Pelvic Exenterative Therapy and Recurrent Pelvic Carcinoma1

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135384/1/ijgo00332.pd

Do Hospitals Alter Patient Care Effort Allocations under Pay-for-Performance?

To determine whether hospitals increase efforts on easy tasks relative to difficult tasks to improve scores under pay-for-performance (P4P) incentives.The Centers for Medicare and Medicaid Services Hospital Compare data from Fiscal Years 2003 through 2005 and 2003 American Hospital Association Annual Survey data.We classified measures of process compliance targeted by the Premier Hospital Quality Incentive Demonstration as easy or difficult to improve based on whether they introduce additional per-patient costs. We compared process compliance on easy and difficult tasks at hospitals eligible for P4P bonus payments relative to hospitals engaged in public reporting using random effects regression models.P4P hospitals did not preferentially increase efforts for easy tasks in patients with heart failure or pneumonia, but they did exhibit modestly greater effort on easy tasks for heart attack admissions. There is no systematic evidence that effort was allocated toward easier processes of care and away from more difficult tasks.Despite perverse P4P incentives to change allocation of efforts across tasks to maximize performance scores at lowest cost, we find little evidence that hospitals respond to P4P incentives as hypothesized. Alternative incentive structures may motivate greater response by targeted hospitals.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/79380/1/j.1475-6773.2010.01192.x.pd

Canine Aortofemoral Bypass: a New Technique for the Evaluation of Prosthetic Implants

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/67957/2/10.1177_000331977402500901.pd

Hospital Variation in Utilization of Life‐Sustaining Treatments among Patients with Do Not Resuscitate Orders

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/144225/1/hesr12651_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/144225/2/hesr12651.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/144225/3/hesr12651-sup-0001-AuthorMatrix.pd

AN EX VIVO METHOD FOR THE EVALUATION OF BIOMATERIALS IN CONTACT WITH BLOOD *

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73650/1/j.1749-6632.1977.tb41793.x.pd

Content analysis of promotional material for asthma-related products and therapies on Instagram

BACKGROUND: Increasingly, social media is a source for information about health and disease self-management. We conducted a content analysis of promotional asthma-related posts on Instagram to understand whether promoted products and services are consistent with the recommendations found in the Global Initiative for Asthma (GINA) 2019 guidelines. METHODS: We collected every Instagram post incorporating a common, asthma-related hashtag between September 29, 2019 and October 5, 2019. Of these 2936 collected posts, we analyzed a random sample of 266, of which, 211 met our inclusion criteria. Using an inductive, qualitative approach, we categorized the promotional posts and compared each post\u27s content with the recommendations contained in the 2019 GINA guidelines. Posts were categorized as consistent with GINA if the content was supported by the GINA guidelines. Posts that promoted content that was not recommended by or was unrelated to the guidelines were categorized as not supported by GINA . RESULTS: Of 211 posts, 89 (42.2%) were promotional in nature. Of these, a total of 29 (32.6%) were categorized as being consistent with GINA guidelines. The majority of posts were not supported by the guidelines. Forty-one (46.1%) posts promoted content that was not recommended by the current guidelines. Nineteen (21.3%) posts promoted content that was unrelated to the guidelines. The majority of unsupported content promoted non-pharmacological therapies (n = 39, 65%) to manage asthma, such as black seed oil, salt-room therapy, or cupping. CONCLUSIONS: The majority of Instagram posts in our sample promoted products or services that were not supported by GINA guidelines. These findings suggest a need for providers to discuss online health information with patients and highlight an opportunity for providers and social media companies to promote evidence-based asthma treatments and self-management advice online

Distribution of intrarenal blood flow during bacterial Sepsis

Inappropriate polyuria during bacterial sepsis represents a poorly understood clinical entity. This study employed live Pseudomonas aeruginosa infusion to simulate this disorder in awake dogs. Intrarenal blood flow distribution was measured using radioactivity labeled microspheres. Hypotension, leucopenia, hemoconcentration, pyrexia, polyuria, and natriuresis were produced. Most dogs showed increased total renal blood flow. Redistribution of renal blood flow away from the outer cortex toward the juxtamedullary cortex, as well as increased absolute perfusion of the juxtamedullary cortex, occurred. Washout of the medullary interstitial concentration gradient by increased blood flow can explain the observed diuresis. These results support but do not prove a causal relationship between redistributed intrarenal blood flow and polyuria during bacterial sepsis.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/22641/1/0000192.pd

Serial arteriography of the dog: A simplified technique

A new technique for serial arteriography of the infradiaphragmatic arterial system in the experimental animal has been developed. Utilizing this technique 143 arteriograms have been obtained at weekly intervals in 24 dogs for up to 10 weeks. Advantages of the method are reproducible results, inexpensive equipment required, and ease of obtaining high-quality arteriograms.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/34186/1/0000475.pd