Differences in elective epilepsy monitoring unit admission rates by race/ethnicity and primary payer in New Jersey.

Elective admission to the epilepsy monitoring unit (EMU) is an essential service provided by epilepsy centers, particularly for those with drug-resistant epilepsy. Given previously characterized racial and socioeconomic healthcare disparities in the management of epilepsy, we sought to understand access and utilization of this service in New Jersey (NJ). We examined epilepsy hospitalizations in NJ between 2014 and 2016 using state inpatient and emergency department (ED) databases.

Using ICD-10 codes to identify elective epilepsy monitoring unit admissions from administrative billing data: A validation study.

Video-electroencephalogram (EEG) monitoring in the epilepsy monitoring unit (EMU) is essential for managing epilepsy and seizure mimics. Evaluation of care in the EMU would benefit from a validated code set capable of identifying EMU admissions from administrative databases comprised of large, diverse cohorts. We assessed the ability of code-based queries to parse EMU admissions from administrative billing records in a large academic medical center over a four-year period, 2016-2019.

Factors associated with falls in hospitalized adult patients.

Introduction: Despite efforts in hospitals to identify patients at risk for falls and to prevent these incidents, falls among hospitalized patients are not a rare event and continue to be a major health care concern, occurring in approximately 700,000-1,000,000 hospitalized patients per year.

Purpose: The purpose of this study was to examine intrinsic, extrinsic, and workforce factors that contribute to falls among hospitalized adult patients.

Methods: A retrospective correlational design was used to examine 160 patients admitted to a medical-surgical unit over the year 2012.

The association of childhood personality on sexual risk taking during adolescence.

Background: Sexual risk taking during adolescence such as failure to use contraception or condoms is associated with premature parenthood and high rates of sexually transmitted infection. The relation of childhood personality to sexual risk taking during adolescence has been largely unexplored.

Methods: Using data collected from participants in the Child Sample of the National Longitudinal Survey of Youth (CS-NLSY) when they were 5 or 6 years of age (time 1) and 17 or 18 years of age (time 2), the relation of childhood personality to sexual risk taking during adolescence was investigated.

Soap opera video on handheld computers to reduce young urban women's HIV sex risk.

The purpose of this study was to develop a soap opera video, A Story about Toni, Mike, and Valerie, designed to communicate HIV risk reduction themes. The study evaluated viewing the video and responding to audio computer assisted self-interview (ACASI) on a handheld computer. The sample was 76 predominately African American women, aged 18-29, in sexual relationships with men.

Nursing care of posttraumatic stress disorder after anesthesia awareness.

Anesthesia awareness can cause adverse psychological symptoms in patients after surgery. Although rare, posttraumatic stress disorder (PTSD) has been documented in surgical patients who have a history of previous trauma or maladaptive coping patterns. Plastic surgical nurses should assess all patients for anesthesia awareness postoperatively, recognize the diagnostic criteria of PTSD, and offer support of psychiatric referrals if indicated.

Perceived barriers to and facilitators of the implementation of priority clinical preventive services guidelines.

Objective: To obtain feedback from contracted health plan (HP) clinicians responsible for implementing preventive services regarding an established set of priority guidelines identified by a coalition of medical directors and to identify barriers to and facilitators of the implementation of these priority guidelines in clinician practice.

Study Design: Qualitative design using a focus group approach.

Participants And Methods: Three focus group meetings among contracted HP clinicians were conducted in New Jersey in 3 geographic regions (northern, central, and southern New Jersey).

Young urban women's patterns of unprotected sex with men engaging in HIV risk behaviors.

This study explored reasons women engaged in unprotected sex with male partners they distrusted and perceived to engage in HIV risk behaviors. Seven focus groups were held in public housing and neighborhood centers in the urban Northeast with 43 African American and Latina women. Content analysis was conducted by open and axial coding.

Transitional and health issues of adults with neural tube defects.

Purpose: To examine past, current, and future developmental and health care issues and concerns of Caucasian, African American, and Mexican American adults, aged 20 to 75 years, with neural tube defects (NTDs).

Design: Naturalistic inquiry.

Methods: A semi-structured interview was used to obtain information from 16 Caucasian, 11 African American, and 15 Mexican American adults.

Managing urinary incontinence following radical prostatectomy.

New diagnoses of prostate cancer more than tripled between 1990 and 1996, largely because of improved methods of detection and heightened public awareness. Radical prostatectomy is often undertaken in men with prostate cancer who are expected to live at least 10 more years and have tumors confined to the prostate gland. Because of high 10-year survival rates, the demand for radical prostatectomy has increased steadily during the past decade and continues to climb as men pursue a cure and attempt to maximize survival.

Postprostatectomy incontinence: the magnitude of the problem.

Prostate cancer is being detected earlier in its development as a result of heightened public awareness and better screening and assessment techniques. Localized prostate cancer is often surgically treated, leaving many men incontinent of urine on either a short-term or long-term basis. This article explores the epidemiology of prostate cancer and the prevalence and incidence of urinary incontinence in men after they have undergone radical prostatectomy.