6289 research outputs found
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Turning Patients, Saving Skin
Get PDFPICOT Question: Do Turn Teams Beat Standard Nursing Care?https://knowledgeconnection.mainehealth.org/nurseresidency/1120/thumbnail.jp
Dementia- Friendly Interventions in the Hospital Setting and Positive Patient Outcomes
Get PDFPICOT Question: In patients with dementia, what impact does a “dementia-friendly” hospital have on their outcomes in comparison to hospitals that do not employ dementia-friendly practices during their stay?https://knowledgeconnection.mainehealth.org/nurseresidency/1121/thumbnail.jp
Learning to Surf: A Longitudinal Resilience Curriculum for Palliative Care Teams
Get PDFHow do we strengthen and sustain resilience and team functioning?https://knowledgeconnection.mainehealth.org/mite/1005/thumbnail.jp
Vitamin A deficiency and male-specific effects on heart function in mice
No full textHepatic stores of Vitamin A (retinol) are mobilized and metabolized in the heart following myocardial infarction. The physiological consequences of this mobilization are poorly understood. Here we used dietary depletion in a lecithin retinol acyltransferase mutant mouse line to induce Vitamin A deficiency and investigate the effects on cardiac function and recovery from myocardial infarction. We found that uninjured Vitamin A-depleted hearts had decreased contractile function but, paradoxically, improved recovery after injury. These effects on cardiac function were specific to male mice, which experienced more rapid and severe depletion of circulating Vitamin A. Following injury, Vitamin A deficiency also caused hepatic hypolipidemia and gene expression changes in heart and liver suggesting altered metabolism contributed to cardiac phenotypes
Time Until Operation for Elective Endovascular Aortic Aneurysm Repair in Canadian Vascular Centers Using the Canadian Vascular Quality Initiative Registry
No full textBACKGROUND: Optimal timing for intervention for abdominal aortic aneurysms (AAAs) remains unclear. Given the increased rupture risk with larger aneurysms, timely intervention is critical. This study sought to examine endovascular aortic aneurysm repair (EVAR) delays across Canadian centers, focusing on potential differences related to geography, sex, and race. METHODS: The Vascular Quality Initiative dataset was obtained for all patients who underwent elective EVAR for asymptomatic AAAsbetween January 11, 2016 and October 30 2020 in six participating Canadian vascular centers. Delay was defined as the time between the date of preoperative imaging and the operative date. Univariate and multivariable analysis were performed to evaluate predictors of long delay. RESULTS: A total of 659 patients were included in the analysis. Geographic disparities were significant, with patients in Quebec more likely to experience delays exceeding 8 weeks compared to Ontario (odds ratio = 4.5, 95% confidence interval: 2.8-7.1, P \u3c 0.001). Patients with shorter delays (≤8 weeks) were more likely to have an unrestricted functional status (88.0% vs. 81.9% for delay \u3e8 weeks, P = 0.030) and larger aneurysms (83.1% vs. 67.0% for delay \u3e8 weeks, P \u3c 0.001). Perioperative and postoperative complications were similar across both groups. CONCLUSIONS: Our study reveals significant disparities in the timing of elective EVAR cross Canadian centers, likely due to multifactorial causes. These findings highlight the need for targeted strategies to reduce delays and ensure equitable access to timely care. Future efforts should focus on improving healthcare system preparedness and addressing regional and demographic disparities
February 12th, 2025: Artificial Intelligence and Medical Education
No full texthttps://knowledgeconnection.mainehealth.org/medicine_gr/1034/thumbnail.jp
Humanitarian Crises Affecting Children: Pediatric Response at the Edge of Chaos
No full textCME available for 1 year after presentation
CME Text Code: 97038
In order to claim CME credit, please complete an evaluation in CloudCME for each presentation.https://knowledgeconnection.mainehealth.org/pediatrics_gr/1083/thumbnail.jp