Purpose: The aim of this study was to evaluate whether early direct patient notification in addition to an existing multistage recommendation-tracking system (Backstop) increases follow-up completion rates for actionable incidental findings (AIFs). Patient attitudes toward early notification were also assessed.
Methods: This prospective, randomized controlled trial recruited patients with AIFs requiring follow-up being enrolled into the Backstop system.
Objective: The COVID-19 pandemic and associated social distancing measures affected the physical and emotional state of children and parents worldwide. Survivors of childhood cancer may be particularly vulnerable to these effects. We aimed to evaluate the lifestyle habits and emotional states of childhood cancer survivors and their parents during the COVID-19 outbreak.
View Article and Find Full Text PDFWe extend organizational justice theory by investigating the justice perceptions of academic entrepreneurs regarding interactions with their universities. We assess how these justice perceptions influence the propensity of academic entrepreneurs to engage in different forms of commercialization, as well as the moderating role of entrepreneurial identity and prosocial motivation. We test our predictions using data from 1,329 academic entrepreneurs at 25 major U.
View Article and Find Full Text PDFBackground: Neuroblastoma is the most common non-central nervous system (CNS) solid malignant tumor in children. The surgical treatment of high-risk neuroblastoma presents a challenge, and the benefits of aggressive surgical resection have been called into question.
Objectives: To examine our experience with surgical resection of neuroblastoma.
Appl Health Econ Health Policy
August 2017
Background: Research has outlined the benefits and costs of online health services, but these studies have typically focused on a specific geographic region or disease. Very few studies have estimated consumer demand for online health services.
Objective: This study estimated household's willingness to pay (WTP) for the ability to receive remote diagnosis, treatment, monitoring and consultations online (telehealth).
Background: Neuroblastoma (nbl) is one of the most common solid cancers in children. Prognosis in advanced nbl is still poor despite aggressive multimodality therapy. Furthermore, survivors experience severe long-term multi-organ sequelae.
View Article and Find Full Text PDFPurpose: To evaluate the clinical efficacy, safety, and feasibility of implementing video glasses in a variety of interventional radiologic (IR) procedures.
Materials And Methods: Between August 2012 and August 2013, 83 patients undergoing outpatient IR procedures were randomized to a control group (n = 44) or an experimental group outfitted with video glasses (n = 39). State-Trait Anxiety Inventory (STAI) scores, sedation and analgesia doses, mean arterial pressure (MAP), heart rate (HR), respiratory rate (RR), pain scores, and procedure times were obtained.
[Correction Notice: An Erratum for this article was reported in Vol 100(4) of Journal of Applied Psychology (see record 2015-29666-001). The last name of the second author was misspelled in the Online First version of the article. All versions of this article have been corrected.
View Article and Find Full Text PDFWe who work in healthcare need to know our future. The following are virtually assured consequences of Patient Protection and Affordable Health Care Act: expansion of both the bureaucracy and its complexity; government restrictions on what physicians are allowed to do medically; more underinsured Americans; greater focus on outcomes; the death of private practice; more hospital closings; less available liability insurance; and an increase in medical tourism. We must--as the Boy Scouts advise--"Be Prepared"!
View Article and Find Full Text PDFJ Med Pract Manage
September 2014
When healthcare is fully compliant with the Patient Protection and Affordable Health Care Act, U.S. health care providers lose their one inalienable American right, namely freedom, and can no longer fulfill their fiduciary responsibility to patients.
View Article and Find Full Text PDFIn 2012, when the U.S. Supreme Court upheld Obamacare, the law had not been implemented.
View Article and Find Full Text PDFJ Med Pract Manage
May 2014
In a previous part of this "The Health of Healthcare" series, the etiology of sickness in our healthcare system was established as cancer. This article offers a method to "cure" healthcare, taken from strategic management thinking called VOSIE. In this article, the use of VOSIE is described as well as who needs to apply this cure: the public.
View Article and Find Full Text PDFPatients who receive a left ventricular assist device (LVAD) are prone to develop end-stage renal disease. Primary arteriovenous fistula (AVF) maturation in these patients may be unsuccessful secondary to the nonpulsatile flow with an LVAD. Two patients with LVADs are described in whom assisted maturation aided long-term AVF patency.
View Article and Find Full Text PDFIn this article, we make the etiologic diagnosis for a sick patient named Healthcare: the cancer of greed. When we explore the two forms of this cancer--corporate and bureaucratic--we find the latter is the greater danger to We the Patients. The "treatments" applied to patient Healthcare by the Congressional "doctors" have consistently made the patient worse, not better.
View Article and Find Full Text PDFA growing number of studies have examined the "sharedness" of leadership processes in teams (i.e., shared leadership, collective leadership, and distributed leadership).
View Article and Find Full Text PDFFantasize for a moment. Imagine that our healthcare system is a human being, a patient with a name, a family, and a mortgage who walks into your office looking acutely ill. How would you approach this patient? What would you do? Now consider what has actually been done to patient Healthcare by its treating "doctors.
View Article and Find Full Text PDFBackground And Objective: The primary therapy for deep tissue abscesses is drainage accompanied by systemic antimicrobial treatment. However, the long antibiotic course required increases the probability of acquired resistance, and the high incidence of polymicrobial infections in abscesses complicates treatment choices. Photodynamic therapy (PDT) is effective against multiple classes of organisms, including those displaying drug resistance, and may serve as a useful adjunct to the standard of care by reduction of abscess microbial burden following drainage.
View Article and Find Full Text PDFBackground: The purpose of this study was to evaluate the incidence and complications of accidental cannulation of retroperitoneal veins during venography for inferior vena cava (IVC) filter placement.
Methods: In total, 641 patients who underwent IVC filter placement were retrospectively reviewed. Incidence of accidental cannulation of retroperitoneal veins during venography (using 633 sheaths and 18 catheters, including 11 pigtail type and 7 end-hole-type catheters), along with the associated complications, were evaluated.
Complex contexts and environments require leaders to be highly adaptive and to adjust their behavioral responses to meet diverse role demands. Such adaptability may be contingent upon leaders having requisite complexity to facilitate effectiveness across a range of roles. However, there exists little empirical understanding of the etiology or basis of leader complexity.
View Article and Find Full Text PDFAtaxia-telangiectasia (A-T), an autosomal recessive disorder is characterized by progressive neurodegeneration, immunodeficiency, sensitivity to ionizing radiation, and predisposition to cancer, especially to lymphoid malignancies. A-T variant is characterized by a milder clinical phenotype and is caused by missense or leaky splice site mutations that produce residual ataxia telangiectasia mutated (ATM) kinase activity. Lymphoid malignancy can precede the diagnosis of A-T, particularly in young children with mild neurological symptoms.
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