A Study on Knowledge Towards Brain Death among Residents in Indonesia

This research was conducted to evaluate the knowledge and diagnosis of brain death among resident in Indonesia. This study used an observational analytic study with a cross-sectional study design using a questionnaire. The research subjects consisted of 132 level 2 (after 2 years of residency) and level 3 (after 4 years of residency) residents, the total sampling for which was taken from the departments of Neurosurgery, Anesthesiology, and Neurology at Dr. Soetomo Academic Medical Center Hospital, Surabaya, Indonesia. Data were taken from November 2018 to January 2019. A total of 132 residents of Neurosurgery, Neurology, and Anesthesiology participated in this study. From the series of studies, residents’ knowledge of the concept of brain death was in the sufficient category (41.7%), residents’ knowledge of the technical diagnosis of brain death was in the good category (40.2%), residents’ knowledge of brain death examination was in the less category (43.2%), and finally, it was found that the resident's knowledge of brain death was in a good category (35.6%). There were also significant differences in knowledge of brain death between Neurosurgery, Neurology, and Anesthesiologist Resident (P <0.001) and knowledge of brain death between level 2 and level 3 residents (P=0.032). In general, the Indonesian resident doctors’ knowledge of brain death is adequate, but knowledge of the clinical examination of brain death is still lacking. Further research must be carried out to promote knowledge of brain death in residents as well as professional doctors/specialists, so that the number of organ transplants, especially in Indonesia, will increase.

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Perceptions of Adult Hospitalized Patients on Family Presence During Cardiopulmonary Resuscitation

American Journal of Critical Care ◽

10.4037/ajcc2017550 ◽

2017 ◽

Vol 26 (2) ◽

pp. 103-110 ◽

Cited By ~ 10

Author(s):

Carolyn Bradley ◽

Michelle Keithline ◽

Meghan Petrocelli ◽

Mary Scanlon ◽

Janet Parkosewich

Keyword(s):

Cardiopulmonary Resuscitation ◽

Medical Center ◽

Academic Medical Center ◽

Adult Child ◽

Cross Sectional Study ◽

Sources Of Information ◽

Cross Sectional ◽

Family Presence ◽

Adult Sibling ◽

Academic Medical

Background Family presence during cardiopulmonary resuscitation in acute care is not widespread. Patients are not likely to be asked about their wishes for family presence or if they wish to be the decision makers about who should be present. Objective To explore the perceptions of patients on general medical units and to find factors independently associated with family presence during cardiopulmonary resuscitation. Methods A cross-sectional study of 117 randomly selected adult patients was conducted at an academic medical center. Participants were interviewed via a survey to obtain information on demographics, knowledge of cardiopulmonary resuscitation, sources of information on resuscitation, and preferences for family presence. Results About half of the participants agreed or strongly agreed that family presence during cardiopulmonary resuscitation was important (52.1%), that the participant should be the decision maker about who should be present (50.4%), and that the patient should give consent ahead of time (47.0%). Participants indicated that they would want an adult sibling, parents, or others (20.5%); spouse (14.5%); adult child (8.5%); close friend (5.1%); or companion (4.3%) present during cardiopulmonary resuscitation. Younger participants (20–45 years old) were 6.28 times more likely than those ≥ 66 years old (P = .01) and nonwhite participants were 2.7 times more likely than white participants (P = .049) to want family presence. Conclusion Patients have strong preferences about family presence during cardiopulmonary resuscitation, and they should have the opportunity to make the decision about having family present.

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Otolaryngologists and the Early Diagnosis of Mucopolysaccharidoses: A Cross-Sectional Study

Diagnostics ◽

10.3390/diagnostics9040187 ◽

2019 ◽

Vol 9 (4) ◽

pp. 187 ◽

Cited By ~ 1

Author(s):

Danielle de Araujo Torres ◽

Anneliese Lopes Barth ◽

Mariana Pires de Mello Valente ◽

Paulo Pires de Mello ◽

Dafne Dain Gandelman Horovitz

Keyword(s):

Chart Review ◽

Medical Center ◽

Academic Medical Center ◽

Cross Sectional Study ◽

Inborn Errors ◽

Cross Sectional ◽

Academic Medical ◽

Fatal Course ◽

History Of ◽

Nose And Throat

Mucopolysaccharidoses (MPS) are a group of inborn errors of metabolism with an aggressive and usually fatal course. Therefore, early treatment is essential because the involvement of head and neck structures is almost always present in MPS. Our study aimed to retrospectively assess—via a chart review and a survey of caregivers—the history of ear, nose and throat (ENT) symptoms, the number of otolaryngology visits prior to diagnosis, and whether otolaryngologists diagnosed the disease in a cohort of MPS patients followed at an academic medical center. Twenty-three patients were evaluated. Age at diagnosis ranged from 0.2 to 33.0 years (median, 3.2 years). Prior to being diagnosed with MPS, 20/23 (87%) patients presented with at least one episode of otalgia, airway disorder, sleep disturbance, speech delay or suspected hearing loss. One patient had an adenotonsillectomy with paracentesis of tympanic membranes. Ten of the 23 patients (43%) were seen by an otolaryngologist before the diagnosis of MPS, none of which had the disease suspected during these visits. Notwithstanding limitations, our results suggest that increased awareness of MPS among otolaryngologists may allow for earlier diagnosis and better management of these patients.

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Prognostic Awareness, Disease and Palliative Understanding Among Caregivers of Patients With Dementia

American Journal of Hospice and Palliative Medicine® ◽

10.1177/1049909119895497 ◽

2019 ◽

Vol 37 (9) ◽

pp. 683-691 ◽

Cited By ~ 1

Author(s):

Jennifer Gabbard ◽

Devin Johnson ◽

Greg Russell ◽

Shenita Spencer ◽

Jeff D. Williamson ◽

...

Keyword(s):

Medical Center ◽

Functional Limitations ◽

Academic Medical Center ◽

Symptom Burden ◽

Routine Care ◽

Cross Sectional Study ◽

Cross Sectional ◽

Academic Medical ◽

Trends Over Time

Background: Persons with dementia (PwD) often have significant cognitive deficits and functional limitations, requiring substantial caregiver assistance. Given the high symptom burden and terminal nature of dementia, good prognostic awareness and integration of palliative care (PC) is needed. Objective: To evaluate prognostic awareness, disease, and PC understanding among caregivers of PwD and to assess for improvements in routine care. Design: A cross-sectional study of 2 cohorts at a single-academic medical center. Surveys were mailed to 200 caregivers of PwD in 2012 (cohort 1). Surveys were sent to new subset of caregivers of PwD (n = 80) in 2018 (cohort 2) to assess trends over time. Results: A total of 154 of caregivers completed the survey (response rate 55%). Compared to 2012, a higher proportion of caregivers in 2018 reported having conversations about prognosis with PwD’s physicians (25% in 2012 vs 45% in 2018; P = .027). However, a large percentage (43% in 2012 and 40% in 2018) of caregivers reported no understanding of the PwD’s prognosis. Despite most stating dementia was not curable, only 39% in 2012 and 52% in 2018 ( P = .015) understood that dementia was a terminal disease. In addition, only 32% in 2012 and 40% in 2018 ( P = .39) felt that they were knowledgeable about PC. Conclusions: Prognostic discussions between caregivers of PwD and the PwD’s physicians may be occurring more often; however, a high percentage of caregivers report a poor understanding about the terminal nature of dementia and the role of PC.

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Awareness of the Post-Intensive Care Syndrome in the Primary Care Setting: A Cross-Sectional Study at a Large Academic Medical Center

10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1695 ◽

2021 ◽

Author(s):

D. Sanborn ◽

S. Falde ◽

G. Colbenson ◽

K. Johnson ◽

A. Gallo De Moraes ◽

...

Keyword(s):

Primary Care ◽

Care Setting ◽

Primary Care Setting ◽

Medical Center ◽

Academic Medical Center ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Academic Medical ◽

Post Intensive Care Syndrome

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Cross-sectional study of hepatitis B antibody status in health care workers immunized as children at an academic medical center in Wisconsin

Vaccine ◽

10.1016/j.vaccine.2019.12.036 ◽

2020 ◽

Vol 38 (7) ◽

pp. 1597-1600

Author(s):

Alicia M. Ritscher ◽

Megan LeClair-Netzel ◽

Nicholas J. Friedlander ◽

Danielle N. Howard Stewart ◽

Mallory Wagner ◽

...

Keyword(s):

Health Care ◽

Hepatitis B ◽

Health Care Workers ◽

Medical Center ◽

Academic Medical Center ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Academic Medical ◽

Care Workers

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Intensive Care Unit Sedation Practices at a Large, Tertiary Academic Center

Journal of Intensive Care Medicine ◽

10.1177/08850666211067515 ◽

2021 ◽

pp. 088506662110675

Author(s):

Mikaela M. Hofer ◽

Patrick M. Wieruszewski ◽

Scott D. Nei ◽

Kristin Mara ◽

Nathan J. Smischney

Keyword(s):

Medical Center ◽

Academic Medical Center ◽

Cross Sectional Study ◽

Primary Objective ◽

Patient Centered ◽

Cross Sectional ◽

Academic Center ◽

Academic Medical ◽

Surgical Icu ◽

Light Sedation

Background Sedatives are frequently administered in an ICU and are often dependent on patient population and ICU type. These differences may affect patient-centered outcomes. Objective Our primary objective was to identify differences in sedation practice among three different ICU types at an academic medical center. Methods This was a retrospective cross-sectional study of adult patients (≥18 years) requiring a continuous sedative for ≥6 h and admitted to a medical ICU, surgical ICU, and medical/surgical ICU at a single academic medical center in Rochester Minnesota from June 1, 2018 to May 31, 2020. We extracted baseline characteristics; sedative type, dose, and duration; concomitant therapies; and patient outcomes. Summary statistics are presented. Results A total of 2154 patients met our study criteria (1010 from medical ICU, 539 from surgical ICU, 605 from medical/surgical ICU). Propofol was the most frequently used sedative in all ICU settings (74.1% in medical ICU, 53.8% in surgical ICU, 68.9% in medical/surgical ICU, and 67.5% in all ICUs). The mortality rate was highest in the medical/surgical ICU (40.2% in medical ICU, 26.0% in surgical ICU, 40.7% in medical/surgical ICU, and 36.8% in all ICUs). 90.7% of all patients required mechanical ventilation (92.9% in medical ICU, 88.5% in surgical ICU, and 89.1% in medical/surgical ICU). Overall, patients spent more time in light sedation than deep sedation, 75% versus 10.3%, during their ICU admission. Patients in the medical ICU spent a greater proportion of time positive for delirium than the other ICU settings (35.7% in medical ICU, 9.8% in surgical ICU, and 20% in medical/surgical ICU). Similar amounts of opioids (morphine milligram equivalents) were used during the continuous sedative infusion between the three settings. Conclusions We observed that patients in the medical ICU spent more time deeply sedated with multiple agents which was associated with a higher proportion of delirium.

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Correlates of Depression and Burnout Among Residents in a Lebanese Academic Medical Center: a Cross-Sectional Study

Academic Psychiatry ◽

10.1007/s40596-015-0400-3 ◽

2015 ◽

Vol 40 (1) ◽

pp. 38-45 ◽

Cited By ~ 18

Author(s):

Farid Talih ◽

Razmig Warakian ◽

Jean Ajaltouni ◽

Al Amira Safa Shehab ◽

Hani Tamim

Keyword(s):

Medical Center ◽

Academic Medical Center ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Academic Medical

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SARS-CoV-2 percent positivity and risk factors among people with HIV at an urban academic medical center

PLoS ONE ◽

10.1371/journal.pone.0254994 ◽

2021 ◽

Vol 16 (7) ◽

pp. e0254994

Author(s):

Eleanor E. Friedman ◽

Samantha A. Devlin ◽

Moira C. McNulty ◽

Jessica P. Ridgway

Keyword(s):

Risk Factors ◽

Chronic Diseases ◽

Medical Center ◽

Academic Medical Center ◽

Cross Sectional Study ◽

Hiv Viral Load ◽

Cross Sectional ◽

Academic Medical ◽

Percent Positivity ◽

Chi Squared

Since the onset of the COVID-19 pandemic, it has been unclear how vulnerable people with HIV (PwH) are to SARS-CoV-2 infection. We sought to determine if PwH are more likely to test positive for SARS-CoV-2 than people without HIV, and to identify risk factors associated with SARS-CoV-2 positivity among PwH. We conducted a cross-sectional study in which we collected electronic medical record data for all patients who underwent SARS-CoV-2 PCR testing at an academic medical center. Presence of HIV and other chronic diseases were based on the presence of ICD-10 diagnosis codes. We calculated the percent positivity for SARS-CoV-2 among PwH and among people without HIV. Among PwH, we compared demographic factors, comorbidities, HIV viral load, CD4 T-cell count, and antiretroviral therapy (ART) regimens between those who tested positive for SARS-CoV-2 and those who tested negative. Comparisons were made using chi squared tests or Wilcoxon rank sum tests. Multivariate models were created using logistic regression. Among 69,763 people tested for SARS-CoV-2, 0.6% (431) were PwH. PwH were not significantly more likely to test positive for SARS-CoV-2 than people without HIV (7.2% (31/431) vs 8.4% (5820/69763), p = 0.35), but were more likely to be younger, Black, and male (p-values < .0001). There were no significant differences in HIV clinical factors, chronic diseases, or ART regimens among PwH testing positive for SARS-CoV-2 versus those testing negative. In our sample, PwH were not more likely to contract SARS-CoV-2, despite being more likely to be members of demographic groups known to be at higher risk for infection. Differences between PwH who tested positive for SARS-CoV-2 and those who tested negative were only seen in Hispanic/Latino ethnicity (non-Hispanic or Latino vs unknown Hispanic or Latino ethnicity (OR 0.2 95% CI (0.6, 0.9)) and site of testing(inpatient vs outpatient OR 3.1 95% CI (1.3, 7.4)).

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