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Article ; Online: Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers.

See, Helen / Shreve, Lacey / Hartzell, Sarah / Daniel, Sarah / Slonim, Anthony D

JAMA network open

2022 Volume 5, Issue 10, Page(s) e2236621

Abstract: ... physician CEOs and HCAHPS patient willingness to recommend the hospital (ρ = 0.0756; P = .002 ...

Abstract	Importance: Patient experience and patient safety are 2 major domains of health care quality; however empirical data on the association of physician vs nonphysician chief executive officers (CEOs) with public and private quality measures are rare but critical to evaluate as hospitals increasingly seek out physician CEOs. Objectives: To evaluate whether there is an association of CEO background with hospital quality and to investigate differences in hospital characteristics between hospitals with a physician CEO vs those with a nonphysician CEO. Design, setting, and participants: This cross-sectional study used 2019 data from 3 sources (ie, the American Hospital Association [AHA] Annual Survey, the Hospital Consumer Assessment of Healthcare Providers and Systems [HCAHPS], and the Leapfrog Hospital Safety Grades) to identify statistical differences in hospital characteristics and outcomes. Data were analyzed from April to December 2021 . Main outcomes and measures: Multivariable ordinal logistic regression was used to examine the association of physician CEOs with hospital quality assessment outcomes while controlling for other confounding factors. Characteristics from the AHA Annual Survey database were assessed as potential confounders, including hospital control, bed size, region, teaching status, and patient volume. Results: The AHA database contained 6162 hospitals; 1759 (29%) had HCAHPS ratings, 1824 (30%) had Leapfrog grades, and 383 (6%) had physician CEOs. A positive Spearman correlation coefficient was found between physician CEOs and HCAHPS patient willingness to recommend the hospital (ρ = 0.0756; P = .002), but the association between CEO medical background and Leapfrog safety grades or HCAHPS ratings did not reach a level of significance in the multivariable ordinal logistic regression models. Conclusions and relevance: In this study, a positive correlation was found between physician CEOs and HCAHPS patient willingness to recommend the hospital, but the multivariable analysis did not find an association between hospital physician CEOs and the examined quality and safety outcomes.
MeSH term(s)	Chief Executive Officers, Hospital ; Cross-Sectional Studies ; Hospitals ; Humans ; Physicians ; Quality Indicators, Health Care ; United States
Language	English
Publishing date	2022-10-03
Publishing country	United States
Document type	Journal Article
ISSN	2574-3805
ISSN (online)	2574-3805
DOI	10.1001/jamanetworkopen.2022.36621
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Article ; Online: Outcomes in Enteral Access Based on Specialty and Approach: A Single-Center Three-Year Experience.

Roberson, Jeffrey L / Rouhi, Armaun D / Bader, Elizabeth / Shreve, Lauren / Maguire, Lillias H / Nadolski, Gregory J / Triggs, Joseph R / Dumon, Kristoffel

The Journal of surgical research

2023 Volume 291, Page(s) 567–573

Abstract: ... vs 4 [3-5] d, P = 0.970), delta prealbumin (3.6 [0-6.5] versus 6.2 [2.3-10] mg/L, P = 0.145), time ... to access removal (160 [60-220] versus 180 [90-300] d, P = 0.998), and enteral access-related complications ... common procedures. PEGs had higher Charlson scores (4.5 [3.0-6.0] versus 2.0 [1.0-2.0], P = 0.007) and ...

Abstract	Introduction: Interventional radiologic, endoscopic, and surgical approaches are commonly utilized to establish durable enteral access in adult patients. The purpose of this study is to examine differences in nutritional outcomes in a large cohort of patients undergoing enteral access creation. Methods: Adult patients who underwent enteral access procedures by interventional radiologists, gastroenterologists, and surgeons between 2018 and 2020 at a single institution were reviewed. Included access types were percutaneous endoscopic gastrostomy (PEG), open or laparoscopic gastrostomy, laparoscopic jejunostomy, and percutaneous gastrostomy (perc-G), percutaneous jejunostomy , or primary gastrojejunostomy. Results: 912 patients undergoing enteral access cases met the criteria for inclusion. PEGs and perc-Gs were the most common procedures. PEGs had higher Charlson scores (4.5 [3.0-6.0] versus 2.0 [1.0-2.0], P = 0.007) and lower starting albumin (3.0 [2.6-3.4] versus 3.6 [3.5-3.8] g/dL, P < 0.0001). Time to goal feeds (4 [2-6] vs 4 [3-5] d, P = 0.970), delta prealbumin (3.6 [0-6.5] versus 6.2 [2.3-10] mg/L, P = 0.145), time to access removal (160 [60-220] versus 180 [90-300] d, P = 0.998), and enteral access-related complications (19% versus 16%, P = 0.21) between PEG and perc-G were similar and differences were not statistically significant. A greater percent change in prealbumin was noted for perc-G (10 [-3-20] versus 41.7% [11-65], P = 0.002). Conclusions: Despite having higher Charlson scores and worse preoperative nutrition, there is a similar incidence of enteral access-related complications, time to goal feeds, delta prealbumin, or time to access removal between PEG and perc-G patients. Our data suggest that access approach should be made on an individual basis, accounting for anatomy and technical feasibility.
MeSH term(s)	Adult ; Humans ; Enteral Nutrition/methods ; Prealbumin ; Gastrostomy/adverse effects ; Gastrostomy/methods ; Laparoscopy ; Intubation, Gastrointestinal/methods ; Jejunostomy/adverse effects ; Jejunostomy/methods
Chemical Substances	Prealbumin
Language	English
Publishing date	2023-08-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	80170-7
ISSN	1095-8673 ; 0022-4804
ISSN (online)	1095-8673
ISSN	0022-4804
DOI	10.1016/j.jss.2023.07.006
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Article ; Online: Beyond weight

Erin K Howie / Connie Lamm / Marilou D. Shreve / Aaron R. Caldwell / Matthew S. Ganio

Child and Adolescent Obesity, Vol 6, Iss

associations between 24-hour movement behaviors, cardiometabolic and cognitive health in adolescents with and without obesity

2023 Volume 1

Abstract: ... difference 0.1, 95%CI: 0.003, 95%CI: .001, .01, p = .020), sedentary time was negatively associated (−0.7, 95 ... CI: −1.3, −0.2, p = .016), and total sleep time was negatively associated with HDL cholesterol (−0.1 ... 95%CI: −0.2, −0.005, p = .039). There were no statistically significant associations between 24-hr ...

Abstract	ABSTRACTBackground Adolescence is a critical time for establishing behaviors. 24-hour movement behaviors, including physical activity, sleep, and sedentary time, are likely to influence obesity, cardiovascular, and cognitive health. The aim was to examine associations between 24-hr movement behaviors, cardiometabolic health and cognitive functions in adolescents with and without obesity.Methods This was a cross-sectional study that included adolescents (n = 30, ages 12–16) with obesity and normal weight controls matched on age and sex. 24-hr movement behaviors of physical activity, sedentary time, and sleep were assessed using waist-worn accelerometers. Cardiometabolic health was measured using flow-mediated dilation (FMD) in the brachial artery, body composition via dual x-ray absorptiometry, blood pressure, and blood analyses of cholesterol, glucose, and insulin. Cognitive health was assessed using two computer-based tasks. Linear regressions were used to examine associations between 24-hr movement behaviors, cardiometabolic health, and cognition.Results In examining relationships between 24-hr movement behaviors and cardiometabolic health, when adjusted for body fat percentage, MVPA was positively associated with cardiovascular health (FMD log difference 0.1, 95%CI: 0.003, 95%CI: .001, .01, p = .020), sedentary time was negatively associated (−0.7, 95%CI: −1.3, −0.2, p = .016), and total sleep time was negatively associated with HDL cholesterol (−0.1, 95%CI: −0.2, −0.005, p = .039). There were no statistically significant associations between 24-hr movement behaviors and cognitive outcomes, except sleep and reactive control. When examining relationships between cardiometabolic and cognitive outcomes, higher HDL was associated with improved cognitive accuracy and higher insulin was associated with slower reaction times.Conclusions 24-hour movement behaviors of MVPA, sedentary time, and sleep time were associated with cardiometabolic measurements in a small sample. 24-hr movement behaviors, particularly MVPA ...
Keywords	Cognition ; physical activity ; sleep ; sedentary ; Pediatrics ; RJ1-570 ; Public aspects of medicine ; RA1-1270
Subject code	796
Language	English
Publishing date	2023-12-01T00:00:00Z
Publisher	Taylor & Francis Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Smartphone Usage and Studying

Kendall Hartley / Lisa D. Bendixen / Emily Shreve / Dan Gianoutsos

Multimodal Technologies and Interaction, Vol 6, Iss 44, p

Investigating Relationships between Type of Use and Self-Regulatory Skills

2022 Volume 44

Abstract: The purpose of this study is to investigate the relationships between self-regulated learning skills and smartphone usage in relation to studying. It is unclear whether poor learning habits related to smartphone usage are unique traits or a reflection of ...

Abstract	The purpose of this study is to investigate the relationships between self-regulated learning skills and smartphone usage in relation to studying. It is unclear whether poor learning habits related to smartphone usage are unique traits or a reflection of existing self-regulated learning skills. The self-regulatory skills (a) regulation, (b) knowledge, and (c) management of cognition were measured and compared to the smartphone practices (a) multitasking, (b) avoiding distractions, and (c) mindful use. First-year undergraduates ( n = 227) completed an online survey of self-regulatory skills and common phone practices. The results support the predictions that self-regulatory skills are negatively correlated with multitasking while studying and are positively correlated with distraction avoidance and mindful use of the phone. The management of cognition factor, which includes effort, time, and planning, was strongly correlated with multitasking (r = −0.20) and avoiding distractions (r = 0.45). Regulation of cognition was strongly correlated with mindful use (r = 0.33). These results support the need to consider the relationship between self-regulation and smartphone use as it relates to learning.
Keywords	smartphone ; m-learning ; self-regulated learning ; Technology ; T ; Science ; Q
Subject code	370
Language	English
Publishing date	2022-06-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
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Article ; Online: Disparities in Preoperative Goals of Care Documentation in Veterans.

Wu, Adela / Giannitrapani, Karleen F / Garcia, Ariadna / Bozkurt, Selen / Boothroyd, Derek / Adams, Alyce S / Kim, Kyung Mi / Zhang, Shiqi / McCaa, Matthew D / Morris, Arden M / Shreve, Scott / Lorenz, Karl A

JAMA network open

2023 Volume 6, Issue 12, Page(s) e2348235

Abstract: ... 0.79; 95% CI, 0.77-0.80; P <.001; patients selecting other race: OR, 0.78; 95% CI, 0.74-0.81; P ... <.001; Hispanic patients: OR, 0.78; 95% CI, 0.76-0.81; P <.001) and patients from rural regions (OR, 0 ... 91; 95% CI, 0.90-0.93; P <.001) had lower likelihoods of completing LST compared with patients ...

Abstract	Importance: Preoperative goals of care discussion and documentation are important for patients undergoing surgery, a major health care stressor that incurs risk. Objective: To assess the association of race, ethnicity, and other factors, including history of mental health disability, with disparities in preoperative goals of care documentation among veterans. Design, setting, and participants: This retrospective cross-sectional study assessed data from the Veterans Healthcare Administration (VHA) of 229 737 veterans who underwent surgical procedures between January 1, 2017, and October 18, 2022. Exposures: Patient-level (ie, race, ethnicity, medical comorbidities, history of mental health comorbidity) and system-level (ie, facility complexity level) factors. Main outcomes and measures: Preoperative life-sustaining treatment (LST) note documentation or no LST note documentation within 30 days prior to or on day of surgery. The standardized mean differences were calculated to assess the magnitude of differences between groups. Odds ratios (ORs) and 95% CIs were estimated with logistic regression. Results: In this study, 13 408 patients (5.8%) completed preoperative LST from 229 737 VHA patients (209 123 [91.0%] male; 20 614 [9.0%] female; mean [SD] age, 65.5 [11.9] years) who received surgery. Compared with patients who did complete preoperative LST, patients tended to complete preoperative documentation less often if they were female (19 914 [9.2%] vs 700 [5.2%]), Black individuals (42 571 [19.7%] vs 2416 [18.0%]), Hispanic individuals (11 793 [5.5%] vs 631 [4.7%]), or from rural areas (75 637 [35.0%] vs 4273 [31.9%]); had a history of mental health disability (65 974 [30.5%] vs 4053 [30.2%]); or were seen at lowest-complexity (ie, level 3) facilities (7849 [3.6%] vs 78 [0.6%]). Over time, despite the COVID-19 pandemic, patients undergoing surgical procedures completed preoperative LST increasingly more often. Covariate-adjusted estimates of preoperative LST completion demonstrated that patients of racial or ethnic minority background (Black patients: OR, 0.79; 95% CI, 0.77-0.80; P <.001; patients selecting other race: OR, 0.78; 95% CI, 0.74-0.81; P <.001; Hispanic patients: OR, 0.78; 95% CI, 0.76-0.81; P <.001) and patients from rural regions (OR, 0.91; 95% CI, 0.90-0.93; P <.001) had lower likelihoods of completing LST compared with patients who were White or non-Hispanic and patients from urban areas. Patients with any mental health disability history also had lower likelihood of completing preoperative LST than those without a history (OR, 0.93; 95% CI, 0.92-0.94; P = .001). Conclusions and relevance: In this cross-sectional study, disparities in documentation rates within a VHA cohort persisted based on race, ethnicity, rurality of patient residence, history of mental health disability, and access to high-volume, high-complexity facilities.
MeSH term(s)	Humans ; Male ; Female ; Aged ; Ethnicity ; Veterans ; Retrospective Studies ; Cross-Sectional Studies ; Pandemics ; Minority Groups ; Documentation ; Patient Care Planning
Language	English
Publishing date	2023-12-01
Publishing country	United States
Document type	Journal Article
ISSN	2574-3805
ISSN (online)	2574-3805
DOI	10.1001/jamanetworkopen.2023.48235
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Article ; Online: Intranasal dexmedetomidine: the ideal drug for sedation in the pediatric echo lab?

Saudek, David E / Walbergh, Deborah / Bartz, Peter / Shreve, Sara / Schaal, Amy / Lavoie, Julie / Frommelt, Peter C

Cardiology in the young

2021 Volume 32, Issue 4, Page(s) 545–549

Abstract: Background: Intranasal dexmedetomidine is an attractive option for procedural sedation in pediatrics due to ease of administration and its relatively short half-life. This study sought to compare the safety and efficacy of intranasal dexmedetomidine to ... ...

Abstract	Background: Intranasal dexmedetomidine is an attractive option for procedural sedation in pediatrics due to ease of administration and its relatively short half-life. This study sought to compare the safety and efficacy of intranasal dexmedetomidine to a historical cohort of pediatric patients sedated using chloral hydrate in a pediatric echo lab. Methods: Chart review was performed to compare patients sedated between September, 2017 and October, 2019 using chloral hydrate and intranasal dexmedetomidine. Vital signs, time to sedation, duration of sedation, need for second dose of medication, rate of failed sedation, and impact on vital signs were compared between groups. Subgroup analysis was performed for those with complex and cyanotic heart disease. Results: Chloral hydrate was used in 356 patients and intranasal dexmedetomidine in 376. Patient age, complexity of heart disease, and duration of sedation were similar. Rates of failed sedation were very low and similar. Average heart rate and minimum heart rate were lower for those receiving intranasal dexmedetomidine than chloral hydrate. Impact on vital signs was similar for those with complex and cyanotic heart disease. No adverse events occurred in either group. Conclusions: Sedation with intranasal dexmedetomidine is comparable to chloral hydrate in regards to safety and efficacy for children requiring echocardiography. Consistent with the mechanism of action, patients receiving intranasal dexmedetomidine have a lower heart rate without morbidity.
MeSH term(s)	Child ; Chloral Hydrate ; Cyanosis ; Dexmedetomidine/adverse effects ; Heart Diseases ; Humans ; Hypnotics and Sedatives ; Infant ; Pediatrics ; Pharmaceutical Preparations
Chemical Substances	Hypnotics and Sedatives ; Pharmaceutical Preparations ; Chloral Hydrate (418M5916WG) ; Dexmedetomidine (67VB76HONO)
Language	English
Publishing date	2021-07-23
Publishing country	England
Document type	Journal Article
ZDB-ID	1078466-4
ISSN	1467-1107 ; 1047-9511
ISSN (online)	1467-1107
ISSN	1047-9511
DOI	10.1017/S1047951121002493
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Article: Adding structure to function.

Shreve, P D

Journal of nuclear medicine : official publication, Society of Nuclear Medicine

2000 Volume 41, Issue 8, Page(s) 1380–1382

MeSH term(s)	Humans ; Image Interpretation, Computer-Assisted ; Magnetic Resonance Imaging ; Neoplasms/diagnostic imaging ; Tomography, Emission-Computed/instrumentation ; Tomography, Emission-Computed/methods ; Tomography, X-Ray Computed/instrumentation ; Tomography, X-Ray Computed/methods
Language	English
Publishing date	2000-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	80272-4
ISSN	1535-5667 ; 0161-5505 ; 0097-9058 ; 0022-3123
ISSN (online)	1535-5667
ISSN	0161-5505 ; 0097-9058 ; 0022-3123
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Article: Pseudolymphoma of the lung: Benign pulmonary nodule with elevated fluorodeoxyglucose uptake.

Shreve, P D

Clinical nuclear medicine

2000 Volume 25, Issue 2, Page(s) 154–155

MeSH term(s)	Aged ; Carcinoma, Bronchogenic/diagnostic imaging ; Diagnosis, Differential ; Fluorine Radioisotopes ; Fluorodeoxyglucose F18 ; Humans ; Lung Diseases/diagnostic imaging ; Lung Neoplasms/diagnostic imaging ; Male ; Pseudolymphoma/diagnostic imaging ; Radionuclide Imaging ; Radiopharmaceuticals
Chemical Substances	Fluorine Radioisotopes ; Radiopharmaceuticals ; Fluorodeoxyglucose F18 (0Z5B2CJX4D)
Language	English
Publishing date	2000-02
Publishing country	United States
Document type	Case Reports ; Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	197628-x
ISSN	1536-0229 ; 0363-9762
ISSN (online)	1536-0229
ISSN	0363-9762
DOI	10.1097/00003072-200002000-00023
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Article ; Online: Precursor-free eruption triggered by edifice rupture at Nyiragongo volcano.

Smittarello, D / Smets, B / Barrière, J / Michellier, C / Oth, A / Shreve, T / Grandin, R / Theys, N / Brenot, H / Cayol, V / Allard, P / Caudron, C / Chevrel, O / Darchambeau, F / de Buyl, P / Delhaye, L / Derauw, D / Ganci, G / Geirsson, H /

Kamate Kaleghetso, E / Kambale Makundi, J / Kambale Nguomoja, I / Kasereka Mahinda, C / Kervyn, M / Kimanuka Ruriho, C / Le Mével, H / Molendijk, S / Namur, O / Poppe, S / Schmid, M / Subira, J / Wauthier, C / Yalire, M / d'Oreye, N / Kervyn, F / Syavulisembo Muhindo, A

Nature

2022 Volume 609, Issue 7925, Page(s) 83–88

Abstract: Classical mechanisms of volcanic eruptions mostly involve pressure buildup and magma ascent towards the ... ...

Abstract	Classical mechanisms of volcanic eruptions mostly involve pressure buildup and magma ascent towards the surface
Language	English
Publishing date	2022-08-31
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	120714-3
ISSN	1476-4687 ; 0028-0836
ISSN (online)	1476-4687
ISSN	0028-0836
DOI	10.1038/s41586-022-05047-8
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Article: Focal fluorine-18 fluorodeoxyglucose accumulation in inflammatory pancreatic disease.

Shreve, P D

European journal of nuclear medicine

1998 Volume 25, Issue 3, Page(s) 259–264

Abstract: Focal 2-deoxy-2[fluorine-18]fluoro-D-glucose (FDG) uptake on positron emission tomography (PET ...

Abstract	Focal 2-deoxy-2[fluorine-18]fluoro-D-glucose (FDG) uptake on positron emission tomography (PET) in a pancreatic mass has been reported as a specific finding for pancreatic carcinoma. Inflammatory conditions of the pancreas and associated clinical circumstances yielding similar findings have not yet been fully defined. Among 42 patients studied by attenuation-corrected FDG PET for pancreatic disease, 12 with focal FDG uptake in the pancreas were identified as having no underlying neoplasm based on surgical findings, biopsy results, and long term clinical and imaging follow up. Focal FDG accumulation in the pancreas with standardized uptake values ranging from 3.4 to 11.2 on FDG PET was ultimately found to be related to inflammation rather than neoplasm. This occurred in pancreatic masses in which clinical and laboratory evidence of acute pancreatitis was equivocal or entirely lacking, as well as in the setting of acute pancreatitis and after recovery from acute pancreatitis. Inflammation can give rise to focal FDG uptake in the same intensity range as pancreatic neoplasm, even when clinical, laboratory and computed tomographic findings suggestive of an inflammatory etiology are equivocal or absent.
MeSH term(s)	Adult ; Aged ; Fluorodeoxyglucose F18 ; Humans ; Male ; Middle Aged ; Pancreas/diagnostic imaging ; Pancreatitis/diagnostic imaging ; Radiopharmaceuticals ; Tomography, Emission-Computed ; Tomography, X-Ray Computed
Chemical Substances	Radiopharmaceuticals ; Fluorodeoxyglucose F18 (0Z5B2CJX4D)
Language	English
Publishing date	1998-03
Publishing country	Germany
Document type	Clinical Trial ; Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	8236-3
ISSN	1619-7089 ; 0340-6997 ; 1619-7070
ISSN (online)	1619-7089
ISSN	0340-6997 ; 1619-7070
DOI	10.1007/s002590050226
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