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Article ; Online: Trends in the incidence, surgical management and outcomes of type B aortic dissections in Australia over the last decade.

Barry, Ian P / Seto, Khay / Norman, Paul E / Ritter, Jens C

2023 , Page(s) 17085381231156808

Abstract: Objectives: This study aims to investigate the incidence and in-hospital outcomes of surgical repair for type B aortic dissection (TBAD) in Australia.: Methods: Data were obtained from the Australasian Vascular Audit (AVA) and the Australian ... ...

Abstract	Objectives: This study aims to investigate the incidence and in-hospital outcomes of surgical repair for type B aortic dissection (TBAD) in Australia. Methods: Data were obtained from the Australasian Vascular Audit (AVA) and the Australian Institute of Health and Welfare (AIHW). The former is a total practice audit mandated for all members of the Australian and New Zealand Society for Vascular Surgery (ANZSVS) while the latter is an independent government agency which records all healthcare data in Australia. All cases of TBAD which underwent surgical intervention (endovascular or open repair) between 2010 and 2019 were identified using prospectively recorded data from the AVA (New Zealand data was excluded). The primary outcomes were temporal trends in procedures and hospital mortality; secondary outcomes were complications and risk factors for mortality. All admissions and procedures for, and hospital deaths from, TBAD in Australia were identified in AIHW datasets using the relevant diagnosis and procedure codes, with age-standardized rates calculated for the period 2000-01 to 2018-19. Results: A total of 567 cases of TBAD underwent vascular surgical intervention (AVA data, Australia). Of these, 96.3% were treated by endovascular repair. There was an increase in the annual procedure number from 45 in 2010 to 88 in 2019. In-hospital mortality was 4.8% for endovascular repair and 19% for open repair ( Conclusion: There has been an increasing incidence of vascular surgical intervention for TBAD in Australia. The majority of patients received endovascular therapy while the mortality from surgically managed TBAD appears to be falling.
Language	English
Publishing date	2023-02-14
Publishing country	England
Document type	Journal Article
ZDB-ID	2137151-9
ISSN	1708-539X ; 1708-5381
ISSN (online)	1708-539X
ISSN	1708-5381
DOI	10.1177/17085381231156808
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Zs.A 4277: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: What's going on in the left common iliac artery?

Parker, Louis P / Powell, Janet T / Norman, Paul E / Doyle, Barry J

Journal of vascular surgery

2022 Volume 77, Issue 1, Page(s) 314–315

MeSH term(s)	Humans ; Iliac Artery/diagnostic imaging ; Iliac Artery/surgery ; Aorta, Abdominal
Language	English
Publishing date	2022-12-31
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	605700-7
ISSN	1097-6809 ; 0741-5214
ISSN (online)	1097-6809
ISSN	0741-5214
DOI	10.1016/j.jvs.2022.05.034
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Article: Examining the Relationship Between Value and Patient Satisfaction With Treatment in Total Joint Arthroplasty.

Norman, Mackenzie B / Werth, Paul M / Levy, Benjamin A / Moschetti, Wayne E / Kunkel, Samuel T / Jevsevar, David S

Arthroplasty today

2024 Volume 25, Page(s) 101311

Abstract: Background: A shift toward performance, cost, outcomes, and patient satisfaction has occurred with healthcare reform promoting value-based programs. The purpose of this study was to evaluate the relationship between patient satisfaction and value with ... ...

Abstract	Background: A shift toward performance, cost, outcomes, and patient satisfaction has occurred with healthcare reform promoting value-based programs. The purpose of this study was to evaluate the relationship between patient satisfaction and value with treatment in a cohort of patients undergoing total knee arthroplasty (TKA) and total hip arthroplasty (THA). Methods: Value was determined by the relationship of treatment outcome with episodic cost. Measurements included both clinical outcomes and patient-reported outcomes. Participating surgeons took part in the modified Delphi method resulting in an algorithm measuring patient value. Treatment outcome, cost, and resultant value (outcome/cost) of both TKA and THA were evaluated using binomial logistic regression by adjusting for age, gender, body mass index, Charlson comorbidity index, tobacco, education, and income with patient-reported satisfaction as the outcome. Results: This study had a total of 909 patients (TKA n = 438; THA n = 471), with an average age of 67 (TKA) and 65 (THA) years. Patient satisfaction shared a significant positive relationship with treatment outcome for TKA (odds ratio [OR] = 1.53, confidence interval [CI] = 1.35-1.73, Conclusions: This study showed a positive relationship between treatment outcome but not cost with subsequent value and patient satisfaction. This method provides a promising approach to comprehensively evaluate outcomes, cost, and value of total joint arthroplasty procedures. This approach can help predict the probability of value-driven patient satisfaction.
Language	English
Publishing date	2024-01-25
Publishing country	United States
Document type	Journal Article
ISSN	2352-3441
ISSN	2352-3441
DOI	10.1016/j.artd.2023.101311
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Article: Physiotherapy Students' Performance in Clinical Education: An Analysis of 1 Year of Canadian Cross-Sectional Data.

Wojkowski, Sarah / Norman, Kathleen E / Stratford, Paul / Mori, Brenda

Physiotherapy Canada. Physiotherapie Canada

2021 Volume 73, Issue 4, Page(s) 358–367

Abstract: Purpose: ...

Abstract	Purpose:
Language	English
Publishing date	2021-10-20
Publishing country	Canada
Document type	Journal Article
ZDB-ID	639189-8
ISSN	1708-8313 ; 0300-0508
ISSN (online)	1708-8313
ISSN	0300-0508
DOI	10.3138/ptc-2020-0018
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Article ; Online: The C

Baltussen, Tim J H / van Rhijn, Norman / Coolen, Jordy P M / Dijksterhuis, Jan / Verweij, Paul E / Bromley, Michael J / Melchers, Willem J G

mSphere

2023 Volume 8, Issue 4, Page(s) e0007623

Abstract: Germination of ... ...

Abstract	Germination of inhaled
MeSH term(s)	Humans ; Aspergillus fumigatus ; Transcription Factors/genetics ; Hyphae ; Aspergillosis/microbiology ; Aspergillus
Chemical Substances	Transcription Factors
Language	English
Publishing date	2023-06-01
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	2379-5042
ISSN (online)	2379-5042
DOI	10.1128/msphere.00076-23
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Article ; Online: "I don't want to be the squeaky wheel": Addressing bias as a leader in emergency medicine.

Suri, Ambuj / Yang, David / Sun, Wendy W / Fofana, Mariame / Binstadt, Emily S / Weygandt, Paul Logan / Moll, Joel L / Strout, Tania D / Gipson, Katrina / Norman, Marquita S / Tsuchida, Ryan E / Alvarez, Al'ai / Balhara, Kamna S

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

2024 Volume 31, Issue 4, Page(s) 354–360

Abstract: Background: Implicit bias poses a barrier to inclusivity in the health care workforce and is detrimental to patient care. While previous studies have investigated knowledge and training gaps related to implicit bias, emergency medicine (EM) leaders' ... ...

Abstract	Background: Implicit bias poses a barrier to inclusivity in the health care workforce and is detrimental to patient care. While previous studies have investigated knowledge and training gaps related to implicit bias, emergency medicine (EM) leaders' self-awareness and perspectives on bias have not been studied. Using art to prompt reflections on implicit bias, this qualitative study explores (1) the attitudes of leaders in EM toward implicit bias and (2) individual or structural barriers to navigating and addressing bias in the workplace. Methods: Investigators facilitated an hour-long workshop in May 2022 for those with leadership positions in the Society for Academic Emergency Medicine (SAEM), a leading national EM organization, including 62 attending physicians, eight residents/fellows, and four medical students. The workshop utilized arts-based methods to generate a psychologically supportive space to lead conversations around implicit bias in EM. The session included time for individual reflection, where participants used an electronic platform to respond anonymously to questions regarding susceptibility, fears, barriers, and experiences surrounding bias. Two independent coders compiled, coded, and reviewed the responses using an exploratory constructivist approach. Results: A total of 125 responses were analyzed. Four major themes emerged: (1) acceptance that bias exists; (2) individual barriers, including fear of negative reactions, often due to power dynamics between respondents and other members of the ED; (3) institutional barriers, such as insufficient funding and unprotected time committed to addressing bias; and (4) ambiguity about defining and prioritizing bias. Conclusions: This qualitative analysis of reflections from an arts-based workshop highlights perceived fears and barriers that may impact EM physicians' motivation and comfort in addressing bias. These results may help guide interventions to address individual and structural barriers to mitigating bias in the workplace.
MeSH term(s)	Humans ; Emergency Medicine/education ; Physicians ; Qualitative Research ; Internship and Residency ; Bias
Language	English
Publishing date	2024-02-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	1329813-6
ISSN	1553-2712 ; 1069-6563
ISSN (online)	1553-2712
ISSN	1069-6563
DOI	10.1111/acem.14869
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Zs.A 4479: Show issues

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Article ; Online: Management of acute type B aortic dissection.

Munshi, Bijit / Ritter, Jens C / Doyle, Barry J / Norman, Paul E

ANZ journal of surgery

2020 Volume 90, Issue 12, Page(s) 2425–2433

Abstract: Background: The best management of acute uncomplicated type B aortic dissection is currently a controversial area. Recent advances in endovascular intervention have begun to establish pre-emptive thoracic endovascular aortic repair as a potential ... ...

Abstract	Background: The best management of acute uncomplicated type B aortic dissection is currently a controversial area. Recent advances in endovascular intervention have begun to establish pre-emptive thoracic endovascular aortic repair as a potential strategy. A review about the management for type B aortic dissection has been conducted. Methods: A narrative review consisting of 157 original articles, meta-analyses and guidelines was conducted. The findings were synthesized and summarized using 70 articles. Results: There are clear guidelines directing surgical management of acute complicated type B aortic dissection. However, the best management of acute uncomplicated disease is more ambiguous, which is especially concerning in a condition which is associated with significant morbidity and mortality. Medical management alone is generally favoured. Endovascular intervention is now being considered by some surgeons, but it can be technically difficult, while exposing the patient to potential surgical risks. Conclusions: Clinical and anatomical risk factors have been identified to help vascular surgeons make decisions about treatment in acute uncomplicated type B aortic dissection. New endovascular strategies are being developed to reduce surgical risk and address technical challenges. Registry data should be used to support future best management.
MeSH term(s)	Acute Disease ; Aneurysm, Dissecting/diagnostic imaging ; Aneurysm, Dissecting/surgery ; Aortic Aneurysm, Thoracic/diagnosis ; Aortic Aneurysm, Thoracic/surgery ; Blood Vessel Prosthesis Implantation ; Endovascular Procedures ; Humans ; Risk Factors ; Treatment Outcome
Language	English
Publishing date	2020-09-06
Publishing country	Australia
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	2050749-5
ISSN	1445-2197 ; 1445-1433 ; 0004-8682
ISSN (online)	1445-2197
ISSN	1445-1433 ; 0004-8682
DOI	10.1111/ans.16270
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Zs.A 180: Show issues

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Article ; Online: Participatory and Spatial Analyses of Environmental Justice Communities' Concerns about a Proposed Storm Surge and Flood Protection Seawall.

Taylor, Judith / Levine, Norman S / Muhammad, Ernest / Porter, Dwayne E / Watson, Annette M / Sandifer, Paul A

International journal of environmental research and public health

2022 Volume 19, Issue 18

Abstract: In response to increasing threats from sea-level rise and storm surge, the City of Charleston, South Carolina, and the US Army Corps of Engineers (USACE) propose constructing a seawall around the Charleston peninsula. The proposed seawall will terminate ... ...

Abstract	In response to increasing threats from sea-level rise and storm surge, the City of Charleston, South Carolina, and the US Army Corps of Engineers (USACE) propose constructing a seawall around the Charleston peninsula. The proposed seawall will terminate close to lower wealth, predominantly minority communities. These communities are identified as environmental justice (EJ) communities due to their history of inequitable burdens of industrial and urban pollution and proximity to highways and US Environmental Protection Agency (EPA) designated Superfund sites. The present study documents community concerns and opinions related to the proposed seawall, existing flooding problems, and other issues. The project was guided by knowledge co-production and participant-observation approaches and included interviews with community members, collection of locality-specific data, GIS mapping to visualize key issues, development of an ArcGIS Story Map, and participation in public meetings. Community concerns are reported in the voices of community members and fell into eight major themes: community connections, drainage, impacts of road infrastructure, displacement, increasing vulnerability, sense of exclusion and isolation, mistrust of government, and civic engagement. Community members were significantly engaged in the study and are the owners of the results. As one of the first US East Coast cities pursuing major structural adaptation for flooding, Charleston is likely to become a model for other cities considering waterfront protection measures. We demonstrate the importance of meaningful engagement to ensure that climate adaptation will benefit all, including marginalized communities, and have as few unintended negative consequences as possible. Bringing more people to the table and creating vibrant, long-term partnerships between academic institutions and community-based organizations that include robust links to governmental organizations should be among the first steps in building inclusive, equitable, and climate resilient cities.
MeSH term(s)	Cities ; Environmental Justice ; Environmental Pollution/prevention & control ; Floods ; Humans ; Spatial Analysis
Language	English
Publishing date	2022-09-06
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph191811192
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Article ; Online: Profession-based manual therapy nomenclature: exploring history, limitations, and opportunities.

Degenhardt, Brian / van Dun, Patrick L S / Jacobson, Eric / Fritz, Sandy / Mettler, Paul / Kettner, Norman / Franklin, G / Hensel, Kendi / Lesondak, David / Consorti, Giacomo / Frank, Leah / Reed, William R / MacDonald, Cameron / Kremen, Vaclav / Martin, Crystal / Landels, Bernie / Standley, Paul

The Journal of manual & manipulative therapy

2024 Volume 32, Issue 1, Page(s) 96–110

Abstract: ... from all professions with training in manual therapies were encouraged by e-mail and website to participate (www.ICMTConferene.org ...

Abstract	Objective: The International Consortium on Manual Therapies (ICMT) is a grassroots interprofessional association open to any formally trained practitioner of manual therapy (MT) and basic scientists promoting research related to the practice of MT. Currently, MT research is impeded by professions' lack of communication with other MT professions, biases, and vernacular. Current ICMT goals are to minimize these barriers, compare MT techniques, and establish an interprofessional MT glossary. Methods: Practitioners from all professions with training in manual therapies were encouraged by e-mail and website to participate (www.ICMTConferene.org). Video conferences were conducted at least bimonthly for 2.5 years by profession-specific and interprofessional focus groups (FGs). Members summarized scopes of practice, technique descriptions, associated mechanisms of action (MOA), and glossary terms. Each profession presented their work to the interprofessional FG to promote dialogue, understanding and consensus. Outcomes were reported and refined at numerous public events. Results: Focus groups with representatives from 5 MT professions, chiropractic, massage therapy, osteopathic, physical therapy and structural integration identified 17 targeting osseous structures and 49 targeting nonosseous structures. Thirty-two techniques appeared distinct to a specific profession, and 13 were used by more than 1. Comparing descriptions identified additional commonalities. All professions agreed on 4 MOA categories for MT. A glossary of 280 terms and definitions was consolidated, representing key concepts in MT. Twenty-one terms were used by all MT professions and basic scientists. Five terms were used by MT professions exclusive of basic scientists. Conclusion: Outcomes suggested a third to a half of techniques used in MT are similar across professions. Additional research is needed to better define the extent of similarity and how to consistently identify those approaches. Ongoing expansion and refinement of the glossary is necessary to promote descriptive clarity and facilitate communication between practitioners and basic scientists.
MeSH term(s)	Humans ; Musculoskeletal Manipulations ; Osteopathic Physicians ; Osteopathic Medicine ; Physical Therapy Modalities ; Chiropractic
Language	English
Publishing date	2024-01-16
Publishing country	England
Document type	Journal Article
ZDB-ID	920432-5
ISSN	2042-6186 ; 1066-9817
ISSN (online)	2042-6186
ISSN	1066-9817
DOI	10.1080/10669817.2023.2288495
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Zs.A 5421: Show issues

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Article ; Online: Data openness. Absolute v relative risk reduction.

Norman, Paul E

BMJ (Clinical research ed.)

2010 Volume 341, Page(s) c6333

MeSH term(s)	Aged ; Aortic Aneurysm, Abdominal/diagnosis ; Communication ; Early Diagnosis ; Humans ; Male ; Research Design/standards ; Risk Assessment
Language	English
Publishing date	2010-11-16
Publishing country	England
Document type	Comment ; Letter
ZDB-ID	1362901-3
ISSN	1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
ISSN (online)	1756-1833
ISSN	0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
DOI	10.1136/bmj.c6333
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