Article
Orthopedics
S. E. S. Terpstra, J. H. P. M. van der Velde, R. de Mutsert, D. Schiphof, M. Reijnierse, F. R. Rosendaal, L. A. van de Stadt, M. Kloppenburg, M. Loef
Summary: The study investigated the association between knee osteoarthritis (OA) and lower physical activity in the general middle-aged Dutch population, as well as the association between physical activity and patient-reported outcomes in knee OA. The results showed that knee OA was not associated with lower physical activity, and physical activity was not associated with patient-reported outcomes in clinical knee OA.
OSTEOARTHRITIS AND CARTILAGE
(2021)
Article
Health Care Sciences & Services
Eugene C. Rich, Kristanna Peris, Marlena Luhr, Arkadipta Ghosh, Linda Molinari, Ann S. O'Malley
Summary: A study found that primary care physicians with a broader range of services provided have lower utilization rates. The implications of physicians' service range on patients' outcomes need further investigation.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Psychology, Multidisciplinary
Andela Dosic, Danijela Zivkovic, Zoran Milanovic, Mladen ivkovic, Ljiljana Bjelakovic, Marija Bratic, Sasa Pantelic
Summary: The study aims to investigate the relationship between physical activity level, BMI, and quality of life. Results indicate that high- and moderate-intensity physical activity benefit physical health, with moderate PA showing higher significance levels. Additionally, elderly women with higher BMI values achieve better results in the environmental domain of quality of life.
FRONTIERS IN PSYCHOLOGY
(2021)
Article
Pediatrics
Noelle H. Ebel, Andrea Goldstein, Robin Howard, Douglas B. Mogul, Jessica R. Marden, Annika Anderson, Katherine Gaburo, Noam Kirson, Philip Rosenthal
Summary: This retrospective analysis assessed the healthcare resource utilization in children with Alagille syndrome and found that they have a high burden of healthcare resource utilization, with a significant number of outpatient visits and costly inpatient stays. Therefore, multidisciplinary and subspecialized care may be beneficial for patients with Alagille syndrome.
JOURNAL OF PEDIATRICS
(2023)
Review
Oncology
Adela Wu, Gabriela Ruiz Colon, Rebecca Aslakson, Erqi Pollom, Chirag B. Patel
Summary: Glioblastoma is the most common primary brain malignancy in adults, with a devastating prognosis despite standard treatments. Advance care planning and palliative care are critical for these patients, yet many do not pursue it or have access to these services. More focused and high-quality studies on end-of-life care are needed to address gaps in palliative care resource utilization for glioblastoma patients.
Article
Medicine, General & Internal
Kazuhiro Abe, Ichiro Kawachi, Taeko Watanabe, Nanako Tamiya
Summary: This study found that more frequent use of in-home care services was associated with a higher probability of in-home death. Therefore, in order to meet the end-of-life preferences of patients, it is not only necessary to promote the provision of medical services at home but also to ensure an adequate supply of care workers.
Article
Oncology
Xuesong Han, Ahmedin Jemal, Zhiyuan Zheng, Leticia Nogueira, Jaya Khushalani, Zhuo Chen, K. Robin Yabroff
Summary: Obesity is associated with increased health care utilization and substantial excess medical spending among long-term cancer survivors. Promoting a healthy lifestyle and maintaining a healthy body weight may reduce their health care utilization and economic burden.
Review
Oncology
Weronika Misiag, Anna Piszczyk, Anna Szymanska-Chabowska, Mariusz Chabowski
Summary: The aim of this paper is to outline the role and potential benefits of physical activity for cancer patients. The findings from recent studies show that physical activity decreases the severity of side effects of cancer treatment, reduces fatigue, improves quality of life, has a positive impact on mental health and improves aerobic fitness in cancer patients. Moreover, it reduces the risk of cancer recurrence and death. Physical activity is recommended for patients with any type of cancer and at all stages of treatment, but more research is needed to determine the specific type, intensity, and duration of physical activity.
Article
Primary Health Care
Guido A. M. Rondas, Erin M. Macri, Edwin H. G. Oei, Sita M. A. Bierma-Zeinstra, Hanneke B. M. Rijkels-Otters, Jos Runhaar
Summary: The study aimed to examine the association between hip pain and hip radiographic osteoarthritis (ROA). The results showed that hip pain was associated with the presence of definite and early-stage hip ROA, but the overall prevalence of ROA was modest and substantial among pain-free hips.
BRITISH JOURNAL OF GENERAL PRACTICE
(2022)
Article
Geriatrics & Gerontology
Jian Xiao, Zaixing Shi, Ya Fang
Summary: This study identified three classes of disability trajectories among older Chinese adults: progressive, late-onset, and normal classes. Different disability trajectories were associated with varying patterns of health care service utilization, with late-onset disability leading to the highest health care needs. These findings offer valuable evidence for policymakers aiming to reduce health care burden on older adults.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Infectious Diseases
Alexandre R. Marra, Gosia S. Clore, Erin Balkenende, Cassie Cunningham Goedken, Daniel J. Livorsi, Michihiko Goto, Mary S. Vaughan-Sarrazin, Ann Broderick, Eli N. Perencevich
Summary: This study aimed to estimate antibiotic use during the last 6 months of life for hospitalized patients under hospice or palliative care and identify potential targets for antibiotic stewardship. The data showed that within 14 days of placement or consultation, 41% of hospice patients and 48% of palliative care patients received at least one antibiotic.
CLINICAL MICROBIOLOGY AND INFECTION
(2023)
Article
Medicine, General & Internal
Deborah B. Horn, Christopher Damsgaard, Kathi Earles, Sheba Mathew, Amanda E. Nelson
Summary: Patients with osteoarthritis (OA) and obesity often self-manage their condition for an average of five years before seeking medical care, discussing treatment options and weight management upon diagnosis, with few patients discussing anti-obesity medication with their primary care physicians despite interest. Physicians have mixed perceptions of patient motivation for weight loss, indicating a barrier in obesity management for patients with OA.
POSTGRADUATE MEDICINE
(2021)
Article
Multidisciplinary Sciences
Young-Ah Choi, Jung Soo Lee, Yeo Hyung Kim
Summary: We investigated the association between physical activity level and dynapenia in older adults with COPD and found that higher physical activity levels were associated with lower odds of dynapenia. This association was observed only in male patients and individuals with normal weight.
SCIENTIFIC REPORTS
(2022)
Article
Orthopedics
Elsie Rizk, Sharla Tajchman, Ezekiel Fink, Dipendra K. Aryal, Tomona Iso, Eleazar Flores, Anthony E. Brown, Sagar P. Chokshi, Shetal-Nicholas Desai, Ashvin K. Dewan, Sarah A. Kazzaz, Myriam Guevara, Sudha Nagaraj, Christopher P. Robben, Veronica Vittone, Joshua T. Swan
Summary: This study developed a set of valid and feasible quality indicators for osteoarthritis pain management in primary care settings through literature search and expert panel discussions. The final list of 15 prioritized quality indicators covers aspects such as pain management safety, education, weight-management, psychological wellbeing, optimizing first-line medications, referral, and imaging.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Endocrinology & Metabolism
April Prunty, Amy Hahn, Amy O'Shea, Stephanie Edmonds, M. Kathleen Clark
Summary: This study found that experienced weight stigma and weight self-stigma were independently associated with multiple physical health problems as well as the belief that healthcare concerns were discounted by providers. Reducing weight stigma may be an important factor in managing multiple physical health conditions.
INTERNATIONAL JOURNAL OF OBESITY
(2023)
Article
Psychology, Developmental
Rinske M. van den Heuvel, Michel Wensing, Hilde M. Geurts, Jan-Pieter Teunisse
Summary: This study used the Network in Action-Questionnaire (NiA-Q) to explore the social network of individuals with Autism Spectrum Condition (ASC) and found two factors: positive social support and interpersonal distress. The results showed that self- and proxy-report on the social network were mostly similar.
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
(2023)
Article
Thermodynamics
Konstantin Huber, Felix Gackstatter, Tim Roediger, Michael Wensing
Summary: In this study, a fast-response Atomic Layer Thermopile (ALTP) based heat flux measurement system was used to determine the wall heat-flux in the combustion chamber of a commercially available SI-gasoline combustion engine. The ALTP system provided additional process variables that supplemented conventional cylinder pressure data with highly resolved data in time and location. The newly developed sensor modules were precision calibrated and compared to other measurement techniques. The results demonstrated the benefits of ALTPs for detecting engine, combustion, and flow characteristics.
INTERNATIONAL JOURNAL OF ENGINE RESEARCH
(2023)
Article
Thermodynamics
Tim Russwurm, Andreas Peter, Lukas Strauss, Sebastian Riess, Michael Wensing
Summary: Pre-chamber ignition systems enable homogeneous lean or dilute combustion and significantly improve the efficiency of spark ignition engines. The combustion in the pre-chamber propagates much faster than spark ignition, both in the direction of the transfer port and radially. The disrupted flame front of a pre-chamber jet enhances turbulence and flame propagation.
INTERNATIONAL JOURNAL OF ENGINE RESEARCH
(2023)
Article
Nursing
Selina von Schumann, Charlotte Ullrich, Aline Weis, Michel Wensing, Nicola Litke
Summary: The number of mechanically ventilated patients is increasing worldwide, and the use of Weaning Boards can support the weaning process and enhance knowledge sharing between healthcare professionals. This study aimed to explore the design and implementation of future Weaning Boards, and identified key factors for successful implementation. However, the current COVID-19 pandemic and difficulties in interprofessional interaction may affect the implementation of Weaning Boards.
RESEARCH IN NURSING & HEALTH
(2023)
Article
Environmental Sciences
Olga Amberger, Angelina Mueller, Dorothea Lemke, Hardy Mueller, David Schwappach, Peter Wendt, Michel Wensing, Maria-Sophie Brueckle, Beate S. Mueller
Summary: A nationwide survey conducted in Germany from 2019 to 2021 showed that the majority of respondents considered medical treatment to involve risks to patient safety, but this proportion decreased during the COVID-19 pandemic. Self-efficacy and knowledge regarding patient safety increased during the pandemic. About one third of respondents suspected they had experienced errors in their treatment, and the reported errors remained steady.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2023)
Article
Engineering, Mechanical
Lukas Strauss, Sebastian Riess, Michael Wensing
Summary: To fully utilize the potential of regenerative fuels, it is important to understand the differences between conventional fuels and regenerative fuels. This study compares OME3-5 and 1-Octanol with diesel-like Dodecane in terms of their mixture formation under specific conditions. The results show that the fuels have different physio-chemical behaviors and cannot be easily used as drop-in replacements without significant adaptations.
FRONTIERS IN MECHANICAL ENGINEERING-SWITZERLAND
(2023)
Article
Thermodynamics
Hamidreza Fajri, Sebastian Riess, Rafael Clemente Mallada, Ilona Ruoff, Michael Wensing
Summary: In this study, a constant volume/constant pressure combustion chamber was used to measure the major parameters of vapour/liquid phases and combustion of fuel spray introduced by two heavy-duty, large-diameter diesel injectors. The results show that the conical nozzle and cylindrical nozzle have notable impacts on the formation of the mixture, air entrainment process, and combustion behavior. Various parameters were combined to describe the spray characteristics in an inert background gas and explain the combustion trend of the nozzles in a reactive gas background. Optical techniques were employed to observe the spray and combustion behaviors under different conditions. The findings provide insights into the jet and liquid spray behaviors, as well as the combustion characteristics of the nozzles.
ENERGY CONVERSION AND MANAGEMENT
(2023)
Article
Thermodynamics
Bastian Lehnert, Lukas Weiss, Edouard Berrocal, Michael Wensing
Summary: In this work, the high-speed Diffuse Back Illumination Extinction Imaging (DBI-EI) technique is used to obtain quantitative information on the projected liquid volume (PLV) in a highly transient GDI process. By using a LED-Panel as the light source and a constant volume chamber, measurements are conducted under real-world engine conditions. A simulation-based method is presented to correct the OD for scattering effects, allowing the use of DBI-EI in all spray regions and obtaining three-dimensional data of the liquid volume fraction.
INTERNATIONAL JOURNAL OF ENGINE RESEARCH
(2023)
Review
Health Care Sciences & Services
Michel Wensing, Catharina Roth, Katja Krug
EXPERT REVIEW OF PHARMACOECONOMICS & OUTCOMES RESEARCH
(2023)
Article
Infectious Diseases
Gregor Feldmeier, Christin Loeffler, Attila Altiner, Anja Wollny, Katharina Garbe, Dorothea Kronsteiner, Martina Koeppen, Joachim Szecsenyi, Mirko Leyh, Arwed Voss, Martina Kamradt, Regina Poss-Doering, Michel Wensing, Petra Kaufmann-Kolle
Summary: The CHANGE-3 study aimed to reduce antibiotic prescribing for non-complicated acute respiratory tract infections to a reasonable level. The results showed a general trend towards restrained antibiotic use in German primary care, but higher prescribing in routine care with only a public campaign.
Article
Rehabilitation
Tiziana Daniel, Tamara Spingler, Andreas Hug, Norbert Weidner, Michel Wensing, Charlotte Ullrich
Summary: This study aimed to explore the current practice of German outpatient neurorehabilitation services and identify associated factors. Semi-structured interviews were conducted with professionals and patients in outpatient neurorehabilitation services. The study found differences in satisfaction levels and perceived deficits in participation-oriented, evidence-based, and coordinated care. Factors associated with this practice included availability of specialized therapists, outpatient service catalogue, cost coverage, rehabilitation goal setting, and physician as care coordinator.
DISABILITY AND REHABILITATION
(2023)
Editorial Material
Health Care Sciences & Services
Michel Wensing, Paul Wilson
Summary: Implementation researchers often work as research partners in practice improvement projects, clinical trials, or other applied health studies. These projects can make supportive, descriptive, or explanatory contributions to implementation science. This commentary reflects on the potential contributions of such projects to implementation science.
IMPLEMENTATION SCIENCE
(2023)
Article
Primary Health Care
Valeska Fehrer, Regina Poss-Doering, Aline Weis, Michel Wensing, Joachim Szecsenyi, Nicola Litke
Summary: The German healthcare system contributes 5.2% of the national greenhouse gases emissions, making it crucial to implement mitigation actions to reduce its carbon footprint. However, there is a lack of approaches to achieve this in German primary care. This study aimed to identify environmental impact-reducing strategies in German primary care practices.
EUROPEAN JOURNAL OF GENERAL PRACTICE
(2023)
Article
Medicine, General & Internal
Anika Mitzkat, Johanna Mink, Christine Arnold, Cornelia Mahler, Andre L. Mihaljevic, Andreas Moeltner, Birgit Trierweiler-Hauke, Charlotte Ullrich, Michel Wensing, Jan Kiesewetter
Summary: This study aimed to evaluate individual competencies and team performance shown in ward rounds by medical and nursing undergraduates. The results showed significant changes in individual competencies and positive trends in team performance during the study period.
FRONTIERS IN MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Johanna Forstner, Jasmin Mangold, Nicola Litke, Aline Weis, Joachim Szecsenyi, Michel Wensing, Charlotte Ullrich
Summary: The study aimed to explore the role of Care Assistants in General Practice (VERAH) in primary care practices. The analysis of data revealed that VERAHs are involved in software-supported case management and their tasks contribute to strengthening their role.