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  1. Article ; Online: 'Outgrowing' a cerebral palsy diagnosis.

    Nelson, Karin B

    Developmental medicine and child neurology

    2019  Volume 62, Issue 1, Page(s) 12

    MeSH term(s) Cerebral Palsy ; Humans
    Language English
    Publishing date 2019-07-04
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 80369-8
    ISSN 1469-8749 ; 0012-1622
    ISSN (online) 1469-8749
    ISSN 0012-1622
    DOI 10.1111/dmcn.14308
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  2. Article ; Online: The epidemiology of FIRS in term and late preterm births.

    Nelson, Karin B

    Seminars in fetal & neonatal medicine

    2020  Volume 25, Issue 4, Page(s) 101141

    Abstract: The definition of FIRS requires systemic inflammation and elevated levels of IL-6 in fetal plasma. That definition does not specify how systemic inflammation is to be recognized, and perinatal measurement of IL-6 is not a standard procedure. FIRS has not ...

    Abstract The definition of FIRS requires systemic inflammation and elevated levels of IL-6 in fetal plasma. That definition does not specify how systemic inflammation is to be recognized, and perinatal measurement of IL-6 is not a standard procedure. FIRS has not been examined in a population-based study that included post-neonatal outcome so its incidence and natural history are not known. The overlap, and similarities and differences, of FIRS as compared with other causes of neonatal encephalopathy, and how these relate to findings in the placenta, have not been jointly examined in a generalizable sample. FIRS has chiefly been discussed in the obstetric literature because of the need for decisions about management of delivery and antibiotic use. If the term "FIRS" is to be employed in other contexts, consensus should be sought as to which clinical, placental, and laboratory findings are most appropriate for identification of perinatal inflammatory processes, infectious or sterile.
    MeSH term(s) Biomarkers/blood ; Chorioamnionitis/epidemiology ; Chorioamnionitis/immunology ; Female ; Fetal Blood/immunology ; Humans ; Infant, Newborn ; Intensive Care Units, Neonatal ; Placenta/immunology ; Pregnancy ; Pregnancy Outcome/epidemiology ; Premature Birth/epidemiology ; Premature Birth/immunology ; Risk Factors
    Chemical Substances Biomarkers
    Language English
    Publishing date 2020-07-19
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2174416-6
    ISSN 1878-0946 ; 1744-165X
    ISSN (online) 1878-0946
    ISSN 1744-165X
    DOI 10.1016/j.siny.2020.101141
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  3. Article ; Online: Identifying Individual and Clinic Characteristics Associated With Primary Care Provider Turnover During Implementation of the Veterans Health Administration Patient-Centered Medical Home.

    Reddy, Ashok / Maynard, Charles / Kaboli, Peter / Rinne, Seppo T / Henrikson, Nora B / Nelson, Karin M / Liu, Chuan-Fen / Sterling, Ryan / Wong, Edwin

    The Journal of ambulatory care management

    2023  Volume 46, Issue 3, Page(s) 221–227

    Abstract: Understanding which factors predict primary care provider (PCP) turnover can help organizations prepare for PCP shortages. We conducted a retrospective cohort study of Veteran Health Administration PCPs between 2012 and 2016. We analyzed whether 7 ... ...

    Abstract Understanding which factors predict primary care provider (PCP) turnover can help organizations prepare for PCP shortages. We conducted a retrospective cohort study of Veteran Health Administration PCPs between 2012 and 2016. We analyzed whether 7 domains of the patient centered medical home (PCMH) implementation-including access, care coordination, comprehensiveness, self-management support, communication, shared decision-making, and team-based care-were associated with PCP turnover. We found that 2 domains of PCMH (access and self-management) were associated with lower turnover, which may reflect that practice cultures that support these characteristics may lower PCP turnover.
    MeSH term(s) United States ; Humans ; Primary Health Care ; Veterans Health ; Retrospective Studies ; United States Department of Veterans Affairs ; Patient-Centered Care
    Language English
    Publishing date 2023-04-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 198845-1
    ISSN 1550-3267 ; 0148-9917
    ISSN (online) 1550-3267
    ISSN 0148-9917
    DOI 10.1097/JAC.0000000000000469
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  4. Article ; Online: Contrasting Care Delivery Modalities Used by Primary Care and Mental Health Specialties in VA's Telehealth Contingency Staffing Program During the COVID-19 Pandemic.

    Leung, Lucinda B / Rubenstein, Lisa V / Jaske, Erin / Wheat, Chelle L / Nelson, Karin M / Felker, Bradford L

    Journal of general internal medicine

    2022  Volume 37, Issue 10, Page(s) 2607–2610

    MeSH term(s) COVID-19 ; Humans ; Mental Health ; Pandemics ; Primary Health Care ; Telemedicine ; Workforce
    Language English
    Publishing date 2022-04-19
    Publishing country United States
    Document type Research Support, U.S. Gov't, Non-P.H.S. ; Journal Article
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-022-07527-z
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  5. Article ; Online: Associations Between Primary Care Providers and Staff-Reported Access Management Challenges and Patient Perceptions of Access.

    Rose, Danielle E / Leung, Lucinda B / McClean, Michael / Nelson, Karin M / Curtis, Idamay / Yano, Elizabeth M / Rubenstein, Lisa V / Stockdale, Susan E

    Journal of general internal medicine

    2023  Volume 38, Issue 13, Page(s) 2870–2878

    Abstract: Background/objective: Optimizing patients' access to primary care is critically important but challenging. In a national survey, we asked primary care providers and staff to rate specific care processes as access management challenges and assessed ... ...

    Abstract Background/objective: Optimizing patients' access to primary care is critically important but challenging. In a national survey, we asked primary care providers and staff to rate specific care processes as access management challenges and assessed whether clinics with more of these challenges had worse access outcomes.
    Methods: Study design: Cross sectional. National Primary Care Personnel Survey (NPCPS) (2018) participants included 6210 primary care providers (PCPs) and staff in 813 clinics (19% response rate) and 158,645 of their patients. We linked PCP and staff ratings of access management challenges to veterans' perceived access from 2018-2019 Survey of Healthcare Experiences of Patients-Patient Centered Medical Home (SHEP-PCMH) surveys (35.6% response rate).
    Main measures: The NPCPS queried PCPs and staff about access management challenges. The mean overall access challenge score was 28.6, SD 6.0. The SHEP-PCMH access composite asked how often veterans reported always obtaining urgent appointments same/next day; routine appointments when desired and having medical questions answered during office hours.
    Analytic approach: We aggregated PCP and staff responses to clinic level, and use multi-level, multivariate logistic regressions to assess associations between clinic-level access management challenges and patient perceptions of access. We controlled for veteran-, facility-, and area-level characteristics.
    Key results: Veterans at clinics with more access management challenges (> 75
    Discussion/conclusion: Findings show a strong relationship between higher levels of access management challenges and worse patient perceptions of access. Addressing access management challenges, particularly those associated with call center communication, may be an actionable path for improved patient experience.
    MeSH term(s) Humans ; United States ; Primary Health Care ; Cross-Sectional Studies ; Patient-Centered Care ; Health Services Accessibility ; Veterans ; United States Department of Veterans Affairs
    Language English
    Publishing date 2023-08-02
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-023-08172-w
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  6. Article ; Online: Authors' reply to Lees.

    Nelson, Karin B / Sartwelle, Thomas P / Rouse, Dwight J

    BMJ (Clinical research ed.)

    2017  Volume 356, Page(s) j835

    Language English
    Publishing date 2017-02-16
    Publishing country England
    Document type Letter ; Comment
    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.j835
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  7. Article ; Online: Different cohort, disparate results: Selection bias is a key factor in autopsy cohorts.

    Gauthreaux, Kathryn / Kukull, Walter A / Nelson, Karin B / Mock, Charles / Chen, Yen-Chi / Chan, Kwun C G / Fardo, David W / Katsumata, Yuriko / Abner, Erin L / Nelson, Peter T

    Alzheimer's & dementia : the journal of the Alzheimer's Association

    2023  Volume 20, Issue 1, Page(s) 266–277

    Abstract: Introduction: Research-oriented autopsy cohorts provide critical insights into dementia pathobiology. However, different studies sometimes report disparate findings, partially because each study has its own recruitment biases. We hypothesized that a ... ...

    Abstract Introduction: Research-oriented autopsy cohorts provide critical insights into dementia pathobiology. However, different studies sometimes report disparate findings, partially because each study has its own recruitment biases. We hypothesized that a straightforward metric, related to the percentage of research volunteers cognitively normal at recruitment, would predict other inter-cohort differences.
    Methods: The National Alzheimer's Coordinating Center (NACC) provided data on N = 7178 autopsied participants from 28 individual research centers. Research cohorts were grouped based on the proportion of participants with normal cognition at initial clinical visit.
    Results: Cohorts with more participants who were cognitively normal at recruitment contained more individuals who were older, female, had lower frequencies of apolipoprotein E ε4, Lewy body disease, and frontotemporal dementia, but higher rates of cerebrovascular disease. Alzheimer's disease (AD) pathology was little different between groups.
    Discussion: The percentage of participants recruited while cognitively normal predicted differences in findings in autopsy research cohorts. Most differences were in non-AD pathologies.
    Highlights: Systematic differences exist between autopsy cohorts that serve dementia research. We propose a metric to use for gauging a research-oriented autopsy cohort. It is essential to consider the characteristics of autopsy cohorts.
    MeSH term(s) Humans ; Female ; Selection Bias ; Alzheimer Disease/pathology ; Lewy Body Disease/pathology ; Cerebrovascular Disorders ; Autopsy
    Language English
    Publishing date 2023-08-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2211627-8
    ISSN 1552-5279 ; 1552-5260
    ISSN (online) 1552-5279
    ISSN 1552-5260
    DOI 10.1002/alz.13422
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  8. Article ; Online: Prenatal Factors in Cerebral Palsy.

    Nelson, Karin B / Blair, Eve

    The New England journal of medicine

    2015  Volume 373, Issue 23, Page(s) 2288–2289

    MeSH term(s) Cerebral Palsy/etiology ; Congenital Abnormalities ; Fetal Growth Retardation ; Humans
    Language English
    Publishing date 2015-12-03
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc1512559
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  9. Book ; Conference proceedings: FEBRILE SEIZURES

    NELSON, KARIN B.

    1981  

    Event/congress Consensus Development Conference on the Long-Term Management of Febrile Seizures (1980, BethesdaMd.)
    Author's details [CONSENSUS DEVELOPMENT CONF. ON THE LONG-TERM MANAGEMENT OF FEBRILE SEIZURES, BETHESDA, MD., MAY 19 TO 21, 1980]. ED. KARIN B. NELSON
    Keywords FEVER / CONGRESSES ; SEIZURES / CONGRESSES ; Fieber
    Size XVII, 360 S. : ILL., GRAPH. DARST.
    Publisher RAVEN PR
    Publishing place NEW YORK
    Publishing country United States
    Document type Book ; Conference proceedings
    Note A CONSENSUS DEVELOPMENT CONFERENCE ON THE MANAGEMENT OF FEBRILE SEIZURES WAS HELD AT THE NATIONAL INST. OF HEALTH ON MAY 19 TO 21, 1980
    HBZ-ID HT002636398
    Database Catalogue ZB MED Medicine, Health

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    Shelf markLoan statusLocation
    1983 A 136 order for loan Magazin

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  10. Article ; Online: Prenatal Factors in Singletons with Cerebral Palsy Born at or near Term.

    Nelson, Karin B / Blair, Eve

    The New England journal of medicine

    2015  Volume 373, Issue 10, Page(s) 946–953

    MeSH term(s) Cerebral Palsy/etiology ; Cerebral Palsy/genetics ; Congenital Abnormalities ; Fetal Growth Retardation ; Gestational Age ; Humans ; Microcephaly/complications ; Risk Factors ; Term Birth
    Language English
    Publishing date 2015-09-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMra1505261
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