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41. RESPECT-ED: Rates of Pulmonary Emboli (PE) and Sub-Segmental PE with Modern Computed Tomographic Pulmonary Angiograms in Emergency Departments: A Multi-Center Observational Study Finds Significant Yield Variation, Uncorrelated with Use or Small PE Rates. Full Text available with Trip Pro

RESPECT-ED: Rates of Pulmonary Emboli (PE) and Sub-Segmental PE with Modern Computed Tomographic Pulmonary Angiograms in Emergency Departments: A Multi-Center Observational Study Finds Significant Yield Variation, Uncorrelated with Use or Small PE Rates. Overuse of CT Pulmonary Angiograms (CTPA) for diagnosing pulmonary embolism (PE), particularly in Emergency Departments (ED), is considered problematic. Marked variations in positive CTPA rates are reported, with American 4-10% yields driving (...) report data were inputted onto preformatted data-sheets. The primary outcome was site level yield, analysed both intra-site and against a nominated 15.3% yield. Factors potentially associated with yield were assessed for correlation.Fourteen radiology departments (15 ED) provided 7077 CTPA data (94% ≥64-slice CT); PE were reported in 1028 (yield 14.6% (95%CI 13.8-15.4%; range 9.3-25.3%; site variation p <0.0001) with four sites significantly below and one above the 15.3% target. Admissions, CTPA

2016 PLoS ONE

42. Twenty?first century adaptive teaching and individualized learning operationalized as specific blends of student?centered instructional events: A systematic review and meta?analysis Full Text available with Trip Pro

, but now discuss questions of which method, when, and for what purpose is best. 3.1.1 Individualized learning and adaptive student‐centered education ( Student‐Centered ) Conceptual understanding of individualized learning and adaptive teaching varies broadly, encompassing a multitude of instructional strategies, approaches, and activities. It stretches from accounts of specific systems of instruction such as mastery learning (Bloom, ) and scaffolded adaptive feedback in computer‐based instruction (e.g (...) and medical education. More specific reviews have been conducted on the effectiveness of feedback and scaffolding in CBI and ITS. The list of moderator variables included the type of both experimental and comparison treatments, as well as outcome type, student academic level, study discipline, etc. The highest achievement effects of using ITS were found in comparison with non‐ITS computer‐based instruction ( d ¯ = 0.57) and teacher‐centered, large‐group instruction ( d ¯ = 0.42), whereas in comparison

2019 Campbell Collaboration

43. HRS White Paper on Atrial Fibrillation Centers of Excellence: Rationale, Considerations, and Goals

and outcomes, and team coordination. Data from many AF centers have shown that reductions in AF-related admissions, reductions in cardiovascular events, and improvements in patient satisfaction more than justify the operational expenses inherent to an Piccini et al Atrial fibrillation centers of excellence Page 12 of 72 integrated AF program (Table 1). Since most health care systems have resource limitations, initial efforts in a CoE may focus on important gaps and interventions that are less resource (...) , particularly with aging and with comorbid diseases, 60,61 decisions for treatment strategy should always be informed by shared decision-making (SDM). CoEs should have standard methods to ascertain the quality of rate control in order to reduce the risk of cardiomyopathy and heart failure. Piccini et al Atrial fibrillation centers of excellence Page 13 of 72 AF CoEs can help facilitate timely and systematic assessment of rate control through centralized review of data from wearable technologies

2020 Heart Rhythm Society

44. International variation in radiation dose for computed tomography examinations: prospective cohort study. Full Text available with Trip Pro

International variation in radiation dose for computed tomography examinations: prospective cohort study. To determine patient, institution, and machine characteristics that contribute to variation in radiation doses used for computed tomography (CT).Prospective cohort study.Data were assembled and analyzed from the University of California San Francisco CT International Dose Registry.Standardized data from over 2.0 million CT examinations of adults who underwent CT between November 2015 (...) and August 2017 from 151 institutions, across seven countries (Switzerland, Netherlands, Germany, United Kingdom, United States, Israel, and Japan).Mean effective doses and proportions of high dose examinations for abdomen, chest, combined chest and abdomen, and head CT were determined by patient characteristics (sex, age, and size), type of institution (trauma center, care provision 24 hours per day and seven days per week, academic, private), institutional practice volume, machine factors (manufacturer

2019 BMJ

45. Comparison between computed tomography‐guided percutaneous microwave ablation and thoracoscopic lobectomy for stage I non‐small cell lung cancer Full Text available with Trip Pro

Comparison between computed tomography‐guided percutaneous microwave ablation and thoracoscopic lobectomy for stage I non‐small cell lung cancer The study was conducted to investigate the effectiveness and cost of computed tomography (CT)-guided percutaneous microwave ablation (MWA) and thoracoscopic lobectomy for stage I non-small cell lung cancer (NSCLC).We retrospectively analyzed the data of 46 and 85 patients with stage I NSCLC treated with CT-guided percutaneous MWA or thoracoscopic (...) lobectomy, respectively, at our center from July 2013 to June 2015. Overall survival (OS), disease-free survival (DFS), local control rate, hospital stay, and cost were evaluated. Survival curves were constructed using the Kaplan-Meier method and compared using the log-rank test.The one and two-year OS rates were 97.82% and 91.30% and 97.65% and 90.59% in the MWA and lobectomy groups, respectively. The one and two-year DFS rates were 95.65% and 76.09% and 95.29% and 75.29%, respectively. No significant

2018 Thoracic cancer

46. 2017 AHA/ACC Key Data Elements and Definitions for Ambulatory Electronic Health Records in Pediatric and Congenital Cardiology: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards Full Text available with Trip Pro

disease share clinical nomenclature for disease classification and procedural coding. We use the term “EHR” as not only referring to the generic concept of such computer-based systems, but includes the idea that a patient’s medical information and discrete data capture may be stored in multiple systems, with clinical data standards enabling the appearance of a single repository. One of the greatest inefficiencies of the current approach to measuring clinical quality indicators and clinical (...) 2017 AHA/ACC Key Data Elements and Definitions for Ambulatory Electronic Health Records in Pediatric and Congenital Cardiology: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards 2017 AHA/ACC Key Data Elements and Definitions for Ambulatory Electronic Health Records in Pediatric and Congenital Cardiology: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards | Circulation

2017 American Heart Association

47. Rapid Expert Consultation on Data Elements and Systems Design for Modeling and Decision Making for the COVID-19 Pandemic

Information Network,3 the Patient-Centered Outcomes Research Institute’s Clinical Data Research Network4 and the Observational Health Data Sciences and Informatics’ 2 For additional information on NSSP please see https://www.cdc.gov/nssp/images/nsspinfo/Final_NSSP- Infographic.pdf 3 McMurry AJ, Murphy SN, MacFadden D, Weber G, Simons WW, et al. (2013) SHRINE: Enabling Nationally Scalable Multi-Site Disease Studies. PLoS One 8(3): e55811. Doi:10.1371/journal.pone.0055811 4 https://www.pcori.org (...) /research-results/pcornet%C2%AE-national-patient-centered-clinical-research-network Observational Medical Outcomes Partnership Common Data Model5 all support interoperability of core datasets. Starting with basic descriptive statistics of patients and expanding as more data and techniques are available can assist with triage and identify important biological themes. Whether for a known infectious pathogen or a novel one, the ability to model the pathogenesis, transmission, effective control strategies

2020 Covid-19 Ad hoc papers

48. Addition of dihydrogen to a borylborenium center †Electronic supplementary information (ESI) available. CCDC 1543216 (4). For ESI and crystallographic data in CIF or other electronic format see DOI: 10.1039/c7sc04987k Full Text available with Trip Pro

Addition of dihydrogen to a borylborenium center †Electronic supplementary information (ESI) available. CCDC 1543216 (4). For ESI and crystallographic data in CIF or other electronic format see DOI: 10.1039/c7sc04987k The activation of a H-H bond, the simplest covalent bond, is a fundamentally important process. Addition of H2 to an elemental center typically occurs on low valent transition metal or main group complexes through oxidative addition to afford metal dihydride complexes (...) . In contrast, activation of H2 on a high valent center generally results in heterolytic cleavage of the H-H bond to a proton and hydride. Here, we report experimental and computational evidence for the addition of H2 to a borenium center in an N-heterocyclic carbene (NHC) coordinated borylborenium cation, which leads to the formation of a dihydroborenium complex accompanied by the elimination of two σ-bonded substituents, namely mesityl (Mes) and pinacolboryl (Bpin) groups, as mesitylboronic ester.

2017 Chemical Science

49. Center of Excellence for Mobile Sensor Data-to-Knowledge (MD2K) Full Text available with Trip Pro

Center of Excellence for Mobile Sensor Data-to-Knowledge (MD2K) 29276451 2018 11 13 1536-1268 16 2 2017 Apr-Jun IEEE pervasive computing IEEE Pervasive Comput Center of Excellence for Mobile Sensor Data-to-Knowledge (MD2K). 18-22 10.1109/MPRV.2017.29 Kumar Santosh S is a professor and Moss Chair of Excellence in computer science at the University of Memphis and director of the MD2K Center of Excellence. Abowd Gregory G is a Regents' Professor and J.Z. Liang Chair in the School of Interactive (...) of California, San Diego. Marlin Benjamin M BM is an assistant professor at the University of Massachusetts, Amherst. Murphy Susan S is the H.E. Robbins Distinguished University Professor of Statistics, professor of psychiatry, and research professor at the Institute of Social Research at the University of Michigan. Rehg James M JM is a professor in the School of Interactive Computing at the Georgia Institute of Technology. He is deputy director of MD2K and leads MD2K's data science research. Nahum-Shani

2017 IEEE pervasive computing

50. Energy-Aware Computation Offloading of IoT Sensors in Cloudlet-Based Mobile Edge Computing Full Text available with Trip Pro

Energy-Aware Computation Offloading of IoT Sensors in Cloudlet-Based Mobile Edge Computing Mobile edge computing is proposed as a promising computing paradigm to relieve the excessive burden of data centers and mobile networks, which is induced by the rapid growth of Internet of Things (IoT). This work introduces the cloud-assisted multi-cloudlet framework to provision scalable services in cloudlet-based mobile edge computing. Due to the constrained computation resources of cloudlets (...) and limited communication resources of wireless access points (APs), IoT sensors with identical computation offloading decisions interact with each other. To optimize the processing delay and energy consumption of computation tasks, theoretic analysis of the computation offloading decision problem of IoT sensors is presented in this paper. In more detail, the computation offloading decision problem of IoT sensors is formulated as a computation offloading game and the condition of Nash equilibrium

2018 Sensors (Basel, Switzerland)

51. Can Computed Tomography?Assessed Right-Sided Ventricular Dysfunction Predict Mortality in Hemodynamically Stable Pulmonary Embolism?

Can Computed Tomography?Assessed Right-Sided Ventricular Dysfunction Predict Mortality in Hemodynamically Stable Pulmonary Embolism? Systematic Review Snapshot TAKE-HOME MESSAGE Right-sided ventricular dysfunction assessed by computed tomography (CT) isassociatedwithall-causeshort-termmortalityandmorestronglyassociatedwith mortality caused by pulmonary embolism. Can Computed Tomography–Assessed Right-Sided Ventricular Dysfunction Predict Mortality in Hemodynamically Stable Pulmonary Embolism (...) ? EBEM Commentators Jason R. West, MD Department of Emergency Medicine Albert Einstein College of Medicine Jacobi Medical Center Bronx, NY Benjamin W. Friedman, MD, MS Department of Emergency Medicine Albert Einstein College of Medicine Monte?ore Medical Center Bronx, NY Results The search identi?ed 289 articles. All but 46 were excluded accord- ing to the title and abstract. The remaining studies were subjected to a detailed review, and 10 studies were included in the re- view. Of these, 8 included

2015 Annals of Emergency Medicine Systematic Review Snapshots

52. Computed Tomography to Evaluate Children with Suspected Appendicitis

Computed Tomography to Evaluate Children with Suspected Appendicitis Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered (...) study only. It may not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Computed Tomography to Evaluate Children

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

53. AGA Institute Rapid Review of the GI and Liver Manifestations of COVID-19, Meta-Analysis of International Data, and Recommendations for the Consultative Management of Patients with COVID-19 Full Text available with Trip Pro

the evidence. Clin Gastroenterol Hepatol. 2013; 11 : 329-332 Data Synthesis and Analysis A meta-analysis of prevalence of GI and liver abnormalities was performed using meta 4.11-0 package in R software, version 3.6.3. Balduzzi S. Rucker G. Schwarzer G. How to perform a meta-analysis with R: a practical tutorial. Evid Based Ment Health. 2019; 22 : 153-160 , R Core Team R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing , Vienna, Austria 2020 The prevalence (...) AGA Institute Rapid Review of the GI and Liver Manifestations of COVID-19, Meta-Analysis of International Data, and Recommendations for the Consultative Management of Patients with COVID-19 AGA Institute Rapid Review of the Gastrointestinal and Liver Manifestations of COVID-19, Meta-Analysis of International Data, and Recommendations for the Consultative Management of Patients with COVID-19 - Gastroenterology Go search This Journal Search AGA Journals Powered By Mendeley Share on AGA Institute

2020 American Gastroenterological Association Institute

54. Assessment of midpalatal suture ossification using cone-beam computed tomography Full Text available with Trip Pro

Assessment of midpalatal suture ossification using cone-beam computed tomography The degree of ossification of the midpalatal suture is an important factor in the selection of treatment procedure, especially in young individuals. Considering the discrepancies in the results of studies on the exact time of the closure of this suture, the present study was undertaken to evaluate ossification and morphology of the suture with the use of CBCT.In the present cross-sectional study, the CBCT images (...) of the maxilla in 144 Iranian subjects (72 males, 72 females) with an age range of 10 to 70 years, referring to a private radiology center in Sari, Iran, were evaluated. The CBCT images were evaluated in the axial cross-sectional slice at 1 mm intervals to determine morphology and the maturation stage of the suture and its degree of ossification. The six developmental stages that were observed were as follows: stage A, a direct line without disturbances; stage B, a scalloped appearance in the suture; stage C

2017 Electronic physician

55. Frequency and volumetry of infraorbital ethmoid cells (Haller cells) on cone-beam computed tomograms (CBCT) of the mid-face Full Text available with Trip Pro

Frequency and volumetry of infraorbital ethmoid cells (Haller cells) on cone-beam computed tomograms (CBCT) of the mid-face Objective: The aim of this study was to determine the frequency and morphology of Haller cells using a new radiological technique that allows examination of the facial skull. Material and methods: In a single center retrospective cohort study the cone-beam computed tomography (CBCT) volume data of the maxillary sinus of 199 patients were analysed (398 paranasal sinuses (...) examination procedures with respect to the target object. Conclusions: Bony variants of paranasal sinuses can be analysed using CBCT as an alternative to computed tomography (CT), whereas OPG images do not reliably detect Haller cells.

2017 GMS Interdisciplinary plastic and reconstructive surgery DGPW

56. Safety of Computed Tomographic Angiography in the Evaluation of Patients With Acute Stroke: A Single-Center Experience. Full Text available with Trip Pro

Safety of Computed Tomographic Angiography in the Evaluation of Patients With Acute Stroke: A Single-Center Experience. Noncontrasted head computed tomography (NCHCT) has long been the standard of care for acute stroke imaging. New guidelines recommending advanced vascular imaging to identify eligible patients for endovascular therapy have renewed safety concerns on the use of contrast in the emergent setting without laboratory confirmation of renal function.We compared computed tomographic (...) angiography (CTA) versus NCHCT alone during acute stroke evaluation with focus on renal safety and timeliness of therapy delivery. We reviewed data on all emergency department patients for whom the Acute Stroke Intervention Team was activated between December 2013 and September 2014. Primary outcomes included acute kidney injury and change in serum creatinine from presentation to 24 to 48 hours (Δ serum creatinine [Cr]). We assessed therapy delay using door-to-CT and door-to-needle times.Of 289 patients

2016 Stroke

57. A 3-Month Randomized Controlled Pilot Trial of a Patient-Centered, Computer-Based Self-Monitoring System for the Care of Type 2 Diabetes Mellitus and Hypertension. (Abstract)

A 3-Month Randomized Controlled Pilot Trial of a Patient-Centered, Computer-Based Self-Monitoring System for the Care of Type 2 Diabetes Mellitus and Hypertension. This study was performed to evaluate the effects of a patient-centered, tablet computer-based self-monitoring system for chronic disease care. A 3-month randomized controlled pilot trial was conducted to compare the use of a computer-based self-monitoring system in disease self-care (intervention group; n = 33) with a conventional (...) , diastolic blood pressure, chronic disease knowledge, and frequency of self-monitoring. The data were collected at baseline and at 1-, 2-, and 3-month follow-up visits. The patients in the intervention group had a significant decrease in mean systolic blood pressure from baseline to 1 month (p < 0.001) and from baseline to 3 months (p = 0.043) compared with the control group. Significant improvements in the mean diastolic blood pressure were seen in the intervention group compared with the control group

2016 Journal of medical systems Controlled trial quality: uncertain

58. A Patient with Respiratory Failure and a Computer "Normal" ECG

A Patient with Respiratory Failure and a Computer "Normal" ECG Dr. Smith's ECG Blog: A Patient with Respiratory Failure and a Computer "Normal" ECG Monday, March 11, 2019 This ECG was presented in a conference. The patient had presented many times for SOB. On this occasion he was intubated for respiratory failure due to presumed asthma. I was asked to interpret his ECG in the conference. I had never seen it before. ECG-1: What do you think I said? Here is the computer interpretation (...) . Here is data from a study we published in 2014 for type II NonSTEMI: Sandoval Y. Nelson SE. Smith SW . Schulz KM. Murakami M. Pearce LA. Apple FS. Cardiac Troponin Changes to Distinguish Type 1 and Type 2 Myocardial Infarction and 180-Day Mortality Risk. Acute Cardiovascular Care 2014;3(4):317-325. Here is a figure from that study: Notice that the 6 hour value (far right) is very low for type 2 MI. Cases like this lead me to wonder if troponin should be a vital sign. See this case: After admission

2019 Dr Smith's ECG Blog

59. Computer often fails to diagnose atrial fibrillation in ventricular paced rhythm, and that can be catastrophic

Computer often fails to diagnose atrial fibrillation in ventricular paced rhythm, and that can be catastrophic Dr. Smith's ECG Blog: Computer often fails to diagnose atrial fibrillation in ventricular paced rhythm, and that can be catastrophic Thursday, February 21, 2019 Case 1. An elderly patient presented with a massive hemiplegic ischemic stroke of 24 hours duration. CT stroke series showed a middle cerebral artery thrombus. He had an ECG recorded: Case 1, ECG 1: Computer: "Electronic Atrial (...) Pacemaker. Electronic Ventricular Pacemaker" No other interpretation. What do you think? Answer : There is no atrial pacing spike. This is atrial fibrillation (not diagnosed by the computer) but with a regular ventricular rhythm because the ventricle is regularly paced by an artificial pacemaker (ventricular paced rhythm, VPR) . This may easily deceive both the computer and the overreading physician because one of the primary means of identifying atrial fibrillation is by an irregularly irregular heart

2019 Dr Smith's ECG Blog

60. Application of speCtraL Computed tomogrAphy to impRove specIficity of Cardiac compuTed tomographY

Application of speCtraL Computed tomogrAphy to impRove specIficity of Cardiac compuTed tomographY Application of speCtraL Computed tomogrAphy to impRove specIficity of Cardiac compuTed tomographY - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove (...) one or more studies before adding more. Application of speCtraL Computed tomogrAphy to impRove specIficity of Cardiac compuTed tomographY (CLARITY) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03139006 Recruitment

2017 Clinical Trials

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