9,534 results match your criteria: "and Sheehan; and MetroHealth Medical Center[Affiliation]"

Background: Incarcerated people are at high risk of blood-borne virus infections, particularly HCV, and a priority population for elimination efforts. This national bio-behavioural survey evaluated blood-borne virus prevalence and HCV testing-and-treatment uptake amongst people in Australian prisons.

Methods: Randomly-selected participants from 23 representative prisons nationally were offered point-of-care testing for HIV and HCV (anti-HCV) antibodies, hepatitis B surface antigen (HBsAg), and HCV RNA (if anti-HCV positive).

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Background: Increasing HIV rates among young Latino sexual minority men (YLSMM) warrant innovative and rigorous studies to assess prevention and treatment strategies. Ecological momentary assessments (EMAs) and electronic pill dispensers (EPDs) have been used to measure antiretroviral therapy (ART) adherence repeatedly in real time and in participants' natural environments, but their psychometric properties among YLSMM are unknown.

Objective: The study's objective was to assess the concurrent validity, acceptability, compliance, and behavioral reactivity of EMAs and EPDs among YLSMM with HIV.

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Aim: Identify and describe nurse-administered screening tools used in emergency departments (ED) to detect elder abuse.

Design: A scoping review of literature published between 1999 and 2024 was conducted following the guidance of the Joanna Briggs Institute Manual for Evidence Synthesis and a methodological framework for scoping studies.

Methods: Two reviewers, an academic faculty member and a senior undergraduate, conducted the screening and data extraction, aiming to identify studies using a nurse-administered screening tool in the ED to detect elder abuse.

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Implementation of a novel framework for hepatitis C diagnosis and treatment in an academic health system.

Am J Health Syst Pharm

November 2024

Specialty Pharmacy and Infusion Services, UK HealthCare, Lexington, KY, USA.

Disclaimer: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time.

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Context: Post-bariatric hypoglycemia (PBH) is a complication of bariatric surgery including Roux-en-Y gastric bypass (RYGB). It remains unclear why only some individuals develop PBH.

Objective: To identify clinical characteristics distinguishing post-RYGB individuals with PBH, versus without symptomatic hypoglycemia (RYGB non-hypo).

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Importance: Patients with a non-English language preference served within English-dominant health care settings are at increased risk of adverse events that may be associated with communication barriers and inequitable access to care.

Objective: To investigate the association of non-English language preference with surgical wait time and postoperative outcomes in older patients undergoing hip fracture repair.

Design, Setting, And Participants: This population-based, retrospective cohort study was conducted using linked databases to measure surgical wait time and postoperative outcomes among older adults (aged ≥66 years) in Ontario, Canada, who underwent hip fracture surgery between January 1, 2017, and December 31, 2022.

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The efficacy of InterRhythmic care for depression: A randomized control trial.

J Psychiatr Res

January 2025

General Psychiatry Department, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China; Mental Health Branch, China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai, 20030, China; Shanghai Key Laboratory of Psychotic disorders, Shanghai, 20030, China. Electronic address:

Objective: This study investigates the efficacy of an InterRhythmic Care (IRC) for major depressive disorder (MDD). There is a lack of clinical studies on its effect on depression.

Methods: In this eight-week, randomized, single-blind, controlled trial, 120 patients with MDD were randomly assigned to receive IRC or Internet general psychoeducation (IGP).

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D-PRISM: a global survey-based study to assess diagnostic and treatment approaches in pneumonia managed in intensive care.

Crit Care

November 2024

Division of Perioperative, Acute, Critical Care and Emergency Medicine, Department of Medicine, University of Cambridge, Level 4, Addenbrooke's Hospital, Hills Road, Cambridge, UK.

Article Synopsis
  • The D-PRISM study investigated global practices for diagnosing and treating pneumonia in ICU settings, focusing on community-acquired, hospital-acquired, and ventilator-associated pneumonia across different countries.
  • A survey gathered responses from 1,296 ICU clinicians across 72 countries, revealing varied diagnostic processes and a lack of standardized microbiological testing, particularly in lower-income regions.
  • Findings indicated that the typical antibiotic treatment duration was 5-7 days, with shorter durations linked to effective antimicrobial stewardship programs in higher-income countries.
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Flowering time synchronizes reproductive development with favorable environmental conditions to optimize yield. Improved understanding of the genetic control of flowering will help optimize varietal adaptation to future agricultural systems under climate change. Here, we investigate the genetic basis of flowering time in winter wheat (Triticum aestivum L.

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Purpose: Health and social care professionals (professionals) often lack knowledge, skills and confidence to support adults at end of life with significant caregiving responsibilities for children, < 18. A recent systematic review highlighted a dearth of educational interventions (n = 2) to equip professionals to provide supportive care to families when a parent has cancer. Addressing an evident gap in education, this paper details the adaption and optimisation of a face-to-face educational intervention to an accessible eLearning resource.

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Article Synopsis
  • The study explored quality of life (QOL) and functioning in 2,114 adults seeking outpatient treatment for various psychiatric disorders, focusing on differences across diagnoses.
  • It was found that over 70% of participants reported severe impairments in QOL, with mood disorder patients, especially those with Major Depressive Disorder and Bipolar Disorder, experiencing greater impacts compared to other disorders.
  • The results indicate a need for targeted treatment approaches that prioritize improving QOL and functioning, especially for those with mood disorders.
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Article Synopsis
  • - The study focuses on comparing the Indian Disability Evaluation and Assessment Scale (IDEAS) and the Sheehan Disability Scale (SDS) to measure disability in individuals with common mental disorders (CMDs) like depression and anxiety, which affect a significant portion of the population.
  • - A total of 220 patients with CMDs were assessed, revealing differences based on demographics, while both IDEAS and SDS indicated similar, lower levels of disability without significant score discrepancies.
  • - Strong correlation between the disability scores of the two scales was noted, suggesting that IDEAS is a valid tool for assessing disability in CMDs within the Indian community.
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Concordance in molecular methods for detection of antimicrobial resistance: A cross sectional study of the influent to a wastewater plant.

J Microbiol Methods

January 2025

College of Public Health, Medical and Veterinary Sciences, 1 Solander Drive, James Cook University, Townsville, Queensland 4811, Australia. Electronic address:

Methods that are used to characterise microbiomes and antimicrobial resistance genes (ARGs) in wastewater are not standardised. We used shotgun metagenomic sequencing (SM-Seq), RNA sequencing (RNA-seq) and targeted qPCR to compare microbial and ARG diversity in the influent to a municipal wastewater treatment plant in Australia. ARGs were annotated with CARD-RGI and MEGARes databases, and bacterial diversity was characterised by 16S rRNA gene sequencing and SM-Seq, with species annotation in SILVA/GreenGenes databases or Kraken2 and the NCBI nucleotide database respectively.

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Article Synopsis
  • Rapid correction of chronic hyponatremia can lead to osmotic demyelination syndrome (ODS), especially in patients with underlying conditions like Sheehan’s syndrome, a rare pituitary disorder following severe postpartum hemorrhage.
  • A case report details a 40-year-old woman who experienced neurological decline due to the correction of her long-standing hyponatremia, which had been mismanaged for years, leading to extrapontine and then central pontine myelinolysis.
  • The case emphasizes that even gradual correction of low sodium levels poses risks and highlights the need for careful management in patients with chronic hyponatremia and related conditions.
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Veni, Vidi, Vici-When Is Home Video Seizure Monitoring Helpful?

Epilepsy Curr

May 2024

Division of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

Seizure detection is vital for managing epilepsy as seizures can lead to injury and even death, in addition to impacting quality of life. Prompt detection of seizures and intervention can help prevent injury and improve outcomes for individuals with epilepsy. Wearable sensors show promising results for automated detection of certain seizures, but they have limitations such as patient tolerance, impracticality for newborns, and the need for recharging.

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Impact of hydroxycarbamide treatment on the whole-blood transcriptome in sickle cell disease.

Br J Haematol

November 2024

Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Georgia, USA.

Hydroxycarbamide (HC) is the most widely used therapeutic for individuals with sickle cell disease (SCD, including sickle cell anemia and other forms of the disease). HC's clinical benefits are primarily associated with its ability to induce foetal haemoglobin (HbF); this limited view of HC's therapeutic potential may lead to its discontinuation when a modest amount of HbF is induced. A better understanding of the HbF-independent effects of HC on genes and pathways relevant to SCD pathophysiology is therefore needed.

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Article Synopsis
  • Aboriginal and Torres Strait Islander women in New South Wales experience significantly higher rates of cervical cancer compared to non-Aboriginal women, with an incidence rate of 17.29 per 100,000 versus 6.77 per 100,000.
  • Despite similar overall treatment rates and survival outcomes, Aboriginal women often face barriers to surgical and radiotherapy treatments, especially if they are socioeconomically disadvantaged or live in remote areas.
  • There is a pressing need for targeted interventions to improve access to cervical cancer care for younger Aboriginal women, addressing issues related to diagnosis, treatment, and the broader socioeconomic impacts of the disease.
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Lack of association of first and second-line medication dosing and progression to refractory status epilepticus in children.

Seizure

December 2024

Division of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA. Electronic address:

Purpose: Evaluate the relationship between first and second-line medication dosing and progression to refractory status epilepticus (RSE) in children.

Methods: This is a retrospective analysis of prospectively collected data from September 2014 to February 2020 of children with status epilepticus (SE) who received at least two antiseizure medications (ASMs). We evaluated the risk of developing RSE after receiving a low total benzodiazepine dose (lower than 100 % of the minimum recommended dose for each benzodiazepine dose administered within 10 min) and a low first non-benzodiazepine ASM dose (lower than 100 % of the minimum recommended dose of non-benzodiazepine ASM given as the first single-dose) using a logistic regression model, adjusting for confounders such as time to ASMs.

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Central nervous system Tumors, including metastasis, are a considerable source of morbidity and mortality. Currently, treatment options such as surgery, radiotherapy, and chemotherapy have been introduced to prevent the progression of the disease, but still, these patients do not have a good prognosis. Stereotactic radiosurgery (SRS) reduces the damage to the surroundings by focusing the radiation on the tumor tissue.

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Article Synopsis
  • Patients post-hip fracture often experience fragmented care and poor discharge planning, highlighting the need for improved patient flow and transition support from hospital to home.* -
  • A qualitative study involving interviews with patients, carers, and health professionals revealed challenges such as ineffective communication and disjointed services during discharge, along with the complexity of recovery beyond just the physical injury.* -
  • Solutions suggested include better reassurance, collaborative planning, and personalized care to help patients and their supporters navigate the transition more effectively, ultimately aiming for a more coordinated approach in discharge planning.*
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Disparities in Vaccination Amongst Socially Vulnerable Patients with Inflammatory Bowel Disease.

Dig Dis Sci

January 2025

Department of Internal Medicine, Division of Gastroenterology and Hepatology, Michigan Medicine, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA.

Article Synopsis
  • Social determinants of health (SDOH) significantly affect vaccination disparities, especially among patients with inflammatory bowel disease (IBD), who are at greater infection risk.
  • A study used census tract-level data from the CDC to assess the impact of SDOH on vaccination rates for flu, COVID-19, pneumonia, and herpes zoster in a cohort of 7,036 IBD patients.
  • Results indicated that higher social vulnerability correlated with lower vaccination rates, highlighting the need to address these disparities to improve healthcare equity for IBD patients.
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Two analog holographic wavefront sensors, for measurement of defocus, have been fabricated as both thin and volume phase transmission holograms in a self-developing photopolymer. This represents the first reported direct comparison of hologram regimes when designed for wavefront sensing. An analysis of the effect of crosstalk in the presence of one other aberration mode (astigmatism X (0/90°), coma X (horizontal), and primary spherical aberration) was carried out with each version of the sensor.

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