scholarly journals Frequency of 6-week follow-up appointment scheduling after intrauterine device insertion

2017 ◽  
Vol 44 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Abigail Bernard ◽  
Catherine L Satterwhite ◽  
Madhuri Reddy
Keyword(s):  
Medical Center ◽  
Intrauterine Device ◽  
Value Added ◽  
University Of Kansas ◽  
Patient Demographics ◽  
The Usa ◽  
Long Acting ◽  
The University ◽  
Record Review

IntroductionLong-acting reversible contraception (LARC) is widely recommended to reduce unintended pregnancy in the USA. As intrauterine device (IUD) use increases, evaluating the role of post-insertion follow-up is important.MethodsA retrospective patient record review was conducted to assess the follow-up experience of women who had an IUD placed at the University of Kansas Medical Center from 1 January to 30 June 2015. Data were collected on patient demographics, IUD placement, follow-up visit attendance, and outcomes in the 12 months following placement. The primary outcome of interest was the proportion of patients who attended a 6-week follow-up visit. Secondary outcomes included adverse events detected at the 6-week visit and IUD removal within a year of placement.ResultsAmong 380 women who had an IUD inserted, physician documentation of a recommended 6-week follow-up visit was present in 91.3% of patient medical records. Two-thirds (66.6%) of patients receiving a recommendation returned for a follow-up visit. Of the 380 women who had an IUD placed, 66 (17.4%) had their IUD removed within 1 year of placement. Of those, 50 women attended the 6-week follow-up visit and 16 did not (19.8% vs 12.6%, p=0.08). Of the IUD removals, 14 occurred at the 6-week visit. After excluding IUD removals which occurred at the 6-week visit, attending a 6-week follow-up visit was not associated with IUD removal or retention (p=0.52).ConclusionDespite recommendations to forgo the 6-week follow-up visit, visits were still common, with no demonstrated value added.

scholarly journals Interview with Mr. Jeffrey Alderman, CEO, ACBSP

2017 ◽  
Vol 8 (2) ◽  
pp. 51
Author(s):  
Alderman Dr.
Keyword(s):  
Kansas City ◽  
Large Scale ◽  
Medical Center ◽  
Vice President ◽  
Management Program ◽  
Faculty Members ◽  
General Motors ◽  
University Of Kansas ◽  
Team Student ◽  
The University

SDMIMD is proud in receving the accreditation from the Accreditation Council for Business Schools and Programm (ACBSP), US, for our flagship management program PGDM. Mr. Jeffrey Alderman, President/ CEO, ACBSP, recently, has visited India. Prior to joining ACBSP, Mr. Alderman served as Vice President of the Kansas City, Kansas Chamber of Commerce overseeing business development for the Chamber by working with small to large scale businesses on consulting, branding, and marketing initiatives. A sampling of member companies includes General Motors, Kansas Speedway, Sporting Kansas City, and The University of Kansas Medical Center. SDMIMD had the honor to have Mr. Alderman in the campus, where he addressed the students and interacted with the faculty members. The Dimension Team (Student Magazine) from SDMIMD has an opportunity to interview Mr. Alderman on various aspects. The discussion has been summarized below.

Deaf Education in Rural/Remote Areas: Using Compressed/Interactive Television

1995 ◽  
Vol 14 (4) ◽  
pp. 37-42 ◽  
Author(s):  
Barbara Luetke-Stahlman
Keyword(s):  
Graduate Students ◽  
Interactive Video ◽  
Medical Center ◽  
Interactive Television ◽  
Deaf Education ◽  
University Of Kansas ◽  
Remote Areas ◽  
Rural And Urban ◽  
Master Level ◽  
The University

Compressed/interactive video is a relatively new format for providing preservice and inservice courses to rural and/or remote areas (Willis, 1993). At the University of Kansas Medical Center only two programs, those of Nursing and the Deaf Education, have engaged in this format of distance education. While the methodology was expected to assist graduate students in areas of the state who could not travel to participate in courses on one of the three urban campuses, it was also expected to challenge instructors to teach effectively while still encouraging active learning activities. Surveys of questions to rural and urban students were given to 13 graduate students in two courses in the fall of 1992, and to three additional students in the fall of 1993. Analyzed results documented the success of the compressed/interactive (ITV) video teaching format for this small group of master level students in Kansas.

scholarly journals Discontinuation and switching patterns of tumour necrosis factor inhibitors (TNFis) in TNFi-naive and TNFi-experienced patients with psoriatic arthritis: an observational study from the US-based Corrona registry

RMD Open ◽  
2019 ◽  
Vol 5 (1) ◽  
pp. e000880 ◽  
Author(s):  
Philip J Mease ◽  
Chitra Karki ◽  
Mei Liu ◽  
YouFu Li ◽  
Bernice Gershenson ◽  
...  
Keyword(s):  
Psoriatic Arthritis ◽  
Tumour Necrosis Factor ◽  
Tumour Necrosis ◽  
Patient Demographics ◽  
Switching Patterns ◽  
The Us ◽  
Factor Inhibitor ◽  
The Usa ◽  
Necrosis Factor

ObjectiveTo examine patterns of tumour necrosis factor inhibitor (TNFi) use in TNFi-naive and TNFi-experienced patients with psoriatic arthritis (PsA) in the USA.MethodsAll patients aged ≥18 years with PsA enrolled in the Corrona Psoriatic Arthritis/Spondyloarthritis Registry who initiated a TNFi (index therapy) between March 2013 and January 2017 and had ≥1 follow-up visit were included. Times to and rates of discontinuation/switch of the index TNFi were compared between TNFi-naive and TNFi-experienced cohorts. Patient demographics and disease characteristics at the time of TNFi initiation (baseline) were compared between cohorts and between patients who continued versus discontinued their index TNFi by the first follow-up visit within each cohort.ResultsThis study included 171 TNFi-naive and 147 TNFi-experienced patients (total follow-up, 579.2 person-years). Overall, 75 of 171 TNFi-naive (43.9%) and 80 of 147 TNFi-experienced (54.4%) patients discontinued their index TNFi; 33 of 171 (19.3%) and 48 of 147 (32.7%), respectively, switched to a new biologic. TNFi-experienced patients had a shorter time to discontinuation (median, 20 vs 27 months) and were more likely to discontinue (p=0.03) or switch (p<0.01) compared with TNFi-naive patients. Among those who discontinued, 49 of 75 TNFi-naive (65.3%) and 59 of 80 TNFi-experienced (73.8%) patients discontinued by the first follow-up visit; such patients showed a trend towards higher baseline disease activity compared with those who continued.ConclusionsThe results of this real-world study can help inform treatment decisions when selecting later lines of therapy for patients with PsA.

Prevention of Controlled Substance Diversion - Use of Diversion Detection Software

2007 ◽  
Vol 42 (6) ◽  
pp. 564-572 ◽  
Author(s):  
Brian O'neal ◽  
Jerry Siegel
Keyword(s):  
Software Package ◽  
Medical Center ◽  
State University ◽  
University Of Kansas ◽  
Acute Health Care ◽  
Collective Experience ◽  
Controlled Substance ◽  
The Ohio State University ◽  
The University ◽  
Pharmacy Leaders

This is the fifth of a six-part series on diversion of controlled substances in an acute health care setting. The six articles are meant to accompany the recommendations in the Hospital Pharmacy article “Controlled Substance Diversion Detection: Go the Extra Mile” for a comprehensive analysis of all aspects of controlled substance handling. 1 The series focuses on preventing diversion from automated dispensing cabinets (ADCs), the operating room, and at all handling points within a pharmacy. The objective of the series is to provide practical recommendations to aid pharmacy managers as they seek to prevent or detect diversion. Experience is key to diversion detection; however, a pharmacy should not have to experience its own diversion in order to learn from it. The collective experience of pharmacy leaders at the Ohio State University Medical Center and the University of Kansas Hospital are gathered to assist other pharmacy leaders in the hopes that they do not have to gain this experience firsthand. This article will describe the features of one popular reporting software package along with the experience that the University of Kansas Hospital has had in using this software. This description is an attempt to demonstrate the value of an add-on software package and to encourage its use by more hospital pharmacies.

Achieving life milestones in Duchenne/Becker muscular dystrophy: A retrospective analysis

2020 ◽  
pp. 10.1212/CPJ.0000000000000970
Author(s):  
Andrew Donaldson ◽  
Debra Guntrum ◽  
Emma Ciafaloni ◽  
Jeffrey Statland
Keyword(s):  
End Of Life ◽  
Transition To Adulthood ◽  
Administrative Support ◽  
High School Graduates ◽  
Medical Center ◽  
Retrospective Chart Review ◽  
Becker Muscular Dystrophy ◽  
A Prospective Study ◽  
The University ◽  
Record Review

AbstractObjective:To understand the milestones achieved in the transition from childhood to adulthood for patients with Duchenne and Becker Muscular Dystrophies (DMD/BMD).Methods:We performed a retrospective chart review on patients ≥ 15 years of age with a clinical diagnosis of DMD/BMD who received care from January 1, 2008 to 2018 at the University of Kansas Medical Center and the University of Rochester Medical Centers. Participants were identified using local MDA-funded clinic lists, neuromuscular research databases, and electronic medical record review. Data was abstracted using a uniform template on education, employment, community resources, relationships, and end of life discussions, and is presented as mean, median or frequency with associated 95% confidence interval (CI).Results:109 patients were identified: patients ranged in age from 15 to 56 years with a median of 24, and covered a 5-state region and Ontario, Canada. Seventy-eight percent of patients had DMD, and were, on average, 8.5 years younger than BMD patients. Over half (56.9%, 95% CI 47.6, 66.2) were high school graduates or beyond. Sixteen percent did not have their highest level of education documented. Only 20.0% had an occupation (95% CI 12.7, 27.7), most frequently in education and administrative support (34%). The majority were still living with parents (80.7%, 95% CI, 73.3, 88.1). A minority reported having end of life discussions (17.4%, 95% CI 10.3, 24.6).Conclusion:Psychosocial elements reflecting the transition to adulthood are inconsistently reported in clinical documentation. A prospective study will further elucidate this transition.

scholarly journals Survey of contaminated percutaneous injuries in anesthesiologists

2021 ◽  
Author(s):  
Reine Zbeidy ◽  
Joshua Livingstone ◽  
Vadim Shatz ◽  
Yehuda Raveh ◽  
Rofayda Gad ◽  
...  
Keyword(s):  
High Risk ◽  
Online Survey ◽  
Medical Center ◽  
Post Exposure Prophylaxis ◽  
Published Data ◽  
List Type ◽  
The Usa ◽  
Exposure Prophylaxis ◽  
The University ◽  
Anesthesia Residents

AbstractObjectivesTo assess the occurrence, reporting, characteristics, and outcome of contaminated percutaneous injuries (CPI) in anesthesia residents, fellows, and attendings.SettingsAnesthesia practitioners are at inherent risk for percutaneous injuries by blood-contaminated needles and sharp objects that may result in transmission of HIV and hepatitis viruses. Percutaneous injuries are underreported, and data is limited and decades old.ParticipantsAfter institutional research board approval, an email to participate in an online survey was sent to 217 members of the anesthesia department at the University of Miami. Responses were collected in March 2020.ResultsThe overall response rate was 51% (110/217). 59% (95% CI, 50–68) of participants reported having one or more CPI (42% residents, 50% fellows, 77% attendings). 29% (95% CI, 17-41) of attendings reported sustaining a CPI within the last 5 years. Occurrence of CPI within the last 5 years based on attending anesthesiologist years of practice was 57% for less than 5 years, 37.5% for 10-15 years, and 20% for 15-20 years of practice. 75% (95% CI, 65–85) reported the incident at the time of injury. 59% (95% CI, 48–70) of injuries were due to hollow bore needles. 50% (95% CI, 39–61) of total injuries were high risk. 26% of injured anesthesia practitioners received post-exposure prophylaxis and there were zero seroconversions.ConclusionMost anesthesiologists will sustain a contaminated percutaneous injury during their careers. Incidence of these injuries decreases with years of practice. Half of injuries are high risk with a quarter requiring postexposure prophylaxis. More education and interventions are needed to reduce percutaneous injuries and improve reporting.Strengths and LimitationsThis study revealed how incidence of percutaneous injuries changes with years of practice and how reporting of injuries has improved.Described the specific nature of injuries in anesthesia practitioners and assessed the need for postexposure prophylactic treatment.The study portrayed recent data from the largest number of anesthesia residents in the USA.Results were comparable to and supplemented previously published data.The study is limited to a single medical center.

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