1
40
38
-
Text
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URL Address
<a href="http://doi.org/10.1007/s10995-018-2451-z" target="_blank" rel="noreferrer noopener">http://doi.org/10.1007/s10995-018-2451-z</a>
Pages
812–821
Issue
6
Volume
22
Dublin Core
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Title
A name given to the resource
Chlamydia trachomatis and Adverse Pregnancy Outcomes: Meta-analysis of Patients With and Without Infection.
Publisher
An entity responsible for making the resource available
Maternal and child health journal
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-06
Subject
The topic of the resource
*Chlamydia trachomatis; *Perinatal infection; *Pregnancy outcomes; *Premature Birth; *Preterm birth; Adult; Childbirth; Chlamydia Infections – Complications – In Pregnancy; Chlamydia Infections – Diagnosis; Chlamydia Infections/diagnosis/*epidemiology/microbiology; Chlamydia Trachomatis; Cochrane Library; Confidence Intervals; Endometrial Diseases; Female; Fetal Membranes; Human; Humans; Infant; Infectious/diagnosis/*epidemiology/microbiology; Low Birth Weight; Medline; Meta Analysis; Newborn; Nucleic Acid Probes; Obstetric Labor; Odds Ratio; Perinatal Death; Pregnancy; Pregnancy Complications; Pregnancy Complications – Etiology; Pregnancy Outcome/epidemiology; Pregnancy Outcomes; Premature; Premature Rupture/*epidemiology; Premature/*epidemiology; PubMed; Small for Gestational Age; Systematic Review
Creator
An entity primarily responsible for making the resource
Olson-Chen Courtney; Balaram Kripa; Hackney David N
Description
An account of the resource
OBJECTIVES: We conducted a meta-analysis to determine the association between Chlamydia trachomatis and adverse perinatal outcomes. METHODS: Electronic databases were searched between 1970 and 2013. Included studies reported perinatal outcomes in women with and without chlamydia. Summary odds ratios were calculated using fixed- and random-effects models. Study bias was assessed using a Funnel Plot and Begg's test. RESULTS: Of 129 articles identified, 56 studies met the inclusion criteria encompassing 614,892 subjects. Chlamydia infection in pregnancy was associated with preterm birth (OR = 1.27, 95% CI 1.05, 1.54) with a large quantity of heterogeneity (I(2) = 61%). This association lost significance when limiting the analysis to high-quality studies based on the Newcastle-Ottawa Scale. Chlamydia infection in pregnancy was also associated with preterm premature rupture of membranes (OR = 1.81, 95% CI 1.0, 3.29), endometritis (OR 1.69, 95% CI 1.20, 2.38), low birthweight (OR 1.34, 95% CI 1.21, 1.48), small for gestational age (OR 1.14, 95% CI 1.05, 1.25) and intrauterine fetal demise (OR 1.44, 95% CI 1.06, 1.94). CONCLUSIONS: This review provides evidence that chlamydia in pregnancy is associated with a small increase in the odds of multiple adverse pregnancy outcomes. The literature is complicated by heterogeneity and the fact that the association may not hold in higher quality and prospective studies or those that use more contemporary nucleic acid testing.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1007/s10995-018-2451-z" target="_blank" rel="noreferrer noopener">10.1007/s10995-018-2451-z</a>
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Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Chlamydia trachomatis
*Perinatal infection
*Pregnancy outcomes
*Premature Birth
*Preterm birth
2018
Adult
Balaram Kripa
Childbirth
Chlamydia Infections – Complications – In Pregnancy
Chlamydia Infections – Diagnosis
Chlamydia Infections/diagnosis/*epidemiology/microbiology
Chlamydia trachomatis
Cochrane Library
Confidence Intervals
Endometrial Diseases
Female
Fetal Membranes
Hackney David N
Human
Humans
Infant
Infectious/diagnosis/*epidemiology/microbiology
Low Birth Weight
Maternal and child health journal
Medline
Meta Analysis
Newborn
Nucleic Acid Probes
Obstetric Labor
Odds Ratio
Olson-Chen Courtney
Perinatal Death
Pregnancy
Pregnancy Complications
Pregnancy Complications – Etiology
Pregnancy Outcome/epidemiology
Pregnancy outcomes
Premature
Premature Rupture/*epidemiology
Premature/*epidemiology
PubMed
Small for Gestational Age
systematic review
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2017.10.066" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2017.10.066</a>
Pages
967–971
Issue
6
Volume
36
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Variation in hospital admission rates between a tertiary care and two freestanding emergency departments.
Publisher
An entity responsible for making the resource available
The American journal of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-06
Subject
The topic of the resource
Admission rate; Ambulatory Care Facilities; Chi Square Test; Confidence Intervals; Emergency Service – Methods; Fisher's Exact Test; Freestanding emergency department; Human; Multiple Logistic Regression; Odds Ratio; Office Visits; Patient Admission; Patient Classification; Retrospective Design; Sex Factors; T-Tests; Tertiary Health Care
Creator
An entity primarily responsible for making the resource
Simon Erin L; Dark Cedric; Kovacs Mitch; Shakya Sunita; Meek Craig A
Description
An account of the resource
BACKGROUND: Recently, freestanding emergency departments (FSEDs) have grown significantly in number. Critics have expressed concern that FSEDs may increase healthcare costs. OBJECTIVE: We determined whether admission rates for identical diagnoses varied among the same group of physicians according to clinical setting. METHODS: This was a retrospective comparison of adult admission rates (n=3230) for chest pain, chronic obstructive pulmonary disease (COPD), asthma, and congestive heart failure (CHF) between a hospital-based ED (HBED) and two FSEDs throughout 2015. Frequency distribution and proportions were reported for categorical variables stratified by facility type. For categories with cell frequency less or equal to 5, Fisher's Exact test was used to calculate a P value. Chi square tests were used to assess difference in proportions of potential predictor variables between the HBED and FSEDs. For continuous variables, the mean was reported and Student's t-test assessed the difference in means between HBED and FSED patients. Multivariate logistic regression analyses were performed to estimate the unadjusted and adjusted prevalence odds ratio with 95% confidence interval (CI) for patient disposition outcomes associated with type of ED facility visited. RESULTS: Of 3230 patients, 53% used the HBED and 47% used the FSED. Patients visiting the HBED and FSED varied significantly in gender, acuity levels, diagnosis, and number of visits. Age was not significantly different between facilities. Multivariable adjusted estimated prevalence odds ratio for patients admitted were 1.2 [95%CI: 1.0-1.4] in the HBED facility compared to patients using FSEDs. CONCLUSION: In our healthcare system, FSEDs showed a trend towards a 20% lower admission rate for chest pain, COPD, asthma and CHF.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2017.10.066" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2017.10.066</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2018
Admission rate
Ambulatory Care Facilities
Chi Square Test
Confidence Intervals
Dark Cedric
Department of Emergency Medicine
Emergency Service – Methods
Fisher's Exact Test
Freestanding emergency department
Human
Kovacs Mitch
Meek Craig A
Multiple Logistic Regression
NEOMED College of Medicine
Odds Ratio
Office Visits
Patient Admission
Patient Classification
Retrospective Design
Sex Factors
Shakya Sunita
Simon Erin L
T-Tests
Tertiary Health Care
The American journal of emergency medicine
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/s0196-0644(05)81032-7" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/s0196-0644(05)81032-7</a>
Pages
842–848
Issue
7
Volume
21
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Difficulty in predicting bacteremia in elderly emergency patients.
Publisher
An entity responsible for making the resource available
Annals of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1992
1992-07
Subject
The topic of the resource
80 and over; Aged; Bacteremia/*diagnosis/microbiology; Bacteriological Techniques; Blood Chemical Analysis; Cognition Disorders/diagnosis; Confidence Intervals; Escherichia coli/isolation & purification; Female; Hospitals; Humans; Male; Odds Ratio; Predictive Value of Tests; Regression Analysis; Retrospective Studies; Sensitivity and Specificity; Teaching; Urinary Tract Infections/microbiology
Creator
An entity primarily responsible for making the resource
Fontanarosa P B; Kaeberlein F J; Gerson L W; Thomson R B
Description
An account of the resource
STUDY OBJECTIVES: To characterize the clinical presentation and identify factors predictive of bacteremia in elderly patients. DESIGN: Retrospective review of emergency department charts, hospital records, and microbiology reports. SETTING: Community teaching hospital with annual ED census of 65,000 adults. PARTICIPANTS: Seven hundred fifty elderly patients (aged 65 to 99 years) who were evaluated by the emergency physician, had blood cultures obtained in the ED, and were hospitalized with a suspected infectious process during a 12-month period. MEASUREMENTS: Records were analyzed for demographic information, underlying diseases, clinical presentation, laboratory findings, sources of infection, and causative organisms. Using contingency tables, 79 patients with positive blood cultures were compared with a random sample of 136 patients with sterile blood cultures to identify clinical variables significantly (P less than .05) associated with bacteremia. Logistic regression analysis was performed with significant factors to develop a model to predict bacteremia. Sensitivity, specificity, and predictive values were calculated for the model. MAIN RESULTS: The prevalence of bacteremia was 10.6%. Escherichia coli was the most commonly isolated pathogen (29% of cases), and the urinary tract was the most common source of infection (44.3% of cases). Logistic regression analysis showed that altered mental status (odds ratio, 2.88; 95% confidence interval [Cl], 1.52 to 5.50), vomiting (odds ratio, 2.63; 95% Cl, 1.16 to 6.15), and WBC band forms of more than 6% (0.06) (odds ratio, 3.50; 95% Cl, 1.58 to 5.27) were independent predictors of bacteremia. The presence of at least one of these three factors had a sensitivity of 0.85 (95% Cl, 0.75 to 0.92) and a specificity of 0.46 (95% Cl, 0.38 to 0.55) for predicting bacteremia in the study group. The positive predictive value was 0.16 (95% Cl, 0.12 to 0.19) and the negative predictive value was 0.96 (95% Cl, 0.94 to 0.98) for the ED patient group that met inclusion criteria. CONCLUSION: Elderly patients fail to manifest identifiable clinical features indicative of bloodstream infection. The sensitivity and specificity of the best statistical model for identifying bacteremic elderly patients suggest that clinical indicators alone are unreliable predictors of bacteremia in the geriatric ED population studied.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/s0196-0644(05)81032-7" target="_blank" rel="noreferrer noopener">10.1016/s0196-0644(05)81032-7</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
1992
80 and over
Aged
Annals of emergency medicine
Bacteremia/*diagnosis/microbiology
Bacteriological Techniques
Blood Chemical Analysis
Cognition Disorders/diagnosis
Confidence Intervals
Department of Emergency Medicine
Escherichia coli/isolation & purification
Female
Fontanarosa P B
Gerson L W
Hospitals
Humans
Kaeberlein F J
Male
NEOMED College of Medicine
Odds Ratio
Predictive Value of Tests
Regression Analysis
Retrospective Studies
Sensitivity and Specificity
Teaching
Thomson R B
Urinary Tract Infections/microbiology
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/s0196-0644(94)70319-1" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/s0196-0644(94)70319-1</a>
Pages
813–817
Issue
4
Volume
23
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Case finding for cognitive impairment in elderly emergency department patients.
Publisher
An entity responsible for making the resource available
Annals of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1994
1994-04
Subject
The topic of the resource
*Emergency Service; 80 and over; Aged; Aged/*psychology; Cognition Disorders/*diagnosis; Confidence Intervals; Cross-Sectional Studies; Female; Frail Elderly/psychology; Geriatric Assessment; Hospital; Humans; Male; Memory Disorders/diagnosis; Odds Ratio; Orientation; Regression Analysis
Creator
An entity primarily responsible for making the resource
Gerson L W; Counsell S R; Fontanarosa P B; Smucker W D
Description
An account of the resource
STUDY OBJECTIVES: To determine the feasibility of a case-finding program for cognitive impairment in elderly emergency department patients, and to describe the prevalence of cognitive impairment in screened patients and identify factors associated with impairment. DESIGN: A three-month cross-sectional study. The six-item Orientation-Memory-Concentration (OMC) Test was administered to eligible patients. SETTING: Community teaching hospital with annual ED census of 69,000 adults. PARTICIPANTS: All patients 65 years of age and older physically able to communicate and without a prior diagnosis of dementia were eligible. Five hundred forty-seven of 958 patients (59%) were interviewed; only 95 (10%) refused. Other reasons for exclusion were too ill, 113 (12%); other (sleeping, privacy, repeat visits, incomplete forms), 99 (10%); known dementia, 59 (6%); and communication problems, 45 (5%). RESULTS: A mean time of 1.9 minutes (+/- 0.91 SD) was required to complete the test. One hundred eighty-three of 547 patients (33.5%) had scores that indicated at least moderate cognitive impairment. Logistic regression analyses identified two factors associated with impairment: age of more than 80 years (odds ratio, 3.68; 95% confidence interval, 2.21-6.14) and residence in a nursing home (odds ratio, 13.8; 95% confidence interval, 3.79-50.2). CONCLUSION: Screening for cognitive impairment in elderly ED patients using the OMC Test is feasible. There is a high prevalence of cognitive impairment in elderly ED patients, and the prevalence increases with age. Identification of cognitive impairment is important in the assessment of elderly ED patients and may affect clinical evaluation, patients' understanding of medical information, and compliance with discharge instructions.
Identifier
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<a href="http://doi.org/10.1016/s0196-0644(94)70319-1" target="_blank" rel="noreferrer noopener">10.1016/s0196-0644(94)70319-1</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Emergency Service
1994
80 and over
Aged
Aged/*psychology
Annals of emergency medicine
Cognition Disorders/*diagnosis
Confidence Intervals
Counsell S R
Cross-Sectional Studies
Department of Family & Community Medicine
Female
Fontanarosa P B
Frail Elderly/psychology
Geriatric Assessment
Gerson L W
Hospital
Humans
Male
Memory Disorders/diagnosis
NEOMED College of Medicine
Odds Ratio
Orientation
Regression Analysis
Smucker W D
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/j.1553-2712.2001.tb02111.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2001.tb02111.x</a>
Pages
337–342
Issue
4
Volume
8
Dublin Core
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Title
A name given to the resource
Intranasal lidocaine for the treatment of migraine headache: a randomized, controlled trial.
Publisher
An entity responsible for making the resource available
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
2001-04
Subject
The topic of the resource
Administration; Adolescent; Adult; Anesthetics; Confidence Intervals; Double-Blind Method; Female; Hospitals; Humans; Intranasal; Lidocaine/*administration & dosage; Local; Male; Middle Aged; Migraine without Aura/diagnosis/*drug therapy; Ohio; Pain Measurement; Patient Satisfaction; Reference Values; Severity of Illness Index; Teaching; Treatment Outcome
Creator
An entity primarily responsible for making the resource
Blanda M; Rench T; Gerson L W; Weigand J V
Description
An account of the resource
OBJECTIVE: To evaluate the effect of intranasal lidocaine for immediate relief (5 minutes) of migraine headache pain. METHODS: A randomized, double-blind, placebo-controlled clinical trial at two university-affiliated community teaching hospitals enrolled patients 18-50 years old with migraine headache as defined by the International Headache Society. Patients who were pregnant, lactating, known to abuse alcohol or drugs, or allergic to one of the study drugs, those who used analgesics within two hours, or those with a first headache were excluded. Statistical significance was assessed by using chi-square or Fisher's exact test for categorical variables and Student's t-test for continuous variables. Patients rated their pain on a 10-centimeter visual analog scale (VAS) prior to drug administration and at 5, 10, 15, 20, and 30 minutes after the initial dose. Medication was either 1 mL of 4% lidocaine or normal saline (placebo) intranasally in split doses 2 minutes apart and intravenous prochlorperazine. Medications were packaged so physicians and patients were unaware of the contents. Successful pain relief was achieved if there was a 50% reduction in pain score or a score below 2.5 cm on the VAS. RESULTS: Twenty-seven patients received lidocaine and 22 placebo. No significant difference was observed between groups in initial pain scores, 8.4 (95% CI = 7.8 to 9.0) lidocaine and 8.6 (95% CI = 8.0 to 9.2) placebo (p = 0.75). Two of 27 patients (7.4%, 95% CI = 0.8, 24.3) in the lidocaine group and three of 22 patients (13.6%, 95% CI = 2.8 to 34.9) in the placebo group had immediate successful pain relief (p = 0.47), with average pain scores of 6.9 (95% CI = 5.9 to 7.8) and 7.0 (95% CI = 5.8 to 8.2), respectively. No difference in pain relief was detected at subsequent measurements. CONCLUSION: There was no evidence that intranasal lidocaine provided rapid relief for migraine headache pain in the emergency department setting.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1553-2712.2001.tb02111.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2001.tb02111.x</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2001
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
Administration
Adolescent
Adult
Anesthetics
Blanda M
Confidence Intervals
Department of Emergency Medicine
Double-Blind Method
Female
Gerson L W
Hospitals
Humans
Intranasal
Lidocaine/*administration & dosage
Local
Male
Middle Aged
Migraine without Aura/diagnosis/*drug therapy
NEOMED College of Medicine
Ohio
Pain Measurement
Patient Satisfaction
Reference Values
Rench T
Severity of Illness Index
Teaching
Treatment Outcome
Weigand J V
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/j.1553-2712.2010.00799.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2010.00799.x</a>
Pages
679–686
Issue
7
Volume
17
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Short-term functional decline and service use in older emergency department patients with blunt injuries.
Publisher
An entity responsible for making the resource available
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2010
2010-07
Subject
The topic of the resource
*Activities of Daily Living; 80 and over; 80 and Over; Academic Medical Centers; Activities of Daily Living; Aged; Bone/physiopathology/therapy; Clinical Assessment Tools; Comorbidity; Confidence Intervals; Descriptive Statistics; Emergency Care – In Old Age; Emergency Patients – In Old Age; Emergency Service; Family; Female; Fisher's Exact Test; Fractures; Functional Status – In Old Age; Geriatric Assessment; Geriatric Functional Assessment; Health Resource Utilization – In Old Age; Hospital/*statistics & numerical data; Hospitals; Human; Humans; Logistic Models; Logistic Regression; Longitudinal Studies; Male; Mental Status Schedule; Nonpenetrating – In Old Age; Nonpenetrating/*physiopathology/*therapy; OARS Multidimensional Functional Assessment Questionnaire; Odds Ratio; Ohio; Outcome Assessment; Outpatients; P-Value; Predictive Value of Tests; Prospective Studies; Questionnaires; Record Review; ROC Curve; Scales; Summated Rating Scaling; Surveys and Questionnaires; T-Tests; Teaching; Treatment Outcome; Treatment Outcomes; Wounds
Creator
An entity primarily responsible for making the resource
Wilber Scott T; Blanda Michelle; Gerson Lowell W; Allen Kyle R
Description
An account of the resource
BACKGROUND: Injuries are a common reason for emergency department (ED) visits by older patients. Although injuries in older patients can be serious, 75% of these patients are discharged home after their ED visit. These patients may be at risk for short-term functional decline related to their injuries or treatment. OBJECTIVES: The objectives were to determine the incidence of functional decline in older ED patients with blunt injuries not requiring hospital admission for treatment, to describe their care needs, and to determine the predictors of short-term functional decline in these patients. METHODS: This institutional review board-approved, prospective, longitudinal study was conducted in two community teaching hospital EDs with a combined census of 97,000 adult visits. Eligible patients were \textgreater or = 65 years old, with blunt injuries \textless48 hours old, who could answer questions or had a proxy. We excluded those too ill to participate; skilled nursing home patients; those admitted for surgery, major trauma, or acute medical conditions; patients with poor baseline function; and previously enrolled patients. Interviewers collected baseline data and the used the Older Americans Resources and Services (OARS) questionnaire to assess function and service use. Potential predictors of functional decline were derived from prior studies of functional decline after an ED visit and clinical experience. Follow-up occurred at 1 and 4 weeks, when the OARS questions were repeated. A three-point drop in activities of the daily living (ADL) score defined functional decline. Data are presented as means and proportions with 95% confidence intervals (CIs). Logistic regression was used to model potential predictors with functional decline at 1 week as the dependent variable. RESULTS: A total of 1,186 patients were evaluated for eligibility, 814 were excluded, 129 refused, and 13 were missed, leaving 230 enrolled patients. The mean (+/-SD) age was 77 (+/-7.5) years, and 70% were female. In the first week, 92 of 230 patients (40%, 95% CI = 34% to 47%) had functional decline, 114 of 230 (49%, 95% CI = 43% to 56%) had new services initiated, and 76 of 230 had an unscheduled medical contact (33%, 95% CI = 27% to 39%). At 4 weeks, 77 of 219 had functional decline (35%, 95% CI = 29% to 42%), 141 of 219 had new services (65%, 95% CI = 58% to 71%), and 123 of 219 had an unscheduled medical contact (56%, 95% CI = 49% to 63%), including 15% with a repeated ED visit and 11% with a hospital admission. Family members provided the majority of new services at both time periods. Significant predictors of functional decline at 1 week were female sex (odds ratio [OR] = 2.2, 95% CI = 1.1 to 4.5), instrumental ADL dependence (IADL; OR = 2.5, 95% CI = 1.3 to 4.8), upper extremity fracture or dislocation (OR = 5.5, 95% CI = 2.5 to 11.8), lower extremity fracture or dislocation (OR = 4.6, 95% CI = 1.4 to 15.4), trunk injury (OR = 2.4, 95% CI = 1.1 to 5.3), and head injury (OR = 0.48, 95% CI = 0.23 to 1.0). CONCLUSIONS: Older patients have a significant risk of short-term functional decline and other adverse outcomes after ED visits for injuries not requiring hospitalization for treatment. The most significant predictors of functional decline are upper and lower extremity fractures.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1553-2712.2010.00799.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2010.00799.x</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Activities of Daily Living
2010
80 and over
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
Academic Medical Centers
Activities of Daily Living
Aged
Allen Kyle R
Blanda Michelle
Bone/physiopathology/therapy
Clinical Assessment Tools
Comorbidity
Confidence Intervals
Department of Emergency Medicine
Descriptive Statistics
Emergency Care – In Old Age
Emergency Patients – In Old Age
Emergency Service
Family
Female
Fisher's Exact Test
Fractures
Functional Status – In Old Age
Geriatric Assessment
Geriatric Functional Assessment
Gerson Lowell W
Health Resource Utilization – In Old Age
Hospital/*statistics & numerical data
Hospitals
Human
Humans
Logistic Models
Logistic Regression
Longitudinal Studies
Male
Mental Status Schedule
NEOMED College of Medicine
Nonpenetrating – In Old Age
Nonpenetrating/*physiopathology/*therapy
OARS Multidimensional Functional Assessment Questionnaire
Odds Ratio
Ohio
Outcome Assessment
Outpatients
P-Value
Predictive Value of Tests
Prospective Studies
Questionnaires
Record Review
ROC Curve
Scales
Summated Rating Scaling
Surveys and Questionnaires
T-Tests
Teaching
Treatment Outcome
Treatment Outcomes
Wilber Scott T
Wounds
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/jgs.14366" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/jgs.14366</a>
Pages
2362–2367
Issue
11
Volume
64
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Willingness and Ability of Older Adults in the Emergency Department to Provide Clinical Information Using a Tablet Computer.
Publisher
An entity responsible for making the resource available
Journal of the American Geriatrics Society
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-11
Subject
The topic of the resource
*aged; *Attitude to Computers; *Computers; *data collection; *elderly; *emergency department; *Emergency Service; 80 and over; 80 and Over; ACADEMIC medical centers; Academic Medical Centers – North Carolina; Aged; Computers; Confidence Intervals; CONFIDENCE intervals; Convenience Sample; Cross Sectional Studies; CROSS-sectional method; Cross-Sectional Studies; Descriptive Statistics; DESCRIPTIVE statistics; Emergency Care – In Old Age; EMERGENCY medical services; Emergency Service; Female; Handheld; Hospital; HOSPITAL emergency services; Human; Humans; LONGITUDINAL method; Male; Mass Screening/*instrumentation; MEDICAL cooperation; Multicenter Studies; New Jersey; NEW Jersey; North Carolina; NORTH Carolina; OLD age; Patient Attitudes – Evaluation – In Old Age; PATIENTS' attitudes; Portable – Utilization – In Old Age; PORTABLE computers; Prospective Studies; RESEARCH; SCALE analysis (Psychology); Scales; STATISTICAL sampling; Summated Rating Scaling; Surveys and Questionnaires; United States; User-Computer Interface
Creator
An entity primarily responsible for making the resource
Brahmandam Sruti; Holland Wesley C; Mangipudi Sowmya A; Braz Valerie A; Medlin Richard P; Hunold Katherine M; Jones Christopher W; Platts-Mills Timothy F
Description
An account of the resource
OBJECTIVES: To estimate the proportion of older adults in the emergency department (ED) who are willing and able to use a tablet computer to answer questions. DESIGN: Prospective, ED-based cross-sectional study. SETTING: Two U.S. academic EDs. PARTICIPANTS: Individuals aged 65 and older. MEASUREMENTS: As part of screening for another study, potential study participants were asked whether they would be willing to use a tablet computer to answer eight questions instead of answering questions orally. A custom user interface optimized for older adults was used. Trained research assistants observed study participants as they used the tablets. Ability to use the tablet was assessed based on need for assistance and number of questions answered correctly. RESULTS: Of 365 individuals approached, 248 (68%) were willing to answer screening questions, 121 of these (49%) were willing to use a tablet computer; of these, 91 (75%) were able to answer at least six questions correctly, and 35 (29%) did not require assistance. Only 14 (12%) were able to answer all eight questions correctly without assistance. Individuals aged 65 to 74 and those reporting use of a touchscreen device at least weekly were more likely to be willing and able to use the tablet computer. Of individuals with no or mild cognitive impairment, the percentage willing to use the tablet was 45%, and the percentage answering all questions correctly was 32%. CONCLUSION: Approximately half of this sample of older adults in the ED was willing to provide information using a tablet computer, but only a small minority of these were able to enter all information correctly without assistance. Tablet computers may provide an efficient means of collecting clinical information from some older adults in the ED, but at present, it will be ineffective for a significant portion of this population.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/jgs.14366" target="_blank" rel="noreferrer noopener">10.1111/jgs.14366</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*aged
*Attitude to Computers
*Computers
*Data Collection
*Elderly
*emergency department
*Emergency Service
2016
80 and over
Academic Medical Centers
Academic Medical Centers – North Carolina
Aged
Brahmandam Sruti
Braz Valerie A
Computers
Confidence Intervals
Convenience Sample
Cross Sectional Studies
CROSS-sectional method
Cross-Sectional Studies
Descriptive Statistics
Emergency Care – In Old Age
Emergency Medical Services
Emergency Service
Female
Handheld
Holland Wesley C
Hospital
HOSPITAL emergency services
Human
Humans
Hunold Katherine M
Jones Christopher W
Journal of the American Geriatrics Society
LONGITUDINAL method
Male
Mangipudi Sowmya A
Mass Screening/*instrumentation
MEDICAL cooperation
Medlin Richard P
Multicenter Studies
New Jersey
North Carolina
OLD age
Patient Attitudes – Evaluation – In Old Age
PATIENTS' attitudes
Platts-Mills Timothy F
Portable – Utilization – In Old Age
PORTABLE computers
Prospective Studies
Research
SCALE analysis (Psychology)
Scales
STATISTICAL sampling
Summated Rating Scaling
Surveys and Questionnaires
United States
User-Computer Interface
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/000992280304200508" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/000992280304200508</a>
Pages
433–437
Issue
5
Volume
42
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Temporal artery temperature measurements in healthy infants, children, and adolescents.
Publisher
An entity responsible for making the resource available
Clinical pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
2003
2003-06
Subject
The topic of the resource
Adolescent; Body Temperature/*physiology; Child; Cohort Studies; Confidence Intervals; Female; Humans; Infant; Male; Newborn; Preschool; Reference Values; Sensitivity and Specificity; Skin Temperature/physiology; Temporal Arteries; Thermometers/*standards
Creator
An entity primarily responsible for making the resource
Roy Sumita; Powell Keith; Gerson Lowell W
Description
An account of the resource
A noninvasive temporal artery thermometer that uses arterial heat balance technology has been compared to rectal and ear thermometry and is available in the marketplace. This study was undertaken to establish mean temperatures and temperatures 2 standard deviations above the mean for healthy infants, children, and adolescents. Temperatures were measured in healthy patients 0 to 18 years of age using a noninvasive temporal artery thermometer. Temperatures were measured in 2,346 patients. Mean temperatures and temperatures 2 standard deviations above the mean were: 37.1 degrees C (38.1 degrees C) for 383 infants 0 to 2 months; 36.9 degrees C (37.9 degrees C) for 860 children 3 to 47 months; 36.8 degrees C (37.8 degrees C) for 680 children 4 to 9 years; and 36.7 degrees C (37.8 degrees C) for 423 adolescents 10 to 18 years. There were no significant differences in temperatures in white compared to African-American children, children with or without perspiration on their forehead, or between measurements taken on the left compared to the right side of the forehead. This study provides information about temporal artery temperatures in healthy infants and children that can serve as a basis for interpreting temperature measurements in ill children when the same instrument is used.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/000992280304200508" target="_blank" rel="noreferrer noopener">10.1177/000992280304200508</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2003
Adolescent
Body Temperature/*physiology
Child
Clinical pediatrics
Cohort Studies
Confidence Intervals
Female
Gerson Lowell W
Humans
Infant
Male
Newborn
Powell Keith
Preschool
Reference Values
Roy Sumita
Sensitivity and Specificity
Skin Temperature/physiology
Temporal Arteries
Thermometers/*standards
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/1049909114530039" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/1049909114530039</a>
Pages
510–515
Issue
5
Volume
32
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The Relationship Between Organizational Characteristics and Advance Care Planning Practices.
Publisher
An entity responsible for making the resource available
The American journal of hospice & palliative care
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-08
Subject
The topic of the resource
Administrative Personnel; Adult; advance care planning; Advance Care Planning; Advance Care Planning/*organization & administration/standards; area agency on aging; Attitude of Health Personnel; care management; Case Management; Case Managers; Chi Square Test; Clinical Protocols/standards; community-based long-term care; Confidence Intervals; Cross Sectional Studies; Cross-Sectional Studies; Data Analysis Software; Descriptive Research; Descriptive Statistics; Female; Funding Source; Government Agencies; Human; Humans; Inservice Training/organization & administration; Interviews; Logistic Regression; Long Term Care; Male; Medicaid; Medicaid/statistics & numerical data; Middle Age; Middle Aged; Midwestern United States; Multivariate Analysis; nurses; Odds Ratio; Ohio; organizational characteristics; Organizational Culture; Practice Guidelines as Topic; Questionnaires; Registered Nurses; Rural Areas; social workers; Social Workers; Surveys; T-Tests; Telephone; United States; Urban Areas
Creator
An entity primarily responsible for making the resource
Baughman Kristin R; Ludwick Ruth; Palmisano Barbara; Hazelett Susan; Sanders Margaret
Description
An account of the resource
Organizational characteristics may impede the uniform adoption of advance care planning (ACP) best practices. We conducted telephone interviews with site directors of a Midwestern state's Medicaid waiver program administered by the Area Agencies on Aging and surveyed the 433 care managers (registered nurses and social workers) employed within these 9 agencies. Care managers at 2 agencies reported more frequent ACP discussions and higher levels of confidence. Both sites had ACP training programs, follow-up protocols, and informational packets available for consumers that were not consistently available at the other agencies. The findings point to the need for consistent educational programs and policies on ACP and more in depth examination of the values, beliefs, and resources that account for organizational differences in ACP.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/1049909114530039" target="_blank" rel="noreferrer noopener">10.1177/1049909114530039</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2015
Administrative Personnel
Adult
advance care planning
Advance Care Planning/*organization & administration/standards
area agency on aging
Attitude of Health Personnel
Baughman Kristin R
care management
Case Management
Case Managers
Chi Square Test
Clinical Protocols/standards
community-based long-term care
Confidence Intervals
Cross Sectional Studies
Cross-Sectional Studies
Data Analysis Software
Department of Family & Community Medicine
Descriptive Research
Descriptive Statistics
Female
Funding Source
Government Agencies
Hazelett Susan
Human
Humans
Inservice Training/organization & administration
interviews
Logistic Regression
Long Term Care
Ludwick Ruth
Male
Medicaid
Medicaid/statistics & numerical data
Middle Age
Middle Aged
Midwestern United States
Multivariate Analysis
NEOMED College of Medicine
nurses
Odds Ratio
Ohio
organizational characteristics
Organizational Culture
Palmisano Barbara
Practice Guidelines as Topic
Questionnaires
registered nurses
Rural Areas
Sanders Margaret
social workers
Surveys
T-Tests
Telephone
The American journal of hospice & palliative care
United States
Urban Areas
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1186/1471-2253-14-38" target="_blank" rel="noreferrer noopener">http://doi.org/10.1186/1471-2253-14-38</a>
Pages
38–38
Volume
14
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Cardiac arrest is a predictor of difficult tracheal intubation independent of operator experience in hospitalized patients.
Publisher
An entity responsible for making the resource available
BMC anesthesiology
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
1905-7
Subject
The topic of the resource
Academic Medical Centers – Washington; Adult; Aged; Cardiopulmonary Resuscitation/*methods; Chi Square Test; Clinical Competence; Confidence Intervals; Data Analysis Software; Direct laryngoscopy; Female; Heart Arrest; Heart Arrest/*therapy; Hospitalization; Hospitals; Human; Humans; In-hospital cardiac arrest; Intratracheal/*methods; Intubation; Laryngoscopy/*methods; Logistic Models; Logistic Regression; Male; Middle Age; Middle Aged; Multivariate Analysis; Odds Ratio; Retrospective Studies; T-Tests; University; Video-Assisted Surgery/methods; Videolaryngoscopy; Washington
Creator
An entity primarily responsible for making the resource
Khandelwal Nita; Galgon Richard E; Ali Marwan; Joffe Aaron M
Description
An account of the resource
BACKGROUND: Placement of advanced airways has been associated with worsened neurologic outcome in survivors of out-of-hospital cardiac arrest. These findings have been attributed to factors such as inexperienced operators, prolonged intubation times and other airway related complications. As an initial step to examine outcomes of advanced airway placement during in-hospital cardiac arrest (IHCA), where immediate assistance and experienced operators are continuously available, we examined whether cardiopulmonary resuscitation efforts affect intubation difficulty. Additionally, we examined whether or not the use of videolaryngoscopy increases the odds of first attempt intubation success compared with traditional direct laryngoscopy. METHODS: The study setting is a large urban university-affiliated teaching hospital where experienced airway managers are available to perform emergent intubation for any indication in any out-of-the-operating room location 24 hours a day, 7 days-a-week, 365 days-a-year. Intubations occurring in all adults \textgreater18 years-of-age who required emergent tracheal intubation outside of the operating room between January 1, 2008 and December 31, 2012 were examined retrospectively. Multivariate logistic regression was used to estimate the odds of difficult intubation during IHCA compared to other emergent non-IHCA indications with adjustment for a priori defined potential confounders (body mass index, operator experience, use of videolaryngoscopy versus direct laryngoscopy, and age). RESULTS: In adjusted analyses, the odds of difficult intubation were higher when taking place during IHCA (OR=2.63; 95% CI 1.1-6.3, p=0.03) compared to other emergent indications. Use of video versus direct laryngoscopy for initial intubation attempts during IHCA, however, did not improve the odds of success (adjusted OR = 0.71; 95% CI 0.35-1.43, p = 0.33). CONCLUSIONS: Difficult intubation is more likely when intubation takes place during IHCA compared to other emergent indications, even when experienced operators are available. Under these conditions, direct laryngoscopy (versus videolaryngoscopy) remains a reasonable first choice intubation technique.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1186/1471-2253-14-38" target="_blank" rel="noreferrer noopener">10.1186/1471-2253-14-38</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2014
Academic Medical Centers – Washington
Adult
Aged
Ali Marwan
BMC anesthesiology
Cardiopulmonary Resuscitation/*methods
Chi Square Test
Clinical Competence
Confidence Intervals
Data Analysis Software
Direct laryngoscopy
Female
Galgon Richard E
Heart Arrest
Heart Arrest/*therapy
Hospitalization
Hospitals
Human
Humans
In-hospital cardiac arrest
Intratracheal/*methods
Intubation
Joffe Aaron M
Khandelwal Nita
Laryngoscopy/*methods
Logistic Models
Logistic Regression
Male
Middle Age
Middle Aged
Multivariate Analysis
Odds Ratio
Retrospective Studies
T-Tests
University
Video-Assisted Surgery/methods
Videolaryngoscopy
Washington
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.4187/respcare.06024" target="_blank" rel="noreferrer noopener">http://doi.org/10.4187/respcare.06024</a>
Pages
1111–1117
Issue
9
Volume
63
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Adherence to Endotracheal Tube Depth Guidelines and Incidence of Malposition in Infants and Children.
Publisher
An entity responsible for making the resource available
Respiratory Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-09
Subject
The topic of the resource
Female; Humans; pediatrics; Male; Ohio; Random Allocation; Incidence; Chi-Square Distribution; Child; Guideline Adherence/*statistics & numerical data; Infant; intubation; Medical Errors/*statistics & numerical data; NRP; PALS; Radiography/*statistics & numerical data; Trachea/diagnostic imaging; tracheal tube malposition; United States; Odds Ratio; Intensive Care Units; Hospitals; Guideline Adherence; Radiography; Intubation; ROC Curve; Confidence Intervals; Inpatients; Human; Chi Square Test; Descriptive Statistics; P-Value; Data Analysis Software; Practice Guidelines; Retrospective Design; Preschool; Thoracic; Intratracheal/adverse effects/standards/*statistics & numerical data; Intratracheal – Standards – United States; Pediatric – Ohio
Creator
An entity primarily responsible for making the resource
Volsko Teresa A; McNinch Neil L; Prough Donald S; Bigham Michael T
Description
An account of the resource
BACKGROUND: Adherence to guidelines for endotracheal tube (ETT) insertion depth may not be sufficient to prevent malposition or harm to the patient. To obtain an estimate of ETT malpositioning, we evaluated initial postintubation chest radiographs and hypothesized that many ETTs in multiple intubation settings would be malpositioned despite adherence to Pediatric Advanced Life Support and Neonatal Resuscitation Program guidelines. METHODS: In a random subset (randomization table) of 2,000 initial chest radiographs obtained from January 1, 2009, to May 5, 2012, we recorded height, weight, age, sex, ETT inner diameter, and cm marking at the lip from the electronic health record. Chest radiographs of poor quality and with spinal or skeletal deformities were excluded. We defined adherence to Pediatric Advanced Life Support or Neonatal Resuscitation Program guidelines as the difference between predicted and actual ETT markings at the lip as +/- 0.25, +/- 0.50, or +/- 1.0 cm for ETTs of 2.5-4, 4.5-6.0, or \textgreater6.5 mm inner diameter, respectively. We defined the proper position as the ETT tip being below the thoracic inlet (superior border of the clavicular heads) and \textgreater/=1 cm above the carina. Descriptive statistics reported demographics, guideline adherence, and malposition incidence. The chi-square test was used to assess relationships among intubation setting, malposition, and depth guideline adherence (P \textless .05, significant). RESULTS: We reviewed 507 records, 477 of which met inclusion criteria and had sufficient data for analysis. Fifty-six percent of the subjects were male, with median (interquartile range) age 15.2 (3.4-59.4) months, and 330 ETTs (69%) were malpositioned: 39 above the thoracic inlet, and 291 \textless 1 cm above the carina. Of 79 ETTS (17%) that adhered to depth guidelines, 56 (74%) were malpositioned. Three-hundred seventy-three ETTs (83%) did not meet guidelines. Two-hundred sixty-four (68%) were malpositioned. The intubation setting did not influence malposition or guideline adherence (P = .54). CONCLUSIONS: In infants and children, a high proportion of ETTs were malpositioned on the first postintubation chest radiograph, with little influence of guideline adherence.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.4187/respcare.06024" target="_blank" rel="noreferrer noopener">10.4187/respcare.06024</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2018
Bigham Michael T
Chi Square Test
Chi-Square Distribution
Child
Confidence Intervals
Data Analysis Software
Descriptive Statistics
Female
Guideline Adherence
Guideline Adherence/*statistics & numerical data
Hospitals
Human
Humans
Incidence
Infant
Inpatients
Intensive Care Units
Intratracheal – Standards – United States
Intratracheal/adverse effects/standards/*statistics & numerical data
Intubation
Male
McNinch Neil L
Medical Errors/*statistics & numerical data
NRP
Odds Ratio
Ohio
P-Value
PALS
Pediatric – Ohio
Pediatrics
Practice Guidelines
Preschool
Prough Donald S
Radiography
Radiography/*statistics & numerical data
Random Allocation
Respiratory care
Retrospective Design
ROC Curve
Thoracic
Trachea/diagnostic imaging
tracheal tube malposition
United States
Volsko Teresa A
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.5811/westjem.2018.9.38957" target="_blank" rel="noreferrer noopener">http://doi.org/10.5811/westjem.2018.9.38957</a>
Pages
1043–1048
Issue
6
Volume
19
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Use of Fine-scale Geospatial Units and Population Data to Evaluate Access to Emergency Care.
Publisher
An entity responsible for making the resource available
The western journal of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-11
Subject
The topic of the resource
Adult; Female; Humans; *Censuses; *Travel; Geographic Information Systems/*instrumentation; Health Services Accessibility/*statistics & numerical data; Male; Middle Aged; Ohio; Regression Analysis; Socioeconomic Factors; Spatial Analysis; Time Factors; Odds Ratio; Confidence Intervals; Human; Surveys; Blacks; Hispanics; Regression; Emergency Service; Hospital/*statistics & numerical data; Census; Geographic Information Systems; Housing; Population Density; Emergency Care – Utilization – Ohio; Emergency Service – Utilization – Ohio
Creator
An entity primarily responsible for making the resource
Joyce Katherine M; Burke Ryan C; Veldman Thomas J; Beeson Michelle M; Simon Erin L
Description
An account of the resource
Introduction: Time to facility is a crucial element in emergency medicine (EM). Fine-scale geospatial units such as census block groups (CBG) and publicly available population datasets offer a low-cost and accurate approach to modeling geographic access to and utilization of emergency departments (ED). These methods are relevant to the emergency physician in evaluating patient utilization patterns, emergency medical services protocols, and opportunities for improved patient outcomes and cost utilization. We describe the practical application of geographic information system (GIS) and fine-scale analysis for EM using Ohio ED access as a case study. Methods: Ohio ED locations (n=198), CBGs (n=9,238) and 2015 United States Census five-year American Community Survey (ACS) socioeconomic data were collected July-August 2016. We estimated drive time and distance between population-weighted CBGs and nearest ED using ArcGIS and 2010 CBG shapefiles. We examined drive times vs. ACS characteristics using multinomial regression and mapping. Results: We categorized CBGs by centroid-ED travel time in minutes: \textless10 (73.4%; n=6,774), 10-30 (25.1%; n=2,315), and \textgreater30 (1.5%; n=141). CBGs with increased median age, Hispanic and non-Hispanic Black population, and college graduation rates had significantly decreased travel time. CBGs with increased low-income populations (adjusted odds ratio [AOR] [1.03], 95% confidence interval [CI] [1.01-1.04]) and vacant housing (AOR [1.06], 95% CI [1.05-1.08]) had increased odds of \textgreater30 minute travel time. Conclusion: Use of fine-scale geographic analysis and population data can be used to evaluate geographic accessibility and utilization of EDs. Methods described offer guidance to approaching questions of geographic accessibility and have numerous ED and pre-hospital applications.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.5811/westjem.2018.9.38957" target="_blank" rel="noreferrer noopener">10.5811/westjem.2018.9.38957</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Censuses
*Travel
2018
Adult
Beeson Michelle M
Blacks
Burke Ryan C
Census
Confidence Intervals
Department of Emergency Medicine
Emergency Care – Utilization – Ohio
Emergency Service
Emergency Service – Utilization – Ohio
Female
Geographic Information Systems
Geographic Information Systems/*instrumentation
Health Services Accessibility/*statistics & numerical data
Hispanics
Hospital/*statistics & numerical data
Housing
Human
Humans
Joyce Katherine M
Male
Middle Aged
NEOMED College of Medicine
Odds Ratio
Ohio
Population Density
Regression
Regression Analysis
Simon Erin L
Socioeconomic Factors
Spatial Analysis
Surveys
The western journal of emergency medicine
Time Factors
Veldman Thomas J
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1155/2019/3561501" target="_blank" rel="noreferrer noopener">http://doi.org/10.1155/2019/3561501</a>
Pages
1–8
NEOMED College
NEOMED College of Medicine
NEOMED Department
NEOMED Student Publications
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Adjuvant Chemotherapy in Uterine Leiomyosarcoma: Trends and Factors Impacting Usage.
Publisher
An entity responsible for making the resource available
Sarcoma
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-02-10
Subject
The topic of the resource
Neoplasm Staging; Odds Ratio; Age Factors; Survival; Confidence Intervals; Neoplasm Metastasis; Human; Multiple Regression; Chemotherapy; Chemoradiotherapy; Cox Proportional Hazards Model; Kaplan-Meier Estimator; Uterine Neoplasms – Diagnosis; Lymph Nodes – Pathology; Adjuvant – Trends; Adjuvant – Utilization; Leiomyosarcoma – Diagnosis; Leiomyosarcoma – Prognosis; Leiomyosarcoma – Therapy; Uterine Neoplasms – Prognosis; Uterine Neoplasms – Therapy
Creator
An entity primarily responsible for making the resource
Patel Dhara; Handorf Elizabeth; von Mehren Margaret; Martin Lainie; Movva Sujana
Description
An account of the resource
Objectives. The benefit of adjuvant chemotherapy in patients with localized uterine leiomyosarcoma (LMS) remains unclear due to a lack of randomized studies and data only from small retrospective series to rely on. We sought to identify factors associated with the administration of chemotherapy and to determine the trends in the usage of adjuvant chemotherapy in patients with nonmetastatic uterine LMS. Methods. Patients diagnosed with nonmetastatic uterine LMS between 2004 and 2014 were identified from the National Cancer Database (NCDB). Multiple regression was used to determine factors with a significant impact on patient receipt of chemotherapy. Kaplan–Meier curves and the Cox model were used to determine the effect of adjuvant chemotherapy on overall survival (OS). Results. 2,732 uterine LMS patients were identified. Patients older than 65 were less likely to receive chemotherapy than their younger counterparts. Patients with stage I or stage II cancer were less likely to receive chemotherapy, whereas individuals with positive regional lymph nodes and those who had received radiation were more likely. In this cohort, adjuvant chemotherapy had no significant impact on OS (HR, 1.04; 95% CI, 0.90–1.22; P=0.5768). However, administration of chemotherapy significantly increased from 2004 to 2014 (P\textless0.0001). Conclusions. Expected tumor characteristics such as higher stage of tumor were associated with receipt of chemotherapy. Although adjuvant chemotherapy demonstrated no benefit over observation on OS in patients with nonmetastatic LMS, the number of patients being treated with chemotherapy continued to increase from 2004 to 2014.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1155/2019/3561501" target="_blank" rel="noreferrer noopener">10.1155/2019/3561501</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2019
Adjuvant – Trends
Adjuvant – Utilization
Age Factors
Chemoradiotherapy
Chemotherapy
Confidence Intervals
Cox Proportional Hazards Model
Handorf Elizabeth
Human
Kaplan-Meier Estimator
Leiomyosarcoma – Diagnosis
Leiomyosarcoma – Prognosis
Leiomyosarcoma – Therapy
Lymph Nodes – Pathology
Martin Lainie
Movva Sujana
Multiple Regression
NEOMED College of Medicine Student
NEOMED Student Publications
Neoplasm Metastasis
Neoplasm Staging
Odds Ratio
Patel Dhara
Sarcoma
Survival
Uterine Neoplasms – Diagnosis
Uterine Neoplasms – Prognosis
Uterine Neoplasms – Therapy
von Mehren Margaret
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
3–4
Issue
24
Volume
38
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Cranberry Capsules Are Not Effective in Preventing Bacteriuria with Pyuria in Elderly Women in Nursing Homes.
Publisher
An entity responsible for making the resource available
Internal Medicine Alert
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-12-30
Subject
The topic of the resource
Female; Aged; Hospitalization; Odds Ratio; Mortality; Drug Utilization; Confidence Intervals; Inpatients; Women's Health; Descriptive Statistics; Drug Resistance; Microbial; Treatment Outcomes; Randomized Controlled Trials; Double-Blind Studies; Fluid Intake; Gerontologic Care; Long Term Care; Nursing Home Patients; 80 and Over; Antibiotics – Therapeutic Use; Capsules – Administration and Dosage – In Old Age; Cranberry – Therapeutic Use – In Old Age; Plant Extracts – Therapeutic Use – In Old Age; Urinary Tract Infections – Prevention and Control – In Old Age
Creator
An entity primarily responsible for making the resource
Watkins Richard R
Description
An account of the resource
A randomized, double-blind, placebo-controlled trial found that giving cranberry capsules to elderly women residing in nursing homes did not result in any significant benefits, including no reduction in symptomatic urinary tract infections.
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
80 and over
Aged
Antibiotics – Therapeutic Use
Capsules – Administration and Dosage – In Old Age
Confidence Intervals
Cranberry – Therapeutic Use – In Old Age
Department of Internal Medicine
Descriptive Statistics
Double-Blind Studies
Drug Resistance
Drug Utilization
Female
Fluid Intake
Gerontologic Care
Hospitalization
Inpatients
Internal Medicine Alert
Long Term Care
Microbial
Mortality
NEOMED College of Medicine
Nursing Home Patients
Odds Ratio
Plant Extracts – Therapeutic Use – In Old Age
RANDOMIZED controlled trials
Treatment Outcomes
Urinary Tract Infections – Prevention and Control – In Old Age
Watkins Richard R
Women's Health
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
135–136
Issue
12
Volume
34
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Risk of Herpes Zoster Increases After Zoster Vaccination in Patients Taking Immunosuppressive Medications.
Publisher
An entity responsible for making the resource available
Infectious Disease Alert
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-09
Subject
The topic of the resource
Time Factors; Confidence Intervals; Glucocorticoids – Adverse Effects; Herpes Zoster – Risk Factors; Herpes Zoster Vaccine – Adverse Effects; Herpes Zoster Vaccine – Therapeutic Use; Immunosuppressive Agents – Adverse Effects
Creator
An entity primarily responsible for making the resource
Watkins Richard R
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2015
Confidence Intervals
Department of Internal Medicine
Glucocorticoids – Adverse Effects
Herpes Zoster – Risk Factors
Herpes Zoster Vaccine – Adverse Effects
Herpes Zoster Vaccine – Therapeutic Use
Immunosuppressive Agents – Adverse Effects
Infectious Disease Alert
NEOMED College of Medicine
Time Factors
Watkins Richard R
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.2337/diaspect.27.4.297" target="_blank" rel="noreferrer noopener">http://doi.org/10.2337/diaspect.27.4.297</a>
Pages
297–303
Issue
4
Volume
27
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Improved A1C and Lipid Profile in Patients Referred to Diabetes Education Programs in a Wide Health Care Network: A Retrospective Study.
Publisher
An entity responsible for making the resource available
Diabetes Spectrum
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
2014
Subject
The topic of the resource
Female; Male; Aged; Body Mass Index; Analysis of Variance; Primary Health Care; Confidence Intervals; Diabetes Mellitus; Blood Pressure; Human; P-Value; Outcome Assessment; Middle Age; Retrospective Design; Two-Tailed Test; Course Content; Paired T-Tests; Lipoproteins; McNemar's Test; Diabetes Education; Creatinine; Glomerular Filtration Rate; Multivariate Analysis of Variance; Hemoglobin A; Glycosylated; Cholesterol – Blood; Triglycerides – Blood; Type 2 – Drug Therapy; HDL Cholesterol – Blood; LDL Cholesterol – Blood; Type 2 – Therapy
Creator
An entity primarily responsible for making the resource
Liu Louisa; Min Jie Lee; Brateanu Andrei
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2337/diaspect.27.4.297" target="_blank" rel="noreferrer noopener">10.2337/diaspect.27.4.297</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2014
Aged
Analysis of Variance
Blood Pressure
Body Mass Index
Brateanu Andrei
Cholesterol – Blood
Confidence Intervals
Course Content
Creatinine
Diabetes Education
Diabetes Mellitus
Diabetes Spectrum
Female
Glomerular Filtration Rate
Glycosylated
HDL Cholesterol – Blood
Hemoglobin A
Human
LDL Cholesterol – Blood
Lipoproteins
Liu Louisa
Male
McNemar's Test
Middle Age
Min Jie Lee
Multivariate Analysis of Variance
Outcome Assessment
P-Value
Paired T-Tests
Primary Health Care
Retrospective Design
Triglycerides – Blood
Two-Tailed Test
Type 2 – Drug Therapy
Type 2 – Therapy
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
25–26
Issue
3
Volume
34
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Subglottic Secretion Suctioning Reduces Vent-Associated Pneumonia, Antibiotic Use.
Publisher
An entity responsible for making the resource available
Infectious Disease Alert
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
2014-12
Subject
The topic of the resource
Antibiotics; Odds Ratio; Academic Medical Centers; Confidence Intervals; Human; Pneumonia; Randomized Controlled Trials; Belgium; Secretions; Endotracheal – Utilization; Suctioning; Ventilator-Associated – Prevention and Control
Creator
An entity primarily responsible for making the resource
Watkins Richard R
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2014
Academic Medical Centers
Antibiotics
Belgium
Confidence Intervals
Department of Internal Medicine
Endotracheal – Utilization
Human
Infectious Disease Alert
NEOMED College of Medicine
Odds Ratio
Pneumonia
RANDOMIZED controlled trials
Secretions
Suctioning
Ventilator-Associated – Prevention and Control
Watkins Richard R
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.3109/10903127.2013.785619" target="_blank" rel="noreferrer noopener">http://doi.org/10.3109/10903127.2013.785619</a>
Pages
299–303
Issue
3
Volume
17
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Characteristics of Prehospital ST-segment Elevation Myocardial Infarctions.
Publisher
An entity responsible for making the resource available
Prehospital Emergency Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2013
2013-07
Subject
The topic of the resource
Female; Male; Prospective Studies; Emergency Medical Services; Demography; Data Collection; Patient Care; Academic Medical Centers; Confidence Intervals; Human; Data Analysis; Middle Age; Outcomes (Health Care); Emergency Service; Databases; Angioplasty; Race Factors; Prehospital Care; Percutaneous Coronary; Transluminal; Myocardial Infarction – Diagnosis; Myocardial Infarction – Therapy; Cardiac Patients – Evaluation; Chest Pain – Diagnosis; Myocardial Infarction – Symptoms; ST Segment – Evaluation
Creator
An entity primarily responsible for making the resource
Celik Daniel H; Mencl Francis R; DeAngelis Anthony; Wilde Joshua; Steer Sheila H; Wilber Scott T; Frey Jennifer A; Bhalla Mary Colleen
Description
An account of the resource
Introduction. Despite attention directed at treatment times of ST-segment elevation myocardial infarctions (STEMIs), little is known about the types of STEMIs presenting to the emergency department (ED). Objective. The purpose of this study was to determine the relative frequencies and characteristics of emergency medical services (EMS) STEMIs compared with those in patients who present to the ED by walk-in. This information may be applied in EMS training, system planning, and public education. Methods. This was a query of a prospectively gathered database of all STEMIs in patients presenting to Summa Akron City Hospital ED in 2009 and 2010. We collected demographic information, chief complaint, mode and time of arrival, and STEMI pattern (anterior, lateral, inferior, or posterior). We excluded transfers and in-hospital STEMIs. We calculated means, percentages, significance, and 95% confidence intervals (CIs) ± 10%. Results. We analyzed data from 308 patients. Most patients (241/308, 78%, CI 73%-83%) arrived by EMS, were male (203/308, 66%, CI 60%-71%), and were white (286/308, 93%, CI 89%-96%). Patients arriving by EMS were older (average 63 years, range 35-95) than walk-in patients (average 57 years, range 24-92). Two percent (5/241, 2%, CI 1%-5%) of EMS STEMI patients were under 40 years of age, compared with 10% (7/67, 10%, CI 4%-20%) of walk-in patients (p = 0.0017). The most common chief complaint was chest pain (278/308, 90%, CI 86%-93%). Inferior STEMIs were most common (167/308, 54%, CI 49%-60%), followed by anterior (127/308, 41%, CI 48%-60%), lateral (8/308, 3%, CI 1%-5%), and posterior (6/308, 2%, CI 1%-4%). A day-of-the-week analysis showed that no specific day was most common for STEMI presentation. Forty percent (122/308, 40%, CI 34%-45%) of patients presented during open catheterization laboratory hours (Monday through Friday, 0730-1700 hours). There was no significant statistical difference between EMS and walk-in patients with regard to STEMI pattern or patient demographics. Conclusions. In this study, 95% (294/308) of all STEMIs were inferior or anterior infarctions, and these types of presentations should be stressed in EMS education. Most STEMI patients at this institution arrived by ambulance and during off-hours. Younger patients were more likely to walk in. We need further study, but we may have identified a target population for future interventions. Key words: emergency medical services; allied health personnel; electrocardiography; myocardial infarction; heart catheterization; STEMI
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.3109/10903127.2013.785619" target="_blank" rel="noreferrer noopener">10.3109/10903127.2013.785619</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2013
Academic Medical Centers
Angioplasty
Bhalla Mary Colleen
Cardiac Patients – Evaluation
Celik Daniel H
Chest Pain – Diagnosis
Confidence Intervals
Data Analysis
Data Collection
Databases
DeAngelis Anthony
Demography
Department of Emergency Medicine
Emergency Medical Services
Emergency Service
Female
Frey Jennifer A
Human
Male
Mencl Francis R
Middle Age
Myocardial Infarction – Diagnosis
Myocardial Infarction – Symptoms
Myocardial Infarction – Therapy
NEOMED College of Medicine
Outcomes (Health Care)
Patient Care
Percutaneous Coronary
prehospital care
Prehospital Emergency Care
Prospective Studies
Race Factors
ST Segment – Evaluation
Steer Sheila H
Transluminal
Wilber Scott T
Wilde Joshua
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.2519/jospt.2011.3312" target="_blank" rel="noreferrer noopener">http://doi.org/10.2519/jospt.2011.3312</a>
Pages
60–69
Issue
2
Volume
41
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Associations Between Disordered Eating, Menstrual Dysfunction, and Musculoskeletal Injury Among High School Athletes.
Publisher
An entity responsible for making the resource available
Journal of Orthopaedic & Sports Physical Therapy
Date
A point or period of time associated with an event in the lifecycle of the resource
2011
2011-02
Subject
The topic of the resource
Female; Multivariate Analysis; Odds Ratio; Prospective Studies; Self Report; Confidence Intervals; Women's Health; Psychological Tests; Human; Questionnaires; Chi Square Test; Descriptive Statistics; Funding Source; Data Analysis Software; Post Hoc Analysis; Adolescence; One-Way Analysis of Variance; Logistic Regression; Retrospective Design; Wisconsin; Record Review; Body Weights and Measures; Adolescent Health; Adolescent Nutrition; Female Athlete Triad; Athletes; High School; Athletic Injuries – Epidemiology – In Adolescence; Body Mass Index – Evaluation; Eating Behavior – Evaluation; Eating Disorders – Epidemiology – In Adolescence; Health Status – Evaluation; Menstruation Disorders – Epidemiology – In Adolescence; Musculoskeletal System – Injuries – In Adolescence; Sports – Classification
Creator
An entity primarily responsible for making the resource
Thein-Nissenbaum Jill M; Rauh Mitchell J; Carr Kathleen E; Loud Keith J; McGuine Timothy A
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2519/jospt.2011.3312" target="_blank" rel="noreferrer noopener">10.2519/jospt.2011.3312</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2011
Adolescence
Adolescent Health
Adolescent Nutrition
Athletes
Athletic Injuries – Epidemiology – In Adolescence
Body Mass Index – Evaluation
Body Weights and Measures
Carr Kathleen E
Chi Square Test
Confidence Intervals
Data Analysis Software
Descriptive Statistics
Eating Behavior – Evaluation
Eating Disorders – Epidemiology – In Adolescence
Female
Female Athlete Triad
Funding Source
Health Status – Evaluation
High School
Human
Journal of Orthopaedic & Sports Physical Therapy
Logistic Regression
Loud Keith J
McGuine Timothy A
Menstruation Disorders – Epidemiology – In Adolescence
Multivariate Analysis
Musculoskeletal System – Injuries – In Adolescence
Odds Ratio
One-Way Analysis of Variance
Post Hoc Analysis
Prospective Studies
Psychological Tests
Questionnaires
Rauh Mitchell J
Record Review
Retrospective Design
Self Report
Sports – Classification
Thein-Nissenbaum Jill M
Wisconsin
Women's Health
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.4085/1062-6050-47.1.74" target="_blank" rel="noreferrer noopener">http://doi.org/10.4085/1062-6050-47.1.74</a>
Pages
74–82
Issue
1
Volume
47
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Menstrual Irregularity and Musculoskeletal Injury in Female High School Athletes.
Publisher
An entity responsible for making the resource available
Journal of Athletic Training (National Athletic Trainers' Association)
Date
A point or period of time associated with an event in the lifecycle of the resource
2012
2012-02-01
Subject
The topic of the resource
Female; Odds Ratio; Education; Confidence Intervals; Women's Health; Human; Questionnaires; Chi Square Test; Cross Sectional Studies; Descriptive Statistics; Funding Source; Data Analysis Software; Post Hoc Analysis; Adolescence; One-Way Analysis of Variance; Survey Research; Wisconsin; Body Weights and Measures; Adolescent Health; Amenorrhea; Menarche; Oligomenorrhea; Sex Maturation; Continuing (Credit); Athletes; High School; Body Mass Index – Evaluation; Musculoskeletal System – Injuries – In Adolescence; Athletic Injuries – Epidemiology; Female – In Adolescence; Menstruation Disorders – In Adolescence; Severity of Injury – Evaluation
Creator
An entity primarily responsible for making the resource
Thein-Nissenbaum Jill M; Rauh Mitchell J; Carr Kathleen E; Loud Keith J; McGuine Timothy A
Description
An account of the resource
Context: The female athlete triad describes the interrelatedness of energy availability, menstrual function, and bone density. Although associations between triad components and musculoskeletal injury (INJ) have been reported in collegiate athletes, limited information exists about menstrual irregularity (Ml) and INJ in the high school population. Objective: To determine the prevalence of and relationship between Ml and INJ in high school athletes. Design: Cross-sectional study. Setting: High schools. Patients or Other Participants: The sample consisted of 249 female athletes from 3 high schools who competed in 33 interscholastic, school-sponsored sport teams, dance teams, and cheerleading or pom-pon squad during the 2006-2007 school year. Each athlete remained on the roster throughout the season. Main Outcome Measure(s): Participants completed a survey regarding injury type, number of days of sport participation missed, and menstrual history in the past year. Results: The prevalences of Ml and INJ were 19.7% and 63.1%, respectively. Athletes who reported Ml sustained; higher percentage of severe injuries (missing \textgreater22 days of practice or competition) than did athletes who reported normal menses. Although the trend was not significant, athletes with Ml were almost 3 times more likely to sustain an injury resulting in 7 or more days of time lost from sport (odds ratio = 2.7, 9591 confidence interval = 0.8, 8.8) than those who sustained an in jury resulting in 7 or fewer days of time lost. Conclusions: The incidences of Ml and INJ in this high school population during the study period were high. Athlete; who reported Ml sustained a higher percentage of severe injuries than did athletes who reported normal menses. Education programs to increase knowledge and improve management o Ml and its potential effects on injury in female high school athletes are warranted.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.4085/1062-6050-47.1.74" target="_blank" rel="noreferrer noopener">10.4085/1062-6050-47.1.74</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2012
Adolescence
Adolescent Health
Amenorrhea
Athletes
Athletic Injuries – Epidemiology
Body Mass Index – Evaluation
Body Weights and Measures
Carr Kathleen E
Chi Square Test
Confidence Intervals
Continuing (Credit)
Cross Sectional Studies
Data Analysis Software
Descriptive Statistics
Education
Female
Female – In Adolescence
Funding Source
High School
Human
Journal of Athletic Training (National Athletic Trainers' Association)
Loud Keith J
McGuine Timothy A
Menarche
Menstruation Disorders – In Adolescence
Musculoskeletal System – Injuries – In Adolescence
Odds Ratio
Oligomenorrhea
One-Way Analysis of Variance
Post Hoc Analysis
Questionnaires
Rauh Mitchell J
Severity of Injury – Evaluation
Sex Maturation
Survey Research
Thein-Nissenbaum Jill M
Wisconsin
Women's Health
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/1359104511406487" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/1359104511406487</a>
Pages
485–497
Issue
4
Volume
16
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The influence of family environment on dissociation in pediatric injury patients.
Publisher
An entity responsible for making the resource available
Clinical Child Psychology & Psychiatry
Date
A point or period of time associated with an event in the lifecycle of the resource
2011
2011-10
Subject
The topic of the resource
Female; Male; Ohio; Socioeconomic Factors; Child; Prospective Studies; Income; Self Report; Confidence Intervals; Family; Social Environment; Human; Semi-Structured Interview; Questionnaires; Chi Square Test; Descriptive Research; Descriptive Statistics; Funding Source; Scales; Correlational Studies; Data Analysis Software; Pretest-Posttest Design; Checklists; Adolescence; Pearson's Correlation Coefficient; Retrospective Design; Analysis of Covariance; Child Development; Bivariate Statistics; Severity of Illness Indices; Family Relations; Family Coping; Interview Guides; Parametric Statistics; Parenting Education; Patient-Family Relations; Dissociative Disorders – Risk Factors; Accidents – Adverse Effects; Wounds and Injuries – Complications
Creator
An entity primarily responsible for making the resource
Nugent Nicole R; Sledjeski Eve M; Christopher Norman C; Delahanty Douglas L
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/1359104511406487" target="_blank" rel="noreferrer noopener">10.1177/1359104511406487</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2011
Accidents – Adverse Effects
Adolescence
Akron Children's Hospital
Analysis of Covariance
Bivariate Statistics
Checklists
Chi Square Test
Child
Child Development
Christopher Norman C
Clinical Child Psychology & Psychiatry
Confidence Intervals
Correlational Studies
Data Analysis Software
Delahanty Douglas L
Department of Emergency Medicine
Department of Pediatrics
Descriptive Research
Descriptive Statistics
Dissociative Disorders – Risk Factors
Family
Family Coping
Family Relations
Female
Funding Source
Human
Income
Interview Guides
Male
NEOMED College of Medicine
Nugent Nicole R
Ohio
Parametric Statistics
Parenting Education
Patient-Family Relations
Pearson's Correlation Coefficient
Pretest-Posttest Design
Prospective Studies
Questionnaires
Retrospective Design
Scales
Self Report
Semi-Structured Interview
Severity of Illness Indices
Sledjeski Eve M
Social Environment
Socioeconomic Factors
Wounds and Injuries – Complications
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.jpeds.2007.03.001" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jpeds.2007.03.001</a>
Pages
187–191
Issue
2
Volume
151
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Aeroallergen sensitization in healthy children: racial and socioeconomic correlates.
Publisher
An entity responsible for making the resource available
Journal of Pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
2007
2007-08
Subject
The topic of the resource
Female; Male; Socioeconomic Factors; Incidence; Child; Risk Factors; Sensitivity and Specificity; Odds Ratio; Health Status; Probability; Confidence Intervals; Human; Adolescence; Logistic Regression; Case Control Studies; Immunization; Preschool; Population; Air Pollutants – Immunology; Allergens – Immunology; Hypersensitivity – Diagnosis; Hypersensitivity – Epidemiology; Hypersensitivity – Immunology; Respiratory Hypersensitivity – Diagnosis; Respiratory Hypersensitivity – Ethnology; Respiratory Hypersensitivity – Immunology; Skin Tests – Methods
Creator
An entity primarily responsible for making the resource
Stevenson MD; Sellins S; Grube E; Schroer K; Gupta J; Wang N; Khurana Hershey GK; Stevenson Michelle D; Sellins Stacey; Grube Emilie; Schroer Kathy; Gupta Jayanta; Wang Ning; Khurana Hershey Gurjit K
Description
An account of the resource
Objective: Allergic sensitization is very prevalent and often precedes the development of allergic disease. This study examined the association of race with allergic sensitization among healthy children with no family history of atopy.Study Design: Two hundred seventy-five children, predominantly from lower socioeconomic strata, from Cincinnati, Ohio, ages 2 to 18 years without a family or personal history of allergic diseases, underwent skin prick testing to 11 allergen panels. The Pediatric Allergic Disease Quality of Life Questionnaire (PADQLQ) was used to examine the impact of sensitization on quality of life.Results: Thirty-nine percent of healthy children were sensitized to 1 or more allergen panels. Multivariate logistic regression showed increased risk among African-American children for any sensitization (OR, 2.17; [95% CI: 1.23, 3.84]) and sensitization to any outdoor allergen (OR, 2.96 [95% CI: 1.52, 5.74]). Eighty-six percent of children had PADQLQ scores of 1 or less (0 to 6 scale).Conclusions: Allergic sensitization is prevalent even among children who do not have a personal or family history of asthma, allergic rhinitis, or atopic dermatitis and who have no evidence of current, even subtle effects from this sensitization on allergic disease-related quality of life. African-American children are at greater risk for presence of sensitization, especially to outdoor allergens.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jpeds.2007.03.001" target="_blank" rel="noreferrer noopener">10.1016/j.jpeds.2007.03.001</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2007
Adolescence
Air Pollutants – Immunology
Allergens – Immunology
Case Control Studies
Child
Confidence Intervals
Female
Grube E
Grube Emilie
Gupta J
Gupta Jayanta
Health Status
Human
Hypersensitivity – Diagnosis
Hypersensitivity – Epidemiology
Hypersensitivity – Immunology
Immunization
Incidence
Journal of Pediatrics
Khurana Hershey GK
Khurana Hershey Gurjit K
Logistic Regression
Male
Odds Ratio
Population
Preschool
Probability
Respiratory Hypersensitivity – Diagnosis
Respiratory Hypersensitivity – Ethnology
Respiratory Hypersensitivity – Immunology
Risk Factors
Schroer K
Schroer Kathy
Sellins S
Sellins Stacey
Sensitivity and Specificity
Skin Tests – Methods
Socioeconomic Factors
Stevenson MD
Stevenson Michelle D
Wang N
Wang Ning
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/j.1553-2712.2008.00158.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2008.00158.x</a>
Pages
613–616
Issue
7
Volume
15
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The Six-item Screener to Detect Cognitive Impairment in Older Emergency Department Patients.
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2008
2008-07
Subject
The topic of the resource
Female; Male; Aged; Sensitivity and Specificity; Prospective Studies; ROC Curve; Geriatric Assessment; Academic Medical Centers; Confidence Intervals; Psychological Tests; Human; Cross Sectional Studies; Emergency Service; Cognition Disorders – Diagnosis; Emergency Medicine – Equipment and Supplies
Creator
An entity primarily responsible for making the resource
Wilber S T; Carpenter CR; Hustey FM
Description
An account of the resource
BACKGROUND: Cognitive impairment due to delirium or dementia is common in older emergency department (ED) patients. To prevent errors, emergency physicians (EPs) should use brief, sensitive tests to evaluate older patient's mental status. Prior studies have shown that the Six-Item Screener (SIS) meets these criteria. OBJECTIVES: The goal was to verify the performance of the SIS in a large, multicenter sample of older ED patients. METHODS: A prospective, cross-sectional study was conducted in three urban academic medical center EDs. English-speaking ED patients \textgreater or = 65 years old were enrolled. Patients who received medications that could affect cognition, were too ill, were unable to cooperate, were previously enrolled, or refused to participate were excluded. Patients were administered either the SIS or the Mini-Mental State Examination (MMSE), followed by the other test 30 minutes later. An MMSE of 23 or less was the criterion standard for cognitive impairment; the SIS cutoff was 4 or less for cognitive impairment. Standard operator characteristics of diagnostic tests were calculated with 95% confidence intervals (CIs), and a receiver operating characteristic curve was plotted. RESULTS: The authors enrolled 352 subjects; 111 were cognitively impaired by MMSE (32%, 95% CI = 27% to 37%). The SIS was 63% sensitive (95% CI = 53% to 72%) and 81% specific (95% CI = 75% to 85%). The area under the receiver operating characteristic curve was 0.77 (95% CI = 0.72 to 0.83). CONCLUSIONS: The sensitivity of the SIS was lower than in prior studies. The reasons for this lower sensitivity are unclear. Further study is needed to clarify the ideal brief mental status test for ED use.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1553-2712.2008.00158.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2008.00158.x</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2008
Academic Emergency Medicine
Academic Medical Centers
Aged
Carpenter CR
Cognition Disorders – Diagnosis
Confidence Intervals
Cross Sectional Studies
Emergency Medicine – Equipment and Supplies
Emergency Service
Female
Geriatric Assessment
Human
Hustey FM
Male
Prospective Studies
Psychological Tests
ROC Curve
Sensitivity and Specificity
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1197/j.aem.2006.01.006" target="_blank" rel="noreferrer noopener">http://doi.org/10.1197/j.aem.2006.01.006</a>
Pages
680–682
Issue
6
Volume
13
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Does functional decline prompt emergency department visits and admission in older patients?
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2006
2006-06
Subject
The topic of the resource
Female; Male; Ohio; Aged; Prospective Studies; Hospitals; Activities of Daily Living; Confidence Intervals; Human; Convenience Sample; Questionnaires; Cross Sectional Studies; Descriptive Statistics; Funding Source; Data Analysis Software; Surveys; Coefficient Alpha; Clinical Assessment Tools; Emergency Service; Community; Geriatric Functional Assessment; 80 and Over; Emergency Care – In Old Age; Functional Status – In Old Age; Health Resource Utilization – In Old Age; Patient Admission – In Old Age
Creator
An entity primarily responsible for making the resource
Wilber S T; Blanda M; Gerson L W
Description
An account of the resource
BACKGROUND: Older patients may visit the emergency department (ED) when their illness affects their function. OBJECTIVES: To quantify the function of older ED patients, to assess whether functional decline (FD) had occurred, and to determine whether function contributes to the ED visit and hospital admission. METHODS: The authors performed an institutional review board-approved, prospective, cross-sectional study in a community teaching hospital ED. Eligible patients were older than 74 years of age, with an illness at least 48 hours old. Patients from a nursing facility and those without a proxy who were unable or unwilling to complete the questions were excluded. The Older Americans Resources and Services Questionnaire, which tests seven instrumental activities of daily living (IADL) and seven physical ADLs (PADL), was used. Data are presented as means or proportions with 95% confidence intervals (95% CI), and comparisons as 95% CI for the difference between proportions. RESULTS: The authors enrolled 90 patients (mean age, 81.6 yr [SD +/- 4.9], 40% male). Dependence in at least one IADL was reported by 68% (95% CI = 57% to 77%), and in at least one PADL by 61% (95% CI = 50% to 71%). Functional decline was reported by 74% (95% CI = 64% to 83%). Two thirds of those with IADL decline and three quarters of those with PADL decline said that this contributed to their ED visit. Seventy-seven percent with, and 63% without, IADL decline were admitted (14% difference, 95% CI = -6.1% to 33%). Seventy-nine percent with and 61% without PADL decline were admitted (18% difference, 95% CI = -1.4% to 38%). CONCLUSIONS: Functional decline is common in older ED patients and contributes to ED visits in older patients; its role in admission is unclear.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1197/j.aem.2006.01.006" target="_blank" rel="noreferrer noopener">10.1197/j.aem.2006.01.006</a>
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Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2006
80 and over
Academic Emergency Medicine
Activities of Daily Living
Aged
Blanda M
Clinical Assessment Tools
Coefficient Alpha
Community
Confidence Intervals
Convenience Sample
Cross Sectional Studies
Data Analysis Software
Department of Emergency Medicine
Descriptive Statistics
Emergency Care – In Old Age
Emergency Service
Female
Functional Status – In Old Age
Funding Source
Geriatric Functional Assessment
Gerson L W
Health Resource Utilization – In Old Age
Hospitals
Human
Male
NEOMED College of Medicine
Ohio
Patient Admission – In Old Age
Prospective Studies
Questionnaires
Surveys
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2005.02.035" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2005.02.035</a>
Pages
295–298
Issue
3
Volume
23
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Home modification to prevent falls by older ED patients.
Publisher
An entity responsible for making the resource available
American Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
2005-05
Subject
The topic of the resource
Female; Male; Aged; Prospective Studies; Confidence Intervals; Human; Chi Square Test; Funding Source; Data Analysis Software; Logistic Regression; T-Tests; Emergency Service; Accidents; Consumer Health Information; Home Environment; Home Safety; Pamphlets; 80 and Over; Accidental Falls – Prevention and Control; Home – Prevention and Control
Creator
An entity primarily responsible for making the resource
Gerson L W; Camargo CA Jr; Wilber S T
Description
An account of the resource
This trial was conducted at 11 EDs to test the effectiveness of distributing fall prevention information to patients 65 years or older. Intervention patients were given 2 brochures and received a reminder call 2 weeks later. All patients were called at 1 month and asked if they made home safety modifications. Three hundred ninety-seven patients were enrolled (118 control, 279 intervention). Seventy-six percent had complete follow up interviews. Nine percent of control and 8% of intervention patients reported a home modification (95% confidence interval on difference, -8.1% to 5.5%). Patients who fell in the prior year had a 2.0 increased odds (95% confidence interval, 0.8-4.6) of making a home modification. The similar home modification rates in the 2 study groups suggest that even minimum discussion (eg, the informed consent procedure) may increase patients' fall prevention activities. The stronger association in patients who fell suggests that a targeted program may have added benefit. Copyright © 2005 by Elsevier Science (USA).
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2005.02.035" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2005.02.035</a>
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Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2005
80 and over
Accidental Falls – Prevention and Control
Accidents
Aged
American Journal of Emergency Medicine
Camargo CA Jr
Chi Square Test
Confidence Intervals
Consumer Health Information
Data Analysis Software
Emergency Service
Female
Funding Source
Gerson L W
Home – Prevention and Control
Home Environment
Home Safety
Human
Logistic Regression
Male
Pamphlets
Prospective Studies
T-Tests
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1597/04-115" target="_blank" rel="noreferrer noopener">http://doi.org/10.1597/04-115</a>
Pages
222–225
Issue
2
Volume
43
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Outcomes in pharyngoplasty: a 10-year experience.
Publisher
An entity responsible for making the resource available
Cleft Palate-Craniofacial Journal
Date
A point or period of time associated with an event in the lifecycle of the resource
2006
2006-03
Subject
The topic of the resource
Adult; Female; Male; Ohio; Child; Infant; Risk Factors; Prospective Studies; Age Factors; Sex Factors; Hospitals; Sample Size; Reoperation; Speech; Confidence Intervals; Human; Descriptive Statistics; Middle Age; Adolescence; Retrospective Design; T-Tests; Surgical Flaps; Preschool; Treatment Outcomes; Record Review; Cleft Lip; Cleft Palate; Pediatric – Ohio; Mouth Abnormalities – Surgery; Pharyngeal Diseases – Surgery; Pharynx – Surgery
Creator
An entity primarily responsible for making the resource
Pryor LS; Lehman J; Parker M G; Schmidt A; Fox L; Murthy AS
Description
An account of the resource
Objective: The outcomes of 61 patients who underwent a pharyngoplasty for velopharyngeal insufficiency were reviewed to determine potential risk factors for reoperation.Design: This was a retrospective chart review of 61 consecutive patients over approximately 10 years (1993 to 2003). Variables analyzed included gender, cleft type, age at the time of pharyngoplasty, length of time between palate repair and pharyngoplasty, and associated syndromes.Participants: Of the 61 patients, 20 (34%) had a unilateral cleft lip and palate, 5 (8%) had a bilateral cleft lip and palate, 13 (21%) had an isolated cleft palate, 7 (11%) had a submucous cleft palate, and 16 (26%) were diagnosed with noncleft velopharyngeal insufficiency.Results: Of the 61 patients, 10 (16%) required surgical revision. No statistically significant difference was found among gender, cleft type, age at the time of pharyngoplasty, the length of time between palate repair and pharyngoplasty, and associated congenital syndromes, with respect to the need for surgical revision (p \textgreater .05). Of the surgical revisions, 50% (5) were performed for a pharyngoplasty that was placed too low.Conclusions: Because 50% of the pharyngoplasty revisions had evidence of poor velopharyngeal closure and associated hypernasality resulting from low placement of the sphincter, the pharyngoplasty needs to be placed at a high level to reduce the risk for revisional surgery. The pharyngoplasty is a good operation for velopharyngeal insufficiency with an overall success rate of 84% (51 of 61) after one operation and greater than 98% (60 of 61) after two operations.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1597/04-115" target="_blank" rel="noreferrer noopener">10.1597/04-115</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2006
Adolescence
Adult
Age Factors
Child
Cleft Lip
Cleft Palate
Cleft Palate-Craniofacial Journal
Confidence Intervals
Descriptive Statistics
Female
Fox L
Hospitals
Human
Infant
Lehman J
Male
Middle Age
Mouth Abnormalities – Surgery
Murthy AS
Ohio
Parker M G
Pediatric – Ohio
Pharyngeal Diseases – Surgery
Pharynx – Surgery
Preschool
Prospective Studies
Pryor LS
Record Review
Reoperation
Retrospective Design
Risk Factors
Sample Size
Schmidt A
Sex Factors
Speech
Surgical Flaps
T-Tests
Treatment Outcomes
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/j.1553-2712.2005.tb00846.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2005.tb00846.x</a>
Pages
119–123
Issue
2
Volume
12
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Reclining chairs reduce pain from gurneys in older emergency department patients: a randomized controlled trial.
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
2005-02
Subject
The topic of the resource
Ohio; Aged; Sensitivity and Specificity; Prospective Studies; Pain Measurement; Patient Satisfaction; Outpatients; Hospitals; Self Report; Confidence Intervals; Human; Descriptive Statistics; Funding Source; Scales; Data Analysis Software; Surveys; Coefficient Alpha; Summated Rating Scaling; Emergency Service; Community; Treatment Outcomes; Emergency Patients; Beds and Mattresses; Interior Design and Furnishings; Patient Positioning; Single-Blind Studies; 80 and Over; Pain – Prevention and Control – In Old Age
Creator
An entity primarily responsible for making the resource
Wilber S T; Burger B; Gerson L W; Blanda M
Description
An account of the resource
OBJECTIVES: Pain related to the gurney is a frequent complaint of older emergency department (ED) patients. The authors hypothesized that these patients may have less pain and higher satisfaction if allowed to sit in a reclining hospital chair. METHODS: A single-blind, randomized controlled trial was performed. Patients 65 years old or older who were able to sit upright, transfer, and engage in normal conversation were eligible. Severely ill or cognitively impaired patients were excluded. Patients were randomized to either remain on the gurney or transfer to the chair after initial evaluation. Patients reported pain at arrival (t0), at one hour (t1), and at two hours (t2) using a 0-10 pain scale, and satisfaction at study completion on a 0-10 scale. The primary outcome was a decrease in pain between t0 and t1 or no pain at both t0 and t1. This outcome was analyzed using a 95% confidence interval for the difference between proportions; exclusion of zero was considered significant. RESULTS: Sixty-six patients in each group were enrolled. There was no difference in demographics between groups, but the chair patients were more likely to have pain at t0 than the gurney patients. More chair patients than gurney patients had a successful primary outcome (97% vs. 76%, 21% difference, 95% CI=10% to 32%). The mean satisfaction score was higher in the chair group than in the gurney group (8.1 vs. 6.0, 2.1 difference, 95% CI=1.4% to 2.8%). CONCLUSIONS: The simple modification of allowing older ED patients to sit in reclining chairs resulted in less pain and higher satisfaction.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1553-2712.2005.tb00846.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2005.tb00846.x</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2005
80 and over
Academic Emergency Medicine
Aged
Beds and Mattresses
Blanda M
Burger B
Coefficient Alpha
Community
Confidence Intervals
Data Analysis Software
Department of Emergency Medicine
Descriptive Statistics
Emergency Patients
Emergency Service
Funding Source
Gerson L W
Hospitals
Human
Interior Design and Furnishings
NEOMED College of Medicine
Ohio
Outpatients
Pain – Prevention and Control – In Old Age
Pain Measurement
PATIENT positioning
Patient Satisfaction
Prospective Studies
Scales
Self Report
Sensitivity and Specificity
Single-Blind Studies
Summated Rating Scaling
Surveys
Treatment Outcomes
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.jamda.2006.05.009" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jamda.2006.05.009</a>
Pages
105–109
Issue
2
Volume
8
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The effect of a 12-month longitudinal long-term care rotation on knowledge and attitudes of internal medicine residents about geriatrics.
Publisher
An entity responsible for making the resource available
Journal of the American Medical Directors Association
Date
A point or period of time associated with an event in the lifecycle of the resource
2007
2007-02
Subject
The topic of the resource
Ohio; Aged; Curriculum; Prospective Studies; Attitude of Health Personnel; Educational Measurement; Clinical Competence; Education; Internship and Residency; Geriatric Assessment; Nursing Homes; Confidence Intervals; Internal Medicine; Human; Questionnaires; P-Value; Scales; Data Analysis Software; Pretest-Posttest Design; Professional Knowledge; Summated Rating Scaling; Interns and Residents; Internal Consistency; Attitude Measures; Wilcoxon Signed Rank Test; Paired T-Tests; Medical; Geriatrics – Education; Long Term Care – Education; Terminal Care – Education
Creator
An entity primarily responsible for making the resource
Baum EE; Nelson KM
Description
An account of the resource
OBJECTIVE: To determine if participation in a 12-month longitudinal long-term care (LTC) rotation resulted in improved knowledge and attitudes about geriatrics. DESIGN: Longitudinal study with paired measurements. SETTING: A community LTC facility and a university-affiliated, community-based internal medicine residency program. PARTICIPANTS: Sixty-seven internal medicine residents who participated in the rotation from 1997 through 2004. INTERVENTION: The internal medicine residents attended nursing home (NH) rounds one half day per month for 1 year, during which time they participated in a case-based interactive lecture on a core geriatric topic and rounded on their assigned patients. MEASUREMENTS: Knowledge was assessed using a 70-item test. Attitudes were evaluated with a 28-item, 5-point Likert scale (1 = least positive, 5 = most positive). RESULTS: The percent correct responses on geriatric knowledge pretest was 47% (95% CI = 45.2% to 48.8%) and on the posttest it was 57.5% (95% CI = 55.3% to 59.6%) (t = 8.180, df = 67, P \textless .001). The pretest total attitude score was 3.6 (95% CI = 3.6 to 3.7), with a posttest score of 3.7 (95% CI = 3.7 to 3.8) (P \textless .001). The difference in this total was accounted for mainly by the significant changes in the attitude subscales in educational preparation (pretest 3.6 [95% CI = 3.5 to 3.8]; posttest 3.8 [95% CI = 3.7 to 3.9] [P \textless .001]), general attitudes (pretest 4.0 [95% CI = 3.9 to 4.1]; posttest 4.2 [95% CI = 4.0 to 4.3] [P = .006]), and therapeutic potential (pretest 3.7 [95% CI = 3.5 to 3.8]; posttest 3.8 [95% CI = 3.7 to 3.9] [P = .048]). CONCLUSION: A longitudinal LTC rotation is an efficient and effective way to systematically provide internal medicine residents their core knowledge and experience in geriatrics.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jamda.2006.05.009" target="_blank" rel="noreferrer noopener">10.1016/j.jamda.2006.05.009</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2007
Aged
Attitude Measures
Attitude of Health Personnel
Baum EE
Clinical Competence
Confidence Intervals
Curriculum
Data Analysis Software
Education
Educational Measurement
Geriatric Assessment
Geriatrics – Education
Human
Internal Consistency
Internal Medicine
Interns and Residents
Internship and Residency
Journal of the American Medical Directors Association
Long Term Care – Education
Medical
Nelson KM
Nursing Homes
Ohio
P-Value
Paired T-Tests
Pretest-Posttest Design
Professional Knowledge
Prospective Studies
Questionnaires
Scales
Summated Rating Scaling
Terminal Care – Education
Wilcoxon Signed Rank Test
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/00005373-200201000-00009" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/00005373-200201000-00009</a>
Pages
40–46
Issue
1
Volume
52
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correlation of noninvasive cerebral oximetry with cerebral perfusion in the severe head injured patient: a pilot study.
Publisher
An entity responsible for making the resource available
Journal of Trauma
Date
A point or period of time associated with an event in the lifecycle of the resource
2002
2002-01
Subject
The topic of the resource
Adult; Female; Male; Prospective Studies; Confidence Intervals; Human; Convenience Sample; Chi Square Test; Data Analysis Software; Pilot Studies; Middle Age; Fisher's Exact Test; Pearson's Correlation Coefficient; T-Tests; Oximetry; Monitoring; Linear Regression; Tissue Perfusion; Intracranial Pressure; Head Injuries – Therapy
Creator
An entity primarily responsible for making the resource
Dunham CM; Sosnowski C; Porter J M; Siegal J; Kohli C
Description
An account of the resource
BACKGROUND: Traumatic brain injury (TBI) is a leading cause of morbidity and mortality in trauma patients. Cerebral perfusion pressure (CPP) directed ICU management is recommended for patients with severe TBI. It, however, requires an invasive device to measure intracranial pressure (ICP). Transcranial cerebral oximetry is a noninvasive method utilizing near-infrared technology to indirectly measure cerebral saturation (StCO2). METHODS: A prospective observational study was performed at a Level I trauma center. Data were collected hourly for the first 6 days on four patients with severe TBI. Each patient had ICP monitoring and StCO2 (INVOS, Somanetics) assessed from each frontal lobe. CPP directed care was used. RESULTS: Four patients with TBI, with admission GCS scores of 4, 4, 7, and 8, all had subdural hematomas and contusions; three had subarachnoid hemorrhage (SAH); one had an epidural hematoma (the only death; day 6); two had craniotomies. In the first 48 hours when CPP \textgreater or = 70, StCO2 was 71 +/- 9, while it was 61 +/- 9 when CPP \textless 70 (p \textless 0.0001). This relationship was constant for all study days, with p \textless 0.0001. Moreover, CPP \textless 70 correlated with StCO2 with r = 0.8l and r(2) = 0.66. StCO2 \textgreater or = 75 was associated with CPP \textgreater or = 70 96.4% of the time (95% CL, 94.3-98.5%). StCO2 \textless 55 was associated with CPP \textless 70 68.2% of the time (95% CL, 57-79.4%). Also, 13.4% of observations with CPP \textgreater or = 70 had StCO2 \textless 60, suggesting the potential of cerebral ischemia in the face of 'normal' CPP. The StCO2 patches were user-friendly and not technically finicky. CONCLUSION: In this pilot study, StCO2 correlated significantly with CPP. A StCO2 \textgreater or = 75 suggests that CPP is adequate, while \textless 55 suggests an inadequate CPP. Although these results should be confirmed in a larger study, StCO2 may serve as a noninvasive measurement of cerebral perfusion in the patient with a TBI or, at the very least, a sensitive indicator for the need to begin monitoring the ICP.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/00005373-200201000-00009" target="_blank" rel="noreferrer noopener">10.1097/00005373-200201000-00009</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2002
Adult
Chi Square Test
Confidence Intervals
Convenience Sample
Data Analysis Software
Dunham CM
Female
Fisher's Exact Test
Head Injuries – Therapy
Human
Intracranial Pressure
Journal of Trauma
Kohli C
Linear Regression
Male
Middle Age
Monitoring
Oximetry
Pearson's Correlation Coefficient
Pilot Studies
Porter J M
Prospective Studies
Siegal J
Sosnowski C
T-Tests
Tissue Perfusion
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/j.1553-2712.2001.tb00191.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2001.tb00191.x</a>
Pages
721–724
Issue
7
Volume
8
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Do elder emergency department patients and their informants agree about the elder's functioning?
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
2001-07
Subject
The topic of the resource
Female; Male; Aged; Analysis of Variance; Self Report; Confidence Intervals; Human; Convenience Sample; Questionnaires; Cross Sectional Studies; Descriptive Statistics; Two-Tailed Test; T-Tests; Geriatric Functional Assessment; Significant Other; Emergency Service – Utilization – In Old Age
Creator
An entity primarily responsible for making the resource
Gerson L W; Blanda M; Dhingra P; Davis J M; Diaz S R
Description
An account of the resource
OBJECTIVE: To compare elder patients' and their informants' ratings of the elder's physical and mental function measured by a standard instrument, the Medical Outcomes Study Short Form 12 (SF-12). METHODS: This was a randomized, cross-sectional study conducted at a university-affiliated community teaching hospital emergency department (census 65,000/year). Patients \textgreater69 years old, arriving on weekdays between 10 AM and 7 PM, able to engage in English conversation, and consenting to participate were eligible. Patients too ill to participate were excluded. Informants were people who accompanied and knew the patient. Elder patients were randomized 1:1 to receive an interview or questionnaire version of the SF-12. The questionnaire was read to people unable to read. Two trained medical students administered the instrument. The SF-12 algorithm was used to calculate physical (PCS) and mental (MCS) component scores. Oral and written versions were compared using analysis of variance. The PCS and MCS scores between patient-informant pairs were compared with a matched t-test. Alpha was 0.05. RESULTS: One hundred six patients and 55 informants were enrolled. The patients' average (+/-SD) age was 77 +/- 5 years; 59 (56%; 95% CI = 46% to 65%) were women. There was no significant difference for mode of administration in PCS (p = 0.53) or MCS (p = 0.14) scores. Patients rated themselves higher on physical function than did their proxies. There was a 4.1 (95% CI = 99 to 7.2) point difference between patients' and their proxies' physical component scores (p = 0.01). Scores on the mental component were quite similar. The mean difference between patients and proxies was 0.49 (95% CI = 3.17 to 4.16). The half point higher rating by patients was not statistically significant (p = 0.79). CONCLUSIONS: Elders' self-ratings of physical function were higher than those of proxies who knew them. There was no difference in mental function ratings between patients and their proxies. Switching from informants' to patients' reports in evaluating elders' physical function in longitudinal studies may introduce error.
Identifier
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<a href="http://doi.org/10.1111/j.1553-2712.2001.tb00191.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2001.tb00191.x</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2001
Academic Emergency Medicine
Aged
Analysis of Variance
Blanda M
Confidence Intervals
Convenience Sample
Cross Sectional Studies
Davis J M
Department of Emergency Medicine
Descriptive Statistics
Dhingra P
Diaz S R
Emergency Service – Utilization – In Old Age
Female
Geriatric Functional Assessment
Gerson L W
Human
Male
NEOMED College of Medicine
Questionnaires
Self Report
Significant Other
T-Tests
Two-Tailed Test
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/s0196-0644(94)70319-1" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/s0196-0644(94)70319-1</a>
Pages
813–817
Issue
4
Volume
23
Dublin Core
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Title
A name given to the resource
Case finding for cognitive impairment in elderly emergency department patients.
Publisher
An entity responsible for making the resource available
Annals of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1994
1994-04
Subject
The topic of the resource
Female; Male; Aged; Odds Ratio; Geriatric Assessment; Academic Medical Centers; Confidence Intervals; Psychological Tests; Human; Cross Sectional Studies; Funding Source; Logistic Regression; Emergency Service; Psychophysiology; Gerontologic Care; 80 and Over; Cognition Disorders – Diagnosis – In Old Age; Cognition Disorders – Epidemiology; Frail Elderly – Psychosocial Factors; Memory Disorders – Diagnosis
Creator
An entity primarily responsible for making the resource
Gerson L W; Counsell S R; Fontanarosa P B; Smucker W D
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/s0196-0644(94)70319-1" target="_blank" rel="noreferrer noopener">10.1016/s0196-0644(94)70319-1</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
1994
80 and over
Academic Medical Centers
Aged
Annals of emergency medicine
Cognition Disorders – Diagnosis – In Old Age
Cognition Disorders – Epidemiology
Confidence Intervals
Counsell S R
Cross Sectional Studies
Department of Family & Community Medicine
Emergency Service
Female
Fontanarosa P B
Frail Elderly – Psychosocial Factors
Funding Source
Geriatric Assessment
Gerontologic Care
Gerson L W
Human
Logistic Regression
Male
Memory Disorders – Diagnosis
NEOMED College of Medicine
Odds Ratio
Psychological Tests
Psychophysiology
Smucker W D
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/000992289403300504" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/000992289403300504</a>
Pages
273–279
Issue
5
Volume
33
Dublin Core
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Title
A name given to the resource
Predictors of nonattendance at the first newborn health supervision visit.
Publisher
An entity responsible for making the resource available
Clinical pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
1994
1994-05
Subject
The topic of the resource
Adult; Female; Ohio; Socioeconomic Factors; Infant; Risk Factors; Sensitivity and Specificity; Age Factors; Outpatients; Hospitals; Patient Compliance; Appointments and Schedules; Confidence Intervals; Mothers; Human; Chi Square Test; Funding Source; Logistic Regression; Newborn; Models; Statistical; Record Review; Telephone; Predictive Research; Relative Risk; Adolescent Mothers; Infant Care; Marital Status; Maternal Age; Parity; Pediatric – Ohio; Ambulatory Care Facilities – Utilization; Child Health Services – Utilization; Physical Examination – In Infancy and Childhood
Creator
An entity primarily responsible for making the resource
Specht E M; Bourguet C C
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/000992289403300504" target="_blank" rel="noreferrer noopener">10.1177/000992289403300504</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
1994
Adolescent Mothers
Adult
Age Factors
Ambulatory Care Facilities – Utilization
Appointments and Schedules
Bourguet C C
Chi Square Test
Child Health Services – Utilization
Clinical pediatrics
Confidence Intervals
Female
Funding Source
Hospitals
Human
Infant
Infant Care
Logistic Regression
Marital Status
Maternal Age
Models
Mothers
Newborn
Ohio
Outpatients
Parity
Patient Compliance
Pediatric – Ohio
Physical Examination – In Infancy and Childhood
Predictive Research
Record Review
Relative Risk
Risk Factors
Sensitivity and Specificity
Socioeconomic Factors
Specht E M
Statistical
Telephone
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/s1525-8610(04)70279-0" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/s1525-8610(04)70279-0</a>
Pages
74–80
Issue
2
Volume
4
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Effectiveness of a group exercise program in a long-term care facility: a randomized pilot trial.
Publisher
An entity responsible for making the resource available
Journal of the American Medical Directors Association
Date
A point or period of time associated with an event in the lifecycle of the resource
2003
2003-04-03
Subject
The topic of the resource
Female; Male; Aged; Sensitivity and Specificity; Prospective Studies; Age Factors; Sex Factors; Analysis of Variance; Patient Compliance; Pliability; Frail Elderly; Nursing Homes; Confidence Intervals; Inpatients; Human; Descriptive Statistics; P-Value; Repeated Measures; Data Analysis Software; Pilot Studies; Clinical Trials; Summated Rating Scaling; Clinical Assessment Tools; Analysis of Covariance; Outcomes (Health Care); Range of Motion; Random Assignment; Treatment Outcomes; Gerontologic Care; Long Term Care; Functional Status; Geriatric Functional Assessment; Crossover Design; Housing for the Elderly; Muscle Strengthening; Recreation; 80 and Over; Group Exercise – In Old Age
Creator
An entity primarily responsible for making the resource
Baum EE; Jarjoura D; Polen AE; Faur D; Rutechi G
Description
An account of the resource
Objective:The purpose of this pilot was to determine whether a strength and flexibility program in frail long-term care facility (LTC) residents would result in improved function.Design:A prospective, randomized, controlled, semicrossover trial was designed with participants assigned either to group exercise (EX) or recreational therapy (C). In the EX group, the intervention continued for 1 year. In the C group, recreation continued for 6 months; these controls were then crossed over to the same exercise intervention as the EX group and followed for an additional 6 months. Functional outcomes were measured at baseline and 3, 6, 9, and 12 months for both groups.Setting:A LTC facility, which included both assisted living (AL) and nursing home (NH) residents.Participants:Twenty frail residents (5 from NH, 15 from AL) aged 75 to 99 years at one LTC facility.Intervention:After random group assignment, the EX group met 1 hour three times per week. An exercise physiologist and LTC staff conducted sessions which included seated range of motion (ROM) exercises and strength training using simple equipment such as elastic resistance bands (therabands) and soft weights. The C group met three times per week and participated in activities such as painting during the first 6 months, before crossing over to exercise.Measurements and Methods:Objective measures of physical and cognitive function were obtained at baseline and 3, 6, 9, and 12 months using the timed get-up-and-go test (TUG), Berg balance scale, physical performance test (PPT), and mini-mental status exam (MMSE). Because we were interested in the impact of exercise on multiple endpoints and to protect the type I error rate, a global hypothesis test was used.Results:There was a significant overall impact across the four measures of the exercise intervention (P = 0.013). Exercise benefit as indicated by the difference between exercise and control conditions showed exercise decreased TUG by 18 seconds, which represents an effect size (in standard deviation units) of 0.50, increased PPT scores by 1.3, with effect size = 0.40, increased Berg scores by 4.8, with effect size of 0.32, and increased MMSE by 3.1, with effect size = 0.54. Except for the Berg, 90% confidence intervals on these exercise effects excluded 0.Conclusion:Frail elderly in a LTC facility were able to participate and benefit from a strength training program. The program was delivered with low-cost equipment by an exercise physiologist and LTC staff. The advantage of such a program is that it provides recreational and therapeutic benefits.
Identifier
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<a href="http://doi.org/10.1016/s1525-8610(04)70279-0" target="_blank" rel="noreferrer noopener">10.1016/s1525-8610(04)70279-0</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2003
80 and over
Age Factors
Aged
Analysis of Covariance
Analysis of Variance
Baum EE
Clinical Assessment Tools
Clinical Trials
Confidence Intervals
Crossover Design
Data Analysis Software
Descriptive Statistics
Faur D
Female
Frail Elderly
Functional Status
Geriatric Functional Assessment
Gerontologic Care
Group Exercise – In Old Age
Housing for the Elderly
Human
Inpatients
Jarjoura D
Journal of the American Medical Directors Association
Long Term Care
Male
Muscle Strengthening
Nursing Homes
Outcomes (Health Care)
P-Value
Patient Compliance
Pilot Studies
Pliability
Polen AE
Prospective Studies
Random Assignment
Range of Motion
Recreation
Repeated Measures
Rutechi G
Sensitivity and Specificity
Sex Factors
Summated Rating Scaling
Treatment Outcomes
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1136/ip.2004.005256" target="_blank" rel="noreferrer noopener">http://doi.org/10.1136/ip.2004.005256</a>
Pages
134–138
Issue
3
Volume
10
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Recreational injuries among older Americans, 2001.
Publisher
An entity responsible for making the resource available
Injury Prevention (1353-8047)
Date
A point or period of time associated with an event in the lifecycle of the resource
2004
2004-06
Subject
The topic of the resource
Female; Male; Aged; United States; Confidence Intervals; Human; Descriptive Statistics; Emergency Service; Disease Surveillance; Gerontologic Care; 80 and Over; Cycling – In Old Age; Exercise – In Old Age; Injury Pattern – Evaluation – In Old Age; Recreation – In Old Age – United States; Sex Factors – In Old Age; Sports – In Old Age; Wounds and Injuries – Epidemiology – In Old Age
Creator
An entity primarily responsible for making the resource
Gerson L W; Stevens J A
Description
An account of the resource
OBJECTIVE: To describe the epidemiology of non-fatal recreational injuries among older adults treated in United States emergency departments including national estimates of the number of injuries, types of recreational activities, and diagnoses. METHODS: Injury data were provided by the National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP), a nationally representative subsample of 66 out of 100 NEISS hospitals. Potential cases were identified using the NEISS-AIP definition of a sport and recreation injury. The authors then reviewed the two line narrative to identify injuries related to participation in a sport or recreational activity among men and women more than 64 years old. RESULTS: In 2001, an estimated 62 164 (95% confidence interval 35 570 to 88 758) persons \textgreater/=65 years old were treated in emergency departments for injuries sustained while participating in sport or recreational activities. The overall injury rate was 177.3/100 000 population with higher rates for men (242.5/100 000) than for women (151.3/100 000). Exercising caused 30% of injuries among women and bicycling caused 17% of injuries among men. Twenty seven percent of all treated injuries were fractures and women (34%) were more likely than men (21%) to suffer fractures. CONCLUSIONS: Recreational activities were a frequent cause of injuries among older adults. Fractures were common. Many of these injuries are potentially preventable. As more persons engage in recreational activities, applying known injury prevention strategies will help to reduce the incidence of these injuries.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1136/ip.2004.005256" target="_blank" rel="noreferrer noopener">10.1136/ip.2004.005256</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2004
80 and over
Aged
Confidence Intervals
Cycling – In Old Age
Descriptive Statistics
Disease Surveillance
Emergency Service
Exercise – In Old Age
Female
Gerontologic Care
Gerson L W
Human
Injury Pattern – Evaluation – In Old Age
Injury Prevention (1353-8047)
Male
Recreation – In Old Age – United States
Sex Factors – In Old Age
Sports – In Old Age
Stevens J A
United States
Wounds and Injuries – Epidemiology – In Old Age
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/000992280304200508" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/000992280304200508</a>
Pages
433–437
Issue
5
Volume
42
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Temporal artery temperature measurements in healthy infants, children, and adolescents.
Publisher
An entity responsible for making the resource available
Clinical pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
2003
2003-06
Subject
The topic of the resource
Female; Male; Ohio; Child; Infant; Analysis of Variance; Confidence Intervals; Temporal Arteries; Human; Convenience Sample; Descriptive Research; Descriptive Statistics; Funding Source; Data Analysis Software; Adolescence; Blacks; Whites; Preschool; Newborn; Body Temperature Determination – In Adolescence; Body Temperature Determination – In Infancy and Childhood
Creator
An entity primarily responsible for making the resource
Roy S; Powell K; Gerson L W
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/000992280304200508" target="_blank" rel="noreferrer noopener">10.1177/000992280304200508</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2003
Adolescence
Analysis of Variance
Blacks
Body Temperature Determination – In Adolescence
Body Temperature Determination – In Infancy and Childhood
Child
Clinical pediatrics
Confidence Intervals
Convenience Sample
Data Analysis Software
Descriptive Research
Descriptive Statistics
Female
Funding Source
Gerson L W
Human
Infant
Male
Newborn
Ohio
Powell K
Preschool
Roy S
Temporal Arteries
Whites
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1093/geront/gnx129" target="_blank" rel="noreferrer noopener">http://doi.org/10.1093/geront/gnx129</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
338-338
Issue
2
Volume
59
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Dublin Core
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Title
A name given to the resource
Advance Care Planning in Skilled Nursing Facilities: A Multisite Examination of Professional Judgments
Publisher
An entity responsible for making the resource available
The Gerontologist
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-04
Subject
The topic of the resource
Advance directives; African Americans; CONFIDENCE intervals; Gerontology And Geriatrics; Judgments; Nurses; Nursing; Quality of care; Quality of life; Race; Racism; Research design; Residential segregation; Rural areas; Rural education; Rural urban differences; Segregation; Social science research; Social workers; Urban education
Creator
An entity primarily responsible for making the resource
Baughman Kristin R; Ludwick PhD R N-B C C N S F A A N Ruth; Jarjoura PhD David; Kropp BS Denise; Shenoy BS Vimal
Description
An account of the resource
Background and Objectives Lack of advance care planning (ACP) may increase hospitalizations and impact the quality of life for skilled nursing facility (SNF) residents, especially African American residents who may be less likely to receive ACP discussions. We examined the professional judgments of SNF providers to see if race of SNF residents and providers, and risk for hospitalization for residents influenced professional judgments as to when ACP was needed and feelings of responsibility for ensuring ACP discussions Research Design and Methods Nurses and social workers (n = 350) within 29 urban SNFs completed surveys and rated vignettes describing eight typical SNF residents. Linear mixed modeling was used to examine factors that impacted ratings of need for ACP and responsibility for ensuring ACP. Results Neither the race of the provider, resident, nor the interaction of the two were associated with either outcome variable. In contrast, providers rated (on a 9-point scale) residents at high risk for hospitalization as more in need of ACP (estimate = 0.86, confidence interval [CI] 0.65, 1.07) and felt more responsible for ensuring ACP (estimate = 0.60, CI 0.42, 0.78) Discussion and Implications Research on ACP is continuing to evolve and these results show the primacy of disease trajectory variables on providers' judgments about ACP. Differences between providers indicate a need for stronger policies and education. Further, research comparing rural, suburban, and urban SNFs is needed to explore possible forms of structural racism such as residential and SNF segregation.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1093/geront/gnx129" target="_blank" rel="noreferrer noopener">10.1093/geront/gnx129</a>
2019
Advance Directives
African Americans
Baughman Kristin R
Confidence Intervals
Department of Family & Community Medicine
Gerontology And Geriatrics
Jarjoura PhD David
Judgments
Kropp BS Denise
Ludwick PhD R N-B C C N S F A A N Ruth
NEOMED College of Medicine
nurses
Nursing
Quality of care
Quality of Life
Race
RACISM
Research Design
Residential segregation
Rural Areas
Rural education
Rural urban differences
Segregation
September 2019 Update
Shenoy BS Vimal
Social science research
social workers
The Gerontologist
Urban education
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.5811/westjem.2020.11.48427" target="_blank" rel="noreferrer noopener">http://doi.org/10.5811/westjem.2020.11.48427</a>
Pages
148-155
Issue
2
Volume
22
ISSN
1936-900X
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.5811/westjem.2020.11.48427" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.5811/westjem.2020.11.48427</a>
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Update Year & Number
April 2021 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Emergency Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
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Title
A name given to the resource
Emergency department patients who leave before treatment is complete
Publisher
An entity responsible for making the resource available
Western Journal Of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-03
Subject
The topic of the resource
HEALTH facilities; CONFIDENCE intervals; DESCRIPTIVE statistics; MEDICAL cooperation; METROPOLITAN areas; RESEARCH; RETROSPECTIVE studies; PATIENTS; EMERGENCY medical services; LONGITUDINAL method; MEDICAL screening; MEDICAL appointments
Creator
An entity primarily responsible for making the resource
Smalley CM; Meldon SW; Simon EL; Muir McKinsey R; Delgado F; Fertel BS
Description
An account of the resource
Introduction: Emergency department (ED) patients who leave before treatment is complete (LBTC) represent medicolegal risk and lost revenue. We sought to examine LBTC return visits characteristics and potential revenue effects for a large healthcare system. Methods: This retrospective, multicenter study examined all encounters from January 1-December 31, 2019 at 18 EDs. The LBTC patients were divided into left without being seen (LWBS), defined as leaving prior to completed medical screening exam (MSE), and left subsequent to being seen (LSBS), defined as leaving after MSE was complete but before disposition. We recorded 30-day returns by facility type including median return hours, admission rate, and return to index ED. Expected realization rate and potential charges were calculated for each patient visit. Results: During the study period 626,548 ED visits occurred; 20,158 (3.2%) LBTC index encounters occurred, and 6745 (33.5%) returned within 30 days. The majority (41.7%) returned in <24 hours with 76.1% returning in 10 days and 66.4% returning to index ED. Median return time was 43.3 hours, and 23.2% were admitted. Urban community EDs had the highest 30-day return rate (37.8%, 95% confidence interval, 36.41-39.1). Patients categorized as LSBS had longer median return hours (66.0) and higher admission rates (29.8%) than the LWBS cohort. There was a net potential realization rate of $9.5 million to the healthcare system. Conclusion: In our system, LSBS patients had longer return times and higher admission rates than LWBS patients. There was significant potential financial impact for the system. Further studies should examine how healthcare systems can reduce risk and financial impacts of LBTC patients.
Identifier
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<a href="http://doi.org/10.5811/westjem.2020.11.48427" target="_blank" rel="noreferrer noopener">10.5811/westjem.2020.11.48427</a>
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journalArticle
2021
April 2021 List
Cleveland Clinic Akron General Hospital
Confidence Intervals
Delgado F
Department of Emergency Medicine
Descriptive Statistics
Emergency Medical Services
Fertel BS
Health Facilities
journalArticle
LONGITUDINAL method
MEDICAL appointments
MEDICAL cooperation
MEDICAL screening
Meldon SW
METROPOLITAN areas
Muir McKinsey R
NEOMED College of Medicine
Patients
Research
Retrospective Studies
Simon EL
Smalley CM
Western Journal of Emergency Medicine
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/JTN.0000000000000569" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/JTN.0000000000000569</a>
Pages
119-125
Issue
2
Volume
28
ISSN
1078-7496
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1097/JTN.0000000000000569" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1097/JTN.0000000000000569</a>
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Update Year & Number
April 2021 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Internal Medicine
Department of General Surgery
Affiliated Hospital
Summa Health System Akron City Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Improving a mature palliative care program at a Level I trauma center.
Publisher
An entity responsible for making the resource available
Journal Of Trauma Nursing
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-04-03
Subject
The topic of the resource
Advance Directives; Confidence Intervals; Data Analysis Software; Depression; Descriptive Statistics; Documentation; Electronic Health Records; Fisher's Exact Test; Frailty Syndrome; Hospital Programs; Human; Palliative Care; Pearson's Correlation Coefficient; Quality Improvement; Questionnaires; Simulations; Trauma Centers
Creator
An entity primarily responsible for making the resource
Moran ME; Soltis M; Politis T; Gothard MD; George RL
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Background: Similar to the significant rise in the geriatric population in the United States, trauma centers have seen an increase in geriatric trauma patients. These patients present with additional challenges such as a higher likelihood of undertriage, mortality, and frailty. In addition, the varying presence of advanced directive documentation increases the importance of early palliative care consultations for geriatric trauma patients. Objective: In 2018, a Level I trauma center in the Midwest reviewed the American College of Surgeons Trauma Quality Improvement Program's Palliative Care Best Practice Guideline to identify opportunities for improvement to strengthen the collaboration between the palliative care consult service and trauma program. Methods: The guideline drove improvements, which included documentation changes (i.e., expansion of palliative care consultation triggers, frailty assessment, advanced directives questions, depression screening, and addition of palliative care consultation section on the performance improvement program form) and training (1-hr lecture on palliative care and 5-hr palliative care simulation training) opportunities. Results: A 3-month manual chart review (March 2019 through May 2019) revealed that by May 2019, 87.2% of admitted geriatric trauma patients received frailty assessments, which surpassed the benchmark (>85%). In addition, advanced care planning questions (i.e., health care power of attorney, do not resuscitate order, or living will) exceeded the benchmarks set forth by the guideline (>90%), with all of the questions being asked and documented in 95.7% of those same patient charts by May 2019. Conclusion: This quality improvement project has applicability for trauma centers that treat geriatric trauma patients; using the guidelines can drive changes to meet individual institution needs.
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<a href="http://doi.org/10.1097/JTN.0000000000000569" target="_blank" rel="noreferrer noopener">10.1097/JTN.0000000000000569</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
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journalArticle
2021
Advance Directives
April 2021 List
Confidence Intervals
Data Analysis Software
Department of General Surgery
Department of Internal Medicine
Depression
Descriptive Statistics
Documentation
Electronic Health Records
Fisher's Exact Test
Frailty Syndrome
George RL
Gothard MD
Hospital Programs
Human
Journal Of Trauma Nursing
journalArticle
Moran ME
NEOMED College of Medicine
Palliative Care
Pearson's Correlation Coefficient
Politis T
Quality Improvement
Questionnaires
Simulations
Soltis M
Summa Health Systems Akron City Hospital
Trauma Centers