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11. Clinical Policy: Critical Issues Related to Opioids in Adult Patients Presenting to the Emergency Department

Author

Wolf, Stephen J., Byyny, Richard, Carpenter, Christopher R., Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Hickey, Sean M., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Winger, Justin, Cantrill, Stephen V., Hirshon, Jon Mark, Mims, Mandie, Schulz, Travis, Dubin, Jeffrey S., Ketcham, Eric M., and Runde, Daniel P.

Published
2020
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12. Clinical Practice Guidelines by the Infectious Diseases Society of America : 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza

Author

Uyeki, Timothy M., Bernstein, Henry H., Bradley, John S., Englund, Janet A., File, Thomas M., Fry, Alicia M., Gravenstein, Stefan, Hayden, Frederick G., Harper, Scott A., Hirshon, Jon Mark, Ison, Michael G., Johnston, B. Lynn, Knight, Shandra L., McGeer, Allison, Riley, Laura E., Wolfe, Cameron R., Alexander, Paul E., and Pavia, Andrew T.

Published
2019

13. Quality of life after pharmacomechanical catheter-directed thrombolysis for proximal deep venous thrombosis

Author

Sichlau, Michael, Vlahos, Athanasios, Smith, Steven, Thalheimer, Quinn, Singh, Nisha, Harting, Rekha, Gocke, John, Guth, Scott, Shah, Neel, Brady, Paul, Schatz, Marvin, Horrow, Mindy, Markazi, Peyman, Forouzan, Leli, Matalon, Terence A.S., Hertzog, David, Goday, Swapna, Kennedy, Margaret, Kaplan, Robert, Campbell, Thomas, Hartman, Jamie, Nahum, Elmer, Venkat, Arvind, Krishnamurthy, Venkataramu, Rectenwald, John, Henke, Peter, Eliason, Jonathan, Willatt, Jonathon, Escobar, Guillermo, Samuels, Shaun, Katzen, Barry, Benenati, James, Powell, Alex, Pena, Constantino, Wallach, Howard, Gandhi, Ripal, Schneider, Joseph, Kim, Stanley, Hashemi, Farrah, Boyle, Joseph, Patel, Nilesh, Verta, Michael, Leung, Daniel, Garcia, Marc, Blatt, Phillip, Khatri, Jamil, Epstein, Dave, Ryan, Randall, Sweeny, Tom, Stillabower, Michael, Kimbiris, George, Raman, Tuhina, Sierzenski, Paul, Getto, Lelia, Dignazio, Michael, Horvath, Mark, Gornik, Heather, Bartholomew, John, Shishehbor, Mehdi, Peacock, Frank, Joseph, Douglas, Kim, Soo Hyum, Mahlay, Natalia Fendrikova, Clair, Daniel, Lyden, Sean, Kapoor, Baljendra, McLennon, Gordon, Pierce, Gregory, Newman, James, Spain, James, Gill, Amanjiit, Hamilton, Aaron, Rizzo, Anthony, Park, Woosup, Dietzek, Alan, Galin, Ira, Plummer, Dahlia, Hsu, Richard, Broderick, Patrick, Keller, Andrew, Sayeed, Sameer, Slater, Dennis, Lustberg, Herb, Akus, Jan, Sidman, Robert, Dhami, Mandeep, Kohanski, Phillip, Bulgaru, Anca, Dulala, Renuka, Burch, James, Kapur, Dinesh, Yang, Jie, Ranson, Mark, Wladis, Alan, Varnagy, David, Mekhail, Tarek, Winter, Robert, Perez-Izquierdo, Manuel, Motew, Stephen, Royd-Kranis, Robin, Workman, Raymond, Kribbs, Scott, Hogsette, Gerald, Moore, Phillip, Thomason, Bradley, Means, William, Bonsall, Richard, Stewart, John, Golwya, Daniel, Azene, Ezana, Bottner, Wayne, Bishop, William, Clayton, Dave, Gundersen, Lincoln, Riherd, Jody, Shakhnovich, Irina, Ziegelbein, Kurt, Chang, Thomas, Sharma, Karun, Allison, Sandra, Banovac, Fil, Cohen, Emil, Furlong, Brendan, Kessler, Craig, McCullough, Mike, Spies, Jim, Lin, Judith, Kaatz, Scott, Getzen, Todd, Miller, Joseph, Schwartz, Scott, Kabbani, Loay, McVinnie, David, Rundback, John, Manno, Joseph, Schwab, Richard, Cole, Randolph, Herman, Kevin, Singh, David, Barkama, Ravit, Patel, Amish, Comerota, Anthony, Pigott, John, Seiwert, Andrew, Whalen, Ralph, Russell, Todd, Assi, Zakaria, Kazanjian, Sahira, Yobbagy, Jonathan, Kaminski, Brian, Kaufman, Allan, Begeman, Garett, DiSalle, Robert, Thakur, Subash, Kim, Paul, Jacquet, Marc, Dykes, Thomas, Gerding, Joseph, Baker, Christopher, Debiasto, Mark, Mittleider, Derek, Higgins, George, III, Amberson, Steven, Pezzuti, Roger, Gallagher, Thomas, Schainfeld, Robert, Wicky, Stephan, Kalva, Sanjeeva, Walker, Gregory, Salazar, Gloria, Pomerantz, Benjamin, Patel, Virenda, Kabrhel, Christopher, Iqbal, Shams, Gangull, Suvranu, Oklu, Rahmi, Brannan, Scott, Misra, Sanjay, Bjarnason, Haraldur, Ashrani, Aneel, Caccavale, Michael, Fleming, Chad, Friese, Jeremy, Heit, John, Kalra, Manju, Macedo, Thanila, McBane, Robert, McKusick, Michael, Stockland, Andrew, Woodrum, David, Wysokinski, Waldemar, Verma, Adarsh, Davis, Andrew, Chung, Jerry, Nicker, David, Anderson, Brian, Stein, Robert, Weiss, Michael, Patel, Parag, Rilling, William, Tutton, Sean, Hieb, Robert, Hohenwalter, Eric, Colella, M. Riccardo, Gosset, James, White, Sarah, Lewis, Brian, Brown, Kellie, Rossi, Peter, Seabrook, Gary, Guimaraes, Marcelo, Selby, J. Bayne, McGary, William, Hannegan, Christopher, Robison, Jacob, Brothers, Thomas, Elliott, Bruce, Garg, Nitin, Anderson, M. Bret, Uflacker, Renan, Schonholz, Claudio, Raney, Laurence, Greenberg, Charles, Kaufman, John, Keller, Frederick, Kolbeck, Kenneth, Landry, Gregory, Mitchell, Erica, Barton, Robert, DeLoughery, Thomas, Kalbfleisch, Norman, Minjarez, Renee, Lakin, Paul, Liem, Timothy, Moneta, Gregory, Farsad, Khashayar, Fleischman, Ross, French, Loren, Marques, Vasco, Al−Hassani, Yasir, Sawar, Asad, Taylor, Frank, Patel, Rajul, Malhotra, Rahul, Hashemi, Farah, Padnick, Marvin, Gurley, Melissa, Cucher, Fred, Sterrenberg, Ronald, Deepthi, G. Reshmaal, Cumaranatunge, Gomes, Bhatla, Sumit, Jacobs, Darick, Dolen, Eric, Gamboa, Pablo, Dean, L. Mark, Davis, Thomas, Lippert, John, Khanna, Sanjeev, Schirf, Brian, Silber, Jeffrey, Wood, Donald, McGraw, J. Kevin, LaPerna, Lucy, Willette, Paul, Murphy, Timothy, Cerezo, Joselyn, Dhangana, Rajoo, Ahn, Sun Ho, Dubel, Gregory, Haas, Richard, Jay, Bryan, Prince, Ethan, Soares, Gregory, Klinger, James, Lambiase, Robert, Jay, Gregory, Tubbs, Robert, Beland, Michael, Hampson, Chris, O'Hara, Ryan, Thompson, Chad, Frodsham, Aaron, Gardiner, Fenwick, Jaffan, Abdel, Keating, Lawrence, Zafar, Abdul, Alicic, Radica, Raabe, Rodney, Brower, Jayson, McClellan, David, Pellow, Thomas, Zylak, Christopher, Davis, Joseph, Reilly, M. Kathleen, Symington, Kenneth, Seibold, Camerson, Nachreiner, Ryan, Murray, Daniel, Murray, Stephen, Saha, Sandeep, Luna, Gregory, Hodgson, Kim, McLafferty, Robert, Hood, Douglas, Moore, Colleen, Griffen, David, Hurst, Darren, Lubbers, David, Kim, Daniel, Warren, Brent, Engel, Jeremy, Suresh, D.P., VanderWoude, Eric, Razdan, Rahul, Hutchins, Mark, Rounsborg, Terry, Midathada, Madhu, Moravec, Daniel, Tilford, Joni, Beckman, Joni, Razavi, Mahmood, Openshaw, Kurt, Flanigan, D. Preston, Loh, Christopher, Dorne, Howard, Chan, Michael, Thomas, Jamie, Psaila, Justin, Ringold, Michael, Fisher, Jay, Lipcomb, Any, Oskin, Timothy, Wible, Brandt, Coleman, Brendan, Elliott, David, Gaddis, Gary, Cochran, C. Doug, Natarajan, Kannan, Bick, Stewart, Cooke, Jeffrey, Hedderman, Ann, Greist, Anne, Miller, Lorrie, Martinez, Brandon, Flanders, Vincent, Underhill, Mark, Hofmann, Lawrence, Sze, Daniel, Kuo, William, Louie, John, Hwang, Gloria, Hovsepian, David, Kothary, Nishita, Berube, Caroline, Schreiber, Donald, Jeffrey, Brooke, Schor, Jonathan, Deitch, Jonathan, Singh, Kuldeep, Hahn, Barry, Ardolic, Brahim, Gupta, Shilip, Bashir, Riyaz, Rao, Angara Koneti, Garg, Manish, Patil, Pravin, Zack, Chad, Cohen, Gary, Schmieder, Frank, Lakhter, Valdimir, Sacks, David, Guay, Robert, Scott, Mark, Cunningham, Karekin, Sigal, Adam, Cescon, Terrence, Leasure, Nick, Dhurairaj, Thiruvenkatasamy, Muck, Patrick, Knochel, Kurt, Lohr, Joann, Barreau, Jose, Recht, Matthew, Bhaskaran, Jayapandia, Brahmamdam, Ranga, Draper, David, Mehta, Apurva, Maher, James, Sharafuddin, Melhem, Lentz, Steven, Nugent, Andrew, Sharp, William, Kresowik, Timothy, Nicholson, Rachel, Sun, Shiliang, Youness, Fadi, Pascarella, Luigi, Ray, Charles, Knuttinen, Martha-Gracia, Bui, James, Gaba, Ron, Dobiesz, Valerie, Shamim, Ejaz, Nimmagadda, Sangeetha, Peace, David, Zain, Aarti, Palumto, Alison, Haskal, Ziv, Hirshon, Jon Mark, Richard, Howard, Verceles, Avelino, Wong-You-Chong, Jade, Othee, Bertrand, Patel, Rahul, Iliescu, Bogdan, Williams, David, Gemmete, Joseph, Cwikiel, Wojciech, Cho, Kyung, Schields, James, Vellody, Ranjith, Novelli, Paula, Dasika, Narasimham, Wakefield, Thomas, Desmond, Jeffrey, Froehlich, James, Khaja, Minhajuddin, Hunter, David, Golzarian, Jafar, Cressman, Erik, Dotta, Yvonne, Schmiechen, Nate, Marek, John, Garcia, David, Tawil, Isaac, Langsfeld, Mark, Moll, Stephan, Mauro, Matthew, Stavas, Joseph, Burke, Charles, Dixon, Robert, Yu, Hyeon, Keagy, Blair, Kim, Kyuny, Kasthuri, Raj, Key, Nigel, Chaer, Rabih, Makaroun, Michael, Rhee, Robert, Cho, Jae−Sung, Baril, Donald, Marone, Luke, Hseih, Margaret, Feterik, Kristian, Smith, Roy, Jeyabalan, Geetha, Rogers, Jennifer, Vinik, Russel, Kinikini, Dan, Kraiss, Larry, Mueller, Michelle, Pendleton, Robert, Rondina, Matthew, Sarfati, Mark, Wanner, Nathan, Johnson, Stacy, Hopkins, Christy, Ihnat, Daniel, Angle, John, Matsumoto, Alan, Harthun, Nancy, Turba, Ulku, Saad, Wael, Uthlaut, Brian, Nannapaneni, Srikant, Ling, David, Sabri, Saher, Kern, John, Macik, B. Gail, Hoke, George, Park, Auh Wahn, Stone, James, Sneed, Benjamin, Syverud, Scott, Davidson, Kelly, Sharma, Aditya, Wilkins, Luke, Black, Carl, Asay, Mark, Hatch, Daniel, Smilanich, Robert, Patten, Craig, Brown, S. Douglas, Nielsen, Ryan, Alward, William, Collins, John, Nokes, Matthew, Geary, Randolph, Edwards, Matthew, Godshall, Christopher, Levy, Pavel, Winokur, Ronald, Sista, Akhilesh, Madoff, David, Lee, Kyungmouk, Pua, Bradley, DeSancho, Maria, Milizia, Raffaele, Gao, Jing, McLean, Gordon, Khalid, Sanualah, Vedantham, Suresh, Lewis, Larry, Saad, Nael, Thoelke, Mark, Pallow, Robert, Klein, Seth, Sicard, Gregorio, Cohen, David J., Comerota, Anthony J., Gornik, Heather L., Jaff, Michael R., Julian, Jim, Kahn, Susan R., Kearon, Clive, Kee, Stephen, Kindzelski, Andrei L., Lewis, Lawrence, Magnuson, Elizabeth, Razavi, Mahmood K., Murphy, Timothy P., Julian, Jim A., Gu, Chu-Shu, Magnuson, Elizabeth A., Goldhaber, Samuel Z., Schneider, Joseph R., Sista, Akhilesh K., McLafferty, Robert B., Kaufman, John A., Wible, Brandt C., and Blinder, Morey

Published
2020
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15. Clinical Policy: Critical Issues in the Evaluation and Management of Emergency Department Patients With Suspected Non–ST-Elevation Acute Coronary Syndromes

Author

Brown, Michael D., Wolf, Stephen J., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Harrison, Nicholas E., Hatten, Benjamin W., Haukoos, Jason S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Cantrill, Stephen V., Hirshon, Jon Mark, Schulz, Travis, Whitson, Rhonda R., Nestler, David, and Sudhir, Amita

Published
2018
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16. Emergency Department Communication in Persons Living With Dementia and Care Partners: A Scoping Review

Author

Aggarwal, Neelum, Allore, Heather, Aloysi, Amy, Belleville, Michael, Bellolio, M Fernanda, Betz, Marian (Emmy), Biese, Kevin, Brandt, Cynthia, Bruursema, Stacey, Carnahan, Ryan, Carpenter, Christopher, Carr, David, Chin-Hansen, Jennie, Daven, Morgan, Degesys, Nida, Dresden, M Scott, Dussetschleger, Jeffrey, Ellenbogen, Michael, Falvey, Jason, Foster, Beverley, Gettel, Cameron, Gifford, Angela, Gilmore-Bykovskyi, Andrea, Goldberg, Elizabeth, Han, Jin, Hardy, James, Hastings, S. Nicole, Hirshon, Jon Mark, Hoang, Ly, Hogan, Teresita, Hung, William, Hwang, Ula, Isaacs, Eric, Jaspal, Naveena, Jobe, Deb, Johnson, Jerry, Kelly, Kathleen (Kathy), Kennedy, Maura, Kind, Amy, Leggett, Jesseca, Malone, Michael, Moccia, Michelle, Moreno, Monica, Morrow-Howell, Nancy, Nowroozpoor, Armin, Ohuabunwa, Ugochi, Oiyemhonlan, Brenda, Perry, William, Prusaczyk, Beth, Resendez, Jason, Rising, Kristin, Sano, Mary, Savage, Bob, Shah, Manish, Suyama, Joseph, Swartzberg, Jeremy, Taylor, Zachary, Tolia, Vaishal, Vann, Allan, Webb, Teresa, Weintraub, Sandra, Carpenter, Christopher R., Bellolio, Fernanda, Betz, Marian, Carnahan, Ryan M., Doering, Michelle, Hansen, Jennie Chin, Isaacs, Eric D., Jobe, Deborah, Kelly, Kathleen, Suyama, Joe, Vann, Allan S., Rising, Kristin L., and Shah, Manish N.

Published
2022
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17. Emergency Department Care Transitions for Patients With Cognitive Impairment: A Scoping Review

Author

Aggarawal, Neelum, Allore, Heather, Amy, Aloysi, Belleville, Michael, Bellolio, M. Fernanda, Betz, Marian (Emmy), Biese, Kevin, Brandt, Cynthia, Bruursema, Stacey, Carnahan, Ryan, Carpenter, Christopher, Carr, David, Chin-Hansen, Jennie, Daven, Morgan, Degesys, Nida, Dresden, M. Scott, Dussetschleger, Jeffrey, Ellenbogen, Michael, Falvey, Jason, Foster, Beverley, Gettel, Cameron, Gifford, Angela, Gilmore-Bykovskyi, Andrea, Goldberg, Elizabeth, Han, Jin, Hardy, James, Hastings, S. Nicole, Hirshon, Jon Mark, Hoang, Ly, Hogan, Tess, Hung, William, Hwang, Ula, Isaacs, Eric, Jaspal, Naveena, Jobe, Deb, Johnson, Jerry, Kelly, Kathleen (Kathy), Kennedy, Maura, Kind, Amy, Leggett, Jesseca, Malone, Michael, Moccia, Michelle, Moreno, Monica, Morrow-Howell, Nancy, Nowroozpoor, Armin, Ohuabunwa, Ugochi, Oiyemhonian, Brenda, Perry, William, Prusaczk, Beth, Resendez, Jason, Rising, Kristen, Sano, Mary, Savage, Bob, Shah, Manish, Suyama, Joe, Swartzberg, Jeremy, Taylor, Zachary, Vaishal, Tolia, Vann, Allan, Webb, Teresa, Weintraub, Sandra, Gettel, Cameron J., Falvey, Jason R., Christensen, Leslie A., and Shah, Manish N.

Published
2022
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18. Detecting Cognitive Impairment and Dementia in the Emergency Department: A Scoping Review

Author

Aggarwal, Neelum, Fernanda Bellolio, M., Betz, Marian (Emmy), Biese, Kevin, Brandt, Cynthia, Bruursema, Stacey, Carnahan, Ryan, Carpenter, Christopher R., Carr, David, Chin-Hansen, Jennie, Daven, Morgan, Degesys, Nida, Dresden, Scott M., Ellenbogen, Michael, Falvey, Jason, Foster, Beverly, Gettel, Cameron, Gilmore-Bykovskyi, Andrea, Goldberg, Elizabeth, Han, Jin, Hardy, James, Nicole Hastings, S., Hogan, Teresita, Isaacs, Eric, Jaspal, Naveena, Johnson, Jerry, Kelly, Kathleen, Kennedy, Maura, Kind, Amy, Malone, Michael, Moreno, Monica, Morrow-Howell, Nancy, Oiyemhonlan, Brenda, Resendez, Jason, Rising, Kristin L., Savage, Bob, Suyama, Joe, Swartzberg, Jeremy, Tolia, Vaishal, Vann, Allan, Webb, Teresa, Weintraub, Sandra, Nowroozpoor, Armin, Dussetschleger, Jeff, Perry, William, Sano, Mary, Aloysi, Amy, Belleville, Michael, Brackett, Alexandria, Hirshon, Jon Mark, Hung, William, Moccia, Joan Michelle, Ohuabunwa, Ugochi, Shah, Manish N., and Hwang, Ula

Published
2022
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19. Clinical Policy: Emergency Department Management of Patients Needing Reperfusion Therapy for Acute ST-Segment Elevation Myocardial Infarction

Author

Brown, Michael D., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., Hirshon, Jon Mark, Whitson, Rhonda R., Schulz, Travis, Glauser, Jonathan M., and Torbati, Sam S.

Published
2017
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20. Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department

Author

Brown, Michael D., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., O'Connor, Robert E., Hirshon, Jon Mark, Whitson, Rhonda R., Broder, Joshua S., Wilson, Michael P., and Zun, Leslie S.

Published
2017
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28. Epidemiology of Knife Injuries at Ain Shams University Hospital Emergency Department from 2018 to 2019: A Cross-Sectional Study

Author

Ellaban, Manar M, Afifi, Eman, El Houssinie, Moustafa, Hirshon, Jon Mark, El-Shinawi, Mohamed, and El-Setouhy, Maged

Subjects
surgical procedures, operative, accidental, emergency department, education, Emergency Medicine, epidemiology, sense organs, Emergency Nursing, Open Access Emergency Medicine, ASUH, Original Research, knife injuries
Abstract

Manar M Ellaban, 1 Eman Afifi, 2 Moustafa El Houssinie, 1 Jon Mark Hirshon, 3, 4 Mohamed El-Shinawi, 3, 5, 6 Maged El-Setouhy 1, 3, 7 1Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt; 2Department of Geriatrics and Gerontology, Faculty of Medicine, Ain Shams University, Cairo, Egypt; 3Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA; 4Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA; 5General Surgery Department, Ain Shams University, Cairo, Egypt; 6Galala University, Suez, Egypt; 7Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, Saudi ArabiaCorrespondence: Manar M EllabanCommunity, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Abbasia, Cairo, EgyptTel +201550690740Fax +2024346041Email manarellaban@med.asu.edu.egPurpose: For knife-related injuries (KRI), a comprehensive understanding of the incidence, mechanism, and pattern of injury is required for the development of prevention strategies. Unfortunately, reliable data on knife-related injuries are difficult to obtain. In Egypt, there is no national routine surveillance system for all knife injuries. The aim was to examine the epidemiologic characteristics of knife-related injuries at the Ain Shams University Hospital (ASUH) emergency department (ED).Patients and Methods: A cross-sectional study was conducted on 140 patients who presented with knife injuries at the ASUH ED. Data collection was done during a randomly selected period of seven days each month from October 2018 to September 2019. The sociodemographic characteristics, injury-related variables, and outcomes of the injury were recorded on a structured worksheet.Results: Knife-related injuries represented 22.9% of all injury cases that presented to the ED. Majority of the knife-related injuries (87.86%) were accidental, 7.9% were assault, and 4.3% were self-inflicted. Home was the most reported place of injury. Most of the victims were discharged from the ED (87.1%), and 84.3% recovered completely. The mean hospital stay was 3.6 ± 1.3 days.Conclusion: Majority of the knife-related injuries were accidental, and the most common pattern was isolated chest injury with contusions. Cases that were not severe and had favorable prognosis (ie, complete recovery) comprised the largest proportion. Recommendations include development of a surveillance system may result in the effective control and prevention of this growing problem of knife-related injuries.Keywords: epidemiology, knife injuries, accidental, emergency department, ASUH

Published
2021

34. Support for Emergency Department Screening for Intimate Partner Violence Depends on Perceived Risk

Author

Witting, Michael D., Furuno, Jon P., and Hirshon, Jon Mark

Abstract

Emergency department (ED) screening for intimate partner violence (IPV) faces logistic difficulties and has uncertain efficacy. We surveyed 146 ED visitors and 108 ED care providers to compare their support for ED IPV screening in three hypothetical scenarios of varying IPV risk. Visitor support for screening was 5 times higher for the high-risk (86%) than for the low-risk (17%) scenario. Providers showed significantly more support for the need for ED IPV screening than visitors. Controlling for confounding by gender, race, experience with IPV, hospital, and marital status did not affect comparisons between groups. These responses indicate greater support for IPV screening in the ED for high-risk than for low-risk cases, particularly among visitors. (Contains 4 tables.)

Published
2006
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35. Feasibility of a pragmatic randomized adaptive clinical trial to evaluate a brief negotiational interview for harmful and hazardous alcohol use in Moshi, Tanzania.

Author

Staton, Catherine A., Friedman, Kaitlyn, Phillips, Ashley J., Minnig, Mary Catherine, Sakita, Francis M., Ngowi, Kennedy M., Suffoletto, Brian, Hirshon, Jon Mark, Swahn, Monica, Mmbaga, Blandina T., and Vissoci, Joao Ricardo Nickenig

Subjects
ALCOHOL drinking, ALCOHOLISM, CLINICAL trials, RANDOMIZED controlled trials, LOW-income countries
Abstract

Introduction: Low-resourced settings often lack personnel and infrastructure for alcohol use disorder treatment. We culturally adapted a Brief Negotiational Interview (BNI) for Emergency Department injury patients, the "Punguza Pombe Kwa Afya Yako (PPKAY)" ("Reduce Alcohol For Your Health") in Tanzania. This study aimed to evaluate the feasibility of a pragmatic randomized adaptive controlled trial of the PPKAY intervention. Materials and methods: This feasibility trial piloted a single-blind, parallel, adaptive, and multi-stage, block-randomized controlled trial, which will subsequently be used to determine the most effective intervention, with or without text message booster, to reduce alcohol use among injury patients. We reported our feasibility pilot study using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework, with recruitment and retention rates being our primary and secondary outcomes. We enrolled adult patients seeking care for an acute injury at the Kilimanjaro Christian Medical Center in Tanzania if they (1) exhibited an Alcohol Use Disorder Identification Test (AUDIT) ≥8, (2) disclosed alcohol use prior to injury, or (3) had a breathalyzer ≥0.0 on arrival. Intervention arms were usual care (UC), PPKAY, PPKAY with standard text booster, or a PPKAY with a personalized text booster. Results: Overall, 181 patients were screened and 75 enrolled with 80% 6-week, 82.7% 3-month and 84% 6-month follow-up rates showing appropriate Reach and retention. Adoption measures showed an overwhelmingly positive patient acceptance with 100% of patients perceiving a positive impact on their behavior. The Implementation and trial processes were performed with high rates of PPKAY fidelity (76%) and SMS delivery (74%). Intervention nurses believed Maintenance and sustainability of this 30-minute, low-cost intervention and adaptive clinical trial were feasible. Conclusions: Our intervention and trial design are feasible and acceptable, have evidence of good fidelity, and did not show problematic deviations in protocol. Results suggest support for undertaking a full trial to evaluate the effectiveness of the PPKAY, a nurse-driven BNI in a low-income country. Trial registration: Trial registration numberNCT02828267. https://classic.clinicaltrials.gov/ct2/show/NCT02828267. [ABSTRACT FROM AUTHOR]

Published
2023
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37. Perceptions of Help Resources for Victims of Intimate Partner Violence

Author

Krugman, Scott D., Witting, Michael D., Furuno, Jon P., Hirshon, Jon Mark, Limcangco, Rhona, Perisse, Andre R. S., and Rasch, Elizabeth K.

Abstract

Intimate partner violence (IPV) constitutes a major public health problem in the United States. This cross-sectional survey of 108 emergency department (ED) care providers and 146 ED visitors at three metropolitan EDs compared the beliefs of ED health care providers with those of community members about the relative benefits of the helpfulness of resources for IPV victims using hypothetical case scenarios. Although providers generally indicated that help resources were helpful in all scenarios, visitors were more discriminating, showing less support for resources in the lower-risk scenario. Regarding differences between groups, visitors selected police and attorneys more frequently than providers as a helpful resource, whereas providers selected shelters and counselors more frequently than visitors. Adjustment for previous experience with IPV did not change these results. Understanding the differences between health care providers' and community members' perceptions of resources for victims of IPV may improve the effectiveness of referral to IPV resources.

Published
2004
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39. Differential Gene Expression of fresh tissue and patient-derived explants' matricellular proteins augment inflammatory breast cancer metastasis: the possible role of IL-6 and MCP-1.

Author

Tarek, Alshaimaa, Mohamed, Hossam Taha, El-Sharkawy, Aya Ali, El-Sayed, Shrouk Khalaf, Hirshon, Jon Mark, Woodward, Wendy A, El-Shinawi, Mohamed, and Mohamed, Mona Mostafa

Subjects
GENE expression, GENE expression profiling, INTERLEUKIN-6, METASTATIC breast cancer, INFLAMMATORY mediators, GENE ontology, TUMOR microenvironment
Abstract

Background Matricellular proteins comprising matrisome and adhesome are responsible for structure integrity and interactions between cells in the tumour microenvironment of breast cancer. Changes in the gene expression of matrisome and adhesome augment metastasis. Since inflammatory breast cancer (IBC) is characterized by high metastatic behaviour. Herein, we compared the gene expression profile of matrisome and adhesome in non-IBC and IBC in fresh tissue and ex vivo patient-derived explants (PDEs) and we also compared the secretory inflammatory mediators of PDEs in non-IBC and IBC to identify secretory cytokines participate in cross-talk between cells via interactions with matrisome and adhisome. Methods Fifty patients (31 non-IBC and 19 IBC) were enrolled in the present study. To test their validation in clinical studies, PDEs were cultured as an ex vivo model. Gene expression and cytokine array were used to identify candidate genes and cytokines contributing to metastasis in the examined fresh tissues and PDEs. Bioinformatics analysis was applied on identified differentially expressed genes using GeneMANIA and Metascape gene annotation and analysis resource to identify pathways involved in IBC metastasis. Results Normal and cancer fresh tissues and PDEs of IBC were characterized by overexpression of CDH1 and MMP14 and downregulation of CTNNA1 and TIMP1 compared with non-IBC. The secretome of IBC cancer PDEs is characterized by significantly high expression of interleukin 6 and monocyte chemoattractant protein-1 (CCL2) compared with non-IBC. Conclusion Genes expressed by adhisome and matrisome play a significant role in IBC metastasis and should be considered novel target therapy. [ABSTRACT FROM AUTHOR]

Published
2023
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40. The National Report Card on the State of Emergency Medicine: Evaluating the Emergency Care Environment State by State 2009 Edition

Author

Epstein, Stephen K., Burstein, Jonathan L., Case, Randall B., Gardner, Angela F., Herman, Sanford H., Hirshon, Jon Mark, Jermyn, John W., McKay, Mary Pat, Mitchiner, James C., Sullivan, William P., Wagner, Mary Jo, Beer, Susan, Tiberi, Laura, Price, Craig, Cunningham, Ron, Wilkerson, Dean, Bromley, Marilyn, Geist, Marjorie, Gore, Laura, Singh, Cynthia A., Wheeler, Gordon, Gleason, Stacy F., Decker, Jennifer, Gwinner, Valerie M., and Schwalberg, Renee H.

Published
2009
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