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Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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The structure of a crystalline solid, whether a metal or not, is best described by considering its simplest repeating unit, which is referred to as its unit cell. The unit cell consists of lattice points that represent the locations of atoms or ions. The entire structure then consists of this unit cell repeating in three dimensions. The three different types of unit cells present in the cubic lattice are illustrated in Figure 1.
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Center of Gravity00:58

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The center of gravity (COG) of an object is the point where the object's total weight is considered to be concentrated. Knowing the location of the center of gravity is useful when predicting the behavior of a moving object or designing static structures. In a uniform gravitational field, the center of gravity is similar to the center of mass (COM); yet, these two points can be positioned differently. For example, the Moon's center of mass lies very close to its geometric center, but...
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Center of Gravity01:15

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The center of gravity is the point at which an object's weight appears to be concentrated and can be used to balance the object perfectly. This point is essential in mechanics as it provides information regarding a body's stability and moments of inertia. The center of gravity does not always have to fall within the shape or boundaries of the body; it may also lie outside the body in certain cases.
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Kinetics describes the rate and path by which a reaction occurs. In contrast, thermodynamics deals with state functions and describes the properties, behavior, and components of a system. It is not concerned with the path taken by the process and cannot address the rate at which a reaction occurs. Although it does provide information about what can happen during a reaction process, it does not describe the detailed steps of what appears on an atomic or a molecular level. On the other hand,...
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Center of Mass00:59

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The center of mass is the point at which the total mass of an object can be said to be concentrated. It is a fundamental principle in mechanics and physics that applies to all objects regardless of their shape or size. The center of gravity is the point at which an object’s weight appears to be concentrated and can be used to balance the object perfectly.
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Meaningful Patient-centered Outcomes 1 Year Following Cardiac Surgery.

Eric J Charles1, J Hunter Mehaffey1, Robert B Hawkins1

  • 1Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA.

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|August 10, 2019
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Summary
This summary is machine-generated.

Cardiac surgery improves patient-reported outcomes, including quality of life, one year after the procedure. However, higher surgical risk and facility discharge are linked to poorer long-term results.

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Area of Science:

  • Cardiovascular Surgery
  • Patient-Reported Outcomes
  • Quality of Life Research

Background:

  • Long-term quality of life after cardiac surgery remains under-evaluated.
  • Current metrics primarily focus on short-term surgical outcomes, neglecting patient-centered perspectives.
  • Understanding long-term patient outcomes is crucial for comprehensive surgical assessment.

Purpose of the Study:

  • To assess patient-centered outcomes, specifically alive-at-home status and quality of life, one year post-cardiac surgery.
  • To evaluate the impact of discharge location and predicted surgical risk on long-term patient outcomes.
  • To establish the significance of patient-reported outcomes (PROs) as meaningful metrics for cardiac surgery quality.

Main Methods:

  • A combined retrospective/prospective study followed 782 cardiac surgery patients from 2014-2015.
  • Vital status, living location, and PROs were collected at one year using the NIH Patient-Reported Outcomes Measurement Information System (PROMIS).
  • Statistical analysis assessed the influence of cardiac surgery, discharge disposition, and Society of Thoracic Surgeons (STS) predicted risk on one-year outcomes.

Main Results:

  • 84.1% of patients were alive-at-home one year post-surgery.
  • One-year PROMIS scores for global physical health, global mental health, and physical functioning significantly improved compared to preoperative scores (P < 0.001).
  • Patients discharged to a facility had worse one-year PROMIS scores, and higher STS predicted risk correlated with poorer PROs (P < 0.001).

Conclusions:

  • Cardiac surgery leads to significant improvements in patient-reported outcomes at one year.
  • Discharge to a facility and higher perioperative risk are associated with diminished long-term PROs.
  • Alive-at-home status and PROs are vital patient-centered metrics for evaluating long-term quality and surgical benefit.