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Words Do Matter: A Systematic Review On How Different Terminology For The Same Condition Influences Management Preferences, Brooke Nickel, Alexandra Barratt, Tessa Copp, Ray Moynihan, Kirsten McCaffery 2017 University of Sydney

Words Do Matter: A Systematic Review On How Different Terminology For The Same Condition Influences Management Preferences, Brooke Nickel, Alexandra Barratt, Tessa Copp, Ray Moynihan, Kirsten Mccaffery

Ray Moynihan

OBJECTIVES: Changing terminology for low-risk, screen-detected conditions has now been recommended by several expert groups in order to prevent overdiagnosis and reduce the associated harms of overtreatment. However, the effect of terminology on patients' preferences for management is not well understood. This review aims to synthesise existing studies on terminology and its impact on management decision making. DESIGN: Systematic review. METHODS: Studies were included that compared two or more terminologies to describe the same condition and measured the effect on treatment or management preferences and/or choices. Studies were identified via database searches from inception to April 2017, and from ...


Communicating About Overdiagnosis: Learning From Community Focus Groups On Osteoporosis, Ray Moynihan, Rebecca Sims, Jolyn Hersch, Rae Thomas, Paul P. Glasziou, Kirsten McCaffery 2017 Bond University

Communicating About Overdiagnosis: Learning From Community Focus Groups On Osteoporosis, Ray Moynihan, Rebecca Sims, Jolyn Hersch, Rae Thomas, Paul P. Glasziou, Kirsten Mccaffery

Ray Moynihan

BACKGROUND: Overdiagnosis is considered a risk associated with the diagnosis of osteoporosis-as many people diagnosed won't experience harm from the condition. As yet there's little evidence on community understanding of overdiagnosis outside cancer- where it is an established risk of some screening programs-or effective ways to communicate about it. We examined community understanding around overdiagnosis of osteoporosis, to optimise communication strategies about this problem. METHODS AND FINDINGS: Using a qualitative design we recruited a community sample of women, 50-80 years, from the Gold Coast community around Bond University, Australia, using random digit dialing, and conducted 5 focus groups ...


Exploring The Utilisation Of Stand Up Paddle Boarding In Australia, Ben Schram, James Furness 2017 Bond University

Exploring The Utilisation Of Stand Up Paddle Boarding In Australia, Ben Schram, James Furness

James Furness

Stand Up Paddle Boarding (SUP) has grown exponentially in the last few years with unprecedented participation rates globally. Despite some scientific research on physiological and performance variables, minimal information exists regarding participation and utilisation. The purpose of this study was to discover more about how and where people participate in the relatively new sport of SUP. An open-source online survey application was administered internationally to active SUP participants to capture information relevant to both demographics and participation. Of a total of 240 responses, 154 (64.2%) were Australian. The average SUP rider was 42.9 ± 11.7 years, mass 80 ...


Exploring The Utilisation Of Stand Up Paddle Boarding In Australia, Ben Schram, James Furness 2017 Bond University

Exploring The Utilisation Of Stand Up Paddle Boarding In Australia, Ben Schram, James Furness

Ben Schram

Stand Up Paddle Boarding (SUP) has grown exponentially in the last few years with unprecedented participation rates globally. Despite some scientific research on physiological and performance variables, minimal information exists regarding participation and utilisation. The purpose of this study was to discover more about how and where people participate in the relatively new sport of SUP. An open-source online survey application was administered internationally to active SUP participants to capture information relevant to both demographics and participation. Of a total of 240 responses, 154 (64.2%) were Australian. The average SUP rider was 42.9 ± 11.7 years, mass 80 ...


Improving The Pharmacologic Management Of Patients After Osteoporotic Hip Fractures, Joseph Klaus, Milad Modarresi, Rodrigo Aguilar, Nasreen BenHamed, Franklin D. Shuler 2017 Marshall University

Improving The Pharmacologic Management Of Patients After Osteoporotic Hip Fractures, Joseph Klaus, Milad Modarresi, Rodrigo Aguilar, Nasreen Benhamed, Franklin D. Shuler

Marshall Journal of Medicine

Abstract

Background

Osteoporotic hip fractures have become an increasingly common healthcare burden with significant morbidity and mortality in the geriatric population. Pharmacological management of the underlying osteoporosis is critical. Our objective is to determine the percentage of patients older than 65 who receive pharmacologic treatment of osteoporosis within six months after a fragility fracture at Cabell Huntington Hospital.

Methods

Data was extracted from medical records for patients age 65 or older who sustained a hip fracture during June 2013 - March 2015. Patients who received any form of pharmacologic treatment within six months after their fractures were identified. All analyses were ...


Re-Excision Rates Following Breast Conserving Therapy: A Single Institutions Experience Over Ten Years, Kathryne J. Blair, Mary Legenza 2017 Marshall University Joan C. Edwards School of Medicine

Re-Excision Rates Following Breast Conserving Therapy: A Single Institutions Experience Over Ten Years, Kathryne J. Blair, Mary Legenza

Marshall Journal of Medicine

As breast conserving therapy has become the standard of care for patients with early stage breast cancer an area of debate within the surgical literature has been the rate of positive surgical margins requiring re-excision. Nationally re-excision rates are highly variable and have been reported as high as 40%. Any cancer diagnosis and treatment is stressful for patients and having to return to the operating room for a second surgery can greatly affect both patient satisfaction and cosmetic outcomes. Within our institution we wanted to examined our population over ten years undergoing breast conserving therapy to determine our re-excision rates ...


The Impact Of Neonatal Abstinence Syndrome: The View From A Rural Kentucky Hospital, Sydni Fazenbaker Crowell, Allison M. Crump-Rogers, William Crump, LeAnn Langston 2017 University of Louisville School of Medicine Trover Campus at Baptist Health Madisonville

The Impact Of Neonatal Abstinence Syndrome: The View From A Rural Kentucky Hospital, Sydni Fazenbaker Crowell, Allison M. Crump-Rogers, William Crump, Leann Langston

Marshall Journal of Medicine

Abstract

Introduction

Cases of neonatal abstinence syndrome (NAS) increased 3-fold in the United States from 2000 to 2009, with some indication that the problem may be worse in rural areas. The purpose of our study was to report the incidence of NAS in a small rural community with a regional referral hospital and describe aspects of these infants’ NICU stay.

Methods

Using maternal prenatal positive urine drug screens (UDS) as our initial focus, deliveries at 35 weeks or beyond between March 2015 and May 2016 were included. NAS severity score, length of NICU stay, and hospital charges for each infant ...


Anomalous Origin Of The Coronary Arteries-Review Article., Abdelrahman M. Aljadi, Shaheed Elhamdani, Majd Kanbour, Mehiar El-Hamdani 2017 Marshall University

Anomalous Origin Of The Coronary Arteries-Review Article., Abdelrahman M. Aljadi, Shaheed Elhamdani, Majd Kanbour, Mehiar El-Hamdani

Marshall Journal of Medicine

Anomalous origin of the coronary arteries is rare in clinical practice. Different anomalies have different clinical or symptomatic manifestations depending on the patient’s age. However, the majority of coronary artery origin anomalies are silent and are only discovered incidentally during Left Heart Catheterization (LHC). Acute Myocardial Infarction (MI) or even sudden death may occur in patients with an anomalous origin of the Left Main (LM) coronary artery from the right coronary cusp with a subsequent course between the aorta and the pulmonary artery. Therefore, recognition of anomalous origin of the coronary arteries is essential for clinical practice to further ...


Optimizing Heart Failure Outcomes Through Diet: A Review, Farley B. Neasman III 2017 Marshall University Cardiology

Optimizing Heart Failure Outcomes Through Diet: A Review, Farley B. Neasman Iii

Marshall Journal of Medicine

Heart failure is a growing epidemic that will add significant monetary and human costs to an already overtaxed health-care system. Though promising new medications have recently been approved, this complex condition is largely preventable through aggressive risk factor modification, with diet being shown to have a greater effect than exercise. An underrated component of a healthy diet is the simple addition of nuts – the anti-inflammatory fatty acids, healthy proteins, and general availability have been shown to improve survival and reduce the primary risk factors contributing to heart failure, making the addition of nuts and legumes to the diet an attractive ...


Trauma Team Activation For Geriatric Trauma At A Level Ii Trauma Center: Are The Elderly Under-Triaged?, Grant S. Buchanan, Daniel Scott Kahn, Harry Burke, Brian Czarkowski, Richard Boe, Milad Modarresi, Franklin D. Shuler 2017 Marshall University

Trauma Team Activation For Geriatric Trauma At A Level Ii Trauma Center: Are The Elderly Under-Triaged?, Grant S. Buchanan, Daniel Scott Kahn, Harry Burke, Brian Czarkowski, Richard Boe, Milad Modarresi, Franklin D. Shuler

Marshall Journal of Medicine

Abstract

Geriatric patients often sustain life-threatening injuries from minor trauma. A growing body of research suggests that these patients are often under-triaged in the emergency setting.The purpose of this research was to evaluate whether or not geriatric trauma patients are under-triaged at a community based level II trauma center.

1434 trauma patients over the age of 65 presenting from 2010-2015 were retrospectively reviewed from the Cabell Huntington Hospital trauma registry and analyzed for age, gender, arrival type, ED response, Glasgow Coma Scale (GCS), Injury Severity Score (ISS), injury cause, ICD-9 diagnosis codes, and mortality. Under-triage and over-triage rates were ...


Purple Urine Bag Syndrome: An Educational Case Of A Colorful Condition In The Chronically Catheterized, Teshome Gebrmichael, Fikirte Feleke, Waseem Ahmed, Madhulika Urella, Samson Teka 2017 Marshall University School of Medicine

Purple Urine Bag Syndrome: An Educational Case Of A Colorful Condition In The Chronically Catheterized, Teshome Gebrmichael, Fikirte Feleke, Waseem Ahmed, Madhulika Urella, Samson Teka

Marshall Journal of Medicine

Purple Urine Bag Syndrome is a rare condition characterized by purple discoloration of the urinary drainage bag. It is typically seen in elderly patients with chronic indwelling urinary catheterization, and is associated with urinary tract infections with high bacterial load, female gender, severe disability, constipation, and alkaline urine. This phenomenon occurs when tryptophan metabolites in the urine are broken down by bacteria containing indoxyl sulphatase and phosphatase enzymes. This results in the production of indigo and indirubin, which combine to give a purple appearance. This article presents a 78-year-old male with chronic urinary retention requiring intermittent Foley catheterization for the ...


Call For Vigilance – Red Flags In Systemic Lupus Erythematous, Badar Hasan, Talal Asif, Maryam Hasan, Amr Edrees 2017 University of Missouri - Kansas City

Call For Vigilance – Red Flags In Systemic Lupus Erythematous, Badar Hasan, Talal Asif, Maryam Hasan, Amr Edrees

Marshall Journal of Medicine

Systemic Lupus Erythematous(SLE) is a multisystem autoimmune disease. It has been identified as the underlying cause for death for an average 1,034 deaths from 2000 and 2014. Our cases highlight two rare but life threatening complications of SLE; Catastrophic antiphospholipid syndrome (CAPS) and Diffuse alveolar hemorrhage (DAH) with mortality as high as 50-90%. Both cases presenting with respiratory symptoms, required meticulous monitoring in ICU and initially treated with broad spectrum antibiotics However, unlike pneumonia these patients required immunosuppressive and plasmapheresis leading to clinical improvement.


Case Report: An Undiagnosed Bladder Diverticulum Resulting In Foley Catheter Perforation During Cesarean Section, A. Allison Roy, Nadim Bou Zgheib, Joseph Assaley 2017 Joan C. Edwards School of Medicine

Case Report: An Undiagnosed Bladder Diverticulum Resulting In Foley Catheter Perforation During Cesarean Section, A. Allison Roy, Nadim Bou Zgheib, Joseph Assaley

Marshall Journal of Medicine

A bladder diverticulum is diagnosed when herniated bladder mucosa forms an outpouching from the bladder. Bladder diverticula are uncommon and are significantly more common in males. The following case presents a patient with an undiagnosed bladder diverticulum which was incidentally perforated during foley catheter placement for a repeat cesarean section. The diagnosis can be difficult in those who are asymptomatic and lack risk factors, such as the following patient.


Betel Nut Use And Hyperglycemia, Edward Nabrinsky, Badar Hasan, Talal Asif, Rebecca R. Pauly 2017 University of Missouri-Kansas City

Betel Nut Use And Hyperglycemia, Edward Nabrinsky, Badar Hasan, Talal Asif, Rebecca R. Pauly

Marshall Journal of Medicine

Betel nut chewing previously has not been common in North America, yet it is the fourth major source of addiction and abuse worldwide. Approximately 700 million individuals, or 10 % of the global population, chew beetle nut on regular basis. It is important for patient safety and improved quality to recognize its use in uncontrolled diabetes. Our case is of a 49 year-old Burmese female with PMH of DM2, HTN, and benign paroxysmal positional vertigo (BPPV) who presented with a complaint of dizziness. Patient denied alcohol or tobacco use, but reported a 20-year history of betel nut chewing (4-5 times/day ...


Physician, Heal Thy Community, Clay B. Marsh MD 2017 West Virginia University

Physician, Heal Thy Community, Clay B. Marsh Md

Marshall Journal of Medicine

What if the opioid epidemic and the chronic health problems we encounter in West Virginia and beyond are a symptom of a deeper problem? How can we create healthcare to address the root issues here, and then spread these solutions globally?


Open Access Publishing: Pros, Cons, And Current Threats, Darshana T. Shah 2017 Marshall University Joan C. Edwards School of Medicine

Open Access Publishing: Pros, Cons, And Current Threats, Darshana T. Shah

Marshall Journal of Medicine

No abstract provided.


Accountable Care Organizations And Transaction Cost Economics, Stephen S. Farnsworth Mick, Patrick D. Shay 2017 Virginia Commonwealth University, Université Jean Moulin Lyon

Accountable Care Organizations And Transaction Cost Economics, Stephen S. Farnsworth Mick, Patrick D. Shay

Patrick Shay

Using a Transaction Cost Economics (TCE) approach, this paper explores which organizational forms Accountable Care Organizations (ACOs) may take. A critical question about form is the amount of vertical integration that an ACO may have, a topic central to TCE. We posit that contextual factors outside and inside an ACO will produce variable transaction costs (the non-production costs of care) such that the decision to integrate vertically will derive from a comparison of these external versus internal costs, assuming reasonably rational management abilities. External costs include those arising from environmental uncertainty and complexity, small numbers bargaining, asset specificity, frequency of ...


Impact Of Sexual Violence Prevention Programming At Rowan University, Emily Kofman 2017 Rowan University

Impact Of Sexual Violence Prevention Programming At Rowan University, Emily Kofman

Theses and Dissertations

The primary purpose of this study was to explore the impact of sexual violence prevention programming on the main Rowan University campus. This study focused primarily on the Take Back the Night event on April 4, 2017. The study evaluated the impact of the event on those who attended as well as looking at Social Norm Theory. A total population of 167 Rowan students were surveyed at the event with the instrument Take Back the Night Survey. Results of the data revealed that students positively benefitted from attending the event and were able to increase their knowledge of the subject ...


Using Timelines To Visualize Service Use Pathways To Alcohol Treatment, Lynda Berends, Michael Savic 2017 University of New South Wales

Using Timelines To Visualize Service Use Pathways To Alcohol Treatment, Lynda Berends, Michael Savic

The Qualitative Report

Many people in alcohol and other drug treatment are clients of other services, however there is limited consideration of the combinations and sequences of services and systems that they use. We used data visualization to analyze and re-present findings from a large research project on clients’ service use and referral sources in the year preceding alcohol treatment entry. Data were from 16 “high-end” service users with alcohol problems and analysis involved constructing individual text and timeline summaries and a visual encoding system to show service type and referral source. Three distinct service use pathways were identified and a visual model ...


Exploring The Utilisation Of Stand Up Paddle Boarding In Australia, Ben Schram, James Furness 2017 Bond University

Exploring The Utilisation Of Stand Up Paddle Boarding In Australia, Ben Schram, James Furness

Faculty of Health Sciences & Medicine Publications

Stand Up Paddle Boarding (SUP) has grown exponentially in the last few years with unprecedented participation rates globally. Despite some scientific research on physiological and performance variables, minimal information exists regarding participation and utilisation. The purpose of this study was to discover more about how and where people participate in the relatively new sport of SUP. An open-source online survey application was administered internationally to active SUP participants to capture information relevant to both demographics and participation. Of a total of 240 responses, 154 (64.2%) were Australian. The average SUP rider was 42.9 ± 11.7 years, mass 80 ...


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