1
40
21
-
Text
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URL Address
<a href="http://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104692" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104692</a>
Pages
104692
Issue
5
Volume
29
ISSN
1532-8511 1052-3057
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104692" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.jstrokecerebrovasdis.2020.104692</a>
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Update Year & Number
Hospital List
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
Mechanical Thrombectomy for Patients with In-Hospital Ischemic Stroke: A Case-Control Study.
Publisher
An entity responsible for making the resource available
Journal of Stroke and Cerebrovascular Diseases
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-05
Subject
The topic of the resource
Aged; Humans; Male; Female; Middle Aged; Treatment Outcome; Time Factors; Feasibility Studies; Incidence; Retrospective Studies; thrombectomy; Inpatients; Thrombectomy/adverse effects; Acute ischemic stroke; Brain Ischemia/diagnostic imaging/epidemiology/physiopathology/therapy; in-hospital stroke; Intracranial Thrombosis/diagnostic imaging/epidemiology/physiopathology/therapy; large vessel occlusion; Stroke/diagnostic imaging/epidemiology/physiopathology/therapy
Creator
An entity primarily responsible for making the resource
Bulwa Z; Del Brutto VJ; Loggini A; Ammar FE; Martinez RC; Christoforidis G; Brorson JR; Ardelt AA; Goldenberg FD
Description
An account of the resource
BACKGROUND AND AIM: Patients with in-hospital acute ischemic stroke (AIS) have, in general, worse outcomes compared to those presenting from the community, partly attributed to the numerous contraindications to intravenous thrombolysis. We aimed to identify and analyze a group of patients with in-hospital AIS who remain suitable candidates for acute endovascular therapies. METHODS: A retrospective 6-year data analysis was conducted in patients evaluated through the in-hospital stroke alert protocol in a single tertiary care university hospital to identify those with in-hospital AIS due to acute intracranial large vessel occlusion (ILVO). Feasibility and safety of mechanical thrombectomy for in-hospital AIS was assessed in a case-control study comparing inpatients to those presenting from the community. RESULTS: From 1460 in-hospital stroke alert activations, 11% had a final diagnosis of AIS (n = 167). One hundred and two patients with in-hospital AIS had emergent intracranial vessel imaging and were included in our cohort. Acute ILVO was identified in 27 patients within this cohort. Patients were younger in the ILVO group and had more severe neurologic deficit on presentation. Compared to a matched (1:2) control group of patients presenting from the community, inpatients who underwent mechanical thrombectomy achieved equivalent technical success, safety, and clinical outcomes. CONCLUSIONS: The incidence of acute ILVO in patients with in-hospital AIS who underwent emergent vessel imaging is similar to the reported incidence of ILVO in patients presenting with community-onset AIS. Among patients with in-hospital AIS secondary to ILVO, mechanical thrombectomy is a feasible and safe therapy associated with favorable outcomes.
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<a href="http://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104692" target="_blank" rel="noreferrer noopener">10.1016/j.jstrokecerebrovasdis.2020.104692</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).
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2020
Acute ischemic stroke
Aged
Ammar FE
Ardelt AA
Brain Ischemia/diagnostic imaging/epidemiology/physiopathology/therapy
Brorson JR
Bulwa Z
Christoforidis G
Del Brutto VJ
Feasibility Studies
Female
Goldenberg FD
Hospital List
Humans
in-hospital stroke
Incidence
Inpatients
Intracranial Thrombosis/diagnostic imaging/epidemiology/physiopathology/therapy
Journal of Stroke and Cerebrovascular Diseases
journalArticle
large vessel occlusion
Loggini A
Male
Martinez RC
Middle Aged
Retrospective Studies
Stroke/diagnostic imaging/epidemiology/physiopathology/therapy
thrombectomy
Thrombectomy/adverse effects
Time Factors
Treatment Outcome
-
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.jchf.2018.10.011" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jchf.2018.10.011</a>
Pages
112-117
Issue
2
Volume
7
ISSN
2213-1787
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Update Year & Number
June2020SubmittedList
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Internal Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
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Title
A name given to the resource
Effect of influenza on outcomes in patients with heart failure.
Publisher
An entity responsible for making the resource available
Journal of the American College of Cardiology. Heart failure
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-02
Subject
The topic of the resource
Female; Humans; Male; Aged; Retrospective Studies; Risk Factors; United States/epidemiology; Incidence; Follow-Up Studies; heart failure; hospitalization; Hospitalization/trends; vaccination; influenza; Survival Rate/trends; Risk Assessment/methods; Inpatients; Morbidity/trends; Hospital Mortality/trends; Propensity Score; Heart Failure/complications/epidemiology; Influenza Human/complications/epidemiology/prevention & control; Vaccination/methods
Creator
An entity primarily responsible for making the resource
Panhwar MS; Kalra A; Gupta T; Kolte D; Khera S; Bhatt DL; Ginwalla M
Description
An account of the resource
OBJECTIVES: This study sought to determine whether influenza infection increases morbidity and mortality in patients hospitalized with heart failure (HF). BACKGROUND: Patients with HF may be at increased risk of morbidity and mortality from influenza infection. However, there are limited data for the associated hazards of influenza infection in patients with HF. METHODS: We queried the 2013 to 2014 National Inpatient Sample database for all adult patients (18 years of age or older) admitted with HF with and without concomitant influenza infection. Propensity score matching was used to match patients across age, race, sex, and comorbidities. Outcomes included in-hospital mortality, in-hospital complications, length of stay, and average hospital costs. RESULTS: Of 8,189,119 all-cause hospitalizations in patients with HF, 54,590 (0.67%) had concomitant influenza infection. Patients with concomitant influenza had higher incidence of in-hospital mortality (6.2% vs. 5.4%, respectively; odds ratio [OR]: 1.15 [95% confidence interval [CI]: 1.03 to 1.30]; p = 0.02), acute respiratory failure (36.9% vs. 23.1%, respectively; OR: 1.95 [95% CI: 1.83 to 2.07]; p < 0.001), acute respiratory failure requiring mechanical ventilation (18.2% vs. 11.3%, respectively; OR: 1.75 [95% CI: 1.62 to 1.89]; p < 0.001), acute kidney injury (AKI) (30.3% vs. 28.7%, respectively; OR: 1.08 [95% CI: 1.02 to 1.15]; p = 0.01), and AKI requiring dialysis (2.4% vs. 1.8%, respectively; OR: 1.37 [95% CI: 1.14 to 1.65]; p = 0.001). Patients with influenza had longer mean lengths of stay (5.9 days vs. 5.2 days, respectively; p <0.001) but similar average hospital costs ($12,137 vs. $12,003, respectively; p = 0.40). CONCLUSIONS: Influenza infection is associated with increased in-hospital morbidity and mortality in patients with HF. Our results emphasize the need for efforts to mitigate the incidence of influenza, specifically in this high-risk patient cohort.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jchf.2018.10.011" target="_blank" rel="noreferrer noopener">10.1016/j.jchf.2018.10.011</a>
PMID: 30611718
Rights
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Copyright © 2019 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2019
Aged
Bhatt DL
Cleveland Clinic Akron General Hospital
Department of Internal Medicine
Female
Follow-Up Studies
Ginwalla M
Gupta T
Heart failure
Heart Failure/complications/epidemiology
Hospital Mortality/trends
Hospitalization
Hospitalization/trends
Humans
Incidence
Influenza
Influenza Human/complications/epidemiology/prevention & control
Inpatients
Journal of the American College of Cardiology. Heart failure
journalArticle
June2020SubmittedList
Kalra A
Khera S
Kolte D
Male
Morbidity/trends
NEOMED College of Medicine
Panhwar MS
Propensity Score
Retrospective Studies
Risk Assessment/methods
Risk Factors
Survival Rate/trends
United States/epidemiology
vaccination
Vaccination/methods
-
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.amjcard.2019.01.046" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.amjcard.2019.01.046</a>
Pages
1478-1480
Issue
9
Volume
123
ISSN
1879-1913
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.amjcard.2019.01.046" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.amjcard.2019.01.046</a>
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Update Year & Number
June2020SubmittedList
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Internal Medicine
Affiliated Hospital
Cleveland Clinic Akron General 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
Relation of concomitant heart failure to outcomes in patients hospitalized with influenza.
Publisher
An entity responsible for making the resource available
The American journal of cardiology
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-05-01
Subject
The topic of the resource
Female; Humans; Male; Aged; Middle Aged; Retrospective Studies; United States/epidemiology; Incidence; Comorbidity; Follow-Up Studies; Survival Rate/trends; Hospitalization/statistics & numerical data; Inpatients; Length of Stay/trends; Heart Failure/epidemiology; Hospital Mortality/trends; Influenza Human/epidemiology
Creator
An entity primarily responsible for making the resource
Panhwar MS; Kalra A; Gupta T; Kolte D; Khera S; Bhatt DL; Ginwalla M
Description
An account of the resource
Influenza is a major public health challenge. Patients hospitalized with influenza who also have heart failure (HF) may be at risk for worse outcomes compared with patients without HF. There is a lack of large studies examining this issue. We queried the 2013 to 2014 National Inpatient Sample for all adult patients (aged ≥ 18 years) admitted with influenza with and without concomitant HF. Using propensity score matching, patients were matched across demographics, discharge weights, and comorbidities. Outcomes included in-hospital mortality, complications, length of stay, and average hospital costs. Of 218,540 influenza hospitalizations, 45,460 (20.8%) had concomitant HF. Patients with HF had higher in-hospital mortality (6.1% vs 3.8%, adjusted odds ratio [aOR] 1.66 [95% confidence interval [CI] 1.44 to 1.91]; p <0.001), acute kidney injury (29.5% vs 22.2%, aOR 1.47 [95% CI 1.37 to 1.57]; p <0.001), acute kidney injury requiring dialysis (2.0% vs 1.0%, aOR 2.08 [1.62 to 2.67], acute respiratory failure (36.2% vs 23.5%, aOR 1.85 [1.73 to 1.97]; p <0.001), and acute respiratory failure requiring mechanical ventilation (17.1% vs 9.3%, OR 2.01 [1.84 to 2.21]; p <0.001), longer length of stay (5.70 ± 0.02 days vs 4.60 ± 0.01 days, p <0.001) and higher average hospital costs ($11,609 ± $52 vs $9,003 ± $38, p <0.001). In conclusion, in patients hospitalized with influenza, HF is associated with increased risk of in-hospital mortality and complications. Our results highlight a need for early recognition and aggressive treatment of HF in these patients to try to improve outcomes.
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<a href="http://doi.org/10.1016/j.amjcard.2019.01.046" target="_blank" rel="noreferrer noopener">10.1016/j.amjcard.2019.01.046</a>
PMID: 30819433
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Copyright © 2019 Elsevier Inc. All rights reserved.
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2019
Aged
Bhatt DL
Cleveland Clinic Akron General Hospital
Comorbidity
Department of Internal Medicine
Female
Follow-Up Studies
Ginwalla M
Gupta T
Heart Failure/epidemiology
Hospital Mortality/trends
Hospitalization/statistics & numerical data
Humans
Incidence
Influenza Human/epidemiology
Inpatients
journalArticle
June2020SubmittedList
Kalra A
Khera S
Kolte D
Length of Stay/trends
Male
Middle Aged
NEOMED College of Medicine
Panhwar MS
Retrospective Studies
Survival Rate/trends
The American journal of cardiology
United States/epidemiology
-
Text
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URL Address
<a href="http://doi.org/10.1093/ofid/ofz360.308" target="_blank" rel="noreferrer noopener">http://doi.org/10.1093/ofid/ofz360.308</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
S133-S134
Volume
6
ISSN
23288957
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<a href="http://ezproxy.neomed.idm.oclc.org/login?url=http://doi.org/10.1093/ofid/ofz360.308" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1093/ofid/ofz360.308</a>
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Title
A name given to the resource
233. The Epidemiology, Genomics, and Evolution of Staphylococcus aureus in Northeast Ohio.
Publisher
An entity responsible for making the resource available
Open Forum Infectious Diseases
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-10-02
Subject
The topic of the resource
mortality; epidemiology; prevention; Community; OHIO; inpatients; morbidity; infection; OHIO; genomics; institutional review board; risk reduction; METHICILLIN-resistant staphylococcus aureus; genomics; epidemiology; staphylococcus aureus; AKRON (Ohio); CLEVELAND Clinic Foundation; databases; disclosure; FOOD poisoning; HUMAN ecology; meca gene; methicillin; METHICILLIN-resistant staphylococcus aureus; MICROCOCCACEAE; polymerase chain reaction; staphylococcal protein a; staphylococcus; staphylococcus aureus
Creator
An entity primarily responsible for making the resource
Watkins Richard R; Thapaliya Dipendra; Savri Rami; Smith Tara
Description
An account of the resource
Background Infections due to S. aureus result in significant morbidity, mortality, and healthcare expense. We sought to identify the strains of S. aureus causing infections in hospitalized patients in Northeast Ohio and determine whether they are reflective of the S. aureus strains present in the surrounding environment. Methods The study was approved by the Institutional Review Board at Cleveland Clinic Akron General. Clinical S. aureus isolates (n = 300) were cultured and PCR was used to amplify the staphylococcus protein A (spa), Panton–Valentine Leukocidin (PVL), and mecA genes. The clinical spa types were compared with ones from our data base of S. aureus strains previously collected and sequenced from the community and environment in Northeast Ohio. Results A total of 51 spa types were detected from 129 S. aureus clinical isolates (discriminatory index, 0.876; 95% confidence interval [CI], 0.827–0.925; Table 1). The most common spa types were t008 (42/129, 32.6%), t002 (16/129, 12.4%), and t334 (6/129, 4.7%). In comparison, the most frequently detected spa types from the environmental samples were t189 (40/257, 15.6%), t002 (16/257, 6.2%), and t008 (11/257, 4.3%). Among the S. aureus isolates (n = 146), 45 were PVL-positive (30.8%) and 94 (66.7%) carried mecA. Of the 42 t008 (ST8/USA300; a common community-associated strain) isolates, 35 (83.3%) were methicillin-resistant S. aureus (MRSA) (based on the presence of the mecA gene) and 25 (59.5%) were PVL-positive. Thirteen of the sixteen (81.2%) t002 (ST5/USA100; a common hospital-associated strain) were MRSA and only one (6.2%) was PVL-positive. Conclusion There is considerable overlap of S. aureus strains present in clinical samples with those found in the environment. This finding should draw attention to the need for more effective prevention strategies to reduce the risk of transmission of S. aureus, including MRSA, in the environment to humans. Disclosures All authors: No reported disclosures. [ABSTRACT FROM AUTHOR]
Identifier
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<a href="http://doi.org/10.1093/ofid/ofz360.308" target="_blank" rel="noreferrer noopener">10.1093/ofid/ofz360.308</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2019
AKRON (Ohio)
CLEVELAND Clinic Foundation
Community
Databases
Department of Internal Medicine
Disclosure
Epidemiology
FOOD poisoning
Genomics
HUMAN ecology
Infection
Inpatients
institutional review board
Journal Article
meca gene
methicillin
Methicillin-Resistant Staphylococcus aureus
MICROCOCCACEAE
Morbidity
Mortality
NEOMED College of Medicine
NEOMED College of Medicine Student
NEOMED Student Publications
November 2019 Update
Ohio
Open forum infectious diseases
Polymerase Chain Reaction
Prevention
risk reduction
Savri Rami
Smith Tara
staphylococcal protein a
staphylococcus
Staphylococcus aureus
Thapaliya Dipendra
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/10.1097/MEJ.0b013e3280b17ea0" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/MEJ.0b013e3280b17ea0</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
19-25
Issue
1
Volume
15
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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 psychiatric medication and course of hospital stay among intoxicated trauma patients
Publisher
An entity responsible for making the resource available
European Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2008
2008-02
Subject
The topic of the resource
acute; brain-injury; chronic alcohol-abuse; comorbidity; cost; disorders; Emergency Medicine; ethanolism; general hospitals; hospitalization; inpatients; intoxication; Length of Stay; pneumonia; prevalence; Psychiatry; trauma
Creator
An entity primarily responsible for making the resource
Muakkassa F F; Marley R A; Dolinak J; Salvator A E; Workman M C
Description
An account of the resource
Introduction The purpose of this study was to determine whether trauma patients requiring psychiatric medication who were admitted with positive alcohol or drug screen require more pain medications or sedation resulting in longer length of stay. Methods Data were retrospectively collected from 1997 through 2003 on patients with positive alcohol or drug screen who also received psychiatric medication during their hospital stay in a trauma center. Patients were matched by age, injury severity score, and injury to controls who had negative alcohol and toxicology screens and no psychiatric medication. An additional group consisted of positive alcohol or drug-screen trauma patients without psychiatric medication during hospitalization. Each group had 25 patients. Results No significant differences between the three groups regarding comorbidities or pain-medication doses given per day were found. The patients with positive alcohol and with psychiatric medication were more likely to have respiratory complications such as pneumonia or respiratory failure requiring ventilator support (36 versus 4%, P=0.005), to develop other infections (8 versus 0%), or other complications (26 versus 4%, P=0.0007) compared with the controls. A significant difference in hospital length of stay between the group with positive toxicity and psychiatric medication and that with negative toxicity and psychiatric medication (mean: 12.8 and 5.5 days, respectively; P=0.01) was found. Conclusion Psychiatric medication and positive drug or alcohol screens are associated with longer length of stay and increased respiratory complications. Factors influencing these outcomes need more clarification and prospective studies.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/MEJ.0b013e3280b17ea0" target="_blank" rel="noreferrer noopener">10.1097/MEJ.0b013e3280b17ea0</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2008
acute
brain-injury
chronic alcohol-abuse
Comorbidity
Cost
disorders
Dolinak J
Emergency Medicine
ethanolism
European Journal of Emergency Medicine
general hospitals
Hospitalization
Inpatients
intoxication
Journal Article
Length of Stay
Marley R A
Muakkassa F F
Pneumonia
Prevalence
Psychiatry
Salvator A E
trauma
Workman M C
-
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/10.1002/jac5.1041" target="_blank" rel="noreferrer noopener">http://doi.org/10.1002/jac5.1041</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
167-176
Issue
2
Volume
2
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
Pharmacists' role in glycemic management in the inpatient setting: An opinion of the endocrine and metabolism practice and research network of the American College of Clinical Pharmacy.
Publisher
An entity responsible for making the resource available
JACCP: Journal of the American College of Clinical Pharmacy
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
Diabetes Mellitus; hyperglycemia; hypoglycemia; inpatients; pharmacists
Creator
An entity primarily responsible for making the resource
Donihi Amy C; Moorman John M; Abla Alicia; Hanania Raja; Carneal Dustin; MacMaster Heidemarie Windham
Description
An account of the resource
The objective of this opinion paper was to identify and describe the role of pharmacists in ensuring safe and optimal management of patients with glycemic excursions in the inpatient setting. The role of the pharmacist includes involvement in admission medication history and reconciliation, formulary management of glucose‐lowering medications and devices, individual patient medication management, discharge transition of care, and interprofessional collaboration with other health care providers. Recommendations are based on review of published guidelines and literature focusing on the management of patients with hypo‐ and hyperglycemia in the hospital as well as during the time of transition to and from the inpatient setting. [ABSTRACT FROM AUTHOR]
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1002/jac5.1041" target="_blank" rel="noreferrer noopener">10.1002/jac5.1041</a>
2019
Abla Alicia
Carneal Dustin
Department of Pharmacy Practice
Diabetes Mellitus
Donihi Amy C
Hanania Raja
hyperglycemia
hypoglycemia
Inpatients
JACCP: Journal of the American College of Clinical Pharmacy
June 2019 Update
MacMaster Heidemarie Windham
Moorman John M
NEOMED College of Pharmacy
Pharmacists
-
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/10.2165/00003495-200363020-00005" target="_blank" rel="noreferrer noopener">http://doi.org/10.2165/00003495-200363020-00005</a>
Pages
181–205
Issue
2
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
International guidelines for the treatment of community-acquired pneumonia in adults: the role of macrolides.
Publisher
An entity responsible for making the resource available
Drugs
Date
A point or period of time associated with an event in the lifecycle of the resource
2003
2003-01-15
Subject
The topic of the resource
Antibiotics; Outpatients; Risk Assessment; Methicillin Resistance; Inpatients; Clinical Trials; Practice Guidelines; Drug Resistance; Microbial; Nonexperimental Studies; Pneumonia – Drug Therapy; Community-Acquired Infections – Drug Therapy; Pneumonia – Etiology; Macrolide – Therapeutic Use; Streptococcal Infections – Drug Therapy; Community-Acquired Infections – Etiology; Immune System – Drug Effects; Macrolide – Pharmacodynamics
Creator
An entity primarily responsible for making the resource
File T M Jr; Tan J S
Description
An account of the resource
The significance of community-acquired pneumonia (CAP) has led to the publication of guidelines from numerous international organisations. Because the macrolide class of antimicrobials is active against most of the key pathogens associated with CAP, agents from this class are commonly included in recommendations from these guidelines. However, there are differences among the various guidelines concerning the positioning of the macrolides for empirical therapy. An important factor concerning the use of macrolides for CAP is the emergence of resistance of Streptococcus pneumoniae over the past decade. The rate of S. pneumoniae resistance to macrolides ranges from 4 to 70% of strains in worldwide surveillance studies. The most common mechanisms of resistance include methylation of a ribosomal target encoded by the erm gene and efflux of the macrolides by a cell membrane protein transporter, encoded by the mef gene. S. pneumoniae strains with the mef gene are resistant at a lower level (with minimum inhibitory concentration [MIC] values generally 1-16 microg/ml) than erm resistant strains; and it is possible that such strains may be inhibited if sufficiently high levels of macrolide can be obtained at the infected site. Currently mef-associated resistance predominates in North America, whereas erm predominates in Europe. Until recently, reports of failure of treatment of CAP with macrolides has been rare, particularly for patients with low-risk for drug-resistant strains. However, since 2000, several patients treated with an oral macrolide who have subsequently required admission to the hospital for macrolide-resistant S. pneumoniae (MRSP) bacteraemia have been reported in the literature. Major issues, which are fundamental to the use of the macrolides as recommended in the various guidelines, include the importance of providing therapy for 'atypical' pathogens and the clinical significance of MRSP. Presently, the macrolides are more prominently recommended in the North American guidelines than in other parts of the world. The difference in the emphasis placed on the importance of the atypical pathogens as well as the expression of MRSP in North America compared with Europe partly explains this variance.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2165/00003495-200363020-00005" target="_blank" rel="noreferrer noopener">10.2165/00003495-200363020-00005</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
Antibiotics
Clinical Trials
Community-Acquired Infections – Drug Therapy
Community-Acquired Infections – Etiology
Department of Internal Medicine
Drug Resistance
Drugs
File T M Jr
Immune System – Drug Effects
Inpatients
Macrolide – Pharmacodynamics
Macrolide – Therapeutic Use
Methicillin Resistance
Microbial
NEOMED College of Medicine
Nonexperimental Studies
Outpatients
Pneumonia – Drug Therapy
Pneumonia – Etiology
Practice Guidelines
Risk Assessment
Streptococcal Infections – Drug Therapy
Tan J S
-
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
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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
An unambiguous reference to the resource within a given context
<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.
Pages
1611–1615
Issue
11
Volume
34
Dublin Core
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Title
A name given to the resource
Renal vascular disease: a look at two options that can preserve renal function.
Publisher
An entity responsible for making the resource available
Consultant (00107069)
Date
A point or period of time associated with an event in the lifecycle of the resource
1994
1994-11
Subject
The topic of the resource
Female; Male; Aged; Outpatients; Inpatients; Hypertension; Middle Age; Renal – Etiology; Renal Artery Obstruction – Surgery
Creator
An entity primarily responsible for making the resource
Rutecki G W; Whittier F C
Description
An account of the resource
Percutaneous transluminal angioplasty and renal artery bypass surgery are the most effective means of treating renal vascular disease and the hypertension it causes. Selection of the most appropriate treatment depends on the nature of the underlying stenotic lesion. This is readily determined from the patient's history, character of associated hypertension, physical and laboratory findings, and arteriography. Though specialists usually provide definitive therapy, primary care physicians must be prepared to explain the advantages and disadvantages of each kind of treatment.
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).
1994
Aged
Consultant (00107069)
Department of Internal Medicine
Female
Hypertension
Inpatients
Male
Middle Age
NEOMED College of Medicine
Outpatients
Renal – Etiology
Renal Artery Obstruction – Surgery
Rutecki G W
Whittier F C
-
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
1265–1274
Issue
5
Volume
37
Dublin Core
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Title
A name given to the resource
Drug-induced acute renal failure: recognizing and treating prerenal, postrenal, and pseudorenal injury.
Publisher
An entity responsible for making the resource available
Consultant (00107069)
Date
A point or period of time associated with an event in the lifecycle of the resource
1997
1997-05
Subject
The topic of the resource
Female; Male; Aged; Risk Factors; Hemodynamics; Physical Examination; Inpatients; Middle Age; Kidney Function Tests; Kidney Failure; Nephrotoxicity; Antiinflammatory Agents; Acute – Etiology; Angiotensin-Converting Enzyme Inhibitors – Adverse Effects; Antineoplastic Agents – Adverse Effects; Non-Steroidal – Adverse Effects; Acute – Chemically Induced; Acute – Diagnosis; Acute – Therapy; Enzyme Inhibitors – Adverse Effects; Renal Circulation – Drug Effects
Creator
An entity primarily responsible for making the resource
Frazee L A; Rutecki G W; Whittier F C
Description
An account of the resource
Angiotensin-converting enzyme (ACE) inhibitors and NSAIDs are among the drugs most commonly associated with acute renal failure (ARF). Patients at risk for ACE inhibitor-induced ARF include those with congestive heart failure (CHF) or compromised left ventricular (IV) function and those receiving diuretics. In these settings, discontinue the ACE inhibitor and direct therapy toward correcting volume or improving the ineffective circulation (by appropriately reducing afterload, by ensuring adequate IV filling pressures, and by treating ischemia). Risk factors for NSAID-included ARF include CHI, poor renal perfusion, and recent hospitalization. Postrenal ARF may be precipitated by drugs that are highly insoluble in addic urine, such as antineoplastic agents and HmG-CoA reductase inhibitors. Alkalinization of urine and hydration are the cornerstones of management of this type of ARF.
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).
1997
Acute – Chemically Induced
Acute – Diagnosis
Acute – Etiology
Acute – Therapy
Aged
Angiotensin-Converting Enzyme Inhibitors – Adverse Effects
Antiinflammatory Agents
Antineoplastic Agents – Adverse Effects
Consultant (00107069)
Department of Internal Medicine
Enzyme Inhibitors – Adverse Effects
Female
Frazee L A
Hemodynamics
Inpatients
Kidney Failure
Kidney Function Tests
Male
Middle Age
NEOMED College of Medicine
nephrotoxicity
Non-Steroidal – Adverse Effects
Physical Examination
Renal Circulation – Drug Effects
Risk Factors
Rutecki G W
Whittier F C
-
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
84–90
Issue
2
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
Decision points in hypocalcemia: is emergent therapy required? Complications may include tetany, seizures, and arrhythmias.
Publisher
An entity responsible for making the resource available
Journal of Critical Illness
Date
A point or period of time associated with an event in the lifecycle of the resource
1998
1998-02
Subject
The topic of the resource
Inpatients; Diagnosis; Laboratory; Hypocalcemia – Diagnosis; Hypocalcemia – Symptoms; Hypocalcemia – Therapy; Hypoparathyroidism – Complications; Magnesium – Administration and Dosage; Pancreatitis – Complications
Creator
An entity primarily responsible for making the resource
Rutecki G W; Whittier F C
Description
An account of the resource
When a patient's total serum calcium level drops below 8.9 mg/dL, first determine whether the hypocalcemia is real. Measure the serum level of ionized calcium or (because 40% of calcium is bound to protein) adjust the total serum calcium level for changes in serum protein concentrations. This helps determine whether the calcium imbalance is severe and whether emergent treatment (with infusions of elemental calcium) is required. Symptoms and signs of neuromuscular irritability, such as Chvostek's sign and Trousseau's sign, point to true hypocalcemia. Hypomagnesemia often accompanies–and even may cause–hypocalcemia; when the serum magnesium level falls below the normal limit, the ability of the parathyroid hormone to stimulate osteoclast growth and activity can be diminished.
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).
1998
Department of Internal Medicine
Diagnosis
Hypocalcemia – Diagnosis
Hypocalcemia – Symptoms
Hypocalcemia – Therapy
Hypoparathyroidism – Complications
Inpatients
Journal of Critical Illness
Laboratory
Magnesium – Administration and Dosage
NEOMED College of Medicine
Pancreatitis – Complications
Rutecki G W
Whittier F C
-
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
3067–3073
Issue
12
Volume
37
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
Acid-base interpretation: part 1: applying five rules in everyday cases.
Publisher
An entity responsible for making the resource available
Consultant (00107069)
Date
A point or period of time associated with an event in the lifecycle of the resource
1997
1997-12
Subject
The topic of the resource
Female; Male; Aged; Outpatients; Reference Values; Blood Gas Analysis; Inpatients; Middle Age; Cations; Anions; Acid-Base Imbalance – Diagnosis; Acidosis – Diagnosis; Alkalosis – Diagnosis; Acid-Base Equilibrium – Physiology; Carbon Dioxide – Analysis; Hydrogen-Ion Concentration – Evaluation
Creator
An entity primarily responsible for making the resource
Rutecki G W; Whittier F C
Description
An account of the resource
The interpretation of acid-base data can be greatly facilitated by applying five rules: (1) use the blood gas to identify acidemia or alkalemia, (2) determine whether the underlying cause of acidemia or alkalemia is respiratory or metabolic, (3) calculate the anion gap, (4) check for the degree of compensation, and (5) assess the relationship between anions (there should be a 1:1 relationship of acid to base). Alkalemia has an underlying respiratory cause if the partial pressure of carbon dioxide (PCO2) is substantially less than 40 min Hg. It has a metabolic cause if the bicarbonate content is greater than 25 mEq/L Acidemia has a respiratory cause if the PC02 is greater than 40/min Hg. It has a metabolic cause if the bicarbonate content is less than 25 mEq/L.Calculating the acidbase ratio may reveal a metabolic alkalosis not detected by rules 1 through 4.
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).
1997
Acid-Base Equilibrium – Physiology
Acid-Base Imbalance – Diagnosis
Acidosis – Diagnosis
Aged
Alkalosis – Diagnosis
Anions
Blood Gas Analysis
Carbon Dioxide – Analysis
Cations
Consultant (00107069)
Department of Internal Medicine
Female
Hydrogen-Ion Concentration – Evaluation
Inpatients
Male
Middle Age
NEOMED College of Medicine
Outpatients
Reference Values
Rutecki G W
Whittier F C
-
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.2006.09.050" target="_blank" rel="noreferrer noopener">http://doi.org/10.1197/j.aem.2006.09.050</a>
Pages
1345–1351
Issue
12
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
Geriatric emergency medicine and the 2006 Institute of Medicine reports from the Committee on the Future of Emergency Care in the U.S. Health System.
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
2006-12
Subject
The topic of the resource
Aged; United States; Outpatients; Emergency Medicine; Health Services Needs and Demand; Health Policy; Nursing Homes; Disaster Planning; Inpatients; Drugs; Health Care Delivery; Institute of Medicine (U.S.); Subacute Care; Prehospital Care; 80 and Over; Emergency Care – Trends – In Old Age; Emergency Service – Trends; Health Services for the Aged – Trends
Creator
An entity primarily responsible for making the resource
Wilber S T; Gerson L W; Terrell KM; Carpenter CR; Shah MN; Heard K; Hwang U
Description
An account of the resource
Three recently published Institute of Medicine reports, Hospital-Based Emergency Care: At the Breaking Point, Emergency Medical Services: At the Crossroads, and Emergency Care for Children: Growing Pains, examined the current state of emergency care in the United States. They concluded that the emergency medicine system as a whole is overburdened, underfunded, and highly fragmented. These reports did not specifically discuss the effect the aging population has on emergency care now and in the future and did not discuss special needs of older patients. This report focuses on the emergency care of older patients, with the intent to provide information that will help shape discussions on this issue.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1197/j.aem.2006.09.050" target="_blank" rel="noreferrer noopener">10.1197/j.aem.2006.09.050</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
80 and over
Academic Emergency Medicine
Aged
Carpenter CR
Disaster Planning
Drugs
Emergency Care – Trends – In Old Age
Emergency Medicine
Emergency Service – Trends
Gerson L W
Health Care Delivery
Health Policy
Health Services for the Aged – Trends
Health Services Needs and Demand
Heard K
Hwang U
Inpatients
Institute of Medicine (U.S.)
Nursing Homes
Outpatients
prehospital care
Shah MN
Subacute Care
Terrell KM
United States
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.
Pages
92–93
Issue
8
Volume
33
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
Combination Therapy for Carbapenemase-Producing Klebsiella pneumoniae Bacteremia Reduces Mortality.
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
2014-05
Subject
The topic of the resource
Time Factors; Mortality; Inpatients; Human; Multicenter Studies; Drug Resistance; Severity of Illness; Greece; Drug Combinations – Therapeutic Use; Confidence Intervals – Utilization; Carbapenems – Therapeutic Use; Enzymes – Adverse Effects; Klebsiella Infections – Drug Therapy; Medical Records – Utilization; Odds Ratio – Utilization; Retrospective Design – Utilization
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
Carbapenems – Therapeutic Use
Confidence Intervals – Utilization
Department of Internal Medicine
Drug Combinations – Therapeutic Use
Drug Resistance
Enzymes – Adverse Effects
Greece
Human
Infectious Disease Alert
Inpatients
Klebsiella Infections – Drug Therapy
Medical Records – Utilization
Mortality
Multicenter Studies
NEOMED College of Medicine
Odds Ratio – Utilization
Retrospective Design – Utilization
Severity of Illness
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.
Pages
97–98
Issue
9
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
Hospital Wards with Higher Rates of Antibiotic Prescribing Are Associated with Increased Risk for C. difficile Infection.
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
2015-06
Subject
The topic of the resource
Adult; Multivariate Analysis; Prospective Studies; Inpatients; Human; Retrospective Design; Physiologic; Monitoring; Record Review; Clostridium Difficile; Antibiotics – Therapeutic Use; Clostridium Infections – Epidemiology; Clostridium Infections – Risk Factors
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
Adult
Antibiotics – Therapeutic Use
Clostridium difficile
Clostridium Infections – Epidemiology
Clostridium Infections – Risk Factors
Department of Internal Medicine
Human
Infectious Disease Alert
Inpatients
Monitoring
Multivariate Analysis
NEOMED College of Medicine
Physiologic
Prospective Studies
Record Review
Retrospective Design
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.
Pages
1–2
Issue
10
Volume
11
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
Reported Beta-lactam Allergy Is Associated with More Adverse Events Among Inpatients.
Publisher
An entity responsible for making the resource available
Hospital Medicine Alert
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-12
Subject
The topic of the resource
Inpatients; Hypersensitivity; Adverse Drug Event; Centers for Disease Control and Prevention (U.S.); Adverse Health Care Event; Drug Reaction With Eosinophilia and System Symptoms Syndrome
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).
2016
adverse drug event
Adverse Health Care Event
Centers for Disease Control and Prevention (U.S.)
Department of Internal Medicine
Drug Reaction With Eosinophilia and System Symptoms Syndrome
Hospital Medicine Alert
Hypersensitivity
Inpatients
NEOMED College of Medicine
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.
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.
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/10.2165/00003495-200363020-00005" target="_blank" rel="noreferrer noopener">http://doi.org/10.2165/00003495-200363020-00005</a>
Pages
181–205
Issue
2
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
International guidelines for the treatment of community-acquired pneumonia in adults: the role of macrolides.
Publisher
An entity responsible for making the resource available
Drugs
Date
A point or period of time associated with an event in the lifecycle of the resource
2003
1905-06
Subject
The topic of the resource
Adult; Humans; Microbial Sensitivity Tests; Anti-Infective Agents/*therapeutic use; Outpatients; Practice Guidelines as Topic; Clinical Trials as Topic; Community-Acquired Infections/drug therapy/microbiology; Treatment Failure; Inpatients; Macrolides/pharmacology/*therapeutic use; Drug Resistance; Pneumonia; Bacterial; Bacterial/*drug therapy/microbiology; Adjuvants; Immunologic/pharmacology/therapeutic use
Creator
An entity primarily responsible for making the resource
File Thomas M Jr; Tan James S
Description
An account of the resource
The significance of community-acquired pneumonia (CAP) has led to the publication of guidelines from numerous international organisations. Because the macrolide class of antimicrobials is active against most of the key pathogens associated with CAP, agents from this class are commonly included in recommendations from these guidelines. However, there are differences among the various guidelines concerning the positioning of the macrolides for empirical therapy. An important factor concerning the use of macrolides for CAP is the emergence of resistance of Streptococcus pneumoniae over the past decade. The rate of S. pneumoniae resistance to macrolides ranges from 4 to 70% of strains in worldwide surveillance studies. The most common mechanisms of resistance include methylation of a ribosomal target encoded by the erm gene and efflux of the macrolides by a cell membrane protein transporter, encoded by the mef gene. S. pneumoniae strains with the mef gene are resistant at a lower level (with minimum inhibitory concentration [MIC] values generally 1-16 microg/ml) than erm resistant strains; and it is possible that such strains may be inhibited if sufficiently high levels of macrolide can be obtained at the infected site. Currently mef-associated resistance predominates in North America, whereas erm predominates in Europe. Until recently, reports of failure of treatment of CAP with macrolides has been rare, particularly for patients with low-risk for drug-resistant strains. However, since 2000, several patients treated with an oral macrolide who have subsequently required admission to the hospital for macrolide-resistant S. pneumoniae (MRSP) bacteraemia have been reported in the literature. Major issues, which are fundamental to the use of the macrolides as recommended in the various guidelines, include the importance of providing therapy for 'atypical' pathogens and the clinical significance of MRSP. Presently, the macrolides are more prominently recommended in the North American guidelines than in other parts of the world. The difference in the emphasis placed on the importance of the atypical pathogens as well as the expression of MRSP in North America compared with Europe partly explains this variance.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2165/00003495-200363020-00005" target="_blank" rel="noreferrer noopener">10.2165/00003495-200363020-00005</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
Adjuvants
Adult
Anti-Infective Agents/*therapeutic use
Bacterial
Bacterial/*drug therapy/microbiology
Clinical Trials as Topic
Community-Acquired Infections/drug therapy/microbiology
Department of Internal Medicine
Drug Resistance
Drugs
File Thomas M Jr
Humans
Immunologic/pharmacology/therapeutic use
Inpatients
Macrolides/pharmacology/*therapeutic use
Microbial Sensitivity Tests
NEOMED College of Medicine
Outpatients
Pneumonia
Practice Guidelines as Topic
Tan James S
Treatment Failure
-
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/10.1177/0897190016665541" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/0897190016665541</a>
Pages
506–515
Issue
5
Volume
30
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
Patient Awareness and Expectations of Pharmacist Services During Hospital Stay.
Publisher
An entity responsible for making the resource available
Journal of pharmacy practice
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-10
Subject
The topic of the resource
*Anticipation; *Awareness; *Health Knowledge; 80 and over; Adolescent; Adult; Aged; Attitudes; Descriptive Statistics; Female; Health Services Accessibility; hospital; Hospital/methods/*statistics & numerical data; Human; Humans; Inpatients; Inpatients/*psychology; Male; marketing; Marketing/methods; Middle Aged; Patient Attitudes; patient awareness; Patient Education; patient expectations; Pharmacists/*statistics & numerical data; Pharmacy Service; pharmacy services; Practice; Pretest-Posttest Design; Professional Role; Professional-Patient Relations; Psychological; Social Marketing; Summated Rating Scaling; Surveys; Surveys and Questionnaires; United States; Young Adult
Creator
An entity primarily responsible for making the resource
King Philip K; Martin Steven J; Betka Eric M
Description
An account of the resource
BACKGROUND: There are insufficient data in the United States regarding patient awareness and expectations of hospital pharmacist availability and services. OBJECTIVE: The objective of this research is to assess patient awareness and expectations of hospital pharmacist services and to determine whether a marketing campaign for pharmacist services increases patient awareness and expectations. METHODS: Eligible inpatients were surveyed before and after implementation of a hospital-wide pharmacist services marketing campaign (12 items; Likert scale of 1 [strongly disagree] to 4 [strongly agree]; maximum total score of 48) regarding awareness of pharmacist services. The primary outcome was the change in median total survey scores from baseline. Other outcomes included the frequency of patient requests for pharmacists. RESULTS: Similar numbers of patients completed the survey before and after the campaign (intervention, n = 140, vs control, n = 147). Awareness of pharmacist availability and services was increased (41 [interquartile ranges, IQRs: 36-46] vs 37 [IQR 31-43]; P \textless .001). Patients were 7 times more likely to request a pharmacist following the marketing campaign implementation. CONCLUSION: Awareness among inpatients of pharmacist services is low. Marketing pharmacist availability and services to patients in the hospital improves awareness and expectations for pharmacist-provided care and increases the frequency of patient-initiated interaction between pharmacists and patients. This could improve patient outcomes as pharmacists become more integrally involved in direct patient care.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/0897190016665541" target="_blank" rel="noreferrer noopener">10.1177/0897190016665541</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).
*Anticipation
*Awareness
*Health Knowledge
2017
80 and over
Adolescent
Adult
Aged
Attitudes
Betka Eric M
Department of Pharmaceutical Sciences
Department of Pharmacy Practice
Descriptive Statistics
Female
Health Services Accessibility
Hospital
Hospital/methods/*statistics & numerical data
Human
Humans
Inpatients
Inpatients/*psychology
Journal of pharmacy practice
King Philip K
Male
Marketing
Marketing/methods
Martin Steven J
Middle Aged
NEOMED College of Pharmacy
Patient Attitudes
patient awareness
Patient Education
patient expectations
Pharmacists/*statistics & numerical data
Pharmacy Service
pharmacy services
Practice
Pretest-Posttest Design
Professional Role
Professional-Patient Relations
Psychological
Social Marketing
Summated Rating Scaling
Surveys
Surveys and Questionnaires
United States
Young Adult
-
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/acem.13414" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/acem.13414</a>
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 of Patients With Syncope and Suspected Dementia.
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
2018
2018-03
Subject
The topic of the resource
80 and Over; Aged; Dementia – Diagnosis – In Old Age; Dementia – Risk Factors; Dementia – Therapy; Emergency; Human; Iatrogenic Disease; Inpatients; Interviews; Length of Stay; Middle Age; Office Visits; Outcome Assessment; Outcomes (Health Care); Patient Assessment; Patient Discharge; Physicians; Prospective Studies; Surveys; Syncope – Diagnosis; Syncope – In Old Age; Syncope – Mortality
Creator
An entity primarily responsible for making the resource
Holden Timothy R; Shah Manish N; Gibson Tommy A; Weiss Robert E; Yagapen Annick N; Malveau Susan E; Adler David H; Bastani Aveh; Baugh Christopher W; Caterino Jeffrey M; Clark Carol L; Diercks Deborah B; Hollander Judd E; Nicks Bret A; Nishijima Daniel K; Stiffler Kirk A; Storrow Alan B; Wilber Scott T; Sun Benjamin C
Description
An account of the resource
OBJECTIVES: Syncope and near-syncope are common in patients with dementia and a leading cause of emergency department (ED) evaluation and subsequent hospitalization. The objective of this study was to describe the clinical trajectory and short-term outcomes of patients who presented to the ED with syncope or near-syncope and were assessed by their ED provider to have dementia. METHODS: This multisite prospective cohort study included patients 60 years of age or older who presented to the ED with syncope or near-syncope between 2013 and 2016. We analyzed a subcohort of 279 patients who were identified by the treating ED provider to have baseline dementia. We collected comprehensive patient-level, utilization, and outcomes data through interviews, provider surveys, and chart abstraction. Outcome measures included serious conditions related to syncope and death. RESULTS: Overall, 221 patients (79%) were hospitalized with a median length of stay of 2.1 days. A total of 46 patients (16%) were diagnosed with a serious condition in the ED. Of the 179 hospitalized patients who did not have a serious condition identified in the ED, 14 (7.8%) were subsequently diagnosed with a serious condition during the hospitalization, and an additional 12 patients (6.7%) were diagnosed postdischarge within 30 days of the index ED visit. There were seven deaths (2.5%) overall, none of which were cardiac-related. No patients who were discharged from the ED died or had a serious condition in the subsequent 30 days. CONCLUSIONS: Patients with perceived dementia who presented to the ED with syncope or near-syncope were frequently hospitalized. The diagnosis of a serious condition was uncommon if not identified during the initial ED assessment. Given the known iatrogenic risks of hospitalization for patients with dementia, future investigation of the impact of goals of care discussions on reducing potentially preventable, futile, or unwanted hospitalizations while improving goal-concordant care is warranted.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/acem.13414" target="_blank" rel="noreferrer noopener">10.1111/acem.13414</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
80 and over
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
Adler David H
Aged
Bastani Aveh
Baugh Christopher W
Caterino Jeffrey M
Clark Carol L
Dementia – Diagnosis – In Old Age
Dementia – Risk Factors
Dementia – Therapy
Department of Emergency Medicine
Diercks Deborah B
Emergency
Gibson Tommy A
Holden Timothy R
Hollander Judd E
Human
Iatrogenic Disease
Inpatients
interviews
Length of Stay
Malveau Susan E
Middle Age
NEOMED College of Medicine
Nicks Bret A
Nishijima Daniel K
Office Visits
Outcome Assessment
Outcomes (Health Care)
Patient Assessment
Patient Discharge
Physicians
Prospective Studies
Shah Manish N
Stiffler Kirk A
Storrow Alan B
Sun Benjamin C
Surveys
Syncope – Diagnosis
Syncope – In Old Age
Syncope – Mortality
Weiss Robert E
Wilber Scott T
Yagapen Annick N