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[PMID]: 29524594
[Au] Autor:Tomlin K; Mirea L; Williamson A
[Ad] Address:Department of Pediatric and Adolescent Gynecology, Phoenix Children's Hospital, Phoenix, Arizona. Electronic address: kristl.tomlin@palmettohealth.org.
[Ti] Title:Pediatric and gynecologic rates of documentation of last menstrual period in adolescent females.
[So] Source:J Pediatr Adolesc Gynecol;, 2018 Mar 07.
[Is] ISSN:1873-4332
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:STUDY OBJECTIVE: The American Academy of Pediatrics and American College of Obstetricians and Gynecologists have identified the menstrual cycle as essential in assessing overall health of adolescent girls. Menses should be considered a "vital sign" and documentation of last menstrual period (LMP) is recommended at every patient encounter. The aim of this study is to estimate and compare LMP documentation among adolescent and pediatric healthcare providers. STUDY DESIGN, SETTING, AND PARTICIPANTS: A retrospective cohort study identified a random sample of 50 female patients seen in the general pediatrics (PEDS), adolescent medicine (AM), and pediatric and adolescent gynecology (PAG) ambulatory clinics at Phoenix Children's Hospital between January 1, 2016 and March 31, 2016. INTERVENTIONS AND MAIN OUTCOME MEASURES: Rates of LMP documentation were compared between clinics using the Pearson Chi-square test. Multivariable logistic regression analyses quantified the association of clinic and LMP documentation, with adjustments for visit reason, provider gender and age at presentation. RESULTS: Rates of LMP documentation were 100% for adolescent gynecologists, but significantly lower for general pediatricians (14%) and adolescent medicine (60%) providers (p<0.0001). These findings were confirmed in multivariable analyses (PAG vs PEDS: OR = 280; 95% CI 32-2331; PAG vs AM: OR = 34; 95% CI 4.4-270; AM vs PEDS: OR 3.8; 95% CI 1.3-11.0). CONCLUSIONS: Adolescent gynecologists document LMP routinely. In contrast, LMP documentation rates in adolescent medicine, and especially in general pediatrics, were significantly lower. Quality improvement methods such as incorporation of an LMP section into the vitals portion of an electronic medical record could help improve rates of compliance.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180310
[Lr] Last revision date:180310
[St] Status:Publisher

  2 / 53371 MEDLINE  
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[PMID]: 29516015
[Au] Autor:Nikoubashman O; Schürmann K; Othman AE; Bach JP; Wiesmann M; Reich A
[Ad] Address:Department of Diagnostic and Interventional Neuroradiology, University Hospital, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany.
[Ti] Title:Improvement of Endovascular Stroke Treatment: A 24-Hour Neuroradiological On-Site Service Is Not Enough.
[So] Source:Biomed Res Int;2018:9548743, 2018.
[Is] ISSN:2314-6141
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Background and Purpose: With the advent of endovascular stroke treatment (EST) with mechanical thrombectomy, stroke treatment has also become more challenging. Purpose of this study was to investigate whether a fulltime neuroradiological on-site service and workflow optimization with a structured documentation of the interdisciplinary stroke workflow resulted in improved procedural times. Material and Methods: Procedural times of 322 consecutive patients, who received EST (1) before ( = 96) and (2) after ( = 126) establishing a 24-hour neuroradiological on-site service as well as (3) after implementation of a structured interdisciplinary workflow documentation ("Stroke Check") ( = 100), were analysed. Results: A fulltime neuroradiological on-site service resulted in a nonsignificant improvement of procedural times during out-of-hours admissions ( ≥ 0.204). Working hours and out-of-hours procedural times improved significantly, if additional workflow optimization was realized ( ≤ 0.026). Conclusions: A 24-hour interventional on-site service is a major prerequisite to adequately provide modern reperfusion therapies in patients with acute ischemic stroke. However, simple measures like standardized and focused documentation that affect the entire interdisciplinary pre- and intrahospital stroke rescue chain seem to be important.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180311
[Lr] Last revision date:180311
[St] Status:In-Process
[do] DOI:10.1155/2018/9548743

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[PMID]: 29295287
[Au] Autor:Sohn S; Wi CI; Juhn YJ; Liu H
[Ad] Address:Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
[Ti] Title:Analysis of Clinical Variations in Asthma Care Documented in Electronic Health Records Between Staff and Resident Physicians.
[So] Source:Stud Health Technol Inform;245:1170-1174, 2017.
[Is] ISSN:0926-9630
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:Clinical documentation using free text to describe a patient's medical status is an essential component of electronic health records (EHRs), and the quality of information in documents plays a critical role in clinical practice and translational research. Physicians are the primary creators of EHRs, but their clinical practices vary substantially, resulting in variations in clinical documentation. These variations can represent a source for potential bias in clinical outcomes and downstream applications using EHRs. Asthma is one example, presenting an inconsistent ascertainment process and criteria. A recent study revealed that resident physicians' knowledge of asthma diagnosis and management is relatively limited. In this study, we examined clinical documentation variations in asthma care between staff and resident physicians using individual words, topics, and asthma-related concepts in EHR clinical narratives. Additionally, we discuss potential biases in building an informatics model and further compare asthma diagnosis and outcomes between two physician groups.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180311
[Lr] Last revision date:180311
[St] Status:In-Process

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[PMID]: 28456884
[Au] Autor:George PT
[Ad] Address:, 1649 Kalakaua Ave, Suite 204, Honolulu, HI, 96826, USA. peter123george@gmail.com.
[Ti] Title:The psycho-sensory wake drive-a power source for power naps and other common sleep-wake phenomena: a hypothesis.
[So] Source:Sleep Breath;22(1):41-48, 2018 Mar.
[Is] ISSN:1522-1709
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:Power naps are extensively practiced worldwide and there exists ample documentation of their efficacy in reversing daytime sleepiness. The source of their efficacy, however, as well as the cause and manifestation of many other common sleep-wake phenomena, cannot be entirely explained by the most commonly accepted model of sleep-wake regulation, the two-process model of Borbély, which considers the drives of the circadian and homeostatic sleep processes only. When considering the causes and manifestations of these unexplained phenomena, there appears to be evidence of a wake-promoting drive that is independent of the circadian oscillator indicated in the two-process model of sleep-wake regulation. Although this posited secondary wake drive, herein referred to as the psycho-sensory wake drive, is always active during the awake state, its strength unpredictably varies during a normal day and, therefore, cannot be incorporated into the prevalent two-process model by any current mathematical formula. However, a supplemental graphic model superimposing it on the drives of Process S and Process C can provides plausible and parsimonious explanations for many otherwise unexplainable sleep-wake phenomena and enables rational guidelines for their effective practical management.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1705
[Cu] Class update date: 180311
[Lr] Last revision date:180311
[St] Status:In-Data-Review
[do] DOI:10.1007/s11325-017-1505-6

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[PMID]: 29523534
[Au] Autor:Tewell R; Edgerton L; Kyle E
[Ad] Address:New Hanover Regional Medical Center, Wilmington, NC ryantewell09@gmail.com.
[Ti] Title:Establishment of a pharmacist-led service for patients at high risk for opioid overdose.
[So] Source:Am J Health Syst Pharm;75(6):376-383, 2018 Mar 15.
[Is] ISSN:1535-2900
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:PURPOSE: A program at a family medicine clinic to provide naloxone prescriptions in conjunction with education on naloxone use and opioid hazards to patients at risk for opioid overdose is described. SUMMARY: Consistent with a 2016 Centers for Disease Control and Prevention (CDC) guideline on opioid prescribing for chronic pain, a family medicine clinic implemented updated controlled substance agreements and medical record templates for documentation of pain management visits and established a pharmacist-led naloxone clinic. Chart reviews were performed to identify patients eligible for naloxone, as defined by the CDC guideline. A standard visit template was constructed to guide patient education regarding overdose risks and naloxone use. The teach-back method was used to ensure patient understanding, and patients were encouraged to bring a friend or family member to clinic visits. To address medication access barriers, community resources for patient referral for assistance were identified. Barriers to attendance at pharmacist-conducted visits necessitated changes in clinic workflow to incorporate education into prescheduled physician visits and education of some patients via telephone. During the first 6 months of clinic operations, 49 patients were identified as being at risk for opioid overdose; pharmacists educated 84% of those patients and subsequently confirmed that 69% had filled a naloxone prescription. CONCLUSION: Naloxone prescribing and provision of education on naloxone use to at-risk patients in a family medicine clinic can help ensure access to life-saving medication and reinforce CDC recommendations on safe prescribing of opioids.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180310
[Lr] Last revision date:180310
[St] Status:In-Data-Review
[do] DOI:10.2146/ajhp170294

  6 / 53371 MEDLINE  
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[PMID]: 29523208
[Au] Autor:Chen H; Chen B; Tie K; Fu Z; Chen L
[Ad] Address:Department of Orthopedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
[Ti] Title:Single-bundle versus double-bundle autologous anterior cruciate ligament reconstruction: a meta-analysis of randomized controlled trials at 5-year minimum follow-up.
[So] Source:J Orthop Surg Res;13(1):50, 2018 Mar 10.
[Is] ISSN:1749-799X
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Both single-bundle (SB) and double-bundle (DB) techniques were widely used in anterior cruciate ligament (ACL) reconstruction recently. Nevertheless, up to now, no consensus has been reached on whether the DB technique was superior to the SB technique. Moreover, follow-up of the included studies in the published meta-analyses is mostly short term. Our study aims to compare the mid- to long-term outcome of SB and DB ACL reconstruction concerning knee stability, clinical function, graft failure rate, and osteoarthritis (OA) changes. METHODS: This study followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The PubMed, Embase, and the Cochrane Library were searched from inception to October 2017. The study included only a randomized controlled trial (RCT) that compared SB and DB ACL reconstruction and that had a minimum of 5-year follow-up. The Cochrane Collaboration's risk of bias tool was used to assess the risk of bias for all included studies. Stata/SE 12.0 was used to perform a meta-analysis of the clinical outcome. RESULTS: Five RCTs were included, with a total of 294 patients: 150 patients and 144 patients in the DB group and the SB group, respectively. Assessing knee stability, there was no statistical difference in side-to-side difference and negative rate of the pivot-shift test. Considering functional outcome, no significant difference was found in proportion with International Knee Documentation Committee (IKDC) grade A, IKDC score, Lysholm scores, and Tegner scores. As for graft failure rate and OA changes, no significant difference was found between the DB group and the SB group. CONCLUSION: The DB technique was not superior to the SB technique in autologous ACL reconstruction regarding knee stability, clinical function, graft failure rate, and OA changes with a mid- to long-term follow-up.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1803
[Cu] Class update date: 180310
[Lr] Last revision date:180310
[St] Status:In-Process
[do] DOI:10.1186/s13018-018-0753-x

  7 / 53371 MEDLINE  
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[PMID]: 29522746
[Au] Autor:Ofir G; Sorek R
[Ad] Address:Department of Molecular Genetics, Weizmann Institute of Science, Rehovot 76100, Israel.
[Ti] Title:Contemporary Phage Biology: From Classic Models to New Insights.
[So] Source:Cell;172(6):1260-1270, 2018 Mar 08.
[Is] ISSN:1097-4172
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Bacteriophages, discovered about a century ago, have been pivotal as models for understanding the fundamental principles of molecular biology. While interest in phage biology declined after the phage "golden era," key recent developments, including advances in phage genomics, microscopy, and the discovery of the CRISPR-Cas anti-phage defense system, have sparked a renaissance in phage research in the past decade. This review highlights recently discovered unexpected complexities in phage biology, describes a new arsenal of phage genes that help them overcome bacterial defenses, and discusses advances toward documentation of the phage biodiversity on a global scale.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:In-Data-Review

  8 / 53371 MEDLINE  
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[PMID]: 29471248
[Au] Autor:Shamata A; Thompson T
[Ad] Address:School of Science and Engineering, Teesside University, Middlesbrough, TS1 3BA, UK. Electronic address: a.shamata@tees.ac.uk.
[Ti] Title:Using structured light three-dimensional surface scanning on living individuals: Key considerations and best practice for forensic medicine.
[So] Source:J Forensic Leg Med;55:58-64, 2018 Feb 15.
[Is] ISSN:1878-7487
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Non-contact three-dimensional (3D) surface scanning methods have been applied to forensic medicine to record injuries and to mitigate ordinary photography shortcoming. However, there are no literature concerning practical guidance for 3D surface scanning of live victims. This paper aimed to investigate key 3D scanning issues of the live body to develop a series of scanning principles for future use on injured victims. The Pico Scan 3D surface scanner was used on live test subjects. The work focused on analysing the following concerns: (1) an appropriate 3D scanning technique to scan different body areas, (2) the ideal number of scans, (3) scanning approaches to access various areas of the body and (4) elimination of environmental background noise in the acquired data. Results showed that scanning only a required surface of the body area in the stable manner was more efficient when compared to complete 360°-scanning; therefore, it used as a standard 3D scanning technique. More than three scans were sufficient when trying to obtain an optimal wireframe mode presentation of the result. Three different approaches were suggested to provide access to the various areas of the body. Undertaking scanning using a black background eliminated the background noise. The work demonstrated that the scanner will be promising to reconstruct injuries from different body areas, although the 3D scanning of the live subjects faced some challenges.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:Publisher

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[PMID]: 29411910
[Au] Autor:Palicelli A; Neri P; Marchioro G; De Angelis P; Bondonno G; Ramponi A
[Ad] Address:Department of Health Science, School of Medicine, University of Eastern Piedmont 'Amedeo Avogadro', Novara, Italy.
[Ti] Title:Paratesticular seminoma: echographic features and histological diagnosis with review of the literature.
[So] Source:APMIS;126(3):267-272, 2018 Mar.
[Is] ISSN:1600-0463
[Cp] Country of publication:Denmark
[La] Language:eng
[Ab] Abstract:Primary extratesticular seminomas exceptionally occur in the epididymis or in the paratesticular region/spermatic cord. Some old papers included poor histological description or insufficient photographic documentation, reducing the number of faithful cases: an up-to-date systematic review is lacking. We report the 4th primary seminoma of the paratesticular region/spermatic cord in a 35-year-old man, including the first echographic description. We provide review of the literature and etiopathogenetic discussion. Ultrasound examination showed a right paratesticular, solid, heterogeneous mass (iso-hypoechoic with hyperechoic striae; peri- and intra-lesional vascular signals) with no testicular involvement: the paratesticular origin was confirmed by pathological examination. Despite careful gross examination and extensive sampling, the 6.5-cm extratesticular tumor revealed only one microscopic focus with minimal invasion (<2 mm) of the atrophic testicular parenchyma. Intratubular germ cell neoplasia or morphologic features of a regressed testicular tumor (fibrosis/scar, necrosis, hyalinization, calcification, inflammation) were not found. Primary seminomas of the paratesticular region/spermatic cord occurred at an older mean age and presented as bigger lesions if compared to the 9 primary epididymal seminomas reported in literature. Clinical-pathological correlation and accurate sampling are mandatory for a correct diagnosis.
[Mh] MeSH terms primary: Epididymis/pathology
Seminoma/pathology
Spermatic Cord/pathology
Testicular Neoplasms/pathology
[Mh] MeSH terms secundary: Adult
Epididymis/diagnostic imaging
Humans
Male
Seminoma/diagnostic imaging
Spermatic Cord/diagnostic imaging
Testicular Neoplasms/diagnostic imaging
Ultrasonography
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[Js] Journal subset:IM
[Da] Date of entry for processing:180208
[St] Status:MEDLINE
[do] DOI:10.1111/apm.12806

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[PMID]: 29377925
[Au] Autor:Thurman SM; Wasylyshyn N; Roy H; Lieberman G; Garcia JO; Asturias A; Okafor GN; Elliott JC; Giesbrecht B; Grafton ST; Mednick SC; Vettel JM
[Ad] Address:U.S. Army Research Laboratory, Human Research & Engineering Directorate, Aberdeen Proving Ground, Maryland, United States of America.
[Ti] Title:Individual differences in compliance and agreement for sleep logs and wrist actigraphy: A longitudinal study of naturalistic sleep in healthy adults.
[So] Source:PLoS One;13(1):e0191883, 2018.
[Is] ISSN:1932-6203
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:There is extensive laboratory research studying the effects of acute sleep deprivation on biological and cognitive functions, yet much less is known about naturalistic patterns of sleep loss and the potential impact on daily or weekly functioning of an individual. Longitudinal studies are needed to advance our understanding of relationships between naturalistic sleep and fluctuations in human health and performance, but it is first necessary to understand the efficacy of current tools for long-term sleep monitoring. The present study used wrist actigraphy and sleep log diaries to obtain daily measurements of sleep from 30 healthy adults for up to 16 consecutive weeks. We used non-parametric Bland-Altman analysis and correlation coefficients to calculate agreement between subjectively and objectively measured variables including sleep onset time, sleep offset time, sleep onset latency, number of awakenings, the amount of wake time after sleep onset, and total sleep time. We also examined compliance data on the submission of daily sleep logs according to the experimental protocol. Overall, we found strong agreement for sleep onset and sleep offset times, but relatively poor agreement for variables related to wakefulness including sleep onset latency, awakenings, and wake after sleep onset. Compliance tended to decrease significantly over time according to a linear function, but there were substantial individual differences in overall compliance rates. There were also individual differences in agreement that could be explained, in part, by differences in compliance. Individuals who were consistently more compliant over time also tended to show the best agreement and lower scores on behavioral avoidance scale (BIS). Our results provide evidence for convergent validity in measuring sleep onset and sleep offset with wrist actigraphy and sleep logs, and we conclude by proposing an analysis method to mitigate the impact of non-compliance and measurement errors when the two methods provide discrepant estimates.
[Mh] MeSH terms primary: Actigraphy/methods
Documentation
Guideline Adherence
Sleep
Wrist
[Mh] MeSH terms secundary: Adolescent
Adult
Female
Healthy Volunteers
Humans
Longitudinal Studies
Male
Personality
Young Adult
[Pt] Publication type:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[Js] Journal subset:IM
[Da] Date of entry for processing:180130
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191883


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