Advancing Trauma-Informed Care in Hospitals: The Time Is Now
Perm J. 2022 Nov 25:1-5. doi: 10.7812/TPP/22.081. Online ahead of print.NO ABSTRACTPMID:36428252 | DOI:10.7812/TPP/22.081 (Source: The Permanente journal)
Source: The Permanente journal - November 26, 2022 Category: General Medicine Authors: Audrey Stillerman Lara Altman Gabriela Pe ña Grace Cua Abigail Goben Angela L Walden Marc S Atkins Source Type: research

Health systems responsiveness towards the Mentor Mother Program for preventing mother ‐to‐child transmission of HIV in military hospitals
This study explored health systems responsiveness towards the Mentor Mother Program for PMTCT in the Nigeria Department of Defence hospitals. Factors affecting quality service were also highlighted, which gave helpful insights into the strategies employed by stakeholders to ensure that health systems responsiveness was propagated responsibly.DesignAn exploratory qualitative interview study.MethodsSix semistructured interviews were conducted with six key informants (three doctors and three nurses) and one focus group session with six Mentor Mothers. Open coding of data was done to formulate themes and subthemes. Thematic an...
Source: Nursing Open - November 26, 2022 Category: Nursing Authors: Josephine Moshe Ibu, Euphemia Mbali Mhlongo Tags: EMPIRICAL RESEARCH QUALITATIVE Source Type: research

Strengthening Interprofessional Collaboration to Improve Transfers Between a Freestanding Birth Center and an Academic Medical Center
This article will present strategies implemented through the ongoing collaboration between birth center and hospital health care providers. These include adopting a shared electronic health record, clinical practice guidelines that align across birth sites, preparing birth center patients prenatally for the possibility hospital transfer, the presentation of a united team across birth sites, clear and widely disseminated communication pathways for hospital admission and patient handoff, and ongoing opportunities for interteam communication, collaboration, and education. These strategies may benefit similar midwifery practic...
Source: Journal of Midwifery and Women's Health - November 26, 2022 Category: Midwifery Authors: Kathleen Danhausen, Hannah L. Diaz, Manola A. McCain, Madeleine McGinigle Tags: Innovations from the Field Source Type: research

Barriers to Follow Up Care in the South Asian Immigrant Population at High Risk of Acute Coronary Syndrome at Elmhurst Hospital Center
AbstractWe studied South Asian immigrant patients who did not return to Elmhurst Hospital Center (EHC) after emergent cardiac catheterization in order to propose interventions to improve follow up care. We identified 74 eligible patients, interviewed 30 about follow up practices, and analyzed findings. Most patients are Bangladeshi and 77% preferred a foreign language. Some were visiting the US during the admission without intent to follow up. Half were dissatisfied with EHC providers, complications, and inadequate care at follow up appointments. Some patients were unaware of scheduled appointments or the necessity of foll...
Source: Journal of Immigrant and Minority Health - November 26, 2022 Category: International Medicine & Public Health Source Type: research

Random Skin Biopsy Is a Useful Procedure in the Evaluation of Hemophagocytic Lymphohistiocytosis: A Case Report and Review of Literature
We present a case of a 46-year-old woman with a past medical history of multiple sclerosis on rituximab who presented as a transfer from an outside hospital with numerous clinical abnormalities including recurrent episodes of fever of unknown origin for 3 weeks, persistent leukocytosis, hypertriglyceridemia, and steatohepatitis. Given the uncertain nature of her illness, she underwent a random skin biopsy from the abdominal region to exclude hematolymphoid malignancy. Histopathology revealed a brisk histiocytic rich dermal infiltrate accompanied by perivascular lymphocytic infiltrate. The histiocytes were enlarged and posi...
Source: The American Journal of Dermatopathology - November 26, 2022 Category: Pathology Tags: Brief Report Source Type: research

Hip Fracture With Elevated Troponin: Harbinger of Mortality or Need for Accelerated Surgery?
Objective: To determine the association of elevated troponin levels with time to surgery and the risk of mortality and other key clinical outcomes among elderly patients with hip fracture who had measured troponin levels at hospital admission. Design: Retrospective cohort study. Setting: Single academic trauma center. Patients: We included 299 consecutive patients 60 years of age or older with a hip fracture and cardiac troponin levels measured at the time of hospital admission. Intervention: Patients with elevated cardiac troponin levels at hospital admission (n = 43) compared with patients...
Source: Journal of Orthopaedic Trauma - November 26, 2022 Category: Orthopaedics Tags: Original Article Source Type: research

Does Hip Fracture Admitting Service Affect Proper Deep Venous Thrombosis Prophylaxis? An Investigation at a Level 1 Trauma Center
Objective: To examine if rates of appropriate thromboprophylaxis prescribing at the time of discharge would be higher in patients admitted to the orthopaedic service. Second, to see if improvements could be made in the rates of these missed events after a structured intervention. Design: Retrospective Cohort Study, Prospective Interventional. Setting: Level 1 Academic Hospital. Patients: Two hundred forty-six patients undergoing a hip hemiarthroplasty for femoral neck fracture discharged to an extended care facility. Intervention: A letter was sent to the internal quality control committee d...
Source: Journal of Orthopaedic Trauma - November 26, 2022 Category: Orthopaedics Tags: Original Article Source Type: research

Long-Term Disability Outcomes for Patients With Ischemic Stroke Presenting With Visual Deficits
Background: Ischemic strokes in both the anterior and posterior circulation can lead to visual deficits, which can affect functional ability. Thrombolytic therapies are often withheld to patients with visual deficits because of either being missed on initial evaluation or because of the misconception that their deficits are not as severe or as disabling. Alternatively, delays in patient arrival for emergent evaluation lead to missed opportunities for acute stroke treatment. This retrospective study aims to explore the differences in perceived long-term disability for patients with stroke who present with visual deficit...
Source: Journal of Neuro-Ophthalmology - November 26, 2022 Category: Opthalmology Tags: Original Contribution Source Type: research

One-Year Changes in Optic Nerve Head Parameters in Recovered COVID-19 Patients
Background: The main purpose was to evaluate the changes in peripapillary retinal nerve fiber layer (RNFL) thickness and vessel density (VD) in post–COVID-19 patients during 12-month follow-up. Methods: In this prospective study, patients with COVID-19 who were attended in the Hospital Clinico San Carlos (Madrid, Spain) were included. All patients underwent a complete ophthalmological examination, optic nerve head optical coherence tomography (OCT), and OCT angiography (OCTA) using the Cirrus HD-OCT 5,000 with AngioPlex OCTA 1, 3, and 12 months after laboratory-confirmed diagnosis. Sociodemographic data, medic...
Source: Journal of Neuro-Ophthalmology - November 26, 2022 Category: Opthalmology Tags: Original Contribution Source Type: research

Should Aquaporin-4 Antibody Test Be Performed in all Patients With Isolated Optic Neuritis?
Background: Optic neuritis (ON) may be the initial manifestation of neuromyelitis optica spectrum disorder (NMOSD). Aquaporin-4 antibody (AQP4 Ab) is used to diagnose NMOSD. This has implications on prognosis and is important for optimal management. We aim to evaluate if clinical features can distinguish AQP4 Ab seropositive and seronegative ON patients. Methods: We reviewed patients with first episode of isolated ON from Tan Tock Seng Hospital and Singapore National Eye Centre who tested for AQP4 Ab from 2008 to 2017. Demographic and clinical data were compared between seropositive and seronegative patients. ...
Source: Journal of Neuro-Ophthalmology - November 26, 2022 Category: Opthalmology Tags: Original Contribution Source Type: research

Venous thromboembolism in pediatric inflammatory bowel disease: an 11-year population-based nested case–control study in Canada
To investigate the occurrence of venous thromboembolism (VTE), clinical characteristics, risk factors, treatment outcomes, and anticoagulation safety in pediatric inflammatory bowel disease (IBD) over an 11-year period. A nested case–control study within an identified cohort was performed amongst children with IBD from 2009 to 2020 in Canada. There were 890 hospitalizations during the study period, and 15 venous thromboembolic events (1.69%) among 12 patients occurred, including 12 with ulcerative colitis and three with Crohn's disease. VTE proportions were significantly different between female (2.7%) and male (0.8%) pa...
Source: Blood Coagulation and Fibrinolysis - November 26, 2022 Category: Hematology Tags: ORIGINAL ARTICLES Source Type: research

Randomized Phase 3 Trial of Ruxolitinib for COVID-19–Associated Acute Respiratory Distress Syndrome*
OBJECTIVES: Evaluate the safety and efficacy of the Janus kinase (JAK)1/JAK2 inhibitor ruxolitinib in COVID-19–associated acute respiratory distress syndrome requiring mechanical ventilation. DESIGN: Phase 3 randomized, double-blind, placebo-controlled trial Ruxolitinib in Participants With COVID-19–Associated Acute Respiratory Distress Syndrome Who Require Mechanical Ventilation (RUXCOVID-DEVENT; NCT04377620). SETTING: Hospitals and community-based private or group practices in the United States (29 sites) and Russia (4 sites). PATIENTS: Eligible patients were greater than or equal to 12 years...
Source: Critical Care Medicine - November 26, 2022 Category: Emergency Medicine Tags: Feature Articles Source Type: research

Epidemiology of ICU-Onset Bloodstream Infection: Prevalence, Pathogens, and Risk Factors Among 150,948 ICU Patients at 85 U.S. Hospitals*
OBJECTIVES: Bloodstream infections (BSIs) acquired in the ICU represent a detrimental yet potentially preventable condition. We determined the prevalence of BSI acquired in the ICU (ICU-onset BSI), pathogen profile, and associated risk factors. DESIGN: Retrospective cohort study. DATA SOURCES: Eighty-five U.S. hospitals in the Cerner Healthfacts Database. PATIENT SELECTION: Adult hospitalizations between January 2009 and December 2015 including a (≥ 3 d) ICU stay. DATA EXTRACTION AND DATA SYNTHESIS: Prevalence of ICU-onset BSI (between ICU Day 3 and ICU discharge) and associated pathogen a...
Source: Critical Care Medicine - November 26, 2022 Category: Emergency Medicine Tags: Feature Articles Source Type: research

Impact of a Nurse-Driven Patient Empowerment Intervention on the Reduction in Patients’ Anxiety and Depression During ICU Discharge: A Randomized Clinical Trial
OBJECTIVES: To assess the impact of a nurse-driven patient empowerment intervention on anxiety and depression of patients during ICU discharge. DESIGN: A prospective, multicenter, randomized clinical trial. SETTING: Three ICUs (1 medical, 1 medical and surgical, and 1 coronary) of three tertiary hospitals. PATIENTS: Adults admitted to the ICU greater than 18 years old for greater than or equal to 48 hours with preserved consciousness, the ability to communicate and without delirium, who were randomized to receive the nurse-driven patient empowerment intervention (NEI) (intervention group [IG] or st...
Source: Critical Care Medicine - November 26, 2022 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

The Impact of Hospital Size and Teaching Status on Outcomes Following Total Ankle Arthroplasty
The popularity and utilization of total ankle arthroplasty (TAA) as treatment for ankle arthritis has increased exponentially from 1998 to 2012. Overall the outcomes have improved for TAA with the introduction of new-generation implants and this has increased the focus on optimizing other variables affecting outcomes for TAA. The purpose of this study was to examine the effects of hospital characteristics and teaching status on outcomes for total ankle arthroplasty (TAA). The Nationwide Inpatient Sample (NIS) database was queried from 2002-2012 using the ICD-9 procedure code for TAA. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - November 26, 2022 Category: Orthopaedics Authors: DiegoJ.L. Lima, Vani J. Sabesan, Graysen R. Petersen-Fitts, Maxwell L. Winkler, Matthew C. Sweet, Nikolas Bustamante Echeverry, James D. Whaley Source Type: research