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Randomized intervention to assess the effectiveness of an educational video on organ donation intent among Hispanics in the New York metropolitan area

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World Journal of Transplantation 2023年第4期13卷 190-200页

作者： renee pekmezaris Edgardo Cigaran Vidhi Patel Damian Clement Christine L Sardo Molmenti Ernesto Molmenti Feinstein Institutes for Medical Research Northwell HealthManhassetNY 11030United States Department of Nephrology Northwell Health/Zucker School of Medicine at HosftraManhassetNY 11030United States

BACKGROUND The Hispanic community has a high demand for organ donation but a shortage of *** investigating factors that could promote or hinder organ donation have examined emotional video *** acting as barriers to organ donation registration have been classified as:(1)Bodily integrity;(2)medical mistrust;(3)“ick”-feelings of disgust towards organ donation;and(4)“jinx”-fear that registration may result in one dying due to premeditated *** predict that by providing necessary information and education about the donation process via a short video,individuals will be more willing to register as organ *** To determine perceptions and attitudes regarding barriers and facilitators to organ donation intention among Hispanic residents in the New York metropolitan *** This study was approved by the Institutional Review Board at Northwell *** approval reference number is No.19-0009(as presented in Supplementary material).Eligible participants included Hispanic New York City(NYC)residents,18 years of age and above,who were recruited voluntarily through Cloud Research and participated in a larger randomized survey study of NYC *** survey an 85-item Redcap survey measured participant demographics,attitudes,and knowledge of organ donation as well as the intention to register as an organ *** checks were implemented throughout the survey,and responses were excluded for those who did *** were randomly assigned two-between subject conditions:To view a short video on organ donation and then proceed to complete the survey(i.e.,video first)and view the same video at the end of the survey(video last).No intra-group activities were *** study utilized an evidenced-based emotive educational intervention(video)which was previously utilized and was shown to increase organ donation registration rates at the Ohio Department of Motor *** were analyzed using Jamovi statistical softw

关键词： Community engagement and health Health equity Diversity and inclusion Health policy Kidney donation Minority health and disparities Organ transplant

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Continuous Lumbar Plexus Catheter Removal in Postoperative Total Hip Replacement Patients Receiving Warfarin Thromboprophylaxis: A Retrospective Analysis

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Open Journal of Anesthesiology 2013年第6期3卷 293-297页

作者： Joseph Marino Jay Curtin Carol Patrick Kara Theal Cristina Sison George Koutsouras Scott Alpert W. Healy III Oonagh Dowling renee pekmezaris J. E. Chelly Biostatistics Unit The Feinstein Institute for Medical Research Manhasset USA Biostatistics Unit The Feinstein Institute for Medical Research Manhasset USA Department of Anesthesiology Franklin Hospital Medical Center Valley Stream USA Department of Anesthesiology Huntington Hospital Huntington USA Department of Cardiology Huntington Hospital Huntington USA Department of Information Services Huntington Hospital Huntington USA Department of Orthopedic Anesthesia and Acute Interventional Pain University of Pittsburgh School of Medicine Pittsburgh USA Department of Orthopedics Huntington Hospital Huntington USA Department of Population Health North Shore LIJ Health System Great Neck USA Department of Population Health North Shore LIJ Health System Great Neck USA

Background and Objectives: Based on the case reports of hemorrhagic complications, recommendations for the removal of lumbar plexus catheters in anticoagulated patients were created. These guidelines are controversial as they limit the use of lumbar plexus blocks in postoperative anticoagulated patients. This study was designed to evaluate the incidence of hemorrhagic complications and coagulation status using International Normalized Ratio (INR) at the time of lumbar plexus catheter removal in patients receiving warfarin after total hip replacement. Methods: A retrospective study of 371 patients on warfarin thromboprophylaxis who received continuous lumbar plexus catheters for postoperative analgesia after total hip surgery was performed. The primary outcome measure was the incidence of bleeding complications after catheter removal;secondary outcome measures included warfarin dose, bridge therapy, incidence of deep vein thrombosis, pulmonary embolism (DVT/PE) and INR values upon catheter removal. Results: Almost all lumbar plexus catheters (93%;344/371) were removed at 72 hours. At the time of catheter removal, mean INR was 1.99 [1.42-2.41] (p = 0.015);67% of patients had an INR > 1.5 and half of these patients had INRs between 2.0-3.0;5% had INR’s between 3.0-4.0. There were no adverse bleeding complications or nerve injury after the removal of catheters. Conclusions: We observed no incidence of bleeding after lumbar plexus catheter removal despite 67 % of patients demonstrating INR’s > 1.5. Our retrospective analysis illustrates the relative safety of catheter removal in anticoagulated patients and suggests that the removal of lumbar plexus catheters can be safely performed with an INR > 1.5 in patients receiving warfarin.

关键词： Lumbar Plexus Block Warfarin Prophylaxis Deep Vein Thrombosis Pulmonary Embolism

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