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Family Practice Notebook Updates 2016

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21. Core Competencies for Management of Labour

– 2009) included: Lily Lee, RN, MSN, MPH (Chair) Perinatal Nurse Consultant, Perinatal Services BC, Provincial Health Services Authority Melanie Basso, RN, MSN Senior Practice Leader, Perinatal, BC Women’s Hospital, Provincial Health Services Authority Barbara Campbell, RN, BSN Clinical Nurse Educator, Nanaimo Regional Hospital, Vancouver Island Health Authority Cathy Ebbehoj, RN, MSN Lecturer, UBC School of Nursing William Ehman, MD Family Physician, Nanaimo, BC Beverly Grossler, RN, BSN Patient (...) Leader, Interior Health Corresponding Members: Karen Buhler, MD, FCFP Family Physician, Vancouver, BC Kim Campbell, RM, RN, MN Registered Midwife, Abbotsford, BC Deb Little, RM Registered Midwife, Victoria, BC Kim Williams, RN, MSN Perinatal Lead, Fraser Health Project Consultants: Laurie Seymour RN, BSN Jetty Soolsma, RN, MEdCore Nursing Practice Competencies: Managing Labour 1 Perinatal Services BC Copyright © 2011 - PSBC Aim of the Document In August 2005, the Nurses (Registered) and Nurse

2014 British Columbia Perinatal Health Program

22. Nonpharmacological Versus Pharmacological Treatments for Adult Patients With Major Depressive Disorder

5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2012-00008-I Prepared by: RTI International–University of North Carolina Evidence-based Practice Center Research Triangle Park, NC Investigators: Gerald Gartlehner, M.D., M.P.H. Bradley N. Gaynes, M.D., M.P.H. Halle R. Amick, M.S.P.H. Gary Asher, M.D., M.P.H. Laura C. Morgan, M.A. Emmanuel Coker-Schwimmer, M.P.H. Catherine Forneris, Ph.D., ABPP Erin Boland, B.A. Linda J. Lux, M.P.A. Susan Gaylord, Ph.D. Carla Bann, Ph.D. Christiane (...) Barbara Pierl, Ph.D., M.P.H. Kathleen N. Lohr, Ph.D., M.Phil., M.A. AHRQ Publication No. 15(16)-EHC031-EF December 2015ii This report is based on research conducted by the RTI International–University of North Carolina Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-2012-00008-I). The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings

2015 Effective Health Care Program (AHRQ)

23. Essential Elements of Nursing Documentation: A Rapid Review

Controlled Before and After Study (CBA) Search Time Period Original review went back in some databases to 1856; this review updated searches to 2008 Number and Details of Databases Searched 5 health databases: Cochrane Effective Practice and Organisation of Care (EPOC) Group Specialised Register, MEDLINE, EMBASE, CINAHL, BNI 2 additional databases: ISI Web of Knowledge, ASLIB Index of Theses Inclusion / Exclusion Criteria Inclusion Studies as described by the Cochrane EPOC Group: RCTs; controlled (...) quality evidence suggests that clinical pathways and structured forms of documentation can have positive effects on patient outcomes. Computerized records may not. 3. Clinical pathways, computerized record systems and structured documentation can have positive effects on nursing outcomes, including documentation, time, and practice. Computerized record systems have mixed effects. 4. High quality evidence demonstrates that clinical pathways and structured documentation can have positive impacts

2014 Peel Health Library

24. Management of Thyroid Cancer

cen_frontmatter.indd ii 6/27/2014 3:52:19 PM 6/27/2014 3:52:19 PMiii l o . n - y d - s e Thyroid Cancer Guidelines Update Group v Notes on the development and use of the guidelines vii Types of evidence and grading of recommendations viii Abbreviations ix Key recommendations and overview of management of thyroid cancer 1. Access to a multidisciplinary thyroid cancer team x 2. Patient focus x 3. Prognostic factors, staging, risk strati? cation and management of uncertainty in differentiated thyroid cancer x 4 (...) ), Professor of Endocrinology, Imperial College Lon- don (British Thyroid Association representative). Thyroid Cancer Guidelines Update Group Association of Clinical Biochemistry British Association of Endocrine and Thyroid Surgeons British Association of Head and Neck Oncologists British Association of Otolaryngologists/Head and Neck Surgeons of ENT UK British Association for Cytopathology British Association of Surgical Oncology British Nuclear Medicine Society British Thyroid Association British Society

2014 British Thyroid Association

25. Transitions of Care for Children with Special Health Care Needs

and adult care should be sought for every patient. Nonetheless, some practices do have age cut-offs, and there comes a time when adult providers may be better able to serve the needs of patients whose medical concerns are more adult in nature, including for example reproductive and other issues. In addition, the inclusion of adults in pediatric practices can create discomfort and challenges for other pediatric patients and their families, and pediatricians can find themselves addressing medical issues (...) they are deployed in a targeted and specific manner. We elected to use these elements as a framework for organizing this literature. A transition policy serves to educate staff about best practices for health care transition, with privacy and consent procedures shared with providers, staff, patients, and families. A patient registry is recommended for transition planning and monitoring outcomes. The Transition Readiness Assessment helps prepare patients for transition and identify gaps in knowledge or skills

2014 Effective Health Care Program (AHRQ)

26. How to avoid #MeToo in medicine

be pretending. In fact, unless they have Trumpian egos, most people are less self-confident than you imagine. This is a game you can play too, to your advantage. Stand up straight. Looking meek or unsure — whether you’re a little kid, a woman, or a man — invites bullying. Harassment is just another word for bullying. Don’t clutch your notebook or iPad to your chest. Learn to look people squarely in the eye. Nothing speaks confidence like a forthright look in the eye and a pleasant smile, no matter how much (...) encourages a repeat performance. Remember the about the giant squid: Just don’t show any fear. If the speaker won’t give up, and the comments are hostile, look him straight in the eye and don’t be the first to break eye contact. If the remarks are more cringeworthy than hostile, practice the faint sigh and eye roll, and look around as if you’re bored. Either way, then divert the conversation by asking a question about the case, or bringing the focus back to the next tasks to be done by the team. You look

2018 KevinMD blog

27. Cognitive Therapy Plus Dietary Intervention for Obesity Treatment

. Actual Study Start Date : February 1, 2016 Actual Primary Completion Date : December 21, 2016 Actual Study Completion Date : February 28, 2017 Arms and Interventions Go to Arm Intervention/treatment Experimental: Cognitive The participants of the COGNITIVE group performed cognitive training during 12 sessions during the 3 months of hypocaloric treatment. The training was carried out with the PC game Brain Exercise TM (Bandai Namco Games Ltd.). The participants made a total of 12 practice exercises (...) , which implies approximately 30 minutes of duration per session. Behavioral: Cognitive Training The intervention was carried out with the PC game Brain Exercise TM (Bandai Namco Games Ltd.). Participants held the training sessions on an HP 250 G3 Notebook PC (Windows 10), with a 15-inch screen, and a resolution of 1366x768x40 Hz. The performance achieved by each participant in each session was recorded to analyze the evolution of the subjects. The participants made a total of 12 practice exercises

2018 Clinical Trials

28. Your first meeting with a mentor

Your first meeting with a mentor Your first meeting with a mentor Your first meeting with a mentor | | May 26, 2018 1 Shares You extend a firm handshake and get ready to sit down at the table across from your mentor for the first time. Woah, wait. Let’s back up to the legwork that should have happened prior to this meeting. First step, you found the mentor (see this post for practical ideas on how to find a mentor). Neither you nor the mentor have a lot of time — a frequent obstacle often cited (...) in mentoring studies. Here are some tips on what to prepare before you sit face to face to make the most out of your meeting. Download a worksheet here to organize your notes as you go through the pointers below. Get to know yourself What do you want in your career? What don’t you want? If you don’t have any answers to these questions, then do some brainstorming first with family, friends, and colleagues to map out a rough idea of what you have accomplished, what you are passionate about and where you want

2018 KevinMD blog

29. Improving the Quality of Life of Cancer Patients Through a Perioperative and Coordinated Nutrition and Physical Care Program.

. Read our for details. ClinicalTrials.gov Identifier: NCT03670199 Recruitment Status : Recruiting First Posted : September 13, 2018 Last Update Posted : March 12, 2019 See Sponsor: University Hospital, Strasbourg, France Information provided by (Responsible Party): University Hospital, Strasbourg, France Study Details Study Description Go to Brief Summary: Hospitalization, for cancer patients, exposes to a risk of undernutrition which has the effect of significantly increasing infections, pressure (...) of hospitalization. However, there are periods, in the preoperative course of care, where nutritional and phisical care are not realized in the current clinical practice whereas they could be done, for example, between the diagnosis and the consultation of anesthesia, between the anesthesia consultation and the surgical procedure and the end of hospitalization of the patient. Current management is usually limited to the period of hospitalization which tends to be reduced. This situation is reinforced

2018 Clinical Trials

30. Motivational Interviewing in the Control of Arterial Hypertension and Type 2 Diabetes Mellitus

or more studies before adding more. Motivational Interviewing in the Control of Arterial Hypertension and Type 2 Diabetes Mellitus 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. Read our for details. ClinicalTrials.gov Identifier: NCT03729323 Recruitment Status : Enrolling by invitation First Posted : November 2, 2018 Last Update Posted : February 25, 2019 (...) GROUP: In this group, Diabetics and Hypertensives will attend two Nursing Consultation sessions based on the assumptions and techniques of Motivational Interviewing with a certified nurse with specific 20-hour theoretical and practical training for this approach style. Behavioral: Motivational interviewing In Diabetes and hypertension, nursing consultations to support the care should be focused on their educational component the orientation of measures that prove to reduce blood pressure, improve

2018 Clinical Trials

31. How I went from the bottom to the top 1 percentile on board exams

or google drive can work as well. In this day and age, a notebook may not be the best thing because it will get full and you can’t carry it with you all the time. Keeping records also helps with recall and memory. 9. Rest, sleep, and exercise. Stress, poor mental health, lack of sleep, and lack of exercise make memory consolidation and learning difficult. Find time in your busy schedule to sleep, rest, and get emotional first aid. 10. Study practice questions. Use previous exam questions as a guide (...) for studying year-round not simply for preparing for exams. They expose you to many conditions that may not be seen in your current practice setting but which your examiners think are important for doctors in your specialty to know. 11. Take a full-length practice exam. I’ve found that taking a full-length examination several weeks before the real exam helps you with endurance and pacing. If you struggle to finish on exams, try that. Kenneth Acha is a family medicine resident who blogs at . Image credit

2017 KevinMD blog

32. iGEM REPORT: Application of RNA thermometers in gene circuits

of small heat shock genes (2). However, most naturally occurring ROSE elements are relatively large and fold into complex secondary structures that usually contain 2-4 hairpin structures (Fig. 2). Hence, for practical reason, we tested A1 RNAT that derived from ROSE family. Thank BIT-CHINA for provding DNA sequences of this part. The possible secondary structure of A1 was simulated by RNAstructure (Fig.3). Fig. 2 Proposed RNA secondary structure of the 5’UTR from the prfA gene of the pathogenic (...) ). As the temperature rising up, the hairpin structure will gradually dissolves and finally vanishes. As a result, the SD sequence is exposed to ribosome and thus triggers the translation. Fig. 1 Responsiveness of mRNA structures to environmental cues (1) A conserved family of RNATs is the ROSE-like elements (ROSE stands for Repression Of heat Shock gene Expression), first discovered in the 5′ untranslated region of rhizobial heat shock genes (2). All the known RNAts presenting in ROSE family control expression

2016 PLOS Blogs Network

33. Respiration and Applied Tension Strategies to Reduce Vasovagal Reactions to Blood Donation

: Applied Tension Described above. Experimental: Respiration Control Participants are taught a simple respiration control technique with a brief video presented on a notebook computer before giving blood. They are asked to breathe in a gentle shallow but regular fashion aimed at reducing risk for hyperventilation before and while giving blood. Behavioral: Respiration Control Described above. Experimental: Applied Tension/Respiration Control Participants are asked to practice both Applied Tension (...) : May 18, 2017 Last Update Posted : May 18, 2017 See Sponsor: McGill University Collaborator: Canadian Institutes of Health Research (CIHR) Information provided by (Responsible Party): McGill University Study Details Study Description Go to Brief Summary: For a number of years, researchers have examined the effects of the muscle-tensing technique, Applied Tension (AT), on blood donation-related vasovagal symptoms and donor retention. AT was developed originally to reduce symptoms and avoidance

2017 Clinical Trials

34. Efficacy of EA on Depression Related Insomnia: Study Protocol for a Multicenter RCT

Update Posted : May 28, 2018 See Sponsor: Shanghai Municipal Hospital of Traditional Chinese Medicine Collaborators: Shanghai University of Traditional Chinese Medicine Changhai Hospital Shanghai Mental Health Center Information provided by (Responsible Party): Shanghai Municipal Hospital of Traditional Chinese Medicine Study Details Study Description Go to Brief Summary: The investigators describe a protocol for a multicenter randomized controlled trial to find out the efficacy of electroacupuncture (...) for depression related insomnia. Condition or disease Intervention/treatment Phase Insomnia Due to Mental Disorder Device: Electroacupuncture(EA) Device: Placebo acupuncture Other: Standard care Not Applicable Detailed Description: Sleep difficulties are among the main symptoms presented by depressed patients, and they can profoundly impact course of illness. Acupuncture is a widely recognized therapy to treat depressive disorders and sleep disturbances in clinical practice. This multicenter randomized

2017 Clinical Trials

35. Efficacy of the Otago Exercise Program Delivered as Group Training Versus Individually Tailored Training

Update Posted : February 27, 2019 Sponsor: Instituto de Salud Carlos III Collaborators: Fondo de Investigacion Sanitaria Osakidetza MurciaSalud Information provided by (Responsible Party): Teresa Moreno Casbas, Instituto de Salud Carlos III Study Details Study Description Go to Brief Summary: A non-inferiority controlled clinical trial using randomization for allocation at the level of general practice in 21 centers (in 8 Spanish regions), to compare a group Otago exercise program (OEP) [delivered (...) ) to follow up. The OEP reduces the number of falls and fall-related injuries, improving balance and strength, confidence in performing everyday activities without falling. Whilst it has been shown to be effective in 4 controlled trials in New Zealand, it has not been tested in a primary care setting in Spain for feasibility, impact, acceptability and cost-effectiveness. Other Name: Usual Practice Outcome Measures Go to Primary Outcome Measures : Percentage of falls [ Time Frame: 12 months

2017 Clinical Trials

36. Efficiency Clinical Study of NOVATEX MEDICAL Pressure Garments in Patients With Ehlers-Danlos Syndrome

Medical EVAMED More Information Go to Layout table for additonal information Responsible Party: Novatex Medical ClinicalTrials.gov Identifier: Other Study ID Numbers: 2016-A01531-50 First Posted: November 6, 2017 Last Update Posted: November 6, 2017 Last Verified: October 2017 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: No Layout table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Additional relevant (...) Recruitment Status : Not yet recruiting First Posted : November 6, 2017 Last Update Posted : November 6, 2017 See Sponsor: Novatex Medical Collaborator: EVAMED Information provided by (Responsible Party): Novatex Medical Study Details Study Description Go to Brief Summary: Objective of this study is to assess the efficiency of NOVATEX MEDICAL pressure garments in patients with an Ehlers-Danlos syndrome (EDS). To answer this objectif a comparison before/after use of pressure garments will be performed

2017 Clinical Trials

37. Pilot Study on Community Gardens and Food Purchases in Deprived Neighborhood (Marseille, France)

or more studies before adding more. Pilot Study on Community Gardens and Food Purchases in Deprived Neighborhood (Marseille, France) 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. Read our for details. ClinicalTrials.gov Identifier: NCT03175575 Recruitment Status : Completed First Posted : June 5, 2017 Last Update Posted : June 5, 2017 Sponsor: Institut (...) National de la Recherche Agronomique Collaborator: National Research Agency, France Information provided by (Responsible Party): Nicole Darmon, Institut National de la Recherche Agronomique Study Details Study Description Go to Brief Summary: The pilot study aims to investigate the place of fresh garden produce in the food supply and food practices of women in community gardens of deprived neighborhoods of Marseille, reputed to be among the poorest in the European Union. We hypothesized that access

2017 Clinical Trials

38. Prophylaxis of Magnesium-rich Mineral Water to Prevent Hypomagnesemia Induced by an Anti-EGFR (OPTIMAG)

: NCT03146338 Recruitment Status : Recruiting First Posted : May 9, 2017 Last Update Posted : September 20, 2017 See Sponsor: Weprom Collaborator: Neptune Information provided by (Responsible Party): Weprom Study Details Study Description Go to Brief Summary: Anti-EGFR (Epidermal Growth Factor Receptor) therapies, namely cetuximab and panitumumab, have become standards in the management of metastatic colorectal and head and neck cancers. These therapies are used in daily practice, that requiring to manage (...) Phase Metastatic Colorectal Cancer Metastatic Head and Neck Cancer Other: Magnesium-rich mineral water (Rozana) Not Applicable Detailed Description: Anti-EGFR (Epidermal Growth Factor Receptor) therapies, namely cetuximab and panitumumab, have become standards in the management of metastatic colorectal and head and neck cancers. These therapies are used in daily practice, that requiring to manage their skin and digestive toxicities. However, anti-EGFR are also frequently responsible

2017 Clinical Trials

39. Acute Flaccid Myelitis

/2019 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Myelitis Aka: Acute Flaccid Myelitis From Related Chapters II. Epidemiology First reported in California, 2012 Outbreaks have occured in late summer and early fall (2014, 2016, 2018) Median age: 9 years old (some patients have been over age 21 years old) III. Pathophysiology Gray matter destruction typically related to viral infection IV. Symptoms Viral prodrome Meningeal symptoms may occur Neck stiffness Myalgias Preserved mental status (no encephalopathy in most cases) Rapidly progressive

2019 FP Notebook

40. Management of Thyroid Cancer

cen_frontmatter.indd ii 6/27/2014 3:52:19 PM 6/27/2014 3:52:19 PMiii l o . n - y d - s e Thyroid Cancer Guidelines Update Group v Notes on the development and use of the guidelines vii Types of evidence and grading of recommendations viii Abbreviations ix Key recommendations and overview of management of thyroid cancer 1. Access to a multidisciplinary thyroid cancer team x 2. Patient focus x 3. Prognostic factors, staging, risk strati? cation and management of uncertainty in differentiated thyroid cancer x 4 (...) ), Professor of Endocrinology, Imperial College Lon- don (British Thyroid Association representative). Thyroid Cancer Guidelines Update Group Association of Clinical Biochemistry British Association of Endocrine and Thyroid Surgeons British Association of Head and Neck Oncologists British Association of Otolaryngologists/Head and Neck Surgeons of ENT UK British Association for Cytopathology British Association of Surgical Oncology British Nuclear Medicine Society British Thyroid Association British Society

2014 British Association of Endocrine and Thyroid Surgeons

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