Using clinical decision support through the electronic medical record to increase prescribing of high-dose parenteral thiamine in hospitalized patients with alcohol use disorder

Patients with alcohol use disorder (AUD) are at an increased risk of developing Wernicke's encephalopathy (WE), a devastating and difficult diagnosis caused by thiamine deficiency. Even as AUD is present in up to 25% of hospitalized patients on medical floors, appropriate thiamine supplementation in the hospital setting remains inadequate. These patients are particularly susceptible to thiamine deficiency and subsequent WE due to both their alcohol use and active medical illnesses. The electronic medical record (EMR) has become ubiquitous in health care systems and can be used as a tool to improve the care of hospitalized patients.
Source: Journal of Substance Abuse Treatment - Category: Addiction Authors: Source Type: research

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Source: Journal of Substance Abuse Treatment - Category: Addiction Source Type: research
Source: Journal of Substance Abuse Treatment - Category: Addiction Source Type: research
An efficient surface engineering strategy is proposed to significantly promote the electric conductivity, Zn ion diffusion rate, and cycling stability of MoO3 cathode for Zn ‐ion batteries. With the synergetic effect of Al2O3 coating and phosphating process, a fiber ‐shaped Zn‐ion battery based on modified MoO3 cathode presents favorable flexibility, admirable capacity, and superior rate performance. AbstractAqueous Zn ‐ion batteries (ZIBs) have garnered the researchers' spotlight owing to its high safety, cost effectiveness, and high theoretical capacity of Zn anode. However, the availability of cathode materials ...
Source: Small - Category: Nanotechnology Authors: Tags: Full Paper Source Type: research
Publication date: Available online 19 February 2020Source: Polymer Degradation and StabilityAuthor(s): Marziyeh Ranjbar Mohammadi, Saeid Kargozar, S.H. Bahrami, Shahram RabbaniAbstractIn this research, the scaffolds from gum tragacanth (GT), poly (Ɛ-caprolactone) (PCL) and poly (vinyl alcohol) (PVA), were fabricated by electrospinning method for use in the healing of diabetic ulcers. At first, three different compositions from PCL-GT-PVA with blend ratios of (2:1:0.5), (2:1:0.8) and (2:1:1.5) were fabricated and the formulation 2:1:0.8 was selected as proper one. Then, the effect of changing GT concentration on the morpho...
Source: Polymer Degradation and Stability - Category: Chemistry Source Type: research
Authors: DENTAL SUPPLEMENT, Campanella V, Gallusi G, Di Taranto V, Cugini C, Nardi R, Mea A, Marzo G, Libonati A Abstract The aim of this study is to evaluate the micro hardness Vickers of a composite micro hybrid polymerized under constant pressure. Twelve experimental samples were made equally divided into two groups: an experimental group and a control. Enamel plus HRi (Micerium) microbiotic composite resin, UD3 colour, was inserted into a syringe heater (ENA HEAT Composite Heating Conditioner) so that the material could be brought to a temperature of 39°C. A defined amount of composite resin is taken from t...
Source: Journal of Biological Regulators and Homeostatic Agents - Category: Biomedical Science Tags: J Biol Regul Homeost Agents Source Type: research
This study describes the surgical technique used to convert synthetic cartilage implant hemiarthroplasty of the first metatarsophalangeal joint to arthrodesis and the 3 cases that underwent revision at a single center in the United Kingdom.
Source: Techniques in Foot and Ankle Surgery - Category: Orthopaedics Tags: Techniques Source Type: research
This study demonstrates that machine-learning can efficiently predict some vitamin deficiencies in patients with active psychiatric symptoms, based on the largest cohort to date with intense psychiatric episode. The prediction method may expedite risk stratification and clinical decision-making regarding whether replacement therapy should be prescribed. Further research includes validating its external generalizability in other clinical situations and clarify whether interventions based on this method could improve patient care and cost-effectiveness.
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Source: BMJ News - Category: General Medicine Source Type: research
Publication date: 15 June 2020Source: Materials Science in Semiconductor Processing, Volume 112Author(s): Francesca Rita Pomilla, Farnaz Fazlali, Elisa I. García-López, Giuseppe Marcì, Ali Reza Mahjoub, Igor Kritsov, Leonarda F. Liotta, Leonardo PalmisanoAbstractThe Keggin heteropolyacid (HPA), H3PW12O40 (PW12) has been supported on commercial boron nitride (BN) and two types of home prepared carbon nitride (C3N4). The supported PW12 was used in the gas-solid (photo)catalytic 2-propanol dehydration reaction to give propene at atmospheric pressure and temperatures in the range 70–120 °C a...
Source: Materials Science in Semiconductor Processing - Category: Materials Science Source Type: research
Authors: Gray M, Adamson MM, Thompson RC, Kapphahn KI, Han S, Chung JS, Harris OA Abstract Primary Objective: Research focused on mild traumatic brain injury in active military and veteran populations details the psychological, neurological and functional outcomes of mTBI, in a primarily male (~95%) cohort. This may misrepresent female symptoms and outcomes. Here we assess for genuine sex differences in symptom presentation and functional outcomes.Research Design: We used matched pairs to preclude potential sex bias in outcome data.Methods and Procedures: We matched 49 female/male pairs on; 1) mechanism of injury, ...
Source: Brain Injury - Category: Neurology Tags: Brain Inj Source Type: research
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