Background: While outcomes of primary anatomic total shoulder arthroplasty (aTSA) are generally favorable, resultsafter revision procedures are less reliable. This study examines the functional outcomes, complications, and implantsurvival in patients who underwent revision of aTSA to aTSA.Methods: Patients who underwent revision aTSA were identified from 2008-2015. Demographic, clinical, surgic...

INTRODUCTION Many acutely ill elderly people are frail and suffer from polypharmacy. They often present with nonspecific symptoms at hospital admission and are therefore often under-triaged and insufficiently treated resulting in adverse health outcomes. This study aimed to investigate the prevalence of polypharmacy and frailty and to identify if frailty and polypharmacy may predict adverse hea...

INTRODUCTION Disability and Physical Function (PF) outcome assessment has had limited ability to measure functional status at the floor (very poor functional abilities) or the ceiling (very high functional abilities). We sought to identify, develop and evaluate new floor and ceiling items to enable broader and more precise assessment of PF outcomes for the NIH Patient-Reported-Outcomes Measurem...

OBJECTIVES Adolescents and young adults (AYAs) with sickle cell disease (SCD) experience psychosocial factors that increase their risk for poor disease management and health outcomes. Routine assessment of psychosocial factors that perpetuate health disparities is recommended. The Psychosocial Assessment Tool 2.0_General (PAT2.0_GEN) AYA is a psychosocial screener with potential clinical utilit...

OBJECTIVE To estimate responsiveness (sensitivity to change) and minimally important difference (MID) for the Patient-Reported Outcomes Measurement Information System (PROMIS) 20-item physical functioning scale (PROMIS PF-20). METHODS The PROMIS PF-20, short form 36 (SF-36) physical functioning scale, and Health Assessment Questionnaire (HAQ) were administered at baseline, and 6 and 12 months...

background: assessment of clinical competencies is one of the complicated and hard tasks in medical education. nowadays, assessment of clinical performance is significantly patient centered, and student centered. traditional methods consisted of faculties’ observations, oral examinations, and multiple-choice tests. increased faculties’ workload, discontent with traditional methods of clinical s...

background and purpose: in an era of increasing professional accountability, there is a need for both medical educators and licensing bodies to identify the exit competencies expected from medical graduates. pediatrics department of isfahan university of medical sciences has defined learning outcomes that should be achieved in pediatric ambulatory setting and both learners and teachers were inf...

introduction : it is clear that if the discharge process takes less time and the patient leaves the hospital bed earlier, the length of hospitalization, and consequently, the waiting time for admission decreases. therefore, the method of use of treatment facilities is somewhat improved. the hospital discharge process, from when the discharge authorization is issued until the patient leaves the ...

BACKGROUND China is investing considerably in health care reforms to address issues in its health care system. An example is access to innovative drugs, which remains challenging because it is largely dependent on patient self-pay. Recognizing this, the government has invested considerably in its basic medical insurance. As health care expenditure increases, there are growing concerns on budget...