Publications by authors named "N K Wenger"

Background: Whether COVID-19 is associated with a change in risk perception about other health conditions is unknown. Because COVID-19 occurred during a breast cancer study, we evaluated the effect of COVID-19 risk perception on women's breast cancer risk perception.

Objective: This study aims to evaluate the relationship between perceived risk of COVID-19 and change in perceived breast cancer risk.

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Ischemic heart disease is a major cause of morbidity and mortality in the US, affecting both men and women significantly. The presentation of chest pain is largely similar in female and male patients, but additional non-chest pain symptoms can confound timely diagnosis in women. Management, diagnostic evaluation, and clinical outcomes for patients admitted with chest pain differ significantly between men and women, and understanding of these discrepancies is limited.

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Objectives: Health systems are increasingly accountable for patients and require accurate electronic health record (EHR) vital status. We recently demonstrated that 19% of seriously ill primary care patients in one system were not marked dead in the EHR and 80% of these decedents had an encounter or appointment outstanding after death. Herein we describe the mechanism of identifying decedents whose death is not captured at the level of the EHR, characterize these decedents, and describe medications refilled after death.

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Background: The Health Insurance Portability and Accountability Act (HIPAA) aims to safeguard patient information; however, complex legal language may lead to confusion and mistrust, and hinder enrollment in clinical trials.

Objective: To evaluate the effect of a standard HIPAA authorization included in mailed survey packets on study enrollment for a multi-site pragmatic trial.

Design: This study is nested within an advance care planning pragmatic trial at 50 primary care clinics across three University of California (UC) Health Systems.

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Article Synopsis
  • Paraclinoid aneurysms are difficult to operate on due to their complex anatomy and resistance to standard techniques, but a method using the TCAR system can help with safer surgical procedures.
  • A case study describes a 33-year-old woman who underwent a challenging clip reconstruction of an ophthalmic aneurysm after unsuccessful coil embolization, employing retrograde arteriovenous shunting during surgery.
  • The TCAR system not only assisted in the procedure by softening the aneurysm but also allowed for real-time imaging, highlighting its potential advantages in treating similar aneurysms.
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