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  • 1
    Online Resource
    Online Resource
    Science Repository OU ; 2020
    In:  Surgery Case Reports
    In: Surgery Case Reports, Science Repository OU
    Abstract: We present a case report of a 13-year-old male patient who presented with acute testicular pain and testicular swelling. An urgent ultrasound scan demonstrated a large, irregular, poorly circumscribed, hypervascular right testicular mass. A staging CT scan revealed no distant metastases and an orchidectomy demonstrated a pure embryonal carcinoma of the right testis with lymphovascular invasion.
    Type of Medium: Online Resource
    Language: Unknown
    Publisher: Science Repository OU
    Publication Date: 2020
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  • 2
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2017
    In:  Plastic and Reconstructive Surgery - Global Open Vol. 5, No. 9S ( 2017-09), p. 39-40
    In: Plastic and Reconstructive Surgery - Global Open, Ovid Technologies (Wolters Kluwer Health), Vol. 5, No. 9S ( 2017-09), p. 39-40
    Type of Medium: Online Resource
    ISSN: 2169-7574
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2017
    detail.hit.zdb_id: 2723993-7
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  • 3
    Online Resource
    Online Resource
    Radiological Society of North America (RSNA) ; 2012
    In:  RadioGraphics Vol. 32, No. 2 ( 2012-03), p. 557-571
    In: RadioGraphics, Radiological Society of North America (RSNA), Vol. 32, No. 2 ( 2012-03), p. 557-571
    Type of Medium: Online Resource
    ISSN: 0271-5333 , 1527-1323
    Language: English
    Publisher: Radiological Society of North America (RSNA)
    Publication Date: 2012
    detail.hit.zdb_id: 1480434-7
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  • 4
    In: JMIR Diabetes, JMIR Publications Inc., Vol. 7, No. 4 ( 2022-11-18), p. e38869-
    Abstract: The COVID-19 lockdown imposed a sudden change in lifestyle with self-isolation and a rapid shift to the use of technology to maintain clinical care and social connections. Objective In this mixed methods study, we explored the impact of isolation during the lockdown on the use of technology in older adults with type 1 diabetes (T1D). Methods Older adults (aged ≥65 years) with T1D using continuous glucose monitoring (CGM) participated in semistructured interviews during the COVID-19 lockdown. A multidisciplinary team coded the interviews. In addition, CGM metrics from a subgroup of participants were collected before and during the lockdown. Results We evaluated 34 participants (mean age 71, SD 5 years). Three themes related to technology use emerged from the thematic analysis regarding the impact of isolation on (1) insulin pump and CGM use to manage diabetes, including timely access to supplies, and changing Medicare eligibility regulations; (2) technology use for social interaction; and (3) telehealth use to maintain medical care. The CGM data from a subgroup (19/34, 56%; mean age 74, SD 5 years) showed an increase in time in range (mean 57%, SD 17% vs mean 63%, SD 15%; P=.001), a decrease in hyperglycemia ( 〉 180 mg/dL; mean 41%, SD 19% vs mean 35%, SD 17%; P 〈 .001), and no change in hypoglycemia ( 〈 70 mg/dL; median 0.7%, IQR 0%-2% vs median 1.1%, IQR 0%-4%; P=.40) during the lockdown compared to before the lockdown. Conclusions These findings show that our cohort of older adults successfully used technology during isolation. Participants provided the positive and negative perceptions of technology use. Clinicians can benefit from our findings by identifying barriers to technology use during times of isolation and developing strategies to overcome these barriers.
    Type of Medium: Online Resource
    ISSN: 2371-4379
    Language: English
    Publisher: JMIR Publications Inc.
    Publication Date: 2022
    detail.hit.zdb_id: 2955900-5
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  • 5
    Online Resource
    Online Resource
    Grigore T. Popa University of Medicine and Pharmacy ; 2022
    In:  Archive of Clinical Cases Vol. 9, No. 3 ( 2022-09-24), p. 108-111
    In: Archive of Clinical Cases, Grigore T. Popa University of Medicine and Pharmacy, Vol. 9, No. 3 ( 2022-09-24), p. 108-111
    Abstract: A very rare condition, pyogenic sacroiliitis is responsible for 1%-2% of all osteoarticular infections in children. Diagnosis is often delayed in the pediatric population due to non-specific signs and symptoms during presentation, difficulty in assessing the joint, more common differential diagnosis and low yield diagnostic findings in conventional radiography. A delayed diagnosis of this condition can lead to permanent joint damage. A 9-month-old presented to the emergency department with a history of fever, being unsettled and clingy along with refusal to weight bear over the past few days. On initial assessment, she was found to be tachycardic and afebrile with abnormal posture of her left leg held in external rotation at the hip joint. On examination, she refused to weight bear, presented with alternating tenderness of her left and right hip joints and spinal tenderness at the L5 position. Investigations done showed slightly raised inflammatory counts, normal hip and pelvic radiographs, normal hip ultrasound and blood culture growing staphylococcus aureus and Magnetic Resonance Imaging spine showing right sacroiliitis leading the diagnosis of pyogenic sacroiliitis. This case report highlights the importance of examination of the back and the importance of avoiding fixation error by history. Although rare, clinicians should consider the diagnosis of sacroiliitis in children who present with fever, being unsettled with decreased and painful movements around the pelvic region.
    Type of Medium: Online Resource
    ISSN: 2360-6975 , 2360-6975
    URL: Issue
    Language: Unknown
    Publisher: Grigore T. Popa University of Medicine and Pharmacy
    Publication Date: 2022
    detail.hit.zdb_id: 2788093-X
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  • 6
    Online Resource
    Online Resource
    Elsevier BV ; 2017
    In:  Journal of Biomedical Informatics Vol. 65 ( 2017-01), p. 159-167
    In: Journal of Biomedical Informatics, Elsevier BV, Vol. 65 ( 2017-01), p. 159-167
    Type of Medium: Online Resource
    ISSN: 1532-0464
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2017
    detail.hit.zdb_id: 2057141-0
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  • 7
    In: The Journal of Antibiotics, Springer Science and Business Media LLC, Vol. 62, No. 6 ( 2009-6), p. 319-323
    Type of Medium: Online Resource
    ISSN: 0021-8820 , 1881-1469
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2009
    detail.hit.zdb_id: 2135645-2
    SSG: 15,3
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  • 8
    Online Resource
    Online Resource
    Ubiquity Press, Ltd. ; 2014
    In:  eGEMs (Generating Evidence & Methods to improve patient outcomes) Vol. 2, No. 3 ( 2014-10-24), p. 14-
    In: eGEMs (Generating Evidence & Methods to improve patient outcomes), Ubiquity Press, Ltd., Vol. 2, No. 3 ( 2014-10-24), p. 14-
    Abstract: Introduction: The Beacon Communities for Public Health (BCPH) project was launched in 2011 to gain a better understanding of the range of activities currently being conducted in population- and public health by the Beacon Communities. The project highlighted the successes and challenges of these efforts with the aim of sharing this information broadly among the public health community.Background: The Beacon Community Program, designed to showcase technology-enabled, community-based initiatives to improve outcomes, focused on: building and strengthening health information technology (IT) infrastructure and exchange capabilities; translating investments in health IT to measurable improvements in cost, quality, and population health; and, developing innovative approaches to performance measurement, technology, and care delivery.Methods: Four multimethod case studies were conducted based on a modified sociotechnical framework to learn more about public health initiative implementation and use in the Beacon Communities. Our methodological approach included using document review and semistructured key informant interviews. NACCHO Model Practice Program criteria were used to select the public health initiatives included in the case studies.Findings: Despite differences among the case studies, common barriers and facilitators were found to be present in all areas of the sociotechnical framework application including structure, people, technology, tasks, overarching considerations, and sustainability. Overall, there were many more facilitators (range = 7–14) present for each Beacon compared to barriers (range = 4–6).Discussion: Four influential promising practices were identified through the work: forging strong and sustainable partnerships; ensuring a good task-technology fit and a flexible and iterative design; fostering technology acceptance; and, providing education and demonstrating value.Conclusions: A common weakness was the lack of a framework or model for the Beacon Communities evaluation work. Sharing a framework or approach to evaluation at the beginning of implementation made the work more effective. Supporting evaluation to inform future implementations is important.
    Type of Medium: Online Resource
    ISSN: 2327-9214
    Language: Unknown
    Publisher: Ubiquity Press, Ltd.
    Publication Date: 2014
    detail.hit.zdb_id: 2734659-6
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  • 9
    Online Resource
    Online Resource
    Journal of Infection in Developing Countries ; 2009
    In:  The Journal of Infection in Developing Countries Vol. 3, No. 09 ( 2009-10-22), p. 667-670
    In: The Journal of Infection in Developing Countries, Journal of Infection in Developing Countries, Vol. 3, No. 09 ( 2009-10-22), p. 667-670
    Abstract: Background: Drug resistance is a major problem in Escherichia coli isolated from surgical wound infections. In this study, we evaluated relationship between phylogenicity and drug resistance. Methodology: A total of 29 multi-drug resistant (MDR) E. coli isolates of known drug resistance genes and integron profile were selected for the present study. Triplex PCR was conducted for phylogenetic classification of these isolates into four established phylogenetic groups: A, B1, B2 and D. Statistical analysis was done to determine the association of different drug resistance genes and integrons with the phylogenetic groups. Results: Most of the isolates (44.8%) belonged to phylogenetic group A followed by group B2 and D (24.1% each) and group B1 (6.9%). Conclusions: There is a definitive relationship between drug resistance and various phylogenetic groups of E. coli infecting wounds. A shift towards phylogenetic group A might be observed with an increasing drug resistance profile.
    Type of Medium: Online Resource
    ISSN: 1972-2680
    Language: Unknown
    Publisher: Journal of Infection in Developing Countries
    Publication Date: 2009
    detail.hit.zdb_id: 2394024-4
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  • 10
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 141, No. 4 ( 2018-04-01)
    Abstract: Electronic health record (EHR) use throughout the United States has advanced considerably, but functionality to support the optimal care of children has been slower to develop and deploy. A previous team of experts systematically identified gaps in EHR functionality during collaborative work from 2010 to 2013 that produced the Children’s EHR Format (Format), funded under the Children’s Health Insurance Program Reauthorization Act of 2009, Public Law 111-3. After that, a team of practitioners, software developers, health policy leaders, and other stakeholders examined the Format’s exhaustive list of 547 EHR functional requirements in 26 topic areas and found them to be valuable but in need of further refinement and prioritization. Work began in 2014 to develop a shortened high priority list of requirements and provide guidance to improve their use. Through a modified Delphi process that included key document review, selection criteria, multiple rounds of voting, and small group discussion, a multistakeholder work group identified and refined 47 items on the basis of earlier requirements to form the 2015 Children’s EHR Format Priority List and developed 16 recommended uses of the Format. The full report of the Format enhancement activities is publicly available. In this article, we aim to promote awareness of these high priority EHR functional requirements for the care of children, sharpen industry focus on adopting these changes, and align all stakeholders in prioritizing specific health information technology functionalities including those essential for well-child preventive care, medication management, immunization tracking, and growth data for specific pediatric subgroups.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 2018
    detail.hit.zdb_id: 1477004-0
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