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Article ; Online: Clinical decision making in acute medicine.

Trimble, M / Hennessy, K

2023 Volume 21, Issue 4, Page(s) 190–195

Abstract: Clinical decision-making is a core skill for the practice of medicine and yet during training there is often little formal analysis of the process of clinical reasoning or instruction about how to do it better. This paper reviews the process of clinical ... ...

Abstract	Clinical decision-making is a core skill for the practice of medicine and yet during training there is often little formal analysis of the process of clinical reasoning or instruction about how to do it better. This paper reviews the process of clinical decision-making with a particular focus on diagnostic reasoning. Aspects of psychology and philosophy are applied to the process along with consideration of potential sources of error and the steps that can be taken to minimize this.
MeSH term(s)	Humans ; Medicine ; Clinical Decision-Making
Language	English
Publishing date	2023-02-21
Publishing country	England
Document type	Review ; Journal Article
ZDB-ID	2213243-0
ISSN	1747-4892 ; 1747-4884 ; 1476-5063
ISSN (online)	1747-4892
ISSN	1747-4884 ; 1476-5063
DOI	10.52964/AMJA.0923
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Article: Naltrexone-induced acute generalized exanthematous pustulosis.

Eakes, Jason / Moore, Sarah / Hennessy, Kerry / Lin, Ann

JAAD case reports

2023 Volume 39, Page(s) 115–117

Language	English
Publishing date	2023-08-03
Publishing country	United States
Document type	Case Reports
ZDB-ID	2834220-3
ISSN	2352-5126
ISSN	2352-5126
DOI	10.1016/j.jdcr.2023.07.009
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Article ; Online: Sun Safety Policies among School Districts in the US: Findings from a National Survey.

Wei, Grace / Hennessy, Kerry / Turner, Kea

Skinmed

2022 Volume 20, Issue 1, Page(s) 47–56

Abstract: Cumulative childhood sun damage increases skin cancer risk. Considerable childhood time is spent at school, posing an ideal site for sun safety intervention. Currently, national prevalence estimates of school district-level sun safety policies are ... ...

Abstract	Cumulative childhood sun damage increases skin cancer risk. Considerable childhood time is spent at school, posing an ideal site for sun safety intervention. Currently, national prevalence estimates of school district-level sun safety policies are limited. We evaluated the prevalence of sun safety policies in the US school districts and correlated with district-level factors using cross-sectional data from the 2012 and 2016 School Health Policies and Practices Study. The prevalence of sun safety policies among the US school districts was infrequent. In 2016, policies to schedule outdoor activities avoiding peak sun, allowing and encouraging use of sunscreen, and encouraging the use of protective attire were required by less than 5% of districts and remained unaddressed in 50%-75% of districts. Sun safety policies remain inadequately addressed in many US school districts and may contribute to preventable childhood sun damage. Implementing sun safety interventions in schools through more robust district-level regulations may more effectively reach students, allocate resources, and monitor implementation.
MeSH term(s)	Child ; Cross-Sectional Studies ; Health Policy ; Humans ; Schools ; Students ; Sunscreening Agents/therapeutic use
Chemical Substances	Sunscreening Agents
Language	English
Publishing date	2022-02-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	2171125-2
ISSN	1751-7125 ; 1540-9740
ISSN (online)	1751-7125
ISSN	1540-9740
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Article ; Online: Verrucous plaques on the face, dysphagia, and limb weakness.

Hennessy, Kerry / Shorman, Mahmoud

Cleveland Clinic journal of medicine

2020 Volume 87, Issue 10, Page(s) 587–589

MeSH term(s)	Blastomycosis/complications ; Blastomycosis/microbiology ; Chromoblastomycosis/complications ; Chromoblastomycosis/microbiology ; Deglutition Disorders/microbiology ; Face/microbiology ; Hand/microbiology ; Humans ; Leg/microbiology ; Male ; Medical Illustration ; Middle Aged ; Muscle Weakness/microbiology ; Tennessee
Keywords	covid19
Language	English
Publishing date	2020-10-01
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	639116-3
ISSN	1939-2869 ; 0891-1150
ISSN (online)	1939-2869
ISSN	0891-1150
DOI	10.3949/ccjm.87a.19151
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Article ; Online: Efficacy and safety of topical treatments for seborrheic keratoses: a systematic review.

Natarelli, Nicole / Krenitsky, Amanda / Hennessy, Kerry / Moore, Sarah / Grichnik, James

The Journal of dermatological treatment

2022 Volume 34, Issue 1, Page(s) 2133532

Abstract: Seborrheic keratoses (SKs) are benign epidermal neoplasms presenting as waxy, brown to black papules and plaques. Patients often seek removal for cosmetic reasons or irritation. The objective of this systematic review is to assess the efficacy and safety ...

Abstract	Seborrheic keratoses (SKs) are benign epidermal neoplasms presenting as waxy, brown to black papules and plaques. Patients often seek removal for cosmetic reasons or irritation. The objective of this systematic review is to assess the efficacy and safety of topical treatments for SKs. Studies involving any topical medication indicated for SK removal were retrieved from Embase, Scopus, PubMed, and Cochrane. The final search was conducted on November 9, 2021, and 26 reports met inclusion criteria. A quality rating scheme was utilized to assess evidence quality. Heterogeneity of treatments and outcome measures precluded meta-analysis. Topical treatments that yielded a good-to-excellent response include hydrogen peroxide, Maxacalcitol 25 µg/g, BID Tazarotene 0.1% cream, 5% potassium dobesilate cream, 1% diclofenac sodium solution, urea-based solution, and 65% and 80% trichloroacetic acid. Local skin reactions were often mild and transient. Topical hydrogen peroxide showed the greatest evidence for clinical clearance of SKs, although there are no studies to our knowledge that directly compared hydrogen peroxide to current first-line treatments (e.g. cryotherapy or shave excision). The results of this review suggest viable and safe treatment of SK with topical therapies; however, there remains demand for topical treatments that reliably equate or exceed the efficacy of current first-line therapies.Key Points
MeSH term(s)	Humans ; Administration, Topical ; Cryotherapy/methods ; Hydrogen Peroxide/therapeutic use ; Keratosis, Seborrheic/drug therapy ; Treatment Outcome
Chemical Substances	Hydrogen Peroxide (BBX060AN9V)
Language	English
Publishing date	2022-11-13
Publishing country	England
Document type	Journal Article ; Systematic Review
ZDB-ID	1036299-x
ISSN	1471-1753 ; 0954-6634
ISSN (online)	1471-1753
ISSN	0954-6634
DOI	10.1080/09546634.2022.2133532
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Article ; Online: Treatment of early-stage mycosis fungoides with oral bexarotene and phototherapy: A systematic review and meta-analysis.

Ginsburg, Erica / Hennessy, Kerry / Mhaskar, Rahul / Seminario-Vidal, Lucia

Dermatologic therapy

2022 Volume 35, Issue 5, Page(s) e15418

Abstract: Mycosis fungoides (MF) is a rare subtype of non-Hodgkin lymphoma, for which no standard treatment exists. The objective of this study is to provide evidence-based recommendations for adult patients with early-stage MF treated with oral bexarotene and ... ...

Abstract	Mycosis fungoides (MF) is a rare subtype of non-Hodgkin lymphoma, for which no standard treatment exists. The objective of this study is to provide evidence-based recommendations for adult patients with early-stage MF treated with oral bexarotene and phototherapy. A systematic review and meta-analysis was conducted utilizing studies identified via Embase, Pubmed, Web of Science, and the Cochrane Library from inception to April 2020 to evaluate the clinical efficacy and adverse events of oral bexarotene and phototherapy. Of 645 abstracts retrieved, 17 full-text articles with 143 subjects were included for analysis. There were nine case reports, five retrospective cohort studies, two prospective cohort studies, and one randomized controlled trial. Most subjects were men (24.48%) with stage IB disease (54.4%), and the mean age at presentation was 63. One patient had folliculotropic disease. The retrospective studies' analysis included 67 subjects and indicated that the partial response was 40.36% (95% CI 18.24-64.92), complete response was 34.06% (95% CI 10.73-62.56), and overall response was 64.48% (95% CI 48.56-78.89). Side effects from bexarotene were hypertriglyceridemia (54%), hypothyroidism (50%), and hypercholesterolemia (46%). Similar results were noted in the prospective studies. The literature consists mostly of uncontrolled studies, which suggest that combination therapy with oral bexarotene and phototherapy is a therapeutic option. Future randomized control studies with longer follow-up and standardized definitions of treatment responses and dosages are needed to support the development of evidence-based approaches for the treatment of early-stage MF.
MeSH term(s)	Adult ; Bexarotene/adverse effects ; Female ; Humans ; Male ; Mycosis Fungoides/drug therapy ; Mycosis Fungoides/pathology ; Phototherapy/adverse effects ; Phototherapy/methods ; Prospective Studies ; Retrospective Studies ; Skin Neoplasms/drug therapy ; Skin Neoplasms/pathology ; Treatment Outcome
Chemical Substances	Bexarotene (A61RXM4375)
Language	English
Publishing date	2022-03-16
Publishing country	United States
Document type	Journal Article ; Meta-Analysis ; Systematic Review
ZDB-ID	1354801-3
ISSN	1529-8019 ; 1396-0296
ISSN (online)	1529-8019
ISSN	1396-0296
DOI	10.1111/dth.15418
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Article ; Online: Non-pharmacological interventions and corticosteroid injections for the management of the Achilles tendon in inflammatory arthritis: a systematic review.

Modi, Shaily / Turner, Deborah / Hennessy, Kym

Journal of foot and ankle research

2021 Volume 14, Issue 1, Page(s) 48

Abstract: Background: Achilles tendon (AT) pathologies, particularly Achilles enthesitis, are common in inflammatory arthritis (IA). Although there are various non-pharmacological interventions and injection therapies available, it is unknown if these ... ...

Abstract	Background: Achilles tendon (AT) pathologies, particularly Achilles enthesitis, are common in inflammatory arthritis (IA). Although there are various non-pharmacological interventions and injection therapies available, it is unknown if these interventions are effective for people with IA, as this population is often excluded from studies investigating the management of AT pathologies. This study aimed to identify and critically appraise the evidence for non-pharmacological interventions and corticosteroid injections in the management of AT pathology in those with IA. Methods: All studies which met the inclusion criteria (AT interventions in adults with a working clinical diagnosis of IA, English language) were identified from the following databases: Medline, Embase, CINAHL and the Cochrane Library. The search strategies used the search terms 'spondyloarthropathies', 'inflammatory arthritis', 'achilles tendon', 'physical therapy', 'conservative management', 'injections', and related synonyms. Studies included were quantitative longitudinal design, such as randomised controlled trials, pseudo randomised and non-randomised experimental studies, observational studies, cohort studies, and case control studies. All outcome measures were investigated, quality assessment to determine internal and external validity of included studies was undertaken, and qualitative data synthesis was conducted. Results: Of the 10,911 articles identified in the search strategy, only two studies that investigated the efficacy of corticosteroid injections for the management of the AT in IA met the inclusion criteria, and no studies were identified for non-pharmacological interventions. Both injection studies had low quality rating for internal and external validity, and thus overall validity. The included studies only investigated two outcome domains: pain and ultrasound (US) (B Mode and Doppler) identified abnormalities and vascularity in the AT. There is weak evidence suggesting a short-term improvement (6-12 weeks) in pain and for the reduction in some abnormal US (B-Mode and Doppler) detectable features (entheseal thickness, bursitis, and entheseal vascularity) at the AT and surrounding structures post-corticosteroid injection. Conclusion: Weak evidence is available regarding the efficacy of corticosteroid injections in reducing pain and inconclusive evidence for the improvement of abnormal US detectable features. No studies were identified for non-pharmacological interventions. It is evident from the lack of relevant literature that there is an urgent need for more studies assessing non-pharmacological interventions for the AT in people with IA.
MeSH term(s)	Achilles Tendon/diagnostic imaging ; Adrenal Cortex Hormones ; Adult ; Arthritis ; Humans ; Spondylarthropathies ; Ultrasonography
Chemical Substances	Adrenal Cortex Hormones
Language	English
Publishing date	2021-07-10
Publishing country	England
Document type	Journal Article ; Systematic Review
ZDB-ID	2440706-9
ISSN	1757-1146 ; 1757-1146
ISSN (online)	1757-1146
ISSN	1757-1146
DOI	10.1186/s13047-021-00484-6
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Article ; Online: Revising ruling discourses: The griefwork evidence-to-practice gap and the mental health workforce.

McCoyd, Judith L M / Goldblatt Hyatt, Erica / Hennessy, Kerry / Akincigil, Ayse

Death studies

2023 Volume 47, Issue 10, Page(s) 1136–1145

Abstract: Elisabeth Kübler-Ross' pioneering work focused on dying, yet some clinicians persist in prescribing it as a path through grief. We surveyed 964 mental health clinicians who completed a five-section mixed methods survey: two sections assessed knowledge ... ...

Abstract	Elisabeth Kübler-Ross' pioneering work focused on dying, yet some clinicians persist in prescribing it as a path through grief. We surveyed 964 mental health clinicians who completed a five-section mixed methods survey: two sections assessed knowledge with multiple choice questions and a case study to assess clinicians' knowledge-base and approach to grief/loss in practice. Analysis of four items related to Kübler-Ross' model and 66/962 case studies indicates ongoing use of "stages" and Kübler-Ross' model. Only 330 (34.2%) of the clinicians were deemed knowledgeable; 462 (47.9%) were questionable; and 172 (17.9%) were misinformed, continuing to use Kübler-Ross' stage theory for grief.
MeSH term(s)	Humans ; Health Workforce ; Professional Practice Gaps ; Grief ; Health Personnel
Language	English
Publishing date	2023-01-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	632596-8
ISSN	1091-7683 ; 0748-1187
ISSN (online)	1091-7683
ISSN	0748-1187
DOI	10.1080/07481187.2023.2171159
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Article ; Online: Parenteral nutrition insecurity: ASPEN survey to assess the extent and severity of parenteral nutrition access and reimbursement issues.

Mirtallo, Jay M / Blackmer, Allison / Hennessy, Kathryn / Allen, Penny / Nawaya, Alaa D

Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition

2023 Volume 39, Issue 2, Page(s) 396–408

Abstract: Background: Parenteral nutrition (PN) shortages and lack of qualified professional staff to manage PN impact safe, efficacious care and costs of PN. This American Society for Parenteral and Enteral Nutrition (ASPEN)-sponsored survey assessed the ... ...

Abstract	Background: Parenteral nutrition (PN) shortages and lack of qualified professional staff to manage PN impact safe, efficacious care and costs of PN. This American Society for Parenteral and Enteral Nutrition (ASPEN)-sponsored survey assessed the frequency and extent to which PN access affects PN delivery to patients. Methods: Healthcare professionals involved with PN were surveyed. Questions were developed to characterize the respondent population and determine the extent and severity of PN access issues to components, devices, and healthcare professionals, as well as their effects on discharge and transfer issues. Reimbursement issues included cost, adequacy of therapy, and healthcare professional reimbursement. Burdens were types and frequency of errors, adverse events, and nutrition problems resulting from PN access issues. Impact on professionals and organizations was determined. Results: Respondents (N = 350) worked in hospitals (75%) and home infusion (25%). Per day, clinicians cared for <15 patients receiving PN. All age populations were represented. Respondents reported shortages of macronutrients (72%, 233 of 324) and micronutrients (91%, 297 of 324). Issues with access to healthcare workers were observed. PN access issues contribute to increased costs of PN, and knowledge regarding the current rate of PN reimbursement is limited. Respondents (75%, 197 of 261) observed an error due to PN access issues. Adverse events (57%, 149 of 259) were observed leading to temporary or permanent harm (24%, 61 of 259) as well as near death (4%, 9 of 259) and death (1%, 2 of 259). Providers reported time away from other job responsibilities and workplace stress. Conclusion: PN access issues result in "PN insecurity" that negatively impacts patients and healthcare providers and leads to adverse events including death in patients receiving PN.
MeSH term(s)	Humans ; United States ; Parenteral Nutrition/adverse effects ; Surveys and Questionnaires ; Societies ; Health Personnel ; Nutrition Disorders
Language	English
Publishing date	2023-12-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	645074-x
ISSN	1941-2452 ; 0884-5336
ISSN (online)	1941-2452
ISSN	0884-5336
DOI	10.1002/ncp.11110
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Book: Legacy of lessons learned

Hennessy, Karen

Landstuhl Regional Medical Center during wartime, 2001-2014

2016

Institution	Landstuhl Regional Medical Center. Borden Institute (U.S.),
Author's details	Karen Hennessy
MeSH term(s)	Hospitals, Military/history ; Trauma Centers/history ; Military Medicine/history ; Afghan Campaign 2001- ; Iraq War, 2003-2011
Keywords	Germany ; United States
Language	English
Size	p. ;, cm.
Document type	Book
Database	Catalogue of the US National Library of Medicine (NLM)

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