Abstract
We find that healthier individuals face an expenditure distribution with lower mean, variance and probability of extreme outcomes, compared with their counterparts in a worse state of health. Males have an expenditure distribution with higher mean, variance and probability of an extreme outcome, com...
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PMID: 21830254
PDF is available here.
Abstract
Skin and Soft Tissue Infections (SSTI's) with abscess are commonly seen in the Emergency Department (ED) setting. Given the increasing prevalence of methicillin-resistant Staphylococcus-aureus (MRSA)-related abscesses, appropriate evidence-based decisions are essential in assuring successful treatmen...
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PMID: 21836453
PDF is available here.
Abstract
National health reform is designed to reduce the number of uninsured adults. Currently, many uninsured individuals receive care at safety-net health care providers such as community health centers (CHCs) or safety-net hospitals. This project examined data from Massachusetts to assess how the demand f...
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PMID: 21824954
PDF is available here.
Abstract
Tobacco use is the leading cause of preventable mortality and morbidity in the United States. Patients advised to quit use of tobacco products by their health care providers are more likely to quit, yet it has been documented that patients are not receiving this advice. The aim of th...
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PMID: 22046843
PDF is available here.
Abstract
Investigations into 'inappropriate' use of emergency health services are limited by the lack of definition of what constitutes a health emergency. Position papers from Australian and international sources emphasise the patient's right to access emergency healthcare, and the responsibility of emergenc...
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PMID: 21871188
PDF is available here.
Abstract
SummaryBackground and objectives Demand for hemodialysis among elderly patients is increasing worldwide. Although clinical care of this high-risk group is complex and challenging, no guidelines exist to inform hemodialysis practices. The Dialysis Outcomes and Practice Patterns Study...
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PMID: 21734085
PDF is available here.
Abstract
The aim of this study was to assess the influence of detailed prognostic information on the likelihood of informed consent for decompressive craniectomy for severe traumatic brain injury. The study was a simulation exercise, asking anaesthetists to give opinions as if they themselves...
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PMID: 21823386
PDF is available here.
Abstract
Modern healthcare systems demand more transparent and accurate monitoring of clinical performance with the purpose to improve standards of care in a cost-effective way. Outcomes, such as mortality, are still the most widely used quality indicators in our specialty. However, previous studies have show...
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PMID: 21718855
PDF is available here.
Abstract
We measured children's access to outpatient specialty care to identify disparities in providers' acceptance of Medicaid and the Children's Health Insurance Program (CHIP) versus private insurance.
Between January and May 2010, research assistants called a stratified, random sample of...
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PMID: 21675891
PDF is available here.
Abstract
Current projections for the need for nurses in Washington state are based on an increase in the need for health care, the aging of the population, and the inability of the nursing educational institutions to supply adequate numbers of graduates. Yet many new graduates are providing a...
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PMID: 21667884
PDF is available here.
Abstract
We sought to describe vaccination with influenza A (H1N1) 2009 monovalent (2009 H1N1) and trivalent seasonal (seasonal) vaccines among pregnant women during the 2009 through 2010 influenza season. A national H1N1 flu survey was conducted April through June 2010. The 2009 H1N1 and seasonal vaccination...
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PMID: 21640233
PDF is available here.
Abstract
In 2007 and 2008, 115 patients were found to be either certainly or presumptively infected with the hepatitis C virus through the reuse of contaminated medication vials at two southern Nevada endoscopy clinics. A subsequent joint investigation by federal and state agencies found mult...
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PMID: 21613917
PDF is available here.
Abstract
A review of the literature revealed that nurse anesthesia educational program (NAEP) faculty members perceive certain personality characteristics and clinical awareness as the most important traits needed for clinical success in an NAEP. Clinical success in an NAEP is equated with safe nurse anesthes...
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PMID: 21751691
PDF is available here.
Abstract
Child health promotion services in England have been revolutionised in the last decade, with a shift from a low-threshold universal service to a more highly targeted programme. This has affected health visitors' preventive healthcare work with families. This paper draws on findings from the qualitati...
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PMID: 21739857
PDF is available here.
Abstract
This study evaluated whether pediatric nurses who were certified valued national certifications to a greater degree than those who were not certified.
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PMID: 21598852
PDF is available here.
Abstract
Lingering fallout--loss of jobs and employer coverage--from the great recession slowed demand for health care services but did little to slow aggressive competition by dominant hospital systems for well-insured patients, according to key findings from the Center for Studying Health System Change's (H...
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PMID: 21614861
PDF is available here.
Abstract
Outcomes for the e-Visit suggest that it is an appropriate and potentially cost-saving addition to in-person delivery of primary care....
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PMID: 21457013
PDF is available here.
Abstract
The results of this study indicated that care institutions, for the most part, are willing to develop telecare and are already incorporating preliminary applications of telecare, such as distance learning and resident positioning. Solutions to potential issues related to implementing telecare in pra...
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PMID: 21480787
PDF is available here.
Abstract
The results suggest that remote telehealth technology can play an important role in improving health outcomes and the cost of care of patients with end-stage renal disease who have complex healthcare needs....
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PMID: 21480788
PDF is available here.
Abstract
Objective. To describe the current practices and policy of Australian private health insurance (PHI) companies with respect to cover for pharmaceuticals not subsidised under the Pharmaceutical Benefits Scheme (PBS). Design, setting and participants. A 2008 review of web-published pol...
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PMID: 21612735
PDF is available here.
Abstract
Objective. To describe maternity services available to Australian women and, in particular, the location, classification of services and support services available. Design. A descriptive study was conducted using an online survey that was emailed to eligible hospitals. Inclusion crit...
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PMID: 21612738
PDF is available here.
Abstract
Prioritisation of clients requesting physiotherapy in Victorian community health services has occurred in the absence of a uniform evidence-based prioritisation process. The effect of the varying prioritisation procedures on client outcomes is unknown. This two-part study sought to a...
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PMID: 21612731
PDF is available here.
Abstract
Coronary revascularization is among the most common hospital-based major interventional procedures performed in the United States. It is uncertain how new revascularization technologies, new clinical evidence from trials, and updated clinical guidelines have influenced the volume and...
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PMID: 21540420
PDF is available here.
Abstract
Mammography screening allows for the early detection of breast cancer, which helps reduce mortality from breast cancer, especially in women aged 50 to 69 years. For this report, the authors updated a previous analysis of trends in mammography using newly available data from the National Health Interv...
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PMID: 21523735
PDF is available here.
Abstract
Introduction. Erectile dysfunction (ED) is the most common male sexual dysfunction and has a negative impact on masculinity and self-esteem. Phosphodiesterase type 5 inhibitors, including sildenafil, are the first-line treatment option for ED. Providing appropriate information reg...
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PMID: 21477027
PDF is available here.
Abstract
To determine the number of National Football League (NFL) teams using pregame hyperhydration with intravenous fluid (IVF), the most common protocols for using the IVF, the complications from this routine, and the perceived efficacy of this treatment.
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PMID: 21499081
PDF is available here.
Abstract
This report presents statistics on ambulatory care visits to physician offices, hospital outpatient departments (OPDs), and hospital emergency departments (EDs) in the United States in 2007. Ambulatory medical care utilization is described in terms of patient, provider, and visit characteristics.
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PMID: 21614897
PDF is available here.
Abstract
Surgical site infections after cardiothoracic surgery substantially increase the risk for illness, mortality, and costs. Surveillance of surgical site infections might assist in the prevention of these infections. This study describes the Dutch surveillance methods and results of data collected betwe...
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PMID: 21094499
PDF is available here.
Abstract
To determine whether the racial inequity between African Americans and Caucasians in receipt of influenza vaccine is narrower in residents of nursing homes with facility-wide vaccination strategies than in residents of facilities without vaccination strategies.
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PMID: 21438863
PDF is available here.
Abstract
Women who live in geographic areas with high poverty rates and low levels of education experience poorer survival after a breast cancer diagnosis than women who live in communities with indicators of high socioeconomic status (SES). However, very few studies have examined individual-level SES in rela...
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PMID: 21425155
PDF is available here.
Abstract
A survey was conducted following the publication of the Royal Decree of 21 January 2009 that implicates changes and imposes the editing of a Quality Manual for each Belgian pharmacy. The survey reveals that the earlier obligations are respected by the vast majority of survey participants, but the cha...
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PMID: 21476217
PDF is available here.
Abstract
We conducted surveys of neonatal intensive care unit directors in February and November 2010 and requested information on infection control practices during the 2009 and 2010 influenza seasons. We received 111 responses to the initial survey and 48 to the follow-up survey. In 2009, 58% of respondent...
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PMID: 21514557
PDF is available here.
Abstract
Research on the health of lesbian, gay and bisexual (LGB) adults generally overlooks the chronic conditions that are the most common health concerns of older adults. This brief presents unique population-level data on aging LGB adults (ages 50-70) documenting that they have higher rates of several se...
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PMID: 21548402
PDF is available here.
Abstract
Surgical technique might influence rectal cancer survival, yet international practices for surgical treatment of rectal cancer are poorly described.
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PMID: 21367378
PDF is available here.
Abstract
We studied the HD patients recruited from five major hospitals in Baghdad from July 2008 to February 2009. There were 86 patients (mean age 46.05 ± 14.28 years). We evaluated their social status, co-morbidities, adequacy of dialysis, and nutritional status. The mean duration of patients on HD was 2...
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PMID: 21422648
PDF is available here.
Abstract
We conclude that the set-up for the evaluation and treatment of GN patients is restricted in Saudi Arabia. The exposure and expertise in treatment of the GN is limited and needs better addressing through more availability of nephrologists and performance of kidney biopsies. The quest for innovative...
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PMID: 21422622
PDF is available here.
Abstract
We used the Chi-square, Mann-Whitney, Kruskal-Wallis and Pearson's correlation coefficient tests for statis-tical analysis. A total of 73 patients were enrolled into this study. The mean score of ED was 10.3 ± 6.3 (total score 25). The prevalence of ED of various degrees was 87.7%. There was a sign...
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PMID: 21422619
PDF is available here.
Abstract
To assess the current utilisation of biomedical scientist (BMS) surgical specimen cut-up in the UK and attitudes of consultant histopathologists to the practice.
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PMID: 21345873
PDF is available here.
Abstract
We illustrate the importance of the condition with a series of cases from the South West Paediatric Burns and Neurosurgical Services based in Bristol....
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PMID: 21299681
PDF is available here.
Abstract
Unintended pregnancies, which accounted for an estimated 49% of all pregnancies in the United States in 2001, more often are associated with adverse outcomes for both mother and child than are intended pregnancies. In 2008, an estimated 36 million U.S. women of reproductive age were in need of famil...
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PMID: 21228760
PDF is available here.
Abstract
Primary care physicians (PCPs) play a key role in breast cancer screening, yet no current data exist regarding PCP practices.
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PMID: 21246531
PDF is available here.
Abstract
Pain management is a key component of patient satisfaction and well-being in acute care settings. Nurses spend more time with patients than any other members of the health care team and play a major role in pain management.
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PMID: 21229930
PDF is available here.
Abstract
We investigated the incidence of hospital utilization for injuries and compared poisoning with other forms of injury. Previous studies have suggested poison control centers reduce health-care costs by decreasing hospital utilization.
We conducted a one-year retrospective study involv...
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PMID: 21337934
PDF is available here.
Abstract
Identification of pediatric patients at the end-of-life is not easy because criteria used are based on adults' criteria.
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PMID: 21717720
PDF is available here.
Abstract
To assess the number of epidemiologists and epidemiology capacity nationally, the Council of State and Territorial Epidemiologists surveyed state health departments in 2004, 2006, and 2009. This article summarizes findings of the 2009 assessment and analyzes five-year (2004-2009) tre...
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PMID: 21337933
PDF is available here.
Abstract
We conducted a survey of the nursing practice of GRV checks in our hospital as part of a systems improvement project using a standardized questionnaire in a single hospital setting. The questionnaire included questions about the practice of checking GRV including what constituted "high" GRV and adhe...
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PMID: 21954653
PDF is available here.
Abstract
These results were similar in the analyses disaggregated by gender. In the multivariate analyses that included health care variables, none of the health care variables were statistically significant.
ACSH may be more closely related with socioeconomic variables than with characteristics of primary c...
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PMID: 20978453
PDF is available here.
Benjamin F Crabtree,
Sabrina M Chase,
Christopher G Wise,
Gordon D Schiff,
Laura A Schmidt,
Jeanette R Goyzueta,
Rebecca A Malouin,
Susan M C Payne,
Michael T Quinn,
Paul A Nutting,
William L Miller and
Carlos Roberto Jaén
Abstract
The patient-centered medical home (PCMH) has become a widely cited solution to the deficiencies in primary care delivery in the United States. To achieve the magnitude of change being called for in primary care, quality improvement interventions must focus on whole-system redesign, and not just isol...
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PMID: 21079525
PDF is available here.
Abstract
We assessed the treatment advice given in a hypothetical stroke scenario by primary care physician offices across the United States....
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PMID: 21476474
PDF is available here.
Alessandra A Fabi,
Alessandra A Felici,
Giulio G Metro,
Alessandra A Mirri,
Emilio E Bria,
Stefano S Telera,
Luca L Moscetti,
Michelangelo M Russillo,
Gaetano G Lanzetta,
Giovanni G Mansueto,
Andrea A Pace,
Marta M Maschio,
Antonello A Vidiri,
Isabella I Sperduti,
Francesco F Cognetti and
Carmine M CM Carapella
Abstract
To evaluate the therapeutic strategies commonly employed in the clinic for the management of brain metastases (BMs) and to correlate disease outcome with type of treatment and therapeutic resources available at the treating center.
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PMID: 21244695
PDF is available here.
Abstract
Despite individual subjective preferences, a faster examination time in the standing-up position, and higher bowel urgency scores in patients with their elbows placed on the table and squatting down slightly, there were similar rates of prostate asymmetry, positive DRE, and incomplete palpation of t...
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PMID: 21756385
PDF is available here.
Abstract
: Although conservative care is the standard intervention for infants with torticollis, the variation in intervention content and format proposed in the literature reflects the lack of clear understanding of this population's needs. The objective was to identify factors assessed by pediatricians and...
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PMID: 21829118
PDF is available here.