Browse Items · NEOMED Bibliography Database

Treatment of asymptomatic hyperuricemia and prevention of vascular disease: a decision analytic approach.

OBJECTIVE: Elevated serum urate may be associated with an increase in cardiovascular (CV) disease. Treating asymptomatic hyperuricemia with urate-lowering drugs such as allopurinol may reduce CV events. We designed a model to simulate the effect of…

Tags: *Markov Chains, 2014, Aged, Akkineni Roopa, Albert Daniel A, Allopurinol – Therapeutic Use, Allopurinol/*therapeutic use, CARDIOVASCULAR DISEASE, Choi Hyon K, DECISION ANALYSIS, Decision Support Techniques, Female, Follow-Up Studies, Gout Suppressants – Therapeutic Use, Gout Suppressants/*therapeutic use, Human, Humans, HYPERURICEMIA, Hyperuricemia – Complications, Hyperuricemia – Diagnosis, Hyperuricemia – Drug Therapy, Hyperuricemia/complications/*diagnosis/*drug therapy, Lee Alexandra, Male, Middle Age, Middle Aged, Miller Katherine L, Probability, Prospective Studies, Risk Assessment, Severity of Illness Index, Severity of Illness Indices, Sex Factors, Tapp Stephanie, The Journal of rheumatology, Tosteson Anna N A, Treatment Outcome, Treatment Outcomes, Uric Acid – Blood, Uric Acid/blood, Vascular Diseases – Etiology, Vascular Diseases – Prevention and Control, Vascular Diseases/etiology/*prevention & control, Zhu Yanyan

A novel method for treatment of lumbar spinal stenosis in high-risk surgical candidates: pilot study experience with percutaneous remodeling of ligamentum flavum and lamina.

OBJECT: treatment of lumbar spinal stenosis (LSS) in chronically ill or debilitated patients is challenging. The percutaneous remodeling of ligamentum flavum and lamina (PRLL) technique is a novel method for decompression of the hypertrophic…

Tags: 2011, 80 and over, Adult, Aged, Anesthesia, Articular – Surgery, Chopko Bohdan Wolodymyr, Comorbidity, Conscious Sedation, Decompression, Disability Evaluation, Equipment Design, Female, Fluoroscopy, Follow-Up Studies, Human, Humans, Journal of neurosurgery. Spine, Ligaments, Ligamentum Flavum/*surgery, Local, Lumbar Vertebrae – Surgery, Lumbar Vertebrae/*surgery, Male, Middle Age, Middle Aged, Minimally Invasive Procedures – Equipment and Supplies, Minimally Invasive Surgical Procedures/*instrumentation, Pain Measurement, Pilot Projects, Pilot Studies, Postoperative Complications – Diagnosis, Postoperative Complications – Prevention and Control, Postoperative Complications/diagnosis/*prevention & control, Prospective Studies, Risk Factors, Spinal Stenosis – Surgery, Spinal Stenosis/*surgery, Surgical – Equipment and Supplies, Surgical/*instrumentation

Evaluation and use of a rapid Staphylococcus aureus assay by an antimicrobial stewardship program.

PURPOSE: The performance of a rapid test for methicillin-resistant Staphylococcus aureus (MRSA) in a large community hospital was investigated. METHODS: A prospective observational study was conducted to evaluate an immunochromatographic assay (Alere…

Tags: 2013, Affinity, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, Anti-Bacterial Agents/administration & dosage/*pharmacology, Bacteriological Techniques, Barrett Heather L, Biological Assay – Methods, Cell Culture Techniques, Chromatography, Community, Department of Internal Medicine, DiPersio Joseph R, False Negative Reactions, File Thomas M Jr, Funding Source, Hospitals, Human, Humans, Methicillin-Resistant Staphylococcus Aureus – Analysis, Methicillin-Resistant Staphylococcus aureus/*isolation & purification, Microbial Sensitivity Tests, NEOMED College of Medicine, Observational Methods, Pasquale Timothy R, Prospective Studies, Sensitivity and Specificity, Staphylococcal Infections/*diagnosis/microbiology, Staphylococcus aureus/*isolation & purification, Time Factors, Trienski Tamara L

Association of parathyroid hormone with 20-year cognitive decline: The ARIC study.

OBJECTIVE: We hypothesized that elevated parathyroid hormone (PTH) levels will be independently associated with 20-year cognitive decline in a large population-based cohort. METHODS: We studied 12,964 middle-aged white and black ARIC participants…

Does functional decline prompt emergency department visits and admission in older patients?

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…

An evaluation of two screening tools for cognitive impairment in older emergency department patients.

OBJECTIVES: Screening for cognitive impairment in older emergency department (ED) patients is recommended to ensure quality care. The Mini-Mental State Examination (MMSE) may be too long for routine ED use. Briefer alternatives include the Six-Item…

Reclining chairs reduce pain from gurneys in older emergency department patients: a randomized controlled trial.

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.…

Tags: *Emergency Service, *Wheelchairs, 2005, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, Aged, Blanda Michelle, Burger Barbara, Department of Emergency Medicine, Female, Gerson Lowell W, Hospital, Humans, Male, NEOMED College of Medicine, Pain Measurement, Pain/*prevention & control, Patient Satisfaction, Prospective Studies, Wilber Scott T

Emergency department use and barriers to wellness: a survey of emergency department frequent users.

BACKGROUND: There is no common understanding of how needs of emergency department (ED) frequent users differ from other patients. This study sought to examine how to best serve this population. Examinations of why ED frequent users present to the ED,…

Effects of Ulnar Collateral Ligament Reconstruction on Pitch Selection in Major League Baseball Pitchers.

Background: Ulnar collateral ligament (UCL) injuries represent one of the most common impairments to the throwing arm of professional pitchers. Return to play and postoperative performance metrics have been studied extensively, but pitch selection…

Improving Chronic Disease Outcomes Through Medication Therapy Management in Federally Qualified Health Centers.

INTRODUCTION: Appropriate management of chronic diseases, including proper use of medications, can lead to better disease control, decrease disease-related complications, and improve overall health. Pharmacists have been shown to positively affect…

Tags: *Quality Improvement, 2017, Adolescent, Adult, Aged, Antihypertensive Agents/*therapeutic use, Awad Magdi H, Blood Pressure, Chronic Disease – Drug Therapy, Chronic Disease – Therapy, Community Health Centers, Data Analysis Software, Department of Pharmacy Practice, Descriptive Research, Descriptive Statistics, Diabetes Education, Diabetes Mellitus – Therapy, Diabetes Mellitus/*drug therapy/metabolism, Female, Financing, Funding Source, Glasgow Kyle, Glycated Hemoglobin A/metabolism, Glycosylated, Government, Health Services, Hemoglobin A, Hornbeck Fox Carrie, Hospital/*methods, Human, Humans, Hypertension – Therapy, Hypertension/*drug therapy, Hypoglycemic Agents/*therapeutic use, Journal of primary care & community health, Male, Medically Underserved, Medication Management, medications, Middle Aged, Multicenter Studies, NEOMED College of Pharmacy, Ohio, Outcome Assessment (Health Care), Outcomes (Health Care), Patient Education as Topic, Pharmacists, Pharmacy, Pharmacy Service, Pilot Projects, Pilot Studies, Porter Brianne, primary care, Program Evaluation, Prospective Studies, Pryor Barbara, Referral and Consultation, Rodis Jennifer L, Self Care, Sevin Alexa, Young Adult

Using established predictors of post-traumatic stress to explain variations in recovery outcomes among orthopedic patients.

The present studies examine whether information contained in medical records can be used to predict outcomes following two orthopedic procedures: repair of hip fracture and total knee replacement. Study 1 reports the acute, in-hospital recovery data…

Tags: *Recovery of Function, 2015, 80 and over, activity, Adult, adults, Aged, Arthroplasty, Clinical Assessment Tools, Coefficient Alpha, Comorbidity, Contrera Kevin, Cremeans-Smith Julie K, Delahanty Douglas L, Department of Family & Community Medicine, Depression, Descriptive Statistics, disability, Disabled, distress, Female, Funding Source, Greene Kenneth, Health Care, Hip Fractures – Surgery, Hip/*psychology, Human, Humans, Journal of health psychology, Knee, Knee/*psychology, Male, Middle Age, Middle Aged, Miller Eric T, NEOMED College of Medicine, Ohio, Orthopedic Surgery, outcomes, P-Value, Pain, Pain Measurement, Pfefferle Kiel, Post-Traumatic – Risk Factors, Post-Traumatic/*etiology, Prospective Studies, Record Review, recovery, Regression, Regression Analysis, Replacement, Risk Assessment, Scales, Speering Leann, Stress Disorders, T-Tests, Treatment Outcomes, Walking

A Pilot Curriculum to Integrate Standardized Patient Simulation into Clinical Pastoral Education.

INTRODUCTION: We describe a novel means of experiential learning for clinical pastoral care residents using standardized patient (SP) simulations. METHODS: A prospective cohort study involving 7 clinical pastoral care residents was performed. All…

Admission to the Intensive Care Unit is Associated With Changes in the Oral Mycobiome.

A prospective exploratory study was conducted to characterize the oral mycobiome at baseline and determine whether changes occur after admission to the intensive care unit (ICU). We found that ICU admission is associated with alterations in the oral…

Topical brinzolamide (Azopt) versus placebo in the treatment of infantile nystagmus syndrome (INS).

PURPOSE: To test the hypothesis that the topical carbonic anhydrase inhibitor brinzolamide (Azopt) has beneficial effects versus placebo on measures of nystagmus and visual acuity in adult subjects with infantile nystagmus syndrome (INS). DESIGN:…

Oxybutynin 3% gel for the treatment of primary focal hyperhidrosis in adolescents and young adults.

BACKGROUND/OBJECTIVES: There are no reliably effective, well-tolerated topical agents for the treatment of hyperhidrosis. We sought to evaluate the efficacy and tolerability of oxybutynin 3% gel in adolescents and young adults with primary focal…

Willingness and Ability of Older Adults in the Emergency Department to Provide Clinical Information Using a Tablet Computer.

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.…

Tags: *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

Exploring comorbid depression and physical health trajectories: A case-based computational modelling approach.

While comorbid depression/physical health is a major clinical concern, the conventional methods of medicine make it difficult to model the complexities of this relationship. Such challenges include cataloguing multiple trends, developing multiple…

Short-term functional decline and service use in older emergency department patients with blunt injuries.

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…

Tags: *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

Assessment of emergency medicine residents' computer knowledge and computer skills: time for an upgrade?

OBJECTIVE: To describe emergency medicine residents' (EMRs') personal computer (PC) use and educational needs and to compare their perceived and actual PC skills. METHODS: This was a prospective, cross-sectional study. Subjects were all EMRs at seven…

Multicenter study of case finding in elderly emergency department patients.

OBJECTIVES: To assess the feasibility of a brief comprehensive case-finding program for detecting functional, cognitive, and social impairments among elderly ED patients and to estimate the prevalence of unknown, undetected, or untreated impairments…

Sinus CT scan findings in "sinus headache" migraineurs.

OBJECTIVE: To evaluate the sinus CT scan findings in "sinus headache" migraineurs, and to compare the findings to nonmigraine "sinus headache" patients. BACKGROUND: The majority of patients presenting with "sinus headache" satisfy the International…

Tags: 2008, Evaluation Studies as Topic, Headache, Humans, Kremer Patricia S, Mehle Mark E, Migraine Disorders/complications/*radiotherapy, Paranasal Sinus Diseases/complications/diagnostic imaging, Paranasal Sinuses/abnormalities/*diagnostic imaging, Prospective Studies, Severity of Illness Index, Tomography, X-Ray Computed/*methods

The Role of Negative Affect on Headache-Related Disability Following Traumatic Physical Injury.

OBJECTIVE: Acute postinjury negative affect (NA) may contribute to headache pain following physical injury. Early psychiatric-headache comorbidity conveys increased vulnerability to chronic headache-related disability and impairment. Yet, it is…

Longitudinal assessment of bone growth and development in a facility-based population of young adults with cerebral palsy.

AIM: Osteoporosis is a significant clinical problem in persons with moderate to severe cerebral palsy (CP), causing fractures with minimal trauma. Over the past decade, most studies examining osteoporosis and CP have been cross-sectional in nature,…

Outcomes of Patients With Syncope and Suspected Dementia.

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…

Tags: 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

Analysis of the Pressure Distribution Qualities of a Silicone Border Foam Dressing.

PURPOSE: To determine whether application of a silicone foam dressing is associated with decreased interface pressures when applied to the heel. DESIGN: Prospective, within-subjects design. SUBJECTS AND SETTING: The study was conducted in a…

Cardiac Output Monitoring Managing Intravenous Therapy (COMMIT) to Treat Emergency Department Patients with Sepsis.

OBJECTIVE: Fluid responsiveness is proposed as a physiology-based method to titrate fluid therapy based on preload dependence. The objectives of this study were to determine if a fluid responsiveness protocol would decrease progression of organ…

Shear wave ultrasound elastography of the prostate: initial results.

PURPOSE: This prospective study was to evaluate shear wave elastography (SWE) in the detection of prostate cancer (PC). METHODS: Patients scheduled for a transrectal ultrasound (TRUS) biopsy of the prostate because of elevated prostate-specific…

Gastric Lipoma: A Review of the Literature.

Gastric lipoma is a rare benign tumor of the stomach. The imaging characteristics are diagnostic because the lesion has fat attenuation on computed tomography and demonstrates characteristics of fat on magnetic resonance images. On ultrasound, the…

Epipericardial fat pad necrosis: computed tomography findings and literature review.

Epipericardial fat necrosis is an unusual clinical condition of unknown etiology first reported in the literature in 1957. It presents as an acute onset of chest pain and a well-defined juxtacardiac mass. Computed tomographic findings of this…

Tags: 2011, Ataya Dana, Chowdhry Aqeel A, Fat Necrosis/*diagnosis/diagnostic imaging, Human, Humans, Journal of thoracic imaging, Longitudinal Studies, Male, Middle Age, Middle Aged, Mohammed Tan-Lucien H, Necrosis – Diagnosis, Necrosis – Radiography, Pericardium – Pathology, Pericardium/*pathology, Prospective Studies, Tomography, X-Ray Computed

Evaluation of factors associated with achieving glycemic control in a pharmacist-managed diabetes clinic.

The aim of this study was to identify factors that are associated with patients achieving goal A1c after 6 months in a pharmacist-managed diabetes clinic. This study is a descriptive, retrospective chart review of patients with type 2 diabetes…

Tags: 2014, Ambulatory Care, Ambulatory Care/organization & administration, American journal of therapeutics, Blood Glucose – Drug Effects, Blood Glucose/drug effects, Boros Melanie L, Department of Internal Medicine, Department of Pharmaceutical Sciences, Department of Pharmacy Practice, Diabetes Mellitus, Dose-Response Relationship, Drug, Female, Follow-Up Studies, Frazee Lawrence A, Glycated Hemoglobin A/metabolism, Glycosylated – Metabolism, Hemoglobin A, Human, Humans, Hypoglycemic Agents – Administration and Dosage, Hypoglycemic Agents – Therapeutic Use, Hypoglycemic Agents/administration & dosage/*therapeutic use, Insulin – Administration and Dosage, Insulin – Therapeutic Use, Insulin/administration & dosage/therapeutic use, Kostoff Matthew D, Male, Middle Age, Middle Aged, Moorman John M, NEOMED College of Medicine, NEOMED College of Pharmacy, Pharmaceutical Services/*organization & administration, Pharmacists – Administration, Pharmacists/*organization & administration, Pharmacy Service – Administration, Prospective Studies, Retrospective Design, Retrospective Studies, Social Work – Statistics and Numerical Data, Social Work/statistics & numerical data, Treatment Outcome, Treatment Outcomes, Type 2 – Drug Therapy, Type 2/*drug therapy

Assessing the Accuracy of Eyelid Measurements Utilizing the Volk Eye Check System and Clinical Measurements.

PURPOSE: The purpose of this study was to validate the accuracy of marginal reflex distance 1 (MRD1) measurements obtained by the Volk Eye Check system, a modified smartphone that measures MRD1 automatically, relative to clinical and digital…

Incidence and epidemiology of cervical radiculopathy in the United States military: 2000 to 2009.

STUDY DESIGN: Epidemiological review of a prospectively collected military database. OBJECTIVE: This investigation sought to determine the incidence of cervical radiculopathy and risk factors for its development within the population of the United…

Using the Sauvegrain method to predict peak height velocity in boys and girls.

BACKGROUND: Correlating peak height velocity (PHV) with assessments of skeletal maturity has important implications in the treatment of scoliosis and other pediatric orthopaedic disorders. This study aims to compare the appearance of the elbow to the…

Long-term results of percutaneous lumbar decompression for LSS: two-year outcomes.

OBJECTIVE: The aim of this report was to evaluate the long-term effectiveness and safety of mild lumbar decompression for the treatment of neurogenic claudication associated with lumbar spinal stenosis. This technique uses a percutaneous dorsal…

Ischemic colitis revisited: a prospective study identifying hypercoagulability as a risk factor.

BACKGROUND: Although causes for ischemic colitis have been identified, many cases are deemed idiopathic. Some reports suggest an association between ischemic colitis and coagulation disorders. Our purpose was to explore the relationship of ischemic…

Increased intraabdominal pressure in abdominoplasty: delineation of risk factors.

BACKGROUND: Abdominoplasty is associated with a 1.1 percent risk of deep venous thrombosis. This has been attributed to rectus plication causing intraabdominal hypertension, known to effect decreased venous return, venous stasis, and thus thrombosis.…

Effectiveness of a group exercise program in a long-term care facility: a randomized pilot trial.

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…

Skin sterility after application of a vapocoolant spray.

BACKGROUND: Refrigerant sprays have been widely used to reduce pain in the office setting. However, more recently, their use has been limited by both concern regarding flammability and questions of bacterial contamination. OBJECTIVE: We investigated…

Development of a Nutrition Screening Tool for an Outpatient Wound Center.

OBJECTIVE: To construct a quickly and easily administered nutrition screening tool using variables believed to be predictive of malnutrition risk in the wound patient population. DESIGN: A prospective pilot study assessed patients on a list of…

A multicenter, randomized study comparing the efficacy and safety of intravenous and/or oral levofloxacin versus ceftriaxone and/or cefuroxime axetil in treatment of adults with community-acquired pneumonia.

Five hundred ninety patients were enrolled in a prospective, multicenter, randomized trial comparing the efficacy and safety of 7 to 14 days of levofloxacin treatment with that of ceftriaxone and/or cefuroxime axetil in the management of…

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