How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

13,587 results for

Computer Data Center

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

101. Characterizing electronic health record usage patterns of inpatient medicine residents using event log data. Full Text available with Trip Pro

review) as information entry (note and order entry).Analysis of EHR event log data can enable medical educators and programs to develop more targeted interventions to improve physician-computer-patient interactions, centered on specific EHR actions. (...) Characterizing electronic health record usage patterns of inpatient medicine residents using event log data. Amid growing rates of burnout, physicians report increasing electronic health record (EHR) usage alongside decreasing clinical facetime with patients. There exists a pressing need to improve physician-computer-patient interactions by streamlining EHR workflow. To identify interventions to improve EHR design and usage, we systematically characterize EHR activity among internal medicine

2019 PLoS ONE

102. Virtual Mechanical Testing Based on Low-Dose Computed Tomography Scans for Tibial Fracture: A Pilot Study of Prediction of Time to Union and Comparison with Subjective Outcomes Scoring. (Abstract)

their validity for measuring structural bone formation or biomechanical integrity.In this pilot study, a sequential cohort of patients with a tibial shaft fracture were prospectively recruited for observation following standard reamed intramedullary nailing in a level-I trauma center. Follow-up at 6, 12, 18, and 24 weeks included radiographs and completion of PROMs (EuroQol 5-Dimension [EQ-5D] and pain scores). Low-dose computed tomography (CT) scans were also performed at 12 weeks. Scans were reconstructed (...) Virtual Mechanical Testing Based on Low-Dose Computed Tomography Scans for Tibial Fracture: A Pilot Study of Prediction of Time to Union and Comparison with Subjective Outcomes Scoring. Quantitative outcomes assessment remains a persistent challenge in orthopaedic trauma. Although patient-reported outcome measures (PROMs) and radiographic assessments such as Radiographic Union Scale for Tibial Fractures (RUST) scores are frequently used, very little evidence has been presented to support

2019 The Journal of Bone and Joint Surgery. American Volume

103. Detecting hospital behaviors of up-coding on DRGs using Rasch model of continuous variables and online cloud computing in Taiwan. Full Text available with Trip Pro

Detecting hospital behaviors of up-coding on DRGs using Rasch model of continuous variables and online cloud computing in Taiwan. This work aims to apply data-detection algorithms to predict the possible deductions of reimbursement from Taiwan's Bureau of National Health Insurance (BNHI), and to design an online dashboard to send alerts and reminders to physicians after completing their patient discharge summaries.Reimbursement data for discharged patients were extracted from a Taiwan medical (...) center in 2016. Using the Rasch model of continuous variables, we applied standardized residual analyses to 20 sets of norm-referenced diagnosis-related group (DRGs), each with 300 cases, and compared these to 194 cases with deducted records from the BNHI. We then examine whether the results of prediction using the Rasch model have a high probability associated with the deducted cases. Furthermore, an online dashboard was designed for use in the online monitoring of possible deductions on fee items

2019 BMC health services research

104. Efficacy of Short-term Treatment of Internet and Computer Game Addiction: A Randomized Clinical Trial. (Abstract)

functioning, and d = 0.67 for depression. Fourteen adverse events and 8 serious adverse events occurred. A causal relationship with treatment was considered likely in 2 AEs, one in each group.Short-term treatment for internet and computer game addiction is a promising, manualized, short-term CBT for a broad range of internet addictions in multiple treatment centers. Further trials investigating the long-term efficacy of STICA and addressing specific groups and subgroups compared with active control (...) Efficacy of Short-term Treatment of Internet and Computer Game Addiction: A Randomized Clinical Trial. Internet and computer game addiction represent a growing mental health concern, acknowledged by the World Health Organization.To determine whether manualized cognitive behavioral therapy (CBT), using short-term treatment for internet and computer game addiction (STICA), is efficient in individuals experiencing internet and computer game addiction.A multicenter randomized clinical trial

2019 JAMA psychiatry (Chicago, Ill.) Controlled trial quality: predicted high

105. Standardized reporting systems for computed tomography coronary angiography and calcium scoring: A real-world validation of CAD-RADS and CAC-DRS in patients with stable chest pain. Full Text available with Trip Pro

Standardized reporting systems for computed tomography coronary angiography and calcium scoring: A real-world validation of CAD-RADS and CAC-DRS in patients with stable chest pain. To assess the prognostic implications of standardized reporting systems for coronary computed tomography angiography (CCTA) and coronary artery calcium scores (CACS) in patients with stable chest pain.The Coronary Artery Disease Reporting And Data System (CAD-RADS) and Coronary Artery Calcium - Data and Reporting (...) System (CAC-DRS) aim to improve communication of CACS and CCTA results, but its influence on prognostication is unknown.Images from 1769 patients who underwent CCTA as part of the Scottish Computed Tomography of the HEART (SCOT-HEART) multi-center randomized controlled trial were assessed. CACS were classified as CAC-DRS 0 to 3 based on Agatston scores. CCTA were classified as CAD-RADS 0 to 5 based on the most clinically relevant finding per patient. The primary outcome was the five-year events

2019 Journal of cardiovascular computed tomography Controlled trial quality: predicted high

106. Cervical Computed Tomography Dependent Diagnosis of Crowned Dens Syndrome in Calcium Pyrophosphate Dihydrate Crystal Deposition Disease. (Abstract)

Cervical Computed Tomography Dependent Diagnosis of Crowned Dens Syndrome in Calcium Pyrophosphate Dihydrate Crystal Deposition Disease. The purpose of this study is to assess the presence of Crowned Dens Syndrome (CDS) in patients with Calcium pyrophosphate disease (CPPD). We report 34 patients with Crowned Dens Syndrome in one of the largest series from a single tertiary medical center in North America.A retrospective chart review was conducted at the University of Kansas Medical Center from (...) is an under-recognized entity which should be considered in elderly patients with neck pain in the setting of Calcium pyrophosphate disease. Our data demonstrates a high percentage (about 60%) of patients with Calcium pyrophosphate disease who had cervical computed tomography findings consistent with Crowned Dens Syndrome. This underscores the importance of performing cervical computed tomography when evaluating patients with neck pain and Calcium pyrophosphate disease.Copyright © 2019. Published

2019 American Journal of Medicine

107. Early Versus Late Computed Tomography and Nasal Endoscopy in the Diagnosis of Nasopharyngeal and Paranasal Sinus Malignancy. (Abstract)

Early Versus Late Computed Tomography and Nasal Endoscopy in the Diagnosis of Nasopharyngeal and Paranasal Sinus Malignancy. 30900468 2020 01 06 2020 01 06 1945-8932 33 4 2019 Jul American journal of rhinology & allergy Am J Rhinol Allergy Early Versus Late Computed Tomography and Nasal Endoscopy in the Diagnosis of Nasopharyngeal and Paranasal Sinus Malignancy. 388-394 10.1177/1945892419838106 Marino Michael J MJ https://orcid.org/0000-0002-8672-0310 1 Department of Otorhinolaryngology, Mayo (...) Clinic, Phoenix, Arizona. Hsieh Mei-Chin MC 2 Louisiana Tumor Registry, Louisiana State University Health Sciences Center, School of Public Health, New Orleans, Louisiana. Wu Eric L EL 3 Department of Otolaryngology-Head and Neck Surgery, Tulane University School of Medicine, New Orleans, Louisiana. Riley Charles A CA https://orcid.org/0000-0002-1993-7018 4 Division of Otolaryngology, Fort Belvoir Community Hospital, Fort Belvoir, Virginia. Wu Xiao-Cheng XC 2 Louisiana Tumor Registry, Louisiana State

2019 American journal of rhinology & allergy

108. Correlations between Computational Fluid Dynamics and clinical evaluation of nasal airway obstruction due to septal deviation: an observational study. (Abstract)

Correlations between Computational Fluid Dynamics and clinical evaluation of nasal airway obstruction due to septal deviation: an observational study. The primary objective of this study was to determine how Computational Fluid Dynamics (CFD) could be correlated to clinical evaluation of Nasal Airway Obstruction (NAO) in a population of patients with symptomatic septal deviation (SD). The secondary objective was to determine whether CFD could define which side was the more obstructed.This (...) was an observational study.Few publications have attempted to correlate CFD with clinical evaluation of NAO. This correlation would permit validation and improved interpretation. This study was performed in a university research laboratory specialized in fluid mechanics.We included patients referred for septal surgery at our center. Age range was 19 to 58 years. Preoperative CT scans were performed. All patients with non-structural causes of NAO such as rhinitis, sinusitis or tumoral / autoimmune processes (i.e

2019 Clinical Otolaryngology

109. Oscillatory, Computational, and Behavioral Evidence for Impaired GABAergic Inhibition in Schizophrenia. Full Text available with Trip Pro

Oscillatory, Computational, and Behavioral Evidence for Impaired GABAergic Inhibition in Schizophrenia. The dysconnection hypothesis of schizophrenia (SZ) proposes that psychosis is best understood in terms of aberrant connectivity. Specifically, it suggests that dysconnectivity arises through aberrant synaptic modulation associated with deficits in GABAergic inhibition, excitation-inhibition balance and disturbances of high-frequency oscillations. Using a computational model combined (...) a neurophysiologically informed model, we quantified group differences in GABA, gamma measures, and the predictive validity of model parameters for orientation discrimination in the SZ group. MEG visual gamma frequency was reduced in SZ, with lower peak frequency associated with more severe negative symptoms. Orientation discrimination performance was impaired in SZ. Dynamic causal modeling of the MEG data showed that local synaptic connections were reduced in SZ and local inhibition correlated negatively

2019 Schizophrenia bulletin

110. The Future of Cardiovascular Computed Tomography: Advanced Analytics and Clinical Insights. (Abstract)

that will potentially see an increasingly core role for CCT at the center of clinical cardiovascular practice. In coronary artery disease assessment this may be via improved hemodynamic adjudication, and shear stress analysis using computational flow dynamics, more accurate and robust plaque characterization with spectral or photon-counting CT, or advanced quantification of CT data via artificial intelligence, machine learning, and radiomics. In structural heart disease, CCT is already pivotal to procedural (...) The Future of Cardiovascular Computed Tomography: Advanced Analytics and Clinical Insights. Cardiovascular computed tomography (CCT) has undergone rapid maturation over the last decade and is now of proven clinical utility in the diagnosis and management of coronary artery disease, in guiding structural heart disease intervention, and in the diagnosis and treatment of congenital heart disease. The next decade will undoubtedly witness further advances in hardware and advanced analytics

2019 JACC. Cardiovascular imaging

111. Magnetic resonance imaging (MRI) compared with computed tomography (CT) for interobserver agreement of gross tumor volume delineation in pancreatic cancer: a multi-institutional contouring study on behalf of the AIRO group for gastrointestinal cancers. Full Text available with Trip Pro

-observer agreement in gross tumor volume (GTV) and duodenum delineation for pancreatic cancer compared with computer tomography (CT).Two clinical cases of borderline resectable (Case 1) and unresectable (Case 2) pancreatic cancer were selected. In two sequential steps, diagnostic contrast-enhanced CT scan and MRI sequences were sent to the participating centers. CT-GTVs were contoured while blinded to MRI data sets. DICE index was used to evaluate the spatial overlap accuracy.Thirty-one radiation (...) Magnetic resonance imaging (MRI) compared with computed tomography (CT) for interobserver agreement of gross tumor volume delineation in pancreatic cancer: a multi-institutional contouring study on behalf of the AIRO group for gastrointestinal cancers. Due to the high soft tissue resolution, magnetic resonance imaging (MRI) could improve the accuracy of pancreatic tumor delineation in radiation treatment planning. A multi-institutional study was proposed to evaluate the impact of MRI on inter

2019 Acta Oncologica

112. Does Immediate Total-Body Computed Tomography Reduce Mortality and Time in the Emergency Department for Trauma Patients?

Society. Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study. Lancet. 2009;373:1455-1461. 2. Weninger P, Mauritz W, Fridrich P, et al. Emergency room management of patients with blunt major trauma: evaluation of the multislice computed tomography protocol exempli?ed by an urban trauma center. J Trauma. 2007;62:584-591. 3. Wurmb TE, Frühwald P, Hopfner W, et al. Whole-body multislice computed tomography as the ?rst line diagnostic tool in patients (...) Does Immediate Total-Body Computed Tomography Reduce Mortality and Time in the Emergency Department for Trauma Patients? Systematic Review Snapshot TAKE-HOME MESSAGE Based only on retrospective observational cohort studies, immediate total-body computedtomography(CT)reducestimeintheemergencydepartment(ED)andto theoperatingroombutdoesnotreducemortalitycomparedwithselectiveimaging. Does Immediate Total-Body Computed Tomography Reduce Mortality and Time in the Emergency Department for Trauma

2013 Annals of Emergency Medicine Systematic Review Snapshots

113. Image Quality Evaluation in Clinical Research: A Case Study on Brain and Cardiac MRI Images in Multi-Center Clinical Trials Full Text available with Trip Pro

Image Quality Evaluation in Clinical Research: A Case Study on Brain and Cardiac MRI Images in Multi-Center Clinical Trials Magnetic resonance imaging (MRI) system images are important components in the development of drugs because it can reveal the underlying pathology in diseases. Unfortunately, the processes of image acquisition, storage, transmission, processing, and analysis can influence image quality with the risk of compromising the reliability of MRI-based data. Therefore (...) . The second step computes the mean and standard deviation of the feature image. The third step separately standardizes each normal distribution using the mean and standard deviation computed from the feature image. This gives two separate z-scores. The fourth step predicts the lightness contrast quality score and the texture contrast quality score from cumulative distribution function of the appropriate normal distribution. The proposed method was evaluated objectively on brain and cardiac MRI volume data

2018 IEEE journal of translational engineering in health and medicine

114. Biobank integration of large-scale clinical and histopathology melanoma studies within the European Cancer Moonshot Lund Center Full Text available with Trip Pro

Biobank integration of large-scale clinical and histopathology melanoma studies within the European Cancer Moonshot Lund Center We present the Cancer Moonshot clinical project located at the European center in Lund. Here, tissue and blood samples have been collected and stored in a large-scale biobank. Multiple clinical centers around the world are participating and tissue and blood samples are sent to the European Cancer Moonshot Lund Center that acts as the clinical hub. Our center has been (...) developed to generate and build large-scale biostorage archives of patient melanoma samples, which is then combined with a histopathological capability to characterize the patient tumours. Such a large-scale clinical sample processing initiative has begun with the aim of creating high-end histopathology indexing with database computational power and including proteogenomic analysis. The biobank at Lund has become an important resource in clinical research worldwide. Following suite, several national

2018 Clinical and translational medicine

115. Small bowel gastrointestinal stromal tumor: a retrospective study of 32 cases at a single center and review of the literature Full Text available with Trip Pro

cases.Retrospective review of data from patient clinical records, endoscopic and imaging findings, surgical procedures, tumor histology and immunohistochemistry, and clinical outcome was conducted.Data of 32 patients with a median age of 56 years including 50% men and women were reviewed. The majority (29/32) were symptomatic at presentation, with the main symptom being gastrointestinal bleeding (15/32). Imaging detection rates included ultrasound (0%), magnetic resonance imaging (0%), computed tomography (54.8 (...) Small bowel gastrointestinal stromal tumor: a retrospective study of 32 cases at a single center and review of the literature Gastrointestinal stromal tumor (GIST) is a rare tumor of the small bowel, which can be difficult to diagnose and has a varied clinical outcome.This is a retrospective review of the diagnosis, management, and clinical outcome of 32 patients diagnosed with primary small bowel GIST from a single center and a comparison of the findings with previously published

2018 Therapeutics and clinical risk management

116. Short-term disability progression in two multiethnic multiple sclerosis centers in the treatment era Full Text available with Trip Pro

Short-term disability progression in two multiethnic multiple sclerosis centers in the treatment era Short-term disease progression is well documented in clinical trials, but there are limited published data on disease course in real-life practice.Patient-derived Multiple Sclerosis Severity Score (PMSSS), a disease severity rank score, was computed at each visit for consecutive MS patients attending two large, ethnically diverse MS centers in New York metropolitan area. Disability was assessed (...) York University (n = 1079) and Barnabas (n = 661) MS Care Centers were included. During follow up (mean 2.4 ± 0.82 years, range 1-4 years), mean PDDS score increased from 1.9 ± 2.2 to 2.3 ± 2.2 (p < 0.0001), while PMSSS remained roughly unchanged (initial PMSSS = 3.71 ± 2.73, last PMSSS = 3.81 ± 2.76, paired t test, p = 0.28). The only major predictor of final PMSSS was the initial PMSSS. Demographic variables (age, sex, race) or relapse status did not predict final severity score.Baseline

2018 Therapeutic advances in neurological disorders

117. Feasibility of radical hysterectomy in women with FIGO stage IIB cervical cancer: an observation study of 10-year experience in a tertiary center Full Text available with Trip Pro

Feasibility of radical hysterectomy in women with FIGO stage IIB cervical cancer: an observation study of 10-year experience in a tertiary center Although definitive chemoradiotherapy is considered as a standard of care for FIGO stage IIB cervical cancer in many countries, the role of surgery remains controversial. We aimed to evaluate the feasibility and outcomes of patients with FIGO stage IIB cervical cancer who received radical surgery in China.A total of 74 women with FIGO stage IIB (...) cervical cancer were treated with radical hysterectomy, with or without adjuvant radio/chemoradiotherapy, at the Obstetrics and Gynecology Hospital of Fudan University between 2004 and 2015. Medical charts and clinical data were retrospectively reviewed. The Kaplan-Meier method and Cox regression models were used for survival analyses. In addition, prognostic nomograms predicting overall survival (OS) and progression-free survival (PFS) were constructed.Pathological parametrial involvement (PMI

2018 OncoTargets and therapy

118. An Overview of Laryngeal Cancer Treatment at a Tertiary Care Oncological Center in a Developing Country Full Text available with Trip Pro

An Overview of Laryngeal Cancer Treatment at a Tertiary Care Oncological Center in a Developing Country Introduction Development of laryngeal cancer is multifactorial, and management is surrounded with controversies. Recent reports suggest a decline in the survival of these patients. We conducted a study to analyze the clinicopathological parameters and compute the outcomes in terms of survival in patients with laryngeal cancer treated at our institution. Methods Electronic charts of 515 (...) patients with Laryngeal cancer treated at our Hospital and Research Center from 2004 to 2014 were retrospectively reviewed. Results Median age was 62 years. Male: female ratio 91%: 9%. Sixty-two percent were smokers. Histologically, all were squamous cell carcinoma. Most common subsite was glottis (88%). Treatment was non-surgical in 92% and surgical in 8%. The five-year overall survival (OS), disease-specific survival (DSS), disease-free survival (DFS) and locoregional control (LRC) were 67%, 74%, 59

2018 Cureus

119. A single-center experience of 100 image-guided video-assisted thoracoscopic surgery procedures Full Text available with Trip Pro

collected data. Between October 2016 and January 2018, a total of 95 patients with 100 small lung nodules underwent iVATS. All procedures were performed in a hybrid operating room (HOR) in which a cone-beam computed tomography (CT) apparatus and a laser navigation system were present.The mean size of the 100 lung nodules was 7.94 mm, with their mean depth from the visceral pleura being 10 mm. A total of 98 nodules were successfully localized; of them, 94 were resected through a marker-guided procedure (...) A single-center experience of 100 image-guided video-assisted thoracoscopic surgery procedures The advent of image-guided video-assisted thoracoscopic surgery (iVATS) has allowed the simultaneous localization and removal of small lung nodules. The aim of this study is to detail, in a retrospective review, one institution's experience using iVATS in this clinical setting, with a special attention to efficacy, safety, and procedural details.This study was a retrospective analysis of prospectively

2018 Journal of thoracic disease

120. Reference-point centering and range-adaptation enhance human reinforcement learning at the cost of irrational preferences Full Text available with Trip Pro

Reference-point centering and range-adaptation enhance human reinforcement learning at the cost of irrational preferences In economics and perceptual decision-making contextual effects are well documented, where decision weights are adjusted as a function of the distribution of stimuli. Yet, in reinforcement learning literature whether and how contextual information pertaining to decision states is integrated in learning algorithms has received comparably little attention. Here, we investigate (...) reinforcement learning behavior and its computational substrates in a task where we orthogonally manipulate outcome valence and magnitude, resulting in systematic variations in state-values. Model comparison indicates that subjects' behavior is best accounted for by an algorithm which includes both reference point-dependence and range-adaptation-two crucial features of state-dependent valuation. In addition, we find that state-dependent outcome valuation progressively emerges, is favored by increasing

2018 Nature communications

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>