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  1. Article ; Online: Caregiver-Reported Pain Management Practices for Individuals With Cerebral Palsy.

    Raiter, Abagail M / Burkitt, Chantel C / Merbler, Alyssa / Lykken, Lisa / Symons, Frank J

    Archives of rehabilitation research and clinical translation

    2021  Volume 3, Issue 1, Page(s) 100105

    Abstract: Objective: To investigate types and intensity of pain experienced by individuals with cerebral palsy (CP) and common pain-relieving approaches used by caregivers.: Design: The approach was cross-sectional, using standardized interviews.: Setting: ... ...

    Abstract Objective: To investigate types and intensity of pain experienced by individuals with cerebral palsy (CP) and common pain-relieving approaches used by caregivers.
    Design: The approach was cross-sectional, using standardized interviews.
    Setting: Individuals with CP were recruited from a specialty health care hospital.
    Participants: Eighty-six individuals (N=86; mean age, 17.2 years; male, 58%) with CP and complex communication needs participated.
    Interventions: Not applicable.
    Main outcome measures: Pain type, mean pain intensity (MPI) (graded on a scale of 0=no pain to 10=worst possible pain), and mean pain relief (MPR) (graded on a scale of 0=intervention did not help at all to 10=intervention completely relieved pain) were assessed by caregiver report as part of the Dalhousie Pain Interview for each type of pain experienced in the previous 7 days.
    Results: Caregivers reported that 58 participants (67%) had experienced pain in the previous 7 days. MPI was 7.7±1.8 when the pain was worst in the previous 7 days. The 2 most common types of pain included musculoskeletal pain (n=70) and gastrointestinal pain (n=11). The most frequent treatment to relieve musculoskeletal pain was changing positions (n=27, MPI=5.1±2.3, MPR=6.6±2.1), medication (n=25, MPI=7.4±1.6, MPR=5.3±1.9), and massage (n=19, MPI=6.7±1.9, MPR=5.2±1.7). To treat gastrointestinal pain, medication was typically used (n=4, MPI=4.8±1.4, MPR=5.5±1.0), although no treatment was just as common (n=4, MPI=4.5±2.3).
    Conclusions: The results indicate that musculoskeletal pain is prevalent in individuals with CP, and changing physical positions and providing medication are strategies most used by caregivers.
    Language English
    Publishing date 2021-01-18
    Publishing country United States
    Document type Journal Article
    ISSN 2590-1095
    ISSN (online) 2590-1095
    DOI 10.1016/j.arrct.2021.100105
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Comparison of efficacy and frequency of akathisia and dystonia between olanzapine, metoclopramide and prochlorperazine in ED headache patients.

    Chinn, Elliott / Brunette, Nicholas D / Driver, Brian E / Klein, Lauren R / Stang, Jamie L / DeVries, Paige / Mojica, Erika / Raiter, Abagail / Miner, James R / Cole, Jon B

    The American journal of emergency medicine

    2022  Volume 65, Page(s) 109–112

    Abstract: Study objective: To compare the efficacy and frequency of akathisia and dystonia between the dopamine antagonist headache medications olanzapine, metoclopramide and prochlorperazine.: Methods: This was a retrospective observational cohort study of ... ...

    Abstract Study objective: To compare the efficacy and frequency of akathisia and dystonia between the dopamine antagonist headache medications olanzapine, metoclopramide and prochlorperazine.
    Methods: This was a retrospective observational cohort study of patients presenting to a large urban level one trauma center between 2010 and 2018. Inclusion criteria was age ≥ 18 who presented to the emergency department with a chief complaint of headache who received either olanzapine, metoclopramide or prochlorperazine. The primary outcome was need for rescue medication. Secondary outcomes were receiving medication for either akathisia or dystonia. Logistic regression was used to identify differences between the three cohorts up to 72 h from initial presentation.
    Results: There were 5643 patients who met inclusion criteria. Olanzapine was the most commonly used drug (n = 2994, 53%) followed by prochlorperazine (n = 2100, 37%) and metoclopramide (n = 549, 10%). After adjusting for age and gender, there were no differences in risk for receiving rescue therapy or developing akathisia or dystonia.
    Conclusion: During initial ED visit and up to 72 h after receiving olanzapine, metoclopramide or prochlorperazine, we found no difference in risk for requiring rescue medication or developing akathisia or dystonia.
    MeSH term(s) Humans ; Prochlorperazine/therapeutic use ; Metoclopramide/therapeutic use ; Olanzapine/therapeutic use ; Dystonia/drug therapy ; Cohort Studies ; Psychomotor Agitation/drug therapy ; Migraine Disorders/drug therapy ; Headache/drug therapy ; Emergency Service, Hospital ; Double-Blind Method
    Chemical Substances Prochlorperazine (YHP6YLT61T) ; Metoclopramide (L4YEB44I46) ; Olanzapine (N7U69T4SZR)
    Language English
    Publishing date 2022-12-23
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2022.12.039
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Effect of Depression and Rurality on Diabetes Control.

    N C Fu, Helen / Skolnick, Victoria G / S Carlin, Caroline / Solberg, Leif / Raiter, Abagail M / Peterson, Kevin A

    Journal of the American Board of Family Medicine : JABFM

    2020  Volume 33, Issue 6, Page(s) 913–922

    Abstract: Background: Having depression and living in a rural environment have separately been associated with poor diabetes outcomes, but there little is known about the interaction between the 2 risk factors. This study investigates the association of ... ...

    Abstract Background: Having depression and living in a rural environment have separately been associated with poor diabetes outcomes, but there little is known about the interaction between the 2 risk factors. This study investigates the association of depression and rurality with glycemic control in adults, as well as their interaction.
    Methods: This is a repeated cross-sectional study with data collected from 2010 to 2017 (n = 1,697,173 patient-year observations), comprising a near-complete census of patients with diabetes in Minnesota. The outcome of interest was glycemic control defined as hemoglobin A1c under 8%. We used a logit model with clinic-level random effects to predict glycemic control as a function of depression, patient rurality, and their interaction, adjusted for differences in observed characteristics of the patient, clinic, and patient's neighborhood.
    Results: Having depression was associated with lower probability of achieving glycemic control (
    Conclusion: Although patients with depression had poorer glycemic control, living in a small rural town reduced the negative association between depression and glycemic control.
    MeSH term(s) Adult ; Blood Glucose ; Cross-Sectional Studies ; Depression/epidemiology ; Diabetes Mellitus/epidemiology ; Diabetes Mellitus, Type 2 ; Glycated Hemoglobin A/analysis ; Humans
    Chemical Substances Blood Glucose ; Glycated Hemoglobin A
    Language English
    Publishing date 2020-11-20
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2239939-2
    ISSN 1558-7118 ; 1557-2625
    ISSN (online) 1558-7118
    ISSN 1557-2625
    DOI 10.3122/jabfm.2020.06.200041
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Medical needs of emergency department patients presenting with acute alcohol and drug intoxication.

    Stang, Jamie L / DeVries, Paige A / Klein, Lauren R / Cole, Jon B / Martel, Marc / Reing, Mackenzie L / Raiter, Abagail M / Driver, Brian E

    The American journal of emergency medicine

    2021  Volume 42, Page(s) 38–42

    Abstract: Study objective: Some contend that patients with acute alcohol or illicit substance intoxication should be treated in outpatient detoxification centers rather than in the ED. However, these patients often have underlying acute medical needs. We sought ... ...

    Abstract Study objective: Some contend that patients with acute alcohol or illicit substance intoxication should be treated in outpatient detoxification centers rather than in the ED. However, these patients often have underlying acute medical needs. We sought to determine the frequency of medical interventions required by ED patients with alcohol or illicit substance intoxication.
    Methods: This was a prospective observational study of consecutive ED patients presenting to an urban tertiary care ED with altered mental status due to alcohol or illicit substance use. We performed data collection for patients deemed to be low-risk for complications, as defined by receiving care in an intoxication observation unit. Trained staff observed and recorded all medical interventions, including medications administered, diagnostic testing, procedures performed, and airway interventions. The incidence of agitation was recorded using the Altered Mental Status Scale (AMSS, ordinal scale from -4 to +4, where +4 is most agitated). The data analysis is descriptive.
    Results: This analysis included 2685 encounters (1645 unique patients; median age 39; 73% male) from January to May 2019. Average breath alcohol concentration was 0.20 g/dL (range 0.00-0.47). There were 89% encounters with alcohol intoxication, and in 17% encounters the patient was suspected or known to have drug intoxication (either alone or in conjunction with alcohol use). On arrival to the ED, 372 (14%) had agitation (AMSS +1 or higher) and 32 (1%) were profoundly agitated (AMSS +4). In total, 1526 (56%) received at least one intervention that could not be provided by a local detoxification or sobering facility. Of the study population, 955 (36%) received a sedating medication, 903 (34%) required physical restraints for patients or staff safety, 575 (21%) underwent imaging studies, 318 (12%) underwent laboratory testing, 367 (13%) received another intervention (IV access, EKG, splinting, wound care, etc). Additionally, 111 (4%) patients received an airway intervention (19 intubation, 23 nasal airway, 85 supplemental oxygen) and 275 (10%) required repositioning to protect the airway. There were 168 (6%) patients admitted to the hospital.
    Conclusion: In this population of relatively low-risk ED patients with drug and alcohol intoxication, a substantial proportion of patients received medical interventions.
    MeSH term(s) Adolescent ; Adult ; Aged ; Alcoholic Intoxication/diagnosis ; Alcoholic Intoxication/psychology ; Alcoholic Intoxication/therapy ; Drug Overdose/diagnosis ; Drug Overdose/psychology ; Drug Overdose/therapy ; Emergency Service, Hospital ; Female ; Humans ; Illicit Drugs/poisoning ; Male ; Middle Aged ; Prospective Studies ; Psychomotor Agitation/etiology ; Young Adult
    Chemical Substances Illicit Drugs
    Language English
    Publishing date 2021-01-02
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2020.12.079
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Characterization of Cellular Sources and Circulating Levels of Extracellular Vesicles in a Dietary Murine Model of Nonalcoholic Steatohepatitis.

    Li, Jiahui / Liu, Huimin / Mauer, Amy S / Lucien, Fabrice / Raiter, Abagail / Bandla, Harikrishna / Mounajjed, Taofic / Yin, Ziying / Glaser, Kevin J / Yin, Meng / Malhi, Harmeet

    Hepatology communications

    2019  Volume 3, Issue 9, Page(s) 1235–1249

    Abstract: Circulating extracellular vesicles (EVs) are a novel and emerging biomarker for nonalcoholic steatohepatitis (NASH). It has been demonstrated that total circulating EVs and hepatocyte-derived EVs are elevated in male mice with diet-induced NASH. How ... ...

    Abstract Circulating extracellular vesicles (EVs) are a novel and emerging biomarker for nonalcoholic steatohepatitis (NASH). It has been demonstrated that total circulating EVs and hepatocyte-derived EVs are elevated in male mice with diet-induced NASH. How hepatocyte-derived EVs change over time and other cellular sources of EVs in NASH have not been determined. Our objective was to define the quantitative evolution of hepatocyte-derived, macrophage-derived, neutrophil-derived, and platelet-derived EVs in male and female mice with dietary NASH. Fluorescently labeled antibodies and a nanoscale flow cytometer were used to detect plasma levels of EVs. Asialoglycoprotein receptor 1 (ASGR1) and cytochrome P450 family 2 subfamily E member 1 (CYP2E1) are markers of hepatocyte-derived EVs; galectin 3 is a marker of macrophage-derived EVs; common epitope on lymphocyte antigen 6 complex, locus G/C1 (Ly-6G and Ly-6C) is a marker of neutrophil-derived EVs; and clusters of differentiation 61 (CD61) is a marker of platelet-derived EVs. Nonalcoholic fatty liver disease activity score (NAS) was calculated using hematoxylin and eosin-stained liver sections, and magnetic resonance imaging (MRI) was used for measurement of the fat fraction and elastography. Hepatocyte-derived EVs increased in both male and female mice at 12 and 10 weeks of feeding, respectively, and remained elevated at 24 weeks in both male and female mice and at 48 weeks in male mice and 36 weeks in female mice. Macrophage- and neutrophil-derived EVs were significantly elevated at 24 weeks of dietary feeding concomitant with the histologic presence of inflammatory foci in the liver. In fat-, fructose-, and cholesterol- (FFC) fed male mice, platelet-derived EVs were elevated at 12, 24, and 48 weeks, whereas in female mice, platelet derived EVs were significantly elevated at 24 weeks. Hepatocyte-, macrophage- and neutrophil-derived EVs correlated well with the histologic NAS.
    Language English
    Publishing date 2019-07-10
    Publishing country United States
    Document type Journal Article
    ISSN 2471-254X
    ISSN (online) 2471-254X
    DOI 10.1002/hep4.1404
    Database MEDical Literature Analysis and Retrieval System OnLINE

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