Publications by authors named "Ilya Kagan"

Background: Frailty is a state of high vulnerability to adverse health outcomes. It is an important factor influencing the prognosis of older, critically ill patients. Several methods to assess frailty were evaluated in the critical care setting.

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Background: The concept of 'EntrepreNursing' improves healthcare outcomes by enhancing quality, accessibility, and cost-effectiveness, but remains underutilized by clinical nurses. Research on how to promote EntrepreNursing is scant.

Purpose: To examine how personal characteristics (internal locus of control, capacity to innovate) and organizational innovativeness influence nurses' innovative behaviors.

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Purpose: To investigate community-acquired pressure injuries (CAPIs) in older people by utilizing big data.

Design: Retrospective data curation and analysis of inpatient data from two general medical centers between 1 January 2016 and 31 December 2018.

Methods: Nursing assessments from 44,449 electronic medical records of patients admitted to internal medicine departments were retrieved, organized, coded by data engineers, and analyzed by data scientists.

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Background: Preserving new graduate nurses in the profession is an essential step for addressing the nursing shortage and sustaining the future of the profession. This study aimed to examine the relationship between employment characteristics and job satisfaction of novice nurses and their willingness to stay in the nursing profession in the next 5 years.

Methods: Novice nurses' intention to stay in the profession was assessed, considering demographics, employment characteristics, and components of job satisfaction.

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Article Synopsis
  • Acinetobacter baumanni infections are common and serious in ICUs, making early detection crucial for better patient outcomes.
  • This study developed a Machine Learning prediction tool using data from nearly 20,000 ICU patients to identify those at risk for these infections.
  • The tool showed moderate predictive ability, with key risk factors being respiratory function, metabolic issues, and antibiotic use, suggesting areas for improving prediction accuracy in the future.*
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  • Glycemic control during critical illness is crucial, with recommendations suggesting insulin therapy for glucose levels over 180 mg/dL, and possibly lowering it to 140 mg/dL for non-diabetics; this study explored the relationship between different glucose thresholds and 90-day mortality.
  • A retrospective study analyzed data from 1,429 critical patients, revealing that diabetic individuals had higher mean glucose levels and mortality rates compared to non-diabetics.
  • The findings indicated that non-diabetic patients with glucose levels exceeding 150 mg/dL were at a greater risk of mortality within 90 days, highlighting the importance of managing hyperglycemia in this group.
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Background: Bloodstream infections are associated with substantial morbidity and mortality. Early, appropriate antibiotic therapy is important, but the duration of treatment is uncertain.

Methods: In a multicenter, noninferiority trial, we randomly assigned hospitalized patients (including patients in the intensive care unit [ICU]) who had bloodstream infection to receive antibiotic treatment for 7 days or 14 days.

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  • The study aimed to determine the impact of varying energy and protein levels on the survival of critically ill patients in the ICU, involving 646 adults over a 7-year period.
  • Patients were divided into two groups based on protein intake: low protein (LP) receiving ≤1 g/kg/day and high protein (HP) receiving >1 g/kg/day.
  • Results indicated that younger patients, particularly those without severe conditions like renal failure or sepsis, had better survival rates with appropriate protein intake, emphasizing the need for personalized nutritional approaches in critical care.
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Background: The work of midwives is emotionally challenging. Midwives share moments of joy, when a baby is born, and attend complex events of loss and trauma. Exposure to childbirth complications, emergencies, and loss can affect their professional quality of life and functioning.

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  • Hypophosphatemia is a significant concern in critically ill patients receiving nutritional support, with over 59% of studied patients developing the condition.
  • Factors such as age, BMI, pre-existing diabetes, and certain admission conditions were linked to a lower risk of developing hypophosphatemia, while trauma increased the risk.
  • Interestingly, hypophosphatemia was found to be associated with a decreased risk of mortality, though factors like age and specific health scores remained critical indicators of ICU mortality.
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  • This study investigates how high flow nasal cannula (HFNC) oxygen therapy affects gastric reflux events and gastric residual volumes (GRV) in patients who were mechanically ventilated and then extubated.
  • Using the smART+ Platform, researchers compared reflux events and GRV before and after patients switched to HFNC therapy.
  • The results indicated that while GRV increased significantly on HFNC, the frequency of major reflux events showed no significant change between the two patient states.
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Background: Fabricating data or creating fictitious datasets undermines research credibility with severe consequences.

Purpose: To describe a data falsification incident that occurred during an undergraduate nursing research seminar and share the subsequent corrective measures employed at individual and class levels.

Methods: The students involved in the falsification were asked to identify the incident's factors using an Ishikawa diagram and the 5M-Model approach, presenting their findings to the class.

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Background: A healthy lifestyle is a crucial step in disease prevention and management, as well as a significant predictor of health promotion. Yet, despite an increase in chronic morbidity among Bedouin women in southern Israel, little research has been conducted on their health behaviors. Therefore, the aim of this study is to examine barriers to adopting a healthy lifestyle and health promotion among ethnic minority Bedouin women in southern Israel.

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Introduction: Persistent critical illness (PCI) is a syndrome in which the acute presenting problem has been stabilized, but the patient's clinical state does not allow ICU discharge. The burden associated with PCI is substantial. The most obvious marker of PCI is prolonged ICU length of stay (LOS), usually greater than 10 days.

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Background: Violence against nurses is common. Previous research has recommended further development of the measurement of violence against nurses and integration of the individual and ward-related factors that contribute to violence against hospital nurses. This study was designed to address these issues by investigating the associations between violence, the listening climate of hospital wards, professional burnout, and perceived quality of care.

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Objective: Patients with chronic intestinal failure use home parenteral nutrition infusion support. Non-compliance of home parenteral nutrition treatment is well documented, especially if clinical resources are remote. Objective delivery data from Infusion Pump reports have the potential to support treatment progress and planning.

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Introduction: Individuals with serious mental illness often have persistent and disruptive symptoms. These can profoundly affect their children's lives, exposing them to adverse social and psychological conditions. Such conditions can result in traumatic lived experiences during childhood, which can carry over into adulthood, influencing their self-perceptions and shaping their attitudes toward themselves and society.

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In Intensive Care Units (ICUs), patients are monitored using various devices that generate alerts when specific metrics, such as heart rate and oxygen saturation, exceed predetermined thresholds. However, these alerts can be inaccurate and lead to alert fatigue, resulting in errors and inaccurate diagnoses. We propose Alert grouping, a "Smart Personalization of Monitoring System Thresholds to Help Healthcare Teams Struggle Alarm Fatigue in Intensive Care" model.

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Soon after the coronavirus disease 2019 (COVID-19) pandemic outbreak, it became clear that vaccination will be the most useful tool to combat the disease. Despite the apparent safety and efficacy of the developed anti-COVID-19 vaccines, relatively high percentages of the population worldwide refused to get vaccinated, including many health workers and health students. The present cross-sectional study examined the motives, attitudes, and personal characteristics of those who did not get vaccinated against COVID-19 or vaccinated without complete willingness among nursing students and nursing faculty members in Israel (n = 472).

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Article Synopsis
  • The study investigates the role of Patient Safety Officers (PSOs) during the Covid-19 pandemic, focusing on how personality traits and systemic factors impacted their performance.
  • Out of 117 PSOs invited, 78 completed a questionnaire that assessed their involvement in risk management processes, burnout, and the challenges faced during the pandemic’s first and third waves.
  • Key findings indicate many PSOs stepped back from risk management to focus on clinical duties, with successful functioning reliant on managerial support, team mobilization, and recognition of their role's importance.
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Purpose: Nutritional therapy is essential to ICU care. Successful early enteral feeding is hindered by lack of protocols, gastrointestinal intolerance and feeding interruptions, leading to impaired nutritional intake. smART+ was developed as a nutrition management feeding platform controlling tube positioning, reflux, gastric pressure, and malnutrition.

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Background: A limited program for kidney donation from uncontrolled donation after cardiocirculatory determination of death (uDCDD) was implemented at four hospitals in Israel in close cooperation with Magen David Adom (MDA), the national emergency medical service.

Objectives: To assess the outcome of transplantations performed between January 2017 and June 2022.

Methods: Donor data included age, sex, and cause of death.

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Introduction: Communication with ventilated patients in the Intensive care unit (ICU) is challenging. This may lead to anxiety and frustration, potentially contributing to the development of delirium. Various technologies, such as eye-tracking devices, have been employed to facilitate communication with varying grades of success.

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COVID-19 patients are oftentimes over- or under-treated due to a deficit in predictive management tools. This study reports derivation of an algorithm that integrates the host levels of TRAIL, IP-10, and CRP into a single numeric score that is an early indicator of severe outcome for COVID-19 patients and can identify patients at-risk to deteriorate. 394 COVID-19 patients were eligible; 29% meeting a severe outcome (intensive care unit admission/non-invasive or invasive ventilation/death).

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