The West Virginia medical journal最新文献_第6页

Evidence-Based Strategies to Prevent Eating Disorders and Obesity in Children 预防儿童饮食失调和肥胖的循证策略

The West Virginia medical journal Pub Date : 2020-10-01 DOI: 10.21885/wvmj.2020.7

Jessica L. Luzier, Jamie Jeffrey

引用次数: 0

SARS CoV 2 Pandemic and Depression SARS冠状病毒2大流行和萧条

The West Virginia medical journal Pub Date : 2020-10-01 DOI: 10.21885/wvmj.2020.9

Ayne Amjad, Christina Mullins

引用次数: 0

A Comparison of Face-to-Face Versus Tablet-Based Delivery of the Patient Health Questionnaire-2 Screening for Depression in Primary Care 面对面递送与片剂递送患者健康问卷-2在初级保健中筛查抑郁症的比较

The West Virginia medical journal Pub Date : 2020-10-01 DOI: 10.21885/wvmj.2020.4

M. Weimer, M. A. Maurer, A. Baus

{"title":"A Comparison of Face-to-Face Versus Tablet-Based Delivery of the Patient Health Questionnaire-2 Screening for Depression in Primary Care","authors":"M. Weimer, M. A. Maurer, A. Baus","doi":"10.21885/wvmj.2020.4","DOIUrl":"https://doi.org/10.21885/wvmj.2020.4","url":null,"abstract":"Primary care practitioners have long been encouraged to screen adult patients for depression, as reflected by national guidelines from the United States Preventive Services Task Force (USPSTF) and recent federal initiatives aimed at bolstering screening rates. The Patient Health Questionnaire-2, or PHQ-2, is a simple, commonly used tool for depression screening. However, results can be skewed due to variability in the way in which questions are delivered. This study, conducted in seven West Virginia primary care centers from August 2016 to October 2017, evaluated delivery of the PHQ-2 via face-to-face administration by clinical staff compared to a scripted, video-based delivery using a tablet computer, here called the electronic PHQ-2 or ePHQ-2. This observational study finds a significant, increased difference in positive screening results when administered face-to-face by clinical staff compared to a scripted, tablet-based delivery (X2 (1, N = 655) = 5.32, p = 0.02). Given this important difference between groups, this study highlights the need for further exploration into the fidelity of PHQ-2 delivery and acceptance of such technology among patients and health care providers.","PeriodicalId":23032,"journal":{"name":"The West Virginia medical journal","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86593628","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

Initial Clinical Experience with PCSK9 Inhibitors to Lower LDL Cholesterol in a University Lipid Clinic Setting PCSK9抑制剂降低低密度脂蛋白胆固醇的初步临床经验在大学血脂诊所设置

The West Virginia medical journal Pub Date : 2020-07-01 DOI: 10.21885/wvmj.2020.2

A. Morise, Jennifer Tennant, S. Holmes, Danyel H Tacker

{"title":"Initial Clinical Experience with PCSK9 Inhibitors to Lower LDL Cholesterol in a University Lipid Clinic Setting","authors":"A. Morise, Jennifer Tennant, S. Holmes, Danyel H Tacker","doi":"10.21885/wvmj.2020.2","DOIUrl":"https://doi.org/10.21885/wvmj.2020.2","url":null,"abstract":"Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors have demonstrated significant lowering of low-density lipoprotein (LDL) cholesterol in patients with atherosclerotic cardiovascular disease (ASCVD) and familial hypercholesterolemia (FH). We retrospectively reviewed data concerning use of PCSK9 inhibitors from patients in our university-based adult lipid clinic. Data collected included clinical pre-treatment variables and pre-and post-treatment non-fasting lipid profiles. Of 165 candidates, 163 were approved for PCSK9 inhibition (90% ASCVD and 10% FH). A majority of patients (72%) had statin intolerance. Treatment was provided and assessed in 141 patients. After three doses of medications, LDL cholesterol fell from 170 + 58 mg/dL to 76 + 45 mg/dL (55%, P<0.001). There were no differences in efficacy according to sex, elevated lipoprotein(a), and the PCS-K9 inhibitor utilized. Continued efficacy was evaluated in 101 patients with LDL decreasing further from initial follow-up to long-term follow-up over an average of 14 months (74 ± 44 mg/dL to 68 ± 41 mg/dL). Permanent discontinuation of PCS-K9 inhibitor because of side effects occurred in 11% of patients. When strict adherence to guidelines was applied, >95% approval rate was obtained, and there was similar efficacy in LDL lowering to what has been previously reported irrespective of statin intolerance.","PeriodicalId":23032,"journal":{"name":"The West Virginia medical journal","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74632403","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

Potentially Avoidable Acute Care Patient Transfers to a Rural Academic Medical Center 可能避免的急症病人转移到农村学术医疗中心

The West Virginia medical journal Pub Date : 2020-07-01 DOI: 10.21885/wvmj.2020.3

D. Nair, M. Gibbs, T. Gress, Shawndra Barker

{"title":"Potentially Avoidable Acute Care Patient Transfers to a Rural Academic Medical Center","authors":"D. Nair, M. Gibbs, T. Gress, Shawndra Barker","doi":"10.21885/wvmj.2020.3","DOIUrl":"https://doi.org/10.21885/wvmj.2020.3","url":null,"abstract":"Though inter-facility acute care patient transfers from resource-limited rural hospitals are necessary, it is desirable to minimize them for several reasons. Some transfers might be potentially avoidable with appropriate pre-transfer teleconsultation. We conducted a retrospective record review of adult patient transfers to our rural academic medical center for medical-surgical services or critical care to estimate the frequency of potentially avoidable patient transfers and to identify any re-quested specialty that was more often associated withpotentially avoidable patient transfers. Excluded were patients transferred via trauma network or for obstetrics care. Transfers were judged potentially avoidable if resulting in live discharge within 48 hours without procedures or intensive care. We studied patient demographics and transferring facility characteristics.We examined 1,180 transfers between June 2016 and January 2017 and judged 21.6% (N=255) potentially avoidable. Transfers for Neurology consultation were 2.5 times (95% CI 1.2 -5.0) more likely to be avoidable relative to transfers for General Surgery. Neurology was the only specialty associated with a greater likelihood of potentially avoidable transfers than the comparator specialty.A significant proportion of inter-facility patient transfers to our facility are potentially avoidable. Neurology-related transfers might warrant pre-transfer teleconsultation.","PeriodicalId":23032,"journal":{"name":"The West Virginia medical journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75394184","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

Oral frenula in newborns: When should you refer for evaluation and intervention? 新生儿口腔系带:何时进行评估和干预?

The West Virginia medical journal Pub Date : 2020-04-03 DOI: 10.21885/wvmj.2020.1

T. Buchanan, Phillip R. Purnell, M. Carr

引用次数: 0

Laparoscopic cholecystectomy. 腹腔镜胆囊切除术。

The West Virginia medical journal Pub Date : 2019-09-27 DOI: 10.31525/ct1-nct04107909

R. Kusminsky, E. Tiley, T. Witsberger, J. Boland

引用次数: 0

An Atypical Case of Neurolymphomatosis 非典型神经淋巴瘤1例

The West Virginia medical journal Pub Date : 2019-03-08 DOI: 10.21885/WVMJ.2019.7

Laura Danielson, MD, Ann Murray, MD, Kymberly A. Gyure, MD, Amelia Adcock, MD

引用次数: 0

Using the "Patient Generated Index" in Spine Surgery in an Appalachian Population. 在阿巴拉契亚人口脊柱外科中使用“患者生成索引”。

The West Virginia medical journal Pub Date : 2019-03-01 DOI: 10.21885/wvmj.2019.10

Patricia Dekeseredy, Robert Marsh, Cara L Sedney

{"title":"Using the \"Patient Generated Index\" in Spine Surgery in an Appalachian Population.","authors":"Patricia Dekeseredy, Robert Marsh, Cara L Sedney","doi":"10.21885/wvmj.2019.10","DOIUrl":"https://doi.org/10.21885/wvmj.2019.10","url":null,"abstract":"<p><p>In most health care fields, outcomes are becoming increasingly scrutinized and may play a role in \"pay for performance;\" therefore, selecting the most appropriate outcomes measures for the populations being studied or treated has evolved into a key aspect of outcomes monitoring. One way to assess patient goals is to administer a \"patient generated index\" (PGI). The philosophical underpinning of the PGI is that the person living the life is the best judge of the quality of that life. The PGI has been utilized in low back pain, as well as in adult spinal deformity surgery, however, it has not been previously utilized in an Appalachian population. The PGI was administered by means of self-report to 80 new patients with back pain who presented for assessment in the neurosurgery clinic. Participants completed an acceptability survey and written comments as well as compliance were analyzed. Findings indicate that the PGI in its earliest form did not meet acceptable levels for use in this Appalachian subspecialist clinic setting. This study contributes to the growing body of knowledge on patient reported outcomes and more specifically, the importance of utilizing patient generated responses to map improvements in quality of life for patients over time.</p>","PeriodicalId":23032,"journal":{"name":"The West Virginia medical journal","volume":"115 3","pages":"21-25"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10457017/pdf/nihms-1872762.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10165040","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

Drug-induced Angioedema: A Rare Side Effect of Mirabegron 药物性血管性水肿:Mirabegron的一种罕见副作用

The West Virginia medical journal Pub Date : 2019-02-25 DOI: 10.21885/wvmj.2019.5

H. Davis, Troy Wallace, Christine Gilkerson, E. Saunders

{"title":"Drug-induced Angioedema: A Rare Side Effect of Mirabegron","authors":"H. Davis, Troy Wallace, Christine Gilkerson, E. Saunders","doi":"10.21885/wvmj.2019.5","DOIUrl":"https://doi.org/10.21885/wvmj.2019.5","url":null,"abstract":"Drug induced angioedema can be allergic or non-allergic depending on the specific mediators leading to the reaction. Allergic angioedema is due to histamine release and has a rapid onset including an urticarial rash that responds to antihistamines and glucocorticoids. Non-allergic angioedema is likely due to increases in bradykinin, and has a much slower onset without an urticarial rash; it only resolves with discontinuation of the offending medication. Mirabegron, a beta 3-adrenergic receptor agonist, is widely prescribed medication for urinary urge incontinence and overactive bladder. This case report presents a patient with angioedema following the use of mirabegron for urinary incontinence whose angioedema symptom had been previous misattributed. The history, clinical examination, and diagnostic parameters led to the diagnosis of mirabegron induced angioedema and she was successfully treated with discontinuation of the medication. Though rare, angioedema is a side effect of mirabegron and can be life-threatening. Therefore thorough history taking and a high index of suspicion are crucial to correlate relevant exposure and onset of symptoms and should be considered in all patients on the medication who have a consistent presentation.","PeriodicalId":23032,"journal":{"name":"The West Virginia medical journal","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82097975","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