IF 1.5

Annali di igiene : medicina preventiva e di comunita Pub Date : 2025-01-01 Epub Date: 2024-07-17 DOI: 10.7416/ai.2024.2645

Irene Giacchetta, Chiara Primieri, Manuela Chiavarini, Chiara de Waure, Carla Bietta

{"title":"The role of citizenship in the acceptance and completion of COVID-19 vaccine cycle in the resident population with foreign citizenship registered with the Umbrian Health Care System - An analysis of regional data.","authors":"Irene Giacchetta, Chiara Primieri, Manuela Chiavarini, Chiara de Waure, Carla Bietta","doi":"10.7416/ai.2024.2645","DOIUrl":"10.7416/ai.2024.2645","url":null,"abstract":"Introduction: Non-italian citizens experienced less access to anti-COVID-19 vaccination, compared to the native population. Literature has found differences in adherence to anti-COVID-19 vaccination among these groups; however, there are apparently no studies that investigated the role of citizenship. Our objective was to investigate the role of citizenship in vaccine hesitancy toward anti-COVID-19 vaccination and the completion of vaccine cycle, in the non-Italian citizens resident in the Umbria Region.Study design: This is a population study, performed on resident population in Umbria.Methods: Population data were obtained thanks to a record linkage between the Regional Health Information System and the regional DBCOVID Umbria database. On this dataset, a descriptive and logistic regression analyses were performed.Results: The 19.2% of non-Italian citizens did not take even one dose, 2.1% did not complete it and 40.6% did not take the additional dose. The range of values of which these results are an average, however, is very wide, suggesting important differences in COVID-19 vaccine up taking, among different citizenships. The logistic regression shows that citizenships with the highest probability of non-adherence to vaccination, compared to Philippine, was Romanian (OR=7.8), followed by Macedonian (OR=7.3) and Polish (OR=5.9).Conclusions: The study provides evidence of differences among citizenships that pinpoint the importance of understanding the reasons behind these behaviours, to support decisions around health policies tailored to each citizenship.","PeriodicalId":7999,"journal":{"name":"Annali di igiene : medicina preventiva e di comunita","volume":" ","pages":"37-48"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141625799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Smaller Hospital Size is Associated With Higher Mortality in Stanford Type A Aortic Dissection. 医院规模越小，斯坦福 A 型主动脉夹层的死亡率越高。

Vascular and endovascular surgery Pub Date : 2025-01-01 Epub Date: 2024-08-26 DOI: 10.1177/15385744241278839

Renxi Li, Qianyun Luo, Derrick Green, Stephen Huddleston

{"title":"Smaller Hospital Size is Associated With Higher Mortality in Stanford Type A Aortic Dissection.","authors":"Renxi Li, Qianyun Luo, Derrick Green, Stephen Huddleston","doi":"10.1177/15385744241278839","DOIUrl":"10.1177/15385744241278839","url":null,"abstract":"Background: Stanford Type A Aortic Dissection (TAAD) is associated with high in-hospital mortality and the need for immediate surgical intervention. Larger hospital size may be associated with better patient care and surgical outcomes. This study aimed to examine the effect of hospital size on TAAD outcomes.Method: Patients who underwent TAAD repair were identified in National Inpatient Sample (NIS) from Q4 2015-2020. NIS stratifies hospital size into small, medium, and large based on the number of hospital beds, geographical location, and the teaching status of the hospitals. Patients admitted to small/medium and large hospitals were stratified into two cohorts. Multivariable logistic regressions were performed to compare in-hospital outcomes, adjusted for demographics, comorbidity, primary payer status, and hospital characteristics including procedural volume.Results: There were 1106 and 3752 TAAD admitted to small/medium and large hospitals, respectively. Among patients admitted to small/medium hospitals, there was higher mortality (17.27% vs 14.37%, aOR = 1.32, P < 0.01), but shorter length of stay (P < 0.01) and lower cost (P = 0.03) compared to larger hospitals. There was no difference in morbidities.Conclusions: Marked higher mortality is associated with admission to smaller hospitals among patients with TAAD, which may in turn decrease the average hospital stay and cost. Given that a significant percentage of patients are already being transferred out of the initial hospital and small/medium hospital is associated with higher mortality, centralization of care in centers of excellence may decrease the high mortality associated with TAAD.","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"5-11"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Outcomes of Patients With Cholesterol Crystal Embolism Accompanied by Lower Extremity Wound. 胆固醇结晶栓塞并伴有下肢伤口患者的临床疗效。

IF 4.6 3区医学

Angiology Pub Date : 2025-01-01 Epub Date: 2023-08-24 DOI: 10.1177/00033197231195671

Yosuke Hata, Osamu Iida, Shin Okamoto, Takayuki Ishihara, Kiyonori Nanto, Takuya Tsujimura, Naoko Higashino, Taku Toyoshima, Sho Nakao, Masashi Fukunaga, Daizo Kawasaki, Masahiko Fujihara, Mitsuyoshi Takahara, Toshiaki Mano

{"title":"Clinical Outcomes of Patients With Cholesterol Crystal Embolism Accompanied by Lower Extremity Wound.","authors":"Yosuke Hata, Osamu Iida, Shin Okamoto, Takayuki Ishihara, Kiyonori Nanto, Takuya Tsujimura, Naoko Higashino, Taku Toyoshima, Sho Nakao, Masashi Fukunaga, Daizo Kawasaki, Masahiko Fujihara, Mitsuyoshi Takahara, Toshiaki Mano","doi":"10.1177/00033197231195671","DOIUrl":"10.1177/00033197231195671","url":null,"abstract":"Cholesterol crystal embolism (CCE) accompanied by a lower extremity wound is occasionally difficult to differentiate from chronic limb-threatening ischemia (CLTI) and treat. The present multi-center retrospective observational study investigated the clinical characteristics and prognosis of CCE with lower extremity wounds. Consecutive patients (n = 58) clinically diagnosed as CCE with lower extremity wounds between April 2010 and December 2019 were studied. CCE was diagnosed using histological findings, foot condition, renal impairment, and eosinophilia. The primary outcome was 1-year wound healing rate. Patients with CCE were compared with 1309 patients diagnosed with CLTI with tissue loss during the same study period. The CCE group had a significantly more severe Wound, Ischemia, and foot Infection (WIfI) classification compared with the CLTI group. After Kaplan-Meier analysis, the CCE group had a similar 1-year wound healing (55.1 vs 58.3%, P = .096) as the CLTI group. In multivariate stratified Cox regression analysis by WIfI stages, CCE was significantly associated with poor wound healing compared with CLTI [hazard ratio .36 (95% confidence interval .21-.62)]. In conclusion, among the similar WIfI clinical stages, wound healing was significantly worse in the CCE group than in the CLTI group.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"32-39"},"PeriodicalIF":4.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10435102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementing a Palliative Care Junior Faculty Visiting Professor Program: Pearls and Pitfalls. 实施姑息关怀初级教师客座教授计划：珍珠与陷阱。

The American journal of hospice & palliative care Pub Date : 2025-01-01 Epub Date: 2024-04-05 DOI: 10.1177/10499091241244815

Jennifer B Seaman, Teresa H Thomas, Risa L Wong, David I Lazris, Maria Belin, Yael Schenker

{"title":"Implementing a Palliative Care Junior Faculty Visiting Professor Program: Pearls and Pitfalls.","authors":"Jennifer B Seaman, Teresa H Thomas, Risa L Wong, David I Lazris, Maria Belin, Yael Schenker","doi":"10.1177/10499091241244815","DOIUrl":"10.1177/10499091241244815","url":null,"abstract":"Motivation: Palliative Care (PC) is a small, relatively young interprofessional sub-specialty; hence mentorship for early-career research faculty is widely dispersed across schools and universities. We developed the Junior Visiting Professor Program (JVPP) to provide junior faculty in palliative care (PC) with opportunities to meet multidisciplinary PC researchers from other institutions and to advance their research through networking and presenting their work. We describe how we designed and implemented the program, and we report on the first cohort of participants.Methods: We invited PC research groups from US schools of medicine and nursing to participate in this 5-year interprofessional exchange program by nominating junior faculty and serving as hosts. We matched nominees to host institutions based on nominee training experiences, nominee research interests, and host institution faculty expertise. In addition, we provided logistical guidance on visit planning. Post-visit, we surveyed both hosts and junior visiting professors (JVPs) regarding their satisfaction, perceived value, and suggestions regarding the program.Results: We recruited 13 schools to participate and matched 10 nominees to host institutions in our first year. Nine JVPs completed their visit; 6 JVPs and 8 host faculty/staff responded to the post-visit survey. Overall, JVPs were highly satisfied with their matches and the visiting professor experience. Hosts were generally satisfied with their matches and believed the program to be mutually beneficial. The most frequent suggestion was for greater administrative support to plan visits.Conclusions: Structured, well-supported opportunities for networking across institutions is beneficial for emerging PC researchers and for building PC research capacity.","PeriodicalId":94222,"journal":{"name":"The American journal of hospice & palliative care","volume":" ","pages":"80-84"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Percutaneous Lapidus Bunionectomy: A New, Less Invasive Method for a 100 Year Old Surgery. 经皮 Lapidus 拇趾外翻切除术：一种新的、微创的方法来治疗一种有 100 年历史的手术。

Clinics in podiatric medicine and surgery Pub Date : 2025-01-01 Epub Date: 2024-10-23 DOI: 10.1016/j.cpm.2024.08.001

Joel Vernois, David Redfern, Eric S Baskin

引用次数: 0

Spectral Graph Sample Weighting for Interpretable Sub-cohort Analysis in Predictive Models for Neuroimaging. 光谱图样本加权，用于神经成像预测模型中可解释的子队列分析

PRedictive Intelligence in MEdicine. PRIME (Workshop) Pub Date : 2025-01-01 Epub Date: 2024-10-18 DOI: 10.1007/978-3-031-74561-4_3

Magdalini Paschali, Yu Hang Jiang, Spencer Siegel, Camila Gonzalez, Kilian M Pohl, Akshay Chaudhari, Qingyu Zhao

{"title":"Spectral Graph Sample Weighting for Interpretable Sub-cohort Analysis in Predictive Models for Neuroimaging.","authors":"Magdalini Paschali, Yu Hang Jiang, Spencer Siegel, Camila Gonzalez, Kilian M Pohl, Akshay Chaudhari, Qingyu Zhao","doi":"10.1007/978-3-031-74561-4_3","DOIUrl":"https://doi.org/10.1007/978-3-031-74561-4_3","url":null,"abstract":"Recent advancements in medicine have confirmed that brain disorders often comprise multiple subtypes of mechanisms, developmental trajectories, or severity levels. Such heterogeneity is often associated with demographic aspects (e.g., sex) or disease-related contributors (e.g., genetics). Thus, the predictive power of machine learning models used for symptom prediction varies across subjects based on such factors. To model this heterogeneity, one can assign each training sample a factor-dependent weight, which modulates the subject's contribution to the overall objective loss function. To this end, we propose to model the subject weights as a linear combination of the eigenbases of a spectral population graph that captures the similarity of factors across subjects. In doing so, the learned weights smoothly vary across the graph, highlighting sub-cohorts with high and low predictability. Our proposed sample weighting scheme is evaluated on two tasks. First, we predict initiation of heavy alcohol drinking in young adulthood from imaging and neuropsychological measures from the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA). Next, we detect Dementia vs. Mild Cognitive Impairment (MCI) using imaging and demographic measurements in subjects from the Alzheimer's Disease Neuroimaging Initiative (ADNI). Compared to existing sample weighting schemes, our sample weights improve interpretability and highlight sub-cohorts with distinct characteristics and varying model accuracy.","PeriodicalId":92572,"journal":{"name":"PRedictive Intelligence in MEdicine. PRIME (Workshop)","volume":"15155 ","pages":"24-34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Complex Forefoot Reconstruction with Percutaneous Techniques. 利用经皮技术重建复杂的前足。

Clinics in podiatric medicine and surgery Pub Date : 2025-01-01 Epub Date: 2024-08-01 DOI: 10.1016/j.cpm.2024.05.001

Eric S Baskin

引用次数: 0

The Equity Impact of Universal Home Visits to Pregnant Women and Their Spouses in Bauchi State, Nigeria: Secondary Analysis From a Cluster Randomised Controlled Trial. 尼日利亚包奇州孕妇及其配偶普遍家访的公平影响：集群随机对照试验的二次分析。

Community health equity research & policy Pub Date : 2025-01-01 Epub Date: 2024-04-27 DOI: 10.1177/2752535X241249893

Anne Cockcroft, Loubna Belaid, Khalid Omer, Umaira Ansari, Amar Aziz, Yagana Gidado, Hadiza Mudi, Rilwanu Mohammed, Rakiya Sale, Neil Andersson

{"title":"The Equity Impact of Universal Home Visits to Pregnant Women and Their Spouses in Bauchi State, Nigeria: Secondary Analysis From a Cluster Randomised Controlled Trial.","authors":"Anne Cockcroft, Loubna Belaid, Khalid Omer, Umaira Ansari, Amar Aziz, Yagana Gidado, Hadiza Mudi, Rilwanu Mohammed, Rakiya Sale, Neil Andersson","doi":"10.1177/2752535X241249893","DOIUrl":"10.1177/2752535X241249893","url":null,"abstract":"Background: Socio-economically disadvantaged women have poor maternal health outcomes. Maternal health interventions often fail to reach those who need them most and may exacerbate inequalities. In Bauchi State, Nigeria, a recent cluster randomised controlled trial (CRCT) showed an impressive impact on maternal health outcomes of universal home visits to pregnant women and their spouses. The home visitors shared evidence about local risk factors actionable by households themselves and the program included specific efforts to ensure all households in the intervention areas received visits.Purpose: To examine equity of the intervention implementation and its pro-equity impact.Research design and study sample: The overall study was a CRCT in a stepped wedge design, examining outcomes among 15,912 pregnant women.Analysis: We examined coverage of the home visits (three or more visits) and their impact on maternal health outcomes according to equity factors at community, household, and individual levels.Results: Disadvantaged pregnant women (living in rural communities, from the poorest households, and without education) were as likely as those less disadvantaged to receive three or more visits. Improvements in maternal knowledge of danger signs and spousal communication, and reductions in heavy work, pregnancy complications, and post-natal sepsis were significantly greater among disadvantaged women according to the same equity factors.Conclusions: The universal home visits had equitable coverage, reaching all pregnant women, including those who do not access facility-based services, and had an important pro-equity impact on maternal health.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"141-151"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140875058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reducing Wait Times in Child and Adolescent Ambulatory Mental Health: A Lean Six Sigma Process Improvement Study. 减少儿童和青少年门诊心理健康的等待时间：精益六西格玛流程改进研究》。

IF 1.6

JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2025-01-01 Epub Date: 2024-11-19 DOI: 10.1097/JAC.0000000000000514

James Murphy, Tiffany Banks

引用次数: 0

The prevention of medication errors in the home care setting: a scoping review. 预防家庭护理环境中的用药错误：范围界定综述。

IF 1.5

Annali di igiene : medicina preventiva e di comunita Pub Date : 2025-01-01 Epub Date: 2024-05-30 DOI: 10.7416/ai.2024.2641

Sara Dionisi, Noemi Giannetta, Gloria Liquori, Aurora De Leo, Nicolò Panattoni, Mariasole Caiafa, Marco Di Muzio, Emanuele Di Simone

{"title":"The prevention of medication errors in the home care setting: a scoping review.","authors":"Sara Dionisi, Noemi Giannetta, Gloria Liquori, Aurora De Leo, Nicolò Panattoni, Mariasole Caiafa, Marco Di Muzio, Emanuele Di Simone","doi":"10.7416/ai.2024.2641","DOIUrl":"10.7416/ai.2024.2641","url":null,"abstract":"Background: The changes in health, social and demographic needs impose new approaches to cures and care without giving up patients' safety. Although several studies analysed the patient safety approach and strategies, the literature considering the home care setting seems still scarce. The analysis of the phenomenon of medication errors in the primary care setting highlights the necessity of exploring the specific variables to understand how to prevent or reduce the occurrence of a medication error in the home context. This review investigates the main preventive strategies implemented at the patient's home to prevent and/or limit the possibility of a medication error.Design: The scoping review was conducted under the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) statement and based on the guidelines of the Joanna Briggs Institute.Methods: No time or language limit was set to obtain the most comprehensive results possible. The following databases were queried: PubMed, Cochrane, CINAHL, ERIC and PsycINFO via EBSCO. All literature published up to 31 December 2022 was considered for data collection.Results: The main preventive strategies implemented in the patient's home to prevent a medication error are: Multidisciplinary teams, therapeutic reconciliation and computerised systems that improve information sharing. As evidenced by all of the included studies, no educational intervention or preventive strategy individually reduces the risk of making a medication error.Conclusions: It would be desirable for healthcare professionals to be constantly updated about their knowledge and understand the importance of introducing the aforementioned preventive strategies to guarantee safe care that protects the person from medication errors even at the patient's home.","PeriodicalId":7999,"journal":{"name":"Annali di igiene : medicina preventiva e di comunita","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141178031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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