Proceedings of the 13th annual conference of INEBRIA

CITATION: Watson, R., et al. 2016. Proceedings of the 13th annual conference of INEBRIA. Addiction Science & Clinical Practice, 11:13, doi:10.1186/s13722-016-0062-9.The original publication is available at https://ascpjournal.biomedcentral.comENGLISH SUMMARY : Meeting abstracts.https://ascpjournal.biomedcentral.com/articles/10.1186/s13722-016-0062-9Publisher's versio

Distractibility of Subtitles on Visual Attention and Working Memory

While viewing a video, human beings are required to process many components that require attention and memory to work simultaneously. For example, individuals must pay attention to audio and visual information while storing that information in memory to connect with each scene. At times, this overload of information may negatively impact performance due to increases in cognitive load. However, although providing additional context, theoretically increasing cognitive load, it has been thought that the use of subtitles may actually aid in performance. For example, research shows that the presence of subtitles is associated with less frustration (Kruger, Hefer, & Matthew, 2013), and may be superior to video during auditory lessons (Zheng, Ye, & Hsiao, 2022). However, it is less understood whether the presence of subtitles affects visual memory recall. The study will examine whether subtitles impact a subject’s ability to recall visual components of a video. The control group will watch a video with no audio or subtitles, and then be asked to recall visual information. The experimental group will watch the same video with subtitles, and then be asked to recall the same visual information. Based on the accuracy of the visual recall assessment, the study will reveal whether subtitles are a distractor to visual memory recall

Quality Improvement: Changing Patterns of Antibiotic Prophylaxis for Surgical Abortion.

ObjectivePostprocedure infection complicates nearly 5% of abortions. Multiple organizations endorse prophylactic antibiotics to reduce infection risk with surgical abortion, but the adherence rate remains unknown for women who obtain antibiotics at a pharmacy and take them at home before their procedure. Our objective was to evaluate the effect of quality improvement interventions on antibiotic utilization and preoperative documentation for women undergoing surgical abortion at our academic institution.MethodsAn initial quality evaluation of antibiotic utilization by women who had abortions in our operating room between April 2012 and June 2013 revealed suboptimal antibiotic adherence and poor physician documentation. To address these issues, we recommended patients to fill prescriptions at the pharmacy located in the same building as our clinic and created a standard preoperative template for the medical record. We reexamined outcomes for women having abortions from April 2014 to June 2015.ResultsAntibiotic adherence increased from 81% to 90% (p < .001). The proportion of patients not receiving antibiotics decreased from 2.4% to 0.5% (p = .01). Adherence documentation rates improved from 69% to 99% (p < .001).ConclusionsUsing an easily accessible pharmacy and a standard preoperative template improves utilization of prophylactic antibiotics for patients undergoing abortions in the operating room

Quality Improvement: Changing Patterns of Antibiotic Prophylaxis for Surgical Abortion.

ObjectivePostprocedure infection complicates nearly 5% of abortions. Multiple organizations endorse prophylactic antibiotics to reduce infection risk with surgical abortion, but the adherence rate remains unknown for women who obtain antibiotics at a pharmacy and take them at home before their procedure. Our objective was to evaluate the effect of quality improvement interventions on antibiotic utilization and preoperative documentation for women undergoing surgical abortion at our academic institution.MethodsAn initial quality evaluation of antibiotic utilization by women who had abortions in our operating room between April 2012 and June 2013 revealed suboptimal antibiotic adherence and poor physician documentation. To address these issues, we recommended patients to fill prescriptions at the pharmacy located in the same building as our clinic and created a standard preoperative template for the medical record. We reexamined outcomes for women having abortions from April 2014 to June 2015.ResultsAntibiotic adherence increased from 81% to 90% (p < .001). The proportion of patients not receiving antibiotics decreased from 2.4% to 0.5% (p = .01). Adherence documentation rates improved from 69% to 99% (p < .001).ConclusionsUsing an easily accessible pharmacy and a standard preoperative template improves utilization of prophylactic antibiotics for patients undergoing abortions in the operating room

Quality Improvement: Changing Patterns of Antibiotic Prophylaxis for Surgical Abortions [23].

Patients at our institution having an abortion in the operating room are routinely prescribed prophylactic antibiotics to use the night before the procedure. After a quality assurance assessment from 4/2012-6/2013 showed poor documentation and adherence to prescribed antibiotics, we altered our procedures by preferentially using the clinic pharmacy for prescriptions and implementing a standardized preoperative template that included assessment of antibiotic adherence.Using clinic schedules, we identified women who had abortions in the operating room from 4/2012-6/2013 and 4/2014-6/2015. We examined electronic medical records to confirm the abortion occurred and obtained data including demographics, prophylactic antibiotic documentation, and patient adherence. We compared data from the two time periods to assess the impact of the interventions on antibiotic provision and documentation.We identified 252 and 445 patients who had abortions during the two time periods, respectively. One patient in the latter group was excluded because she refused antibiotics. Patient characteristics included mean age of 28 years, 34% white, 24% black, and 72% Medicaid-insured. Antibiotic adherence documentation improved from 69.4% (175/252) to 99.1% (440/444 P<.001). Among patients with documentation, antibiotic use the night before the procedure increased from 78.3% (137/175) to 90.0% (396/440, P<.001). Antibiotic administration in the pre-operative area for nonadherent patients increased from 84.4% (27/32) to 97.7% (42/43, P=.036). The proportion of patients who received no antibiotics decreased from 2.4% (6/252) to 0.5% (2/444, P=.009).Using a standardized preoperative template and clinic pharmacy improves provision of prophylactic antibiotics for patients undergoing abortion in the operating room

From armchair to wheelchair: How patients with a locked-in syndrome integrate bodily changes in experienced identity.

Different sort of people are interested in personal identity. Philosophers frequently ask what it takes to remain oneself. Caregivers imagine their patients' experience. But both philosophers and caregivers think from the armchair: they can only make assumptions about what it would be like to wake up with massive bodily changes. Patients with a locked-in syndrome (LIS) suffer a full body paralysis without cognitive impairment. They can tell us what it is like. Forty-four chronic LIS patients and 20 age-matched healthy medical professionals answered a 15-items questionnaire targeting: (A) global evaluation of identity, (B) body representation and (C) experienced meaning in life. In patients, self-reported identity was correlated with B and C. Patients differed with controls in C. These results suggest that the paralyzed body remains a strong component of patients' experienced identity, that patients can adjust to objectives changes perceived as meaningful and that caregivers fail in predicting patients' experience

A systematic review of alcohol screening and assessment measures for young people

CITATION: Watson, R., et al. 2016. Proceedings of the 13th annual conference of INEBRIA. Addiction Science & Clinical Practice, 11:13, doi:10.1186/s13722-016-0062-9.The original publication is available at https://ascpjournal.biomedcentral.comENGLISH SUMMARY : Meeting abstracts.https://ascpjournal.biomedcentral.com/articles/10.1186/s13722-016-0062-9Publisher's versio