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Treatment of prepubertal labial adhesions: a randomized, double-blinded trial comparing topical emollient versus topical estrogen
(University of Missouri–Kansas City, 2016)
Labial adhesions are a common finding estimated to occur in 22% of prepubertal girls. Symptoms are related to the accumulation of urine behind partially fused labia and include urinary tract infections, vulvovaginitis, ...
Alignment of Do-Not-Resuscitate Status with Patients’ Likelihood of Favorable Neurological Survival After In-Hospital Cardiac Arrest
(University of Missouri–Kansas City, 2015)
After patients survive an in-hospital cardiac arrest, discussions should occur about
preferences for future resuscitative efforts. Given the value patients generally place on
possessing normal neurological function, these ...
Identification of novel coding single nucleotide polymorphisms associated with acute respiratory distress syndrome
(2014-07-28)
ARDS is a lung condition characterized by impaired gas exchange with systemic release of inflammatory mediators, causing inflammation, hypoxemia and multiple organ failure. Disease susceptibility and progression are poorly ...
A genetic linkage map of the fungus phycomyces blakesleeanus for gene identification by map-based cloning
(University of Missouri--Kansas City, 2012)
The Mucoromycotina is one of the basal lineages in the fungi, all of which are poorly understood. Mucormycosis is a life threatening infection caused by fungi of the order Mucorales, the most common species of which is ...
Bleeding Risk Following Percutaneous Intervention in Patients with Diabetes Prescribed Dual Anti Platelet Therapy
(2015-07-28)
Patients with diabetes (DM) experience higher rates of in-stent restenosis and
therefore greater benefit from drug eluting stent (DES) implant at the time of percutaneous
coronary intervention (PCI). DES stent implantation ...
A Qualitative investigation of patients' transitional states of engagement in HIV-related medical care
(2014-03-20)
This qualitative study was designed to investigate the factors related to engagement in HIV-related medical care and specifically periods that can be characterized as transitions in and out of care. Data were collected ...
A Comparison of ADRR Scores in Very Young, School-age, and Adolescent Children with Type 1 Diabetes Mellitus
(2014-09-30)
Glycemic variability (GV) in children is remarkably dissimilar to GV in adults,
and furthermore is unique to age-specific pediatric groups. The Average Daily Risk
Range score has been shown to be a good indicator of GV ...
The utility of umbilical artery doppler in preterm premature rupture of membranes
(2013)
Preterm premature rupture of membranes (PPROM) is a common complication of
pregnancy and occurs in up to a third of all preterm births. Currently, there is no way to
predict how long a patient will remain pregnant after ...
Understanding the relationship between barriers to timely primary care and emergency department utilization across insurance categories : an analysis of the National Health Interview Survey Data (1999-2011)
In the United States (US), where access to and affordability of healthcare remains a critical challenge, emergency departments (ED) have increasingly served as a source for primary care and a portal to hospital admissions. ...
Health costs of sickle cell disease patients from the Medical Expenditure Panel Survey, 1996-1997, 2002-2003, 2007-2008
(University of Missouri--Kansas City, 2012)
Chronic conditions affect a person physically, mentally, emotion, socially, and financially. With the increase in technology and advancements in medicine, those with chronic conditions are living longer and spending more ...
Content Analysis of Consent Forms for Clinical Whole Exome Sequencing
(2016)
As genomic sequencing becomes increasingly incorporated into clinical care,
the patient informed consent process must successfully manage many ethical
challenges, including whether to seek secondary findings and which ...
Patient and Physician Discordance in Reporting Symptoms of Angina: Insights From the Angina Prevalence and Provider Evaluation of Angina Relief (APPEAR) Study
(2016)
A principal goal of treating patients with coronary artery disease (CAD) is to minimize
their angina and optimize their quality of life. In order to accomplish this, physicians must
accurately assess the presence and ...
Association between cardiac rehabilitation participation and health status outcomes after acute myocardial infarction
(2014)
Cardiac rehabilitation (CR) is a class Ia recommendation and endorsed performance measure for the quality of care in acute myocardial infarction (AMI) survivors. While participation in CR after AMI is associated with reduced ...
Acute Fetal Behavioral Response to Prenatal Yoga: A Single Blinded, Randomized Controlled Trial
(2016)
Yoga is becoming a popular exercise to perform in pregnancy. A recent literature
review on prenatal yoga noted a reduction in some pregnancy complications in those who
practiced yoga; to date there is no evidence on ...
A Clinic Coordinator Improves Clinic Efficiency and Decreases Missed Appointments in a Multidisciplinary Setting
(2015)
Introduction: Missed appointments represent a significant problem in the medical
community. A clinic coordinator was hired to provide a dedicated source for communication,
scheduling, and care of patients between multiple ...
Identification of demographics and comorbidities associated with Vascular Hamartomas
(2016)
Vascular hamartomas (VH) are tumor like growths that typically appear in
infants and manifest as a blemish on the skin. The goal of this study is to
substantiate clinical data on the demographic characteristics and ...
Longer Right Colon Withdrawal Time and Retroflexion Duration Significantly Increases Adenoma Detection Rate: A Randomized Controlled Trial at Three Endoscopy Centers
(University of Missouri--Kansas City, 2018)
Purpose
Detection of adenomas is the foundation of colorectal cancer screening utilizing
screening colonoscopies. Adenoma detection rate (ADR) is an increasingly utilized core
quality measure for colonoscopies. ...
Relationship Between Hospital Procedure Volume and Complications Following Congenital Cardiac Catheteriazation: A Report from the IMPACT Registry
(University of Missouri–Kansas City, 2014)
The association between institutional volume and outcomes has been demonstrated
for many procedures within the field of cardiology, but whether this relationship exists within
the field of congenital cardiac catheterization ...
Use of National Electronic Health Record (EHR) Data Warehouse to Identify Inappropriate HbA1c Orders for Sickle cell Disease Patients
(University of Missouri--Kansas City, 2018)
The glycated Hemoglobin (HbA1c) test is one of the most important diagnostic
and prognostic strategies for monitoring diabetes. However, the clinical utility of this test
is questionable for sickle cell disease patients, ...
Evaluation of the Role of Adjunctive Corticosteroids in the Management of Children Hospitalized with Orbital Cellulitis
(University of Missouri--Kansas City, 2017)
Purpose/Objectives
Orbital cellulitis is an infection of the orbit that can lead to rare, but life-altering
complications. Previous studies have suggested that corticosteroids may improve recovery in
patients with ...