{"title":"Extreme measures Doctors are suffering QUALITY MEASUREMENT FATIGUE Is relief on the way?.","authors":"Howard Bell","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 2","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36664866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Falls are a serious concern for older adults as they frequently result in injury, disability and even death. In older adults in Minnesota, the number and rate of hospital-treated falls have been increasing, for both males and females. The purpose of this study was to estimate trends in falls among older adults in Minnesota, and to examine whether there is an association between severe outcomes of falls and predictors. We investigated hospital-treated (both emergency department treatment and hospitalizations) falls among adults 65 years and older in Minnesota between 2010 and 2014, using hospital discharge data from the Minnesota Hospital Association. In total, 199,364 cases were identified; this represents a rate of 5,281.4/100,000 during the five-year period. We found the number of hospital-treated falls increased each year by 1,820 cases on average, for an average rate increase of 108.3/100,000 per year. The rate for falls with no comorbidities decreased, while the rate for falls with one or more comorbidities increased: Also, comorbidities were more likely among hospitalized and/ or fatal cases than among nonhospitalized and/or nonfatal cases. The most frequent principal injury diagnoses associated with falls included fractures (31.7% of total hospital-treated falls), superficial wounds/contusions (14.7%), open wounds (10.9%) and traumatic brain injuries (TBIs) (3.9%). The most frequent type of fracture was hip fracture (29.1 %). Additional complications commonly occurring during hospital treatment of injury resulting from a fall included urinarytract infection (7.2%), pneumonia (2.2%), pressure ulcer (1.2%) and sepsis (0.9%). Among these, sepsis had the highest odds ratio of 9.9 for death. These data show the burden of falls is greatest among those who are 85 and older and/or who have one or more comorbidities.
{"title":"Hospital-Treated Falls and Comorbidities Among Older Adults in Minnesota, 2010-2014.","authors":"Naoko Onizuka, Anina Gaichas, Jon Roesler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Falls are a serious concern for older adults as they frequently result in injury, disability and even death. In older adults in Minnesota, the number and rate of hospital-treated falls have been increasing, for both males and females. The purpose of this study was to estimate trends in falls among older adults in Minnesota, and to examine whether there is an association between severe outcomes of falls and predictors. We investigated hospital-treated (both emergency department treatment and hospitalizations) falls among adults 65 years and older in Minnesota between 2010 and 2014, using hospital discharge data from the Minnesota Hospital Association. In total, 199,364 cases were identified; this represents a rate of 5,281.4/100,000 during the five-year period. We found the number of hospital-treated falls increased each year by 1,820 cases on average, for an average rate increase of 108.3/100,000 per year. The rate for falls with no comorbidities decreased, while the rate for falls with one or more comorbidities increased: Also, comorbidities were more likely among hospitalized and/ or fatal cases than among nonhospitalized and/or nonfatal cases. The most frequent principal injury diagnoses associated with falls included fractures (31.7% of total hospital-treated falls), superficial wounds/contusions (14.7%), open wounds (10.9%) and traumatic brain injuries (TBIs) (3.9%). The most frequent type of fracture was hip fracture (29.1 %). Additional complications commonly occurring during hospital treatment of injury resulting from a fall included urinarytract infection (7.2%), pneumonia (2.2%), pressure ulcer (1.2%) and sepsis (0.9%). Among these, sepsis had the highest odds ratio of 9.9 for death. These data show the burden of falls is greatest among those who are 85 and older and/or who have one or more comorbidities.</p>","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 2","pages":"40-44"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36725148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"WHERE WILL AI TAKE US? Westworld triggers reflections about radiology's future.","authors":"Joshua T Olson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 2","pages":"16-17"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36664858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reconsidering physician aid-in-dying As public opinion evolves, physicians and lawmakers should take note.","authors":"David B Plimpton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 2","pages":"31-33"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36664867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Repeal without replacement is reckless.","authors":"Douglas Wood","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 2","pages":"26"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36664864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Pokemon Go effect To motivate healthy behavior changes, take some cues from Pikachu and co.","authors":"Siu-Hin Wan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 2","pages":"28-30"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36664865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Common allergic conditions such as allergic rhinitis, asthma and antibiotic allergies are frequently encountered by internal medicine physicians. These conditions are a significant source of health care utilization and morbidity. However, many internal medicine residency programs offer limited training in allergy and immunology. Internal medicine residents' significant knowledge deficits regarding allergy-related content have been previously identified. We conducted a survey-based study to examine the knowledge and self-assessed clinical competency of residents at an academic medical center to determine the need for further education in allergy and immunology. Our study revealed that the majority of these residents did not feel adequately prepared to treat allergic rhinitis, urticaria, contact dermatitis, antibiotic/drug allergies or anaphylaxis; and only half felt adequately trained to treat asthma. We believe that internal medicine residency programs should provide trainees with additional education in allergy and immunology in order to improve their knowledge and clinical competency.
{"title":"Allergy, Asthma and Immunology Training in Internal Medicine Residents.","authors":"Mollie Alpern, Qi Wang, Meghan Rothernberger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Common allergic conditions such as allergic rhinitis, asthma and antibiotic allergies are frequently encountered by internal medicine physicians. These conditions are a significant source of health care utilization and morbidity. However, many internal medicine residency programs offer limited training in allergy and immunology. Internal medicine residents' significant knowledge deficits regarding allergy-related content have been previously identified. We conducted a survey-based study to examine the knowledge and self-assessed clinical competency of residents at an academic medical center to determine the need for further education in allergy and immunology. Our study revealed that the majority of these residents did not feel adequately prepared to treat allergic rhinitis, urticaria, contact dermatitis, antibiotic/drug allergies or anaphylaxis; and only half felt adequately trained to treat asthma. We believe that internal medicine residency programs should provide trainees with additional education in allergy and immunology in order to improve their knowledge and clinical competency.</p>","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 2","pages":"36-39"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36664868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Crash course invites experts from multiple fields to mingle in the world ofmedical data.
速成班邀请来自多个领域的专家在医疗数据领域进行交流。
{"title":"Big Data Boot Camp.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Crash course invites experts from multiple fields to mingle in the world ofmedical data.</p>","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 2","pages":"8-9"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36664859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Commentary: DON'T BLOW OFF AR Physicians should help patients with Rodney Dangerfield of respiratory diseases.","authors":"Barbara P Yawn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 2","pages":"36-37"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36664862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ACA's fate will affect community health centers Repealing the Affordable Care Act would create repercussions for a significant component of Minnesota's health care safety net.","authors":"William E Conroy, Jonathan Watson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 2","pages":"34-35"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36664863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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