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4 results on '"Department of Emergency Medicine [Boston, USA]"'

1. Association of hand and arm disinfection with asthma control in US nurses

Author

Alexis Descatha, Orianne Dumas, Nicole Le Moual, Carlos A. Camargo, Jan-Paul Zock, Paul K. Henneberger, Frank E. Speizer, Catherine Quinot, Raphaëlle Varraso, Krislyn M. Boggs, Vieillissement et Maladies chroniques : approches épidémiologique et de santé publique (VIMA), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM), Channing Division of Network Medicine [Boston, USA] (Department of Medicine), Harvard Medical School [Boston] (HMS)-Brigham and Women's Hospital [Boston], Cohortes épidémiologiques en population (CONSTANCES), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay-Université Paris Cité (UPCité), Respiratory Health Division [Morgantown, WV, USA], National Institute for Occupational Safety and Health [Morgantown, WV, USA] (NIOSH), Center for Research in Environmental Epidemiology (CREAL), Universitat Pompeu Fabra [Barcelona] (UPF)-Catalunya ministerio de salud, Instituto de Salud Carlos III [Madrid] (ISC), Department of Emergency Medicine [Boston, USA], Harvard Medical School [Boston] (HMS)-Massachusetts General Hospital [Boston], Centers for Disease Control and Prevention R01 OH-10359, National Institutes of Health 12 UM1 CA176726. The research leading to these results has received funding from the People Program (Marie Curie Actions) of the European Union’s Seventh Framework Program (FP7/2007-2013) under REA grant agreement n. PCOFUND-GA-2013-609102, through the PRESTIGE program coordinated by Campus France., European Project: 609102,EC:FP7:PEOPLE,FP7-PEOPLE-2013-COFUND,PRESTIGE(2014), Faraldo, Beatrice, PRES Towards International Gain of Excellence - PRESTIGE - - EC:FP7:PEOPLE2014-09-01 - 2019-08-31 - 609102 - VALID, Brigham and Women's Hospital [Boston]-Harvard Medical School [Boston] (HMS), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay-Université de Paris (UP), UMS011 Cohortes épidémiologiques en population (CONSTANCES), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Universitat Pompeu Fabra [Barcelona]-Catalunya ministerio de salud, and Instituto de Salud Carlos III (ISC)

Subjects
medicine.medical_specialty, media_common.quotation_subject, Nurses, Article, health care workers, 03 medical and health sciences, 0302 clinical medicine, Hand sanitizer, Hygiene, Epidemiology, medicine, Humans, 030212 general & internal medicine, Adverse effect, media_common, Asthma, Response rate (survey), business.industry, Public Health, Environmental and Occupational Health, Middle Aged, asthma, medicine.disease, Hand, 030210 environmental & occupational health, United States, 3. Good health, respiratory tract diseases, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Physical therapy, Arm, Female, epidemiology, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, women, business, occupational asthma, Occupational asthma, Body mass index, Hand Disinfection
Abstract

ObjectivesTo investigate the association between occupational exposure to disinfectants/antiseptics used for hand hygiene and asthma control in nurses.MethodsIn 2014, we invited female nurses with asthma drawn from the Nurses’ Health Study II to complete two supplemental questionnaires on their occupation and asthma (cross-sectional study, response rate: 80%). Among 4055 nurses (mean age: 59 years) with physician-diagnosed asthma and asthma medication use in the past year, we examined asthma control, as defined by the Asthma Control Test (ACT). Nurses were asked about the daily frequency of hand hygiene tasks: ‘wash/scrub hands with disinfectants/hand sanitizers’ (hand hygiene) and ‘wash/scrub arms with disinfecting products’ (surrogate of surgical hand/arm antisepsis). Analyses were adjusted for age, race, ethnicity, smoking status and body mass index.ResultsNurses with partly controlled asthma (ACT: 20–24, 50%) and poorly controlled asthma (ACT ≤19, 18%) were compared with nurses with controlled asthma (ACT=25, 32%). In separate models, both hand and arm hygiene were associated with poorly controlled asthma. After mutual adjustment, only arm hygiene was associated with poorly controlled asthma: OR (95% CI) for 10 times/day) and poor asthma control. Associations persisted after further adjustment for surfaces/instruments disinfection tasks.ConclusionsFrequency of hand/arm hygiene tasks in nurses was associated with poor asthma control. The results suggest an adverse effect of products used for surgical hand/arm antisepsis. This potential new occupational risk factor for asthma warrants further study.

Published
2018

2. Prospective study of body mass index and risk of sarcoidosis in US women

Author

Carlos A. Camargo, Orianne Dumas, Krislyn M. Boggs, Meir J. Stampfer, Yvette C. Cozier, Faraldo, Beatrice, Vieillissement et Maladies chroniques : approches épidémiologique et de santé publique (VIMA), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM), Channing Division of Network Medicine [Boston, USA] (Department of Medicine), Harvard Medical School [Boston] (HMS)-Brigham and Women's Hospital [Boston], Slone Epidemiology Center [Boston, USA], Boston University [Boston] (BU), Department of Emergency Medicine [Boston, USA], Harvard Medical School [Boston] (HMS)-Massachusetts General Hospital [Boston], and National Institutes of Health UM1 CA176726.

Subjects
Adult, Pulmonary and Respiratory Medicine, medicine.medical_specialty, Sarcoidosis, Weight Gain, Article, Body Mass Index, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Internal medicine, medicine, Humans, Obesity, Prospective Studies, 030212 general & internal medicine, Prospective cohort study, ComputingMilieux_MISCELLANEOUS, Adiposity, Proportional Hazards Models, Inflammation, 2. Zero hunger, Proportional hazards model, business.industry, Incidence, Incidence (epidemiology), Middle Aged, medicine.disease, United States, 3. Good health, Increased risk, 030228 respiratory system, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Physical therapy, Female, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, medicine.symptom, business, Weight gain, Body mass index, Cohort study
Abstract

A higher BMI is prospectively associated with an increased risk of developing sarcoidosis in women http://ow.ly/OQ6k30f7XaQ

Published
2017

3. Treadmill injuries in children.

Author

Waltzman ML, Lee LK, Ozonoff A, Kupiec JK, Landschaft A, and Kimia AA

Subjects
Accidents, Home prevention & control, Adolescent, Amputation, Surgical, Child, Child, Preschool, Degloving Injuries epidemiology, Ecchymosis epidemiology, Electronic Health Records, Female, Fracture Fixation, Fractures, Bone diagnostic imaging, Fractures, Bone epidemiology, Fractures, Bone therapy, Humans, Infant, Infant, Newborn, Lacerations epidemiology, Lacerations therapy, Male, Natural Language Processing, Radiography, Suture Techniques, Wounds and Injuries diagnostic imaging, Wounds and Injuries etiology, Wounds and Injuries therapy, Young Adult, Accidents, Home statistics & numerical data, Sports Equipment adverse effects, Wounds and Injuries epidemiology
Abstract

Competing Interests: Declaration of Competing Interest On behalf of the authors I am providing a statement to certify that none of the authors have and conflict of interest, financial or other.

Published
2021
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4. Interprofessional communication in the emergency department: residents' perceptions and implications for medical education.

Author

Olde Bekkink M, Farrell SE, and Takayesu JK

Subjects
Adult, Clinical Competence, Communication Barriers, Emergency Medicine methods, Emergency Medicine organization & administration, Emergency Medicine standards, Female, Humans, Job Satisfaction, Male, Patient Care Team organization & administration, Patient Care Team standards, Physicians psychology, Pilot Projects, Students, Medical psychology, Surveys and Questionnaires, Communication, Education, Medical methods, Education, Medical organization & administration, Education, Medical standards, Emergency Medicine education, Emergency Service, Hospital organization & administration, Internship and Residency organization & administration, Internship and Residency standards, Interprofessional Relations, Perception
Abstract

Objectives: Objectives of the current study were to: i) assess residents' perceptions of barriers and enablers of interprofessional (IP) communication based on experiences and observations in their clinical work environments, ii) investigate how residents were trained to work in IP collaborative practice, iii) collect residents' recommendations for training in IP communication to address current needs., Methods: Focus group study including fourteen Emergency Medicine (EM) residents, who participated in four focus groups, facilitated by an independent moderator. Focus group interviews were audiotaped, transcribed verbatim, independently reviewed by the authors, and coded for emerging themes., Results: Four themes of barriers and enablers to IP communication were identified: i) the clinical environment (high acuity; rapidly changing health care teams, work overload, electronic communications), ii) interpersonal relationships (hierarchy, (un)familiarity, mutual respect, feeling part of the team), iii) personal factors (fear, self-confidence, uncontrolled personal emotions, conflict management skills), and iv) training (or lack thereof). Residents indicated that IP communication was learned primarily through trial and error and observing other professionals but expressed a preference for formal training in IP communication., Conclusions: Based on this pilot study, barriers to effective IP communication in the ED were inherent in the system and could be exacerbated by relational dynamics and a lack of formal training. Opportunities for both curricular interventions and systems changes were identified and are presented.

Published
2018
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