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Childhood developmental vulnerabilities associated with early life exposure to infectious and noninfectious diseases and maternal mental illness 下载免费PDF全文
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The purpose of this study was to estimate the prevalence of patients with visual concerns that interfere with their activities of daily living (ADL) performance in physical rehabilitation units through occupational therapy assessment. Over the two-month study period, 215 adult inpatients from a physical rehabilitation hospital were evaluated using the Brief Vision Screen (BVS) through ADL. The BVS assessed four areas of visual concerns, namely left visual field, focusing, and near- and low-contrast acuity, while patients engaged in ADL. The occupational therapists identified 33% of patients who had at least one area of visual concern, with the largest proportion diagnosed with stroke (55%), followed by pulmonary disease (40%) and joint replacement (35%). When comparing the four areas of visual concerns in the BVS between the two major diagnostic groups (acquired brain injury, ABI and non-acquired brain injury, non-ABI), a significantly higher proportion of patients with ABI were identified as having left hemianopsia concerns compared to patients with non-ABI. No significant difference was observed in other areas of visual concern between the two groups. Findings indicated that visual concerns that interfere with ADL performance among older patients in rehabilitation units are common. The high proportion of patients with pulmonary disease identified as having visual concerns warranted further confirmation and investigation. Preliminary evidence to support the psychometric properties of the BVS for identifying visual concerns in patients on rehabilitation units was established. 相似文献
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Amy Shaver Melissa Morano Jill Pogodzinski Stacy Fredrick David Essi Erin Slazak 《Journal of the American Pharmacists Association》2019,59(2):202-209
Objectives
The primary objective of this study was to evaluate the impact of a transitions-of-care (TOC) program on both all-cause and related 30-day hospital readmission. The secondary objective was to evaluate which patient-specific factors, if any, are predictive of 30-day hospital readmissions.Design, setting, and participants
A TOC program in an outpatient pharmacy, driven primarily by student pharmacists, provided telephone-based counseling to recently discharged patients. The calls were conducted within 2 to 7 days after discharge and focused on medication counseling and reconciliation, as well as promotion of a physician follow-up visit. The goal of this program was to decrease hospital readmissions among patients discharged with a cardiovascular-related diagnosis. Patient-specific information was recorded in a spreadsheet, including discharge diagnosis, and readmission diagnosis for those who returned to an inpatient facility within 30 days. This study was a retrospective chart review. Data were manually extracted from the program’s data spreadsheet and the institution’s electronic medical record for patients referred to the TOC program from June through November 2017. Patients discharged to hospice, prison, or a long-term care facility were excluded from analysis. Researchers collected information on patient demographics, diagnoses, and readmissions. Data analyses were performed with the use of SAS 9.4.Outcome measures
The primary outcome measure was 30-day all-cause readmission, and the secondary measure was 30-day related readmission.Results
A total of 1219 encounters were examined. Compared with those patients without TOC participation, those who used the TOC program had a 67% decreased odds of all-cause 30-day readmission (odds ratio [OR] 0.33, 95% confidence interval [CI] 0.22–0.48; P < 0.0001) and a 62% decreased odds of a related readmission (OR 0.38, 95% CI 0.18–0.82; P = 0.008).Conclusion
Community pharmacists and Advanced Pharmacy Practice Experience–level student pharmacists have the potential to make a significant impact on reducing hospital readmission rates. 相似文献45.
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Stacy Loeb Shomik Sengupta Mohit Butaney Joseph N. Macaluso Stefan W. Czarniecki Rebecca Robbins R. Scott Braithwaite Lingshan Gao Nataliya Byrne Dawn Walter Aisha Langford 《European urology》2019,75(4):564-567
YouTube is a social media platform with more than 1 billion users and >600 000 videos about prostate cancer. Two small studies examined the quality of prostate cancer videos on YouTube, but did not use validated instruments, examine user interactions, or characterize the spread of misinformation. We performed the largest, most comprehensive examination of prostate cancer information on YouTube to date, including the first 150 videos on screening and treatment. We used the validated DISCERN quality criteria for consumer health information and the Patient Education Materials Assessment Tool, and compared results for user engagement. The videos in our sample had up to 1.3 million views (average 45 223) and the overall quality of information was moderate. More videos described benefits (75%) than harms (53%), and only 50% promoted shared decision-making as recommended in current guidelines. Only 54% of the videos defined medical terms and few provided summaries or references. There was a significant negative correlation between scientific quality and viewer engagement (views/month p = 0.004; thumbs up/views p = 0.015). The comments section underneath some videos contained advertising and peer-to-peer medical advice. A total of 115 videos (77%) contained potentially misinformative and/or biased content within the video or comments section, with a total reach of >6 million viewers.
Patient summary
Many popular YouTube videos about prostate cancer contained biased or poor-quality information. A greater number of views and thumbs up on YouTube does not mean that the information is trustworthy. 相似文献47.
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Kelly M. MacArthur MD Brian C. Baumann MD Joseph F. Sobanko MD Jeremy R. Etzkorn MD MS Thuzar M. Shin MD PhD H. William Higgins nd MD MBE Cerrene N. Giordano MD Stacy L. McMurray MD Aimee Krausz MD Jason G. Newman MD Karthik Rajasekaran MD Steven B. Cannady MD Robert M. Brody MD Giorgos C. Karakousis MD John T. Miura MD Justine V. Cohen DO Ravi K. Amaravadi MD Tara C. Mitchell MD Lynn M. Schuchter MD Christopher J. Miller MD 《Cancer》2021,127(19):3591-3598
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