An Academic Medical Center-Based HIV Educational and Quality of Life Network Created by/for HIV-infected Youth Survivors who Contribute to their Community and the Medical Profession

2008 ◽  
Vol 121 (2) ◽  
pp. S109-S109
Author(s):  
L NOROSKI ◽  
T ALDAPE ◽  
H ANONYMOUS
Keyword(s):  
Quality Of Life ◽  
Medical Profession ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical ◽  
Hiv Infected Youth

Acitretin

2016 ◽  
Vol 21 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Marcus G. Tan ◽  
Neil H. Shear ◽  
Scott Walsh ◽  
Raed Alhusayen
Keyword(s):  
Quality Of Life ◽  
Partial Response ◽  
Inflammatory Disease ◽  
Hidradenitis Suppurativa ◽  
Medical Center ◽  
Academic Medical Center ◽  
Case Series ◽  
Global Scale ◽  
Academic Medical

Background: Hidradenitis suppurativa (HS) is a chronic, recurrent inflammatory disease of the pilosebaceous follicle that severely affects patients’ quality of life and can be challenging for clinicians to manage. A few case series have reported on the efficacy of acitretin monotherapy in the treatment of intractable HS. Objective: To assess the efficacy of acitretin for the treatment of intractable HS. Methods: A retrospective review was conducted involving all patients with HS who received acitretin between January 2011 and January 2015 in a tertiary academic medical center. All patients with HS who received acitretin, either as a monotherapy or as an adjuvant to other systemic medications, were included, and clinical response was assessed using the physician global scale. Results: Fourteen patients with HS (mean age 48 years [range 32-64 years]; 9 [64%] were men) received acitretin. Most patients (86%) had Hurley stage II or III disease. All patients had failed other standard systemic medications prior to initiating acitretin. Six patients (43%) received acitretin monotherapy, and 8 patients (57%) received acitretin as an adjuvant to other standard systemic medications. None of the patients who received acitretin monotherapy exhibited clinical improvements. Clinical improvements were observed in 7 of the 8 (87.5%) patients who received acitretin as an adjuvant to other systemic medications, with 3 patients (37.5%) exhibiting partial response and 4 patients (50%) exhibiting good response. Conclusions and Relevance: Acitretin monotherapy was ineffective for the treatment of intractable HS. Acitretin may be effective when used as an adjuvant to other systemic medications.

Evidence of Maxillary Sinus Inflammation in Seasonal Allergic Rhinitis

2012 ◽  
Vol 146 (6) ◽  
pp. 880-886 ◽  
Author(s):  
Fuad M. Baroody ◽  
Samantha M. Mucha ◽  
Marcy deTineo ◽  
Robert M. Naclerio
Keyword(s):  
Quality Of Life ◽  
Allergic Rhinitis ◽  
Maxillary Sinus ◽  
Medical Center ◽  
Academic Medical Center ◽  
Allergic Inflammation ◽  
Prospective Longitudinal Study ◽  
Academic Medical ◽  
Prospective Longitudinal

Objective. Allergic rhinitis has been frequently associated with both acute and chronic sinusitis. Previous studies have shown an influx of eosinophils into the maxillary sinus after nasal challenge with allergen. The objective of this study was to determine, in humans, if the development of seasonal allergic inflammation, secondary to natural allergen exposure, leads to similar inflammation within the maxillary sinus. Study Design. Prospective, longitudinal study. Setting. Academic medical center and research laboratory. Subjects and Methods. Eighteen subjects were evaluated in and out of the ragweed allergy season using subjective measures (nasal symptoms, quality of life), nasal secretory response to methacholine challenge, and evaluation of biomarkers in nasal and sinus lavages. Results. The subjects became symptomatic during the season and reported worse quality of life and increased nasal reactivity to methacholine. The total number of eosinophils obtained by nasal lavage during the season (median= 35,691) was significantly higher compared with out of season (median = 2811, P ≤ .02). Similarly, there were significantly more eosinophils, albeit to a lesser magnitude, in the maxillary sinus during the season (median = 4248) compared with the out-of-season samples (median = 370, P ≤ .02). Conclusion. The authors provide evidence that natural exposure to pollen during an individual’s allergy season leads to both nasal and sinus inflammation, strengthening the association between allergic rhinitis and sinusitis. The mechanism of this inflammatory response needs to be elucidated.

scholarly journals Comprehensive quality of discharge summaries at an academic medical center

2013 ◽  
Vol 8 (8) ◽  
pp. 436-443 ◽  
Author(s):  
Leora I. Horwitz ◽  
Grace Y. Jenq ◽  
Ursula C. Brewster ◽  
Christine Chen ◽  
Sandhya Kanade ◽  
...  
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical ◽  
Discharge Summaries

scholarly journals Spanning the canyon between stem cell transplantation and palliative care

Hematology ◽  
2015 ◽  
Vol 2015 (1) ◽  
pp. 484-489 ◽  
Author(s):  
Eric Roeland ◽  
Grace Ku
Keyword(s):  
Palliative Care ◽  
Stem Cell ◽  
Stem Cell Transplantation ◽  
Cell Transplantation ◽  
Medical Center ◽  
Academic Medical Center ◽  
Hematologic Malignancies ◽  
Cost Of Care ◽  
Academic Medical

Abstract Stem cell transplantation (SCT) and palliative care (PC) may initially appear to be distant extremes in the continuum of care of patients with hematologic malignancies, opposed by multiple obstacles preventing their integration. Rather, we will posit that both fields share many similarities and have much to learn from one another. PC has increasing relevance in cancer care given recent studies that link PC to improved quality-of-life, survival, and decreased cost of care. Understanding modern conceptualizations of PC and its role within SCT is key. Through the report of a single academic medical center experience with an integrated SCT and PC model over the last decade, we will discuss future opportunities for strengthening collaboration between SCT and PC. PC in SCT should be considered from the day of diagnosis and tied to need, not to prognosis.

Improving the Quality of Cancer Pain Management in an Academic Medical Center Emergency Department

2014 ◽  
Vol 18 (6) ◽  
pp. 626-629 ◽  
Author(s):  
Young Hwa Won ◽  
Yun Jung Choi ◽  
Shin Ahn ◽  
Jae-Lyun Lee ◽  
Jeong Yun Park ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pain Management ◽  
Cancer Pain ◽  
Medical Center ◽  
Academic Medical Center ◽  
Cancer Pain Management ◽  
Academic Medical

Heart Failure Optimize Clinic: Improving Quality of Care In Heart Failure Patients In An Academic Medical Center

2020 ◽  
Vol 26 (10) ◽  
pp. S131-S132
Author(s):  
Theresa Diederich ◽  
Scott Lundgren ◽  
Bunny Pozehl ◽  
Kelly Ferguson ◽  
Kyana Holder ◽  
...  
Keyword(s):  
Heart Failure ◽  
Quality Of Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Heart Failure Patients ◽  
Academic Medical

scholarly journals Implementing video visits into an orthopedic hip arthroscopy practice: a case study

2021 ◽  
Author(s):  
John Wickman ◽  
Colleen Ferlotti ◽  
Justin Ferrell ◽  
Carolyn Hutyra ◽  
Donna Phinney ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Medical Center ◽  
Quality Care ◽  
Academic Medical Center ◽  
Cost Effective ◽  
Level Of Evidence ◽  
Face To Face ◽  
Academic Medical ◽  
Clinic Visits

Abstract Telehealth videoconferencing has been shown to be feasible, cost-effective and safe in numerous fields of medicine. In an effort to increase access and improve the quality of care offered to patients we implemented a telehealth initiative allowing for remote orthopedic clinic visits at a major academic medical center. Here we report on our experience and early outcomes. A telehealth platform was launched for a single fellowship trained orthopedic surgeon at a major academic hospital in August 2018. New patients residing outside the metro area, all return patients and patients with an uncomplicated post-operative course were offered the option to complete patient encounters remotely via a telehealth platform. Each patient was offered a Patient Satisfaction Survey following video visit. Patient zip codes were used to estimate patient commutes. Ninety-six percent of patients agreed/strongly agreed with the statement ‘I was satisfied with my Telehealth experience’ while 51% agreed/strongly agreed with the statement ‘This visit was just as good as a face to face visit’. In all, 94% of patients agreed/strongly agreed with the statement ‘Having a telehealth visit made receiving care more accessible for me’. The median miles saved on commutes were 123.3 miles. The no show rate for telehealth visits was 8.2% versus 3.2% for in-person (P < 0.001). Telehealth video visits provided patients with a modality for completing orthopedic clinic visits while maintaining a high-quality care and patient satisfaction. Patient convenience was optimized with video visits with elimination of long commutes. Level of evidence: IV.

scholarly journals Olfactory-Specific Quality of Life Outcomes after Endoscopic Endonasal Surgery of the Sella

2021 ◽  
Vol 12 ◽  
pp. 215265672110450
Author(s):  
Milap D. Raikundalia ◽  
Ryan J. Huang ◽  
Lyndon Chan ◽  
Tracy Truong ◽  
Maragatha Kuchibhatla ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Tumor Size ◽  
Medical Center ◽  
Academic Medical Center ◽  
Case Series ◽  
Retrospective Case ◽  
Endoscopic Endonasal ◽  
Related Quality ◽  
Snot 22

Objective To assess olfactory outcomes as measured by an olfactory-specific quality of life (QOL) questionnaire in patients undergoing EESBS for sellar lesions. Design Retrospective case series. Setting Tertiary academic medical center. Participants In total, 36 patients undergoing EESBS for lesions limited to the sella were evaluated. Main Outcome Measures The following were performed before and three months after surgery: 22-Item Sinonasal Outcomes Test (SNOT-22), University of Pennsylvania Smell Identification Test (UPSIT), and the Assessment of Self-reported Olfactory Functioning (ASOF), which has three domains: subjective olfactory capability scale (SOC), smell-related problems (SRP), and olfactory-related quality of life (ORQ). Results Median age at surgery was 52.5 years, with a median tumor size of 1.8 cm (range: 0.2 to 3.9 cm). Pre- and postoperative median scores were 35 [34, 36.2] and 34.5 [32, 36] for UPSIT, 21 [7.5, 33.5] and 21.5 [6.8, 35.7] for SNOT-22, 10 [9, 10] and 9 [8, 10] for ASOF-SOC, 5 [4.8, 5] and 4.5 [4, 5] for ASOF-SRP, and 5 [5, 5] and 5 [4.5, 5] for ASOF-ORQ. There was no significant change in the two of the three domains of the ASOF. Correlation between ASOF and UPSIT scores were weak. Older age and larger tumor size were associated with worsened olfaction after surgery. Conclusions Patients did not experience significant changes in olfactory-specific QOL three months after EESBS, as measured by two domains of the ASOF. The ASOF may serve as a useful adjunctive tool for assessing olfaction after surgery. The lack of correlation between UPSIT and ASOF suggests the need for more research in subjective olfactory-related quality of life after surgery.

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