Publications by authors named "D Mehr"
Background: US nursing homes were ground zero for COVID-19 and nursing home leaders faced multiple challenges to keep residents and staff safe. Understanding the leader's role and their use of external resources to rapidly respond to the pandemic is important to better prepare for the next infectious disease outbreak emergency. The purpose of this study is to describe Missouri nursing home leaders' use of external resources to manage challenges encountered during the pandemic.
View Article and Find Full Text PDFIntroduction: Nursing home (NH) residents with Alzheimer's disease or related dementias (ADRD) are at high risk for hospital transfer. We aimed to (1) describe characteristics and predictors of avoidable transfer of residents with ADRD and (2) explore how "what matters" influences the decision to transfer.
Methods: We applied an exploratory, mixed methods design using data collected as part of a Centers for Medicare and Medicaid Services demonstration project.
Background: Acute appendicitis (AA) is one of the most common reasons for visiting the emergency room. The lack of proper diagnosis and rapid treatment of AA may lead to severe complications such as intestinal perforation and increased mortality. This study aimed to evaluate the diagnostic accuracy of the Alvarado criteria, ultrasound, and CRP criteria in comparison with their combined use in patients with suspected AA who presented to the emergency room.
View Article and Find Full Text PDFArticle Synopsis
- Physician transfer can be a faster alternative to patient transfer for performing mechanical thrombectomy in acute ischemic stroke patients, leading to quicker treatment.
- A systematic review of 12 studies (involving 1,894 patients) showed that physician transfer significantly reduced the time from stroke onset to recanalization by approximately 62 minutes and increased the chances of functional independence after 90 days.
- However, physician transfer did not show a significant increase in the odds of achieving complete or near-complete recanalization compared to patient transfer.
Article Synopsis
- * Researchers utilized animation video vignettes to present these interventions, gathering feedback from participants to ensure clarity and understandability, with 80 participants from each country involved in the study.
- * Initial findings suggest that participants found the materials clear and non-burdensome, indicating a potential positive reception of talking about and implementing these end-of-life options in dementia care.