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11862. PHASE: Promoting Health After Sifting the Evidence

developed for purchasers of health care and subsequently delivered more broadly, were adapted for health promotion with the help of prospective participants and their peers. Outline of the project In adapting CASP workshops to suit the interests of health promotion specialists, considerable effort focused on adapting CASP materials: adopting non-medical language and addressing different stages in working towards evidence-based services (process evaluations, outcome evaluations, RCTs, systematic reviews (...) as colleagues responsible for research. Participants varied widely in their experience and knowledge of both health promotion and research, and in their attitudes towards controlled trials. Some were very disappointed and highly critical of the workshops, whilst others were very appreciative and requested further support or commissioned advice on new 5 evaluations of services. With the help of health promotion specialists we developed a new programme and generated an interest in integrating critical

1996 EPPI Centre

11863. Effectiveness reviews in health promotion

effectiveness; C not only whether interventions worked, or not, but h ow and why they worked (or failed); C the quality of the resource or the training of the provider involved in the intervention tested, and the process data for informing the subsequent replication of the intervention in the field; C hypotheses generated from the review which could be tested by subsequent research. v ? There is a need for regular updating of a central register of completed and ongoing effectiveness reviews to avoid overlap (...) bibliographic databases was examined. A range of databases were used, these included two medical databases (Medline and EMBASE), two social science databases (PsycLIT and the Social Science Citation Index) and one educational database (ERIC). Using the location of outcome evaluations of sexual health promotion interventions as a case study, search strategies were developed for each database separately and tested for their sensitivity (i.e. ability to locate as much as possible of all the available

1999 EPPI Centre

11864. Managing attendance at work

of Medicine Subject: General medicine including occupational medicine Content: Citations and abstracts to world wide medical literature. NIOSHTIC US National Institute for Occupational Safety and Health (NIOSH) Producer: NIOSH Technical Information Centre Subject: Occupational Health and Safety Content: Citations and abstracts 9 RILOSH [Ryerson International Labour Occupational Safety and Health Index] Producer: Ryerson Technical University Library, Canada. Subject: Health and safety, labour relations (...) that in a number of areas of policy and practice such a knowledge base is often much more limited than is generally assumed, and on occasions is lacking altogether. These concerns have arisen as a result of the application of what is known 3 as the “evidence-based approach” to the evaluation of knowledge in a particular field. This approach, initially developed in the field of medicine to provide more rational evaluation of the efficacy of certain treatments, has subsequently been applied more widely

2002 Publication 1430

11865. Promoting Continence Using Prompted Voiding

, Ontario Dr. Niedoba Medical Director, Vera M. Davis Community Care Centre, Bolton, Ontario Janis North Executive Director, Victorian Order of Nurses, Hamilton, Ontario Melissa Northwood Staff Nurse, Nurse Continence Advisor, Hamilton Health Sciences Corporation, Hamilton, Ontario Donna Pickles Staff Nurse, St. Joseph’s Healthcare, Hamilton, Ontario Susan Pilatzke Nurse Manager, Saint Elizabeth Health Care, Thunder Bay, Ontario Ida Porteous Nurse Manager, St. Joseph’s Healthcare, Hamilton, Ontario Meg (...) Reich Program Manager, Windsor Regional Hospital, Geriatric Assessment Program, Windsor, Ontario Dr. P. Soong Family Physician, Windsor Regional Hospital, Geriatric Assessment Program, Windsor, Ontario Dr. S. Pierre Soucie Chief, Medical Staff, Sisters of Charity of Ottawa Health Services, Ottawa, Ontario Barb Swail Staff Nurse, Vera M. Davis Community Care Centre, Bolton, Ontario Joe Taylor Staff Nurse, Windsor Regional Hospital, Windsor, Ontario Kathy Topping Staff Nurse, Vera M. Davis Community

2002 Registered Nurses' Association of Ontario

11866. Risk Assessment and Prevention of Pressure Ulcers

with an identified risk for pressure ulcer development, minimize IV pressure through the immediate use of a positioning schedule. 3.2 Use proper positioning, transferring, and turning techniques. Consult Occupational IV Therapy/Physiotherapy (OT/PT) regarding transfer and positioning techniques and devices to reduce friction and shear and to optimize client independence. 3.3a Consider the impact of pain. Pain may decrease mobility and activity. Pain control IV measures may include effective medication (...) with medical conditions and restrictions. A 30º elevation or lower is recommended. ¦ Use lifting devices to avoid dragging clients during transfer and position changes. ¦ Do not use donut type devices or products that localize pressure to other areas. 3.8 For individuals restricted to chair: IV ¦ Utilize an interdisciplinary approach to plan care. ¦ Have the client shift weight every 15 minutes, if able. ¦ Reposition at least every hour if unable to shift weight. ¦ Use pressure-reducing devices for seating

2002 Registered Nurses' Association of Ontario

11867. Enhancing Healthy Adolescent Development

Clinical Nurse Specialist Child and Youth Mental Health Program McMaster Children’s Hospital Hamilton, Ontario Irena Hozjan RN, BScN, MN, NP–Paeds Nurse Practitioner Endocrinology Clinic The Hospital for Sick Children Toronto, Ontario Melanie Laundry RN, BScN Program Coordinator Family Health Team Haldimand-Norfolk Health Unit Simcoe, Ontario Catherine Maser RN, MN, NP–Paeds Nurse Practitioner Adolescent Medicine The Hospital for Sick Children Toronto, Ontario Irene Mitchell RN, BScN, MA Lecturer (...) Health, Planning and Policy Health Promotion – Healthy Lifestyle Toronto, Ontario Irene Mitchell RN, BScN, MA Lecturer Arthur Labatt Family School of Nursing Faculty of Health Sciences University of Western Ontario London, Ontario Patti Moore RN, MPA General Manager Health and Social Services Haldimand-Norfolk Counties Simcoe, Ontario Shelley Rusnell RN, BScN Clinical Manager Gynecology, Women’s Health Program Hamilton Health Sciences Hamilton, Ontario Helen Thomas, RN, MSc Associate Professor School

2002 Registered Nurses' Association of Ontario

11868. Establishing Therapeutic Relationships

in Toronto, Ontario for their role in pilot testing this guideline: Saint Elizabeth Health Care North York General Hospital St. Joseph’s Health Centre 5 Nursing Best Practice Guideline Contact Information Registered Nurses Association of Ontario Nursing Best Practice Guidelines Project 111 Richmond Street West, Suite 1208 Toronto, Ontario M5H 2G4 Registered Nurses Association of Ontario Head Office 438 University Avenue, Suite 1600 Toronto, Ontario M5G 2K8Disclaimer These best practice guidelines (...) can be reduced by almost half in the first month after discharge by attending to the development and maintenance of a network of therapeutic relationships. It is believed that these findings in the mental health literature about the importance of therapeutic rela- tionships can be generalized to the broader field of nursing. Recent health care organizational restructuring has resulted in the removal of significant contextual or organizational elements that support the manifestation of therapeutic

2002 Registered Nurses' Association of Ontario

11869. Supporting and Strengthening Families Through Expected and Unexpected Life Events

Susie Blair, RN Staff Nurse The University of Ottawa Health Institute – Cardiac Surgery Ottawa, Ontario Naomi Cornelius, RPN Programs Manager Yorkview Lifecare Centre Toronto, Ontario Margot Jeffrey, RN, BScN Care Coordinator, Child and Family Team Toronto Community Care Access Centre Toronto, Ontario Lianne Jeffs, RN, MSc Chief of Nursing Practice Hamilton Health Sciences McMaster University Medical Centre Site Hamilton, Ontario Judi Kauffman, RN, MSN Patient Care Coordinator Toronto Community Care (...) in supporting clients and their families in the care process. Interfamilial Resources: Those resources that exist or occur among or involving several families. Intrafamilial Resources: Those resources that exist or occur within the family. Long-term Care Facility: Residential setting for the provision of long-term care services including medical, nursing, rehabilitative, attendant, activity and social support services along with nutrition and shelter (Health Services Restructuring Commission, 1997). Meta

2002 Registered Nurses' Association of Ontario

11870. Guidelines for the management of primary cutaneous T-cell lympohomas

to the management of primary CTCL, and speci?cally of mycosis fungoides and Se ´zary syndrome. Two sections devoted to primary cutaneous CD30+ lymphoproliferative disorders and rare CTCL variants are found towards the end of the article. It is recommended that all patients, possibly with the excep- tion of those with early stages of mycosis fungoides (IA) or with lymphomatoid papulosis, should be reviewed by a multidisciplinary team (MDT) which should include a dermatologist, a clinical or medical (haemato (...) of a peripheral blood T-cell clone; some mycosis fungoides clinical variants may have a better prognosis d In Se ´zary syndrome the median survival is 32 months from diagnosis d Primary cutaneous CD30+ lymphoproliferative dis- orders without peripheral nodal disease have an excellent prognosis (range 96–100% 5-year survival) d The prognosis of other types of CTCL is generally poor with the frequent development of systemic disease. (Grade A/ level IIii) Therapy Topical therapy For patients with limited early

2003 British Association of Dermatologists

11871. Antiepileptic drug prophylaxis in severe traumatic brain injury

M, Klebs K, Baltzer V. Inhibition or enhancement of kindling evolution by antiepileptics. J Neural Transm . 1988; 72 : 245 –257. Goldstein LB. Prescribing of potentially harmful drugs to patients admitted to hospital after head injury. J Neurol Neurosurg Psychiatry . 1995; 58 : 753 –755. Jennett B. Epilepsy after non-missile head injuries. Chicago, IL: William Heinemann Medical Books, 1975. Temkin NR, Haglund MM, Winn HR. Post-traumatic seizures. In: Youmans JR, ed. Neurological surgery, 4th ed (...) the prophylactic use of antiepileptic drugs (AEDs) in patients with severe traumatic brain injury (TBI). TBI is a common neurologic disorder, accounting for about 1.1 million emergency department visits and one hospitalization per 1,000 people each year in the United States. Among all patients with head trauma who seek medical attention, about 2% develop post-traumatic seizures, although the number varies widely depending primarily on injury severity. About 12% of patients with severe TBI develop post

2003 American Academy of Neurology

11872. APA Guidelines on Multicultural Education, Training, Research, Practice and Organizational Change for Psychologists

) function within Level 3, the institutional context that considers the influence of local, state, and federal governments; medical systems; legal systems (including law enforcement); mental and behavioral health systems; and educational systems. Level 3 examines the effects of institutional context on how clients and psychologists experience the community, school, and family contexts (Level 2) and how this experience influences both the individual’s self-definition and relationships with one another (...) and behavioral health services, as well as training and supervision with students. Research components consider scientific inquiry and the generation of knowledge from within a multicultural biopsychosocial framework. Consultation refers to being responsive to considerations regarding diversity within organizations. Education, along with practice, refers to the inclusion of multicultural curricula in psychology programs, modeling cultural competence for students, and providing training and supervisory

2002 American Psychological Association

11873. Practice Parameter for Repetitive Nerve Stimulation and Single Fiber EMG Evaluation of Adults with Suspected Myasthenia Gravis

syndrome; single fiber electromyography; myasthenia gravis; neuromuscular junction; repetitive nerve stimulation Correspondence to: American Association of Electrodiagnostic Medicine, 421 First Avenue SW, Suite 300 East, Rochester, MN 55902; e-mail: ABSTRACT A retrospective literature review of the electrodiagnosis of myasthenia gravis (MG) and Lambert-Eaton myasthenic syndrome (LEMS) through July 1998 was performed for the purpose of generating evidence-10 based practice parameters (...) Practice Parameter for Repetitive Nerve Stimulation and Single Fiber EMG Evaluation of Adults with Suspected Myasthenia Gravis PRACTICE PARAMETER FOR REPETITIVE NERVE STIMULATION AND SINGLE FIBER EMG EVALUATION OF ADULTS WITH SUSPECTED MYASTHENIA GRAVIS OR LAMBERT-EATON MYASTHENIC SYNDROME: SUMMARY STATEMENT American Association of Electrodiagnostic Medicine Developed by the AAEM Quality Assurance Committee (1997-2000): primary authors: Faye Y. Chiou- Tan, MD; Richard W. Tim, MD; and James M

2000 American Association of Neuromuscular & Electrodiagnostic Medicine

11874. Sources of Drug Therapy Information

Sources Many BC practitioners have web access. This has become a major tool for health information in general and drugs in particular, but screening for reliability challenges most clinicians. Highly respected groups in several countries distill drug information into concise bulletins, many of which have web sites. has full downloading without a subscription. (US) has sample articles, a table of contents and a CME exam at their site. Similarly, the (UK) gives on-line browsers access to some reviews (...) . ’s website (France) appears only in French. It includes an index to more recent content. Searches will often reveal commercial websites like the Medical Sciences Bulletin or PharminfoNet . DruginfoNet looks like the Physician’s Drug Reference (U.S. version of the CPS) and is based on pharmaceutical company package inserts. The (FDA) publishes the package inserts for approved drugs. This allows you to get information on new drugs that may not yet be available in the CPS. The accesses the files

2000 Therapeutics Letter

11875. Standards for comprehensive sexual health services for young people under 25 years

and with further input from providers of care (family planning, general practice, genitourinary medicine, gynaecology and paediatrics) and service users. All service providers must maintain a high quality of care and have networks both with those who provide more specialized services (Level 3) and Level 1 services. This document is an initial attempt to ensure that there is equity of clinical provision wherever a Level 2 sexual health service is provided and should be a useful tool for those setting up (...) contraception other than emergency hormonal contraception should have obtained a speci?c quali?cation in family planning. All staff should have training in child protection (Appendix 1) and appropriate on-going support in order that they can ful?l their roles in respect of the Children Act 1989 and child abuse. All medical staff to attend Foundation Course for Sexually Transmitted Infections (STIF) (unless they possess the Diploma in Genitourinary Medicine or are Consultants in GUM) and a recognized course

2002 British Association for Sexual Health and HIV

11876. Would mineral trioxide aggregate be a good replacement for formocresol in primary molar pulpotomies? Full Text available with Trip Pro

styles and JavaScript. Summary Trial/Paediatric Dentistry Mineral trioxide aggregate in primary molar pulpotomies & Evidence-Based Dentistry volume 7 , pages 35 – 36 (2006) | Address for correspondence: Dr Holan, Senior Lecturer, Department of Paediatric Dentistry, The Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel. Email: . Subjects Abstract Design Quasi-randomised controlled trial. Intervention Primary molar teeth were treated using a conventional pulpotomy technique (...) of MTA and FC in this long-term evaluation of pulpotomy in primary molars. Commentary Recently, there has been a resurgence of research on pulp therapy and pulp medicaments for primary teeth. More and more clinicians wish to avoid the use of formocresol, traditionally used as pulp medicament after pulpotomies. This generally well conducted study, from a respected research group, addressed a clearly focused question to assess clinically and radiographically, the effects of MTA as pulp dressing

2006 Evidentista

11877. Patient education materials about the treatment of early-stage prostate cancer: a critical review. (Abstract)

Patient education materials about the treatment of early-stage prostate cancer: a critical review. To ensure that patients make informed medical decisions, patient education materials must communicate treatment risks and benefits.To survey publicly available patient education materials and assess their suitability to support informed decision making in early-stage prostate cancer.Cross-sectional review of Internet, print, and multimedia sources.University data analysis laboratory.The content (...) , and grade of cancer. Half of the materials fully described radical prostatectomy and radiation therapy. One third of the materials included risks and benefits of each treatment; none explicitly compared outcomes of all treatments in a single summary. Information was accurate and balanced but did not include key content for informed consent.The search was restricted to publicly available materials and did not include books or materials written in languages other than English. The accuracy, balance

2004 Annals of Internal Medicine

11878. Know Your Chances: Understanding Health Statistics

of the University of California. Know Your Chances: Understanding Health Statistics is hereby licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported license, which permits copying, distribution, and transmission of the work, provided the original work is properly cited, not used for commercial purposes, nor is altered or transformed. Search term The goal of this book is to help you better understand health information by teaching you about the numbers behind the messages—the medical (...) on which the claims are based. The book will also familiarize you with charts, which are designed to help you put your health concerns in . By learning to understand the numbers and knowing what questions to ask, you’ll be able to see through the hype and find the credible information—if any—that remains. Contents The publisher gratefully acknowledges the generous support of James and Carlin Naify as members of the Publisher’s Circle of the University of California Press Foundation. We would like

2008 PDQ - NCI's Comprehensive Cancer Database

11879. If a health care (clinical dental staff) employee does not respond to hepatitis B vaccination (employee has had two full series of hepatitis B vaccine), does s/he need to be removed from activities th

, independent contractors in the General Medical and Dental Services and Health Authorities (who employ relevant staff) should ensure that there are arrangements in place…. - to restrict hepatitis B infected health care workers who are e-antigen negative and who have a viral load which exceeds 1000 genome equivalents per ml from performing exposure prone procedures in future. Health care workers whose viral load does not exceed 1000 genome equivalents per ml need not have their working practices restricted (...) ... Population: Intervention: Comparison: Outcome: Population: Intervention: Clinical Q&As This question and answer form part of a large corpus of over 7,000 clinical Q&As that have been generated over the years by various services Trip Database have run or been involved in. Trip are keen to retain this collection for a historical and research reasons. More results What is Trip? Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence

2006 TRIP Answers

11880. Is there any indication for vaccination in patients who have had a previous community acquired pneumonia without underlying lung disease?

Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Clinical Q&As This question and answer form part of a large corpus of over 7,000 clinical Q&As that have been generated over the years by various services Trip (...) underlying lung disease? The British Thoracic Society and PRODIGY guidelines on pneumonia as well as the Department of Health’s “Immunisation Against Infectious Disease” (The Green Book) all concur on categories of patients who are eligible for a pneumococcol vaccination, and these are [1,2 & 3]: “- All those aged 65 and over should receive pneumococcal vaccine. - All those aged 2 months and over in the following high-risk groups should also be vaccinated: - Asplenia or severe dysfunction of the spleen

2006 TRIP Answers

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