive-care-unit-reduces-icu-mortality-at-a-tertiary-hospital-in-dubai-united-arab-emirates
#48
JOURNAL ARTICLE
Hawra Ali Hussain Alsayed, Fatemeh Saheb Sharif-Askari, Narjes Saheb Sharif-Askari, Rabih Halwani
BACKGROUND: Drug-related problems (DRPs) are prevalent in critical care settings and can be life-threatening. Involving clinical pharmacists (CP) within the critical care team is recommended to optimize therapy and improve patient survival. OBJECTIVE: To classify DRPs identified by a CP in the Intensive Care Unit (ICU) and to assess the impact of CP interventions accepted by physicians on the length of ICU stay and in-hospital survival. METHODS: This study was conducted prospectively at the Medical ICU of Rashid Hospital, a tertiary hospital in Dubai, over a 16-month period from September 2021 to December 2022...
June 2024: Explor Res Clin Soc Pharm
https://read.qxmd.com/read/38533413/mnemonic-utilization-in-stroke-education-fast-and-befast-adoption-by-certified-comprehensive-stroke-centers
#49
JOURNAL ARTICLE
Christopher Hogge, Larry B Goldstein, Sushanth R Aroor
INTRODUCTION: Symptom recognition and timely access to treatment are critical components of acute stroke care systems. Two mnemonics widely used in public educational campaigns for recognizing stroke symptoms include FAST (Face-Arm-Speech-Time) and BEFAST (Balance-Eyes-Face-Arm Speech-Time). The FAST mnemonic can miss up to 14% of strokes. BEFAST includes common posterior circulation stroke symptoms and has been implemented by several Comprehensive Stroke Centers (CSCs). METHODS: We sought to analyze the pattern of public educational materials available on the websites of US CSCs...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38533295/hemodynamic-determinants-of-cardiac-surgery-associated-acute-kidney-injury
#50
JOURNAL ARTICLE
Sevag Demirjian, Faisal Bakaeen, W H Wilson Tang, Chase Donaldson, Jon Taliercio, Anne Huml, Crystal A Gadegbeku, A Marc Gillinov, Steven Insler
OBJECTIVES: Examine the: 1) relative role of hemodynamic determinants of acute kidney injury (AKI) obtained in the immediate postcardiac surgery setting compared with established risk factors, 2) their predictive value, and 3) extent mediation via central venous pressure (CVP) and mean arterial pressure (MAP). DESIGN: Retrospective observational study. The main outcome of the study was moderate to severe AKI, per kidney disease: improving global outcomes, within 14 days of surgery...
April 2024: Critical care explorations
https://read.qxmd.com/read/38533294/a-review-and-discussion-of-full-time-equivalency-and-appropriate-compensation-models-for-an-adult-intensivist-in-the-united-states-across-various-base-specialties
#51
JOURNAL ARTICLE
Michael Nurok, Brigid C Flynn, Marc Pineton de Chambrun, Mina Kazemian, Joel Geiderman, Mark E Nunnally
OBJECTIVES: Physicians with training in anesthesiology, emergency medicine, internal medicine, neurology, and surgery may gain board certification in critical care medicine upon completion of fellowship training. These clinicians often only spend a portion of their work effort in the ICU. Other work efforts that benefit an ICU infrastructure, but do not provide billing opportunities, include education, research, and administrative duties. For employed or contracted physicians, there is no singular definition of what constitutes an intensive care full-time equivalent (FTE)...
April 2024: Critical care explorations
https://read.qxmd.com/read/38533293/a-new-dosing-frontier-retrospective-assessment-of-effluent-flow-rates-and-residual-renal-function-among-critically-ill-patients-receiving-continuous-renal-replacement-therapy
#52
JOURNAL ARTICLE
Damini Lakshmipathy, Xiaoyi Ye, Joseph L Kuti, David P Nicolau, Tomefa E Asempa
OBJECTIVES: In 2020, cefiderocol became the first Food and Drug Administration-approved medication with continuous renal replacement therapy (CRRT) dosing recommendations based on effluent flow rates ( Q E ). We aimed to evaluate the magnitude and frequency of factors that may influence these recommendations, that is, Q E intrapatient variability and residual renal function. DESIGN: Retrospective observational cohort study. SETTING: ICUs within Hartford Hospital (890-bed, acute-care hospital) in Connecticut from 2017 to 2023...
April 2024: Critical care explorations
https://read.qxmd.com/read/38533152/navigating-the-challenges-of-delayed-subdural-hemorrhage-and-covid-19-a-case-report
#53
Saleh S Al Qahtani, Dunya Alfaraj, Mohammed O Alzayer, Zainab Juma, Mohamed Abdulla, Husain Faraj, Abdulla Juma, Mohamed M Moussa
The delayed onset of posttraumatic subdural hemorrhage (SDH) represents non-specific clinical features, complicating the diagnostic process, especially in individuals predisposed due to pre-existing risk factors and comorbidities. This case report delineates the medical trajectory of a 61-year-old female patient who sustained a traumatic fall, initially displaying neither clinical nor radiological signs indicative of hemorrhage. However, three weeks post-injury, she developed altered mental status, cephalgia, and emesis...
February 2024: Curēus
https://read.qxmd.com/read/38533135/exploring-vaginal-birth-after-cesarean-success-rates-and-cultural-decisions-in-the-united-arab-emirates
#54
JOURNAL ARTICLE
Shazia Tariq, Nilanjana Singh
OBJECTIVE: This study explores the success rates and cultural influences on the decision-making process for vaginal birth after cesarean (VBAC) in the United Arab Emirates (UAE). METHODOLOGY: An observational cohort study was conducted at a hospital in the UAE accredited by Joint Commission International, enrolling 263 women eligible for VBAC from March 1, 2018, to February 28, 2019. The study focused on maternal-fetal outcomes, the proportions of women opting for trial of labor after cesarean (TOLAC) versus elective repeat cesarean section (ERCS), and the impact of cultural backgrounds on these decisions...
February 2024: Curēus
https://read.qxmd.com/read/38533133/non-tamponade-indications-for-pericardial-drainage-a-case-report-of-acute-streptococcus-pneumoniae-purulent-pericarditis
#55
Toyin Ingram, Aarti Narayan, Noah Ene, Iheoma Kwazemem-Opara, Chika Okafor
Pericardial drainage is a procedure completed to evacuate fluid from the pericardial space. This can be completed by pericardiocentesis or pericardial window. These procedures are most often done in the setting of cardiac tamponade, typically to correct low blood pressure due to low stroke volume from extrinsic compression of the heart chambers by the pericardial fluid. Elective pericardiocentesis can be done in cases where fluid accumulation is secondary to pathological processes, including hemopericardium secondary to complications of trauma to the chest, toxins, myocardial infarction, cardiac surgery, serosanguinous pericardial effusion due to malignancy, right heart failure, acute pericarditis, chemotherapeutic agents, metabolic derangements like uremia, and autoimmune disorders...
February 2024: Curēus
https://read.qxmd.com/read/38533071/machine-learning-for-the-early-prediction-of-acute-respiratory-distress-syndrome-ards-in-patients-with-sepsis-in-the-icu-based-on-clinical-data
#56
JOURNAL ARTICLE
Zhenzhen Jiang, Leping Liu, Lin Du, Shanshan Lv, Fang Liang, Yanwei Luo, Chunjiang Wang, Qin Shen
BACKGROUND: Acute respiratory distress syndrome (ARDS) is a fatal outcome of severe sepsis. Machine learning models are helpful for accurately predicting ARDS in patients with sepsis at an early stage. OBJECTIVE: We aim to develop a machine-learning model for predicting ARDS in patients with sepsis in the intensive care unit (ICU). METHODS: The initial clinical data of patients with sepsis admitted to the hospital (including population characteristics, clinical diagnosis, complications, and laboratory tests) were used to predict ARDS, and screen out the crucial variables...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38532950/the-enterics-for-global-health-efgh-shigella-surveillance-study-in-pakistan
#57
JOURNAL ARTICLE
Naveed Ahmed, Mohammad Tahir Yousafzai, Farah Naz Qamar
BACKGROUND: The Enterics for Global Health (EFGH) Shigella surveillance study is a longitudinal multicountry study that aims to estimate incidence rates and document consequences of Shigella diarrhea within 7 countries in Africa, Asia, and Latin America. In addition to a high incidence of childhood diarrhea, Pakistan is facing a problem of antimicrobial resistance in urban and peri-urban areas of Karachi. METHODS: In Pakistan, EFGH will be conducted in Karachi, which is one of the metropolitan cities bordering the Arabian Sea and has a diverse population of 1...
March 2024: Open Forum Infectious Diseases
https://read.qxmd.com/read/38532926/combined-frequency-domain-near-infrared-spectroscopy-and-diffuse-correlation-spectroscopy-system-for-comprehensive-metabolic-monitoring-of-inspiratory-muscles-during-loading
#58
JOURNAL ARTICLE
Carlos A Gómez, Laurent Brochard, Ewan C Goligher, Dmitry Rozenberg, W Darlene Reid, Darren Roblyer
SIGNIFICANCE: Mechanical ventilation (MV) is a cornerstone technology in the intensive care unit as it assists with the delivery of oxygen in critically ill patients. The process of weaning patients from MV can be long and arduous and can lead to serious complications for many patients. Despite the known importance of inspiratory muscle function in the success of weaning, current clinical standards do not include direct monitoring of these muscles. AIM: The goal of this project was to develop and validate a combined frequency domain near-infrared spectroscopy (FD-NIRS) and diffuse correlation spectroscopy (DCS) system for the noninvasive characterization of inspiratory muscle response to a load...
March 2024: Journal of Biomedical Optics
https://read.qxmd.com/read/38532915/commonly-used-diagnostic-label-classes-domain-and-formulation-among-nursing-students-in-ibadan-oyo-state-nigeria
#59
JOURNAL ARTICLE
Iyanuoluwa O Ojo, Elizabeth O Kazeem, Olufemi O Oyediran, Timothy O Oladosu, Adenike A Olaogun, Prisca O Adejumo
BACKGROUND: In order to select nursing actions that will produce the desired results, a nursing diagnosis is crucial. Despite this, it can be challenging for nursing students to recognize and create precise nursing diagnostic labels that are particular to a patient's situation. The study's objectives are to identify the diagnostic labels, classes, and domains that are frequently formulated by nursing students. MATERIALS AND METHODS: A descriptive cross-sectional methodology and a self-developed questionnaire were utilized to gather information from 120 nursing students who were chosen using a simple random sampling technique...
2024: Journal of Education and Health Promotion
https://read.qxmd.com/read/38532695/from-sound-check-to-encore-a-journey-through-high-resolution-mass-spectrometry-based-food-analyses-and-metabolomics
#60
JOURNAL ARTICLE
Francisco José Díaz-Galiano, María Murcia-Morales, Amadeo Rodríguez Fernández-Alba
This manuscript presents a comprehensive review of high-resolution mass spectrometry in the field of food analysis and metabolomics. We have followed the historical evolution of metabolomics, its associated techniques and technologies, and its increasing role in food science and research. The review provides a critical comparison and synthesis of tentative identification guidelines proposed for over 15 years, offering a condensed resource for researchers in the field. We have also examined a wide range of recent metabolomics studies, showcasing various methodologies and highlighting key findings as a testimony of the versatility of the field and the possibilities it offers...
March 2024: Comprehensive Reviews in Food Science and Food Safety
keyword
keyword
343
3
4
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.