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  1. Article ; Online: Assessing team communication with patients' families: Findings from utilizing the Communication Assessment Tool-Team (CAT-T) in an interprofessional error disclosure simulation.

    Ottis, Erica / Luetkenhaus, Katie / Micheas, Lada / Dyer, Carla

    Patient education and counseling

    2021  Volume 104, Issue 9, Page(s) 2292–2296

    Abstract: Objective: The CAT-T was incorporated into an interprofessional error disclosure (ED) simulation to assess team communication with a patient family member.: Methods: Interprofessional student groups (n = 55) planned for team-based ED with ... ...

    Abstract Objective: The CAT-T was incorporated into an interprofessional error disclosure (ED) simulation to assess team communication with a patient family member.
    Methods: Interprofessional student groups (n = 55) planned for team-based ED with facilitation by faculty. Students participated in three scenarios of ED with a standardized family member (SFM) who displayed the emotions of sadness, anger, and distrust sequentially. SFMs completed the CAT-T tool for each emotion. CAT-T items were classified as empathy or disclosure skills by factor analysis. Qualitative comments from the SFM were provided during debrief.
    Results: Students performed well on team-based ED from the SFM perspective. Team performance improved when the SFM displayed distrust after observing peers disclose for the sad and angry emotion. Higher composite scores were found on CAT-T items categorized as empathy skills.
    Conclusions: The ED simulation allowed students to practice disclosure skills in a low-stakes environment and receive feedback from a SFM based on behaviors evaluated on the CAT-T. The simulation design allowed students to improve their performance by incorporating feedback into subsequent cycles.
    Practice implications: Immersive experiences where observable student behaviors can be assessed are important to enhance IPE curriculum and to build skills in pre-licensure students that will be foundational for collaborative practice.
    MeSH term(s) Communication ; Computer Simulation ; Feedback ; Humans ; Interprofessional Relations ; Truth Disclosure
    Language English
    Publishing date 2021-02-23
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 605590-4
    ISSN 1873-5134 ; 0738-3991
    ISSN (online) 1873-5134
    ISSN 0738-3991
    DOI 10.1016/j.pec.2021.02.038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Improving detection of Hill-Sachs fractures on radiographs.

    Riebe, Blake / Micheas, Lada / Crim, Julia

    Skeletal radiology

    2021  Volume 50, Issue 9, Page(s) 1889–1897

    Abstract: Objective: To investigate factors which affect radiographic diagnosis of Hill-Sachs fractures, and find criteria which improve detection.: Materials and methods: Retrospective search was made for the term "Hill Sachs" within MRI reports in our local ... ...

    Abstract Objective: To investigate factors which affect radiographic diagnosis of Hill-Sachs fractures, and find criteria which improve detection.
    Materials and methods: Retrospective search was made for the term "Hill Sachs" within MRI reports in our local PACS system, and cases with post-reduction radiographs were included in the study. Prospective diagnoses and subspecialty MSK training of the interpreting radiologist of record were recorded. Images were then retrospectively reviewed by two observers and statistical analysis was performed.
    Results: Our retrospective study included 181 cases, of which 35% had prospective radiographic diagnosis of Hill-Sachs fracture. Retrospective review found that 73% of the radiograph series had at least 1 sign of a Hill-Sachs fracture. The internal rotation view showed a Hill-Sachs lesion in 59% of cases, but did not detect it in 14% of cases, where the lesion was instead visible on axillary, external rotation, and/or scapular Y view. Odds ratio of prospective Hill-Sachs detection on radiographs was 2.68 for musculoskeletal fellowship-trained radiologists versus non-musculoskeletal-trained radiologists.
    Conclusion: Hill-Sachs fractures are often not recognized on post-reduction radiographs. Diagnosis of Hill-Sachs lesion can be significantly increased if radiologists are aware that the internal rotation view may fail to show the injury, and if all 4 views of a shoulder series are scrutinized.
    MeSH term(s) Bankart Lesions ; Humans ; Joint Instability/diagnostic imaging ; Prospective Studies ; Radiography ; Retrospective Studies ; Shoulder Dislocation/diagnostic imaging ; Shoulder Joint
    Language English
    Publishing date 2021-03-25
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 527592-1
    ISSN 1432-2161 ; 0364-2348
    ISSN (online) 1432-2161
    ISSN 0364-2348
    DOI 10.1007/s00256-021-03763-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Prevalence of Poor Mental Health Days and Adverse Childhood Experience Reporting in U.S. Adults Before and After COVID-19.

    Kapp, Julie M / Micheas, Lada / Holmes, Shannon / Stormont, Melissa / Reinke, Wendy M

    Community mental health journal

    2022  Volume 59, Issue 2, Page(s) 233–242

    Abstract: This is the first study of US adults to examine change in the prevalence of psychological burden (i.e., self-reported poor mental health days in the past 30 days, and ACEs recollections) before compared to after COVID-19 started. We analyzed the ... ...

    Abstract This is the first study of US adults to examine change in the prevalence of psychological burden (i.e., self-reported poor mental health days in the past 30 days, and ACEs recollections) before compared to after COVID-19 started. We analyzed the prevalence of self-reported poor mental health days, and ACEs recollections from 17 states using the Behavioral Risk Factor Surveillance System. Adjusted models identified an increase in prevalence from before compared to after COVID-19 onset in those married or partnered reporting 48% more poor mental health days in the past 30 days; persons of color reporting living with anyone with mental illness during childhood by 73% and reporting more ACEs by 35%; those employed or self-employed reporting childhood sexual abuse by 45%. This ecological-level analysis revealed population-level changes in psychological well-being reporting of U.S. adults from before compared to after the pandemic onset.
    MeSH term(s) Adult ; Humans ; Mental Health ; Adverse Childhood Experiences ; Prevalence ; COVID-19/epidemiology ; Mental Disorders/epidemiology
    Language English
    Publishing date 2022-07-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 215855-3
    ISSN 1573-2789 ; 0010-3853
    ISSN (online) 1573-2789
    ISSN 0010-3853
    DOI 10.1007/s10597-022-01001-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Anti-Müllerian hormone in managed African and Asian rhino species.

    Pollock, K E / O'Brien, J K / Roth, T L / Proudfoot, J / Niederlander, J / Micheas, L / Robeck, T R / Stoops, M A

    General and comparative endocrinology

    2020  Volume 294, Page(s) 113487

    Abstract: Serum collected across the lifespan of four managed rhino species: black (Diceros bicornis, n = 16), white (Ceratotherium simum simum, n = 19), greater one-horned (GOH, Rhinoceros unicornis, n = 11) and Sumatran (Dicerorhinus sumatrensis, n = 6) were ... ...

    Abstract Serum collected across the lifespan of four managed rhino species: black (Diceros bicornis, n = 16), white (Ceratotherium simum simum, n = 19), greater one-horned (GOH, Rhinoceros unicornis, n = 11) and Sumatran (Dicerorhinus sumatrensis, n = 6) were validated and analyzed in an anti-Müllerian hormone (AMH) enzyme- linked immunoassay. Concentrations of AMH were examined over time, between sexes and throughout different reproductive states which included n = 3 female white rhinos immunocontracepted with porcine zona pellucida (pZP). Across species, males produced higher AMH concentrations compared to females. Among males, AMH concentrations varied by species aside from comparable values secreted between black and white rhinos. The GOH and Sumatran rhino secreted the highest and lowest male AMH concentrations, respectively. However, within each species, AMH concentrations were similar across male age categories. Preliminary insight into male AMH changes from birth to sexual maturity suggest its potential as a marker for onset of testicular maturation. Female black, GOH and Sumatran rhinos secreted comparable AMH concentrations which were higher than those in white rhino. Within each species, inter-individual variation in AMH secretion occurred among females of similar age. While AMH secretion did not differ across the ages sampled for female white (4->26 yr) and GOH (4-26 yr) rhinos, black and Sumatran rhinos >26 and <4 yr, respectively secreted lower AMH compared to conspecific females 7-26 yr of age. Two idiopathic infertility cases corresponded to low (outside species range) AMH values. The establishment of normative AMH concentrations in managed African and Asian rhinos provides an additional metric beyond traditional sex steroids to assess gonadal function. Further work is needed to determine if AMH can predict fertility potential in rhinos.
    MeSH term(s) Africa ; Aging/physiology ; Animals ; Anti-Mullerian Hormone/blood ; Anti-Mullerian Hormone/metabolism ; Asia ; Estrous Cycle/physiology ; Female ; Immunization ; Male ; Perissodactyla/blood ; Perissodactyla/metabolism ; Reproduction/physiology ; Species Specificity
    Chemical Substances Anti-Mullerian Hormone (80497-65-0)
    Language English
    Publishing date 2020-04-09
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1851-x
    ISSN 1095-6840 ; 0016-6480
    ISSN (online) 1095-6840
    ISSN 0016-6480
    DOI 10.1016/j.ygcen.2020.113487
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Long-term follow-up evaluation of endoscopic sclerotherapy for dilated gastrojejunostomy after gastric bypass.

    Giurgius, Magdy / Fearing, Nicole / Weir, Alexandra / Micheas, Lada / Ramaswamy, Archana

    Surgical endoscopy

    2014  Volume 28, Issue 5, Page(s) 1454–1459

    Abstract: Background: Endoscopic sclerotherapy using sodium morrhuate has been used to treat patients with weight regain after Roux-en-Y gastric bypass whose presumed etiology is loss of restriction due to gastrojejunostomy dilation. Weight loss and stability ... ...

    Abstract Background: Endoscopic sclerotherapy using sodium morrhuate has been used to treat patients with weight regain after Roux-en-Y gastric bypass whose presumed etiology is loss of restriction due to gastrojejunostomy dilation. Weight loss and stability have been demonstrated in several studies with short-term follow-up evaluation.
    Methods: This retrospective review evaluated all the patients who underwent sclerotherapy for a dilated gastrojejunostomy between 2007 and 2012.
    Results: The study identified 48 patients with a mean follow-up period of 22 months (range 12-60 months). The mean age of these patients was 47.5 ± 10.5 years, and 92 % were women. The average weight loss from the primary procedure was 132.5 ± 54.82 lb, and the average weight regain from the lowest weight to the maximum weight before sclerotherapy was 46 ± 40.32 lb. The median number of sclerotherapy sessions was two (range 1-4). The pre-procedure mean gastrojejunostomy diameter was 20 ± 3.6 mm, and the mean volume of sodium morrhuate injected per session was 12.8 ± 3.7 ml. The average weight loss from sclerotherapy to the final documented weight was 3.17 ± 19.70 lb, which was not statistically significant. The following variables in the multivariate analysis were not associated with statistically significant weight loss: volume of sodium morrhuate, patient age, gastrojejunostomy diameter, number of sclerotherapy sessions, decrease in gastrojejunostomy diameter between the first and second sessions, and number of follow-up years. Weight stabilization or loss was achieved by 58 % of our cohort, with a mean weight loss of 15.9 ± 14.6 lb in this subgroup.
    Conclusion: The long-term follow-up evaluation of patients undergoing sclerotherapy of the gastrojejunostomy for weight regain after gastric bypass showed only a marginal weight loss, which was not statistically significant in our study population, although more than 50 % of the patients achieved weight loss or stabilization.
    MeSH term(s) Dilatation, Pathologic/therapy ; Endoscopy, Gastrointestinal/methods ; Female ; Follow-Up Studies ; Gastric Bypass/methods ; Humans ; Male ; Middle Aged ; Postoperative Care/methods ; Postoperative Complications/therapy ; Retrospective Studies ; Sclerosing Solutions/administration & dosage ; Sclerotherapy/methods ; Sodium Morrhuate/administration & dosage ; Time Factors ; Treatment Outcome ; Weight Gain
    Chemical Substances Sclerosing Solutions ; Sodium Morrhuate (8031-09-2)
    Keywords covid19
    Language English
    Publishing date 2014-01-30
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-013-3376-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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