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61. Factors associated with physical and sexual violence by police among people who inject drugs in Ukraine: implications for retention on opioid agonist therapy. Full Text available with Trip Pro

Factors associated with physical and sexual violence by police among people who inject drugs in Ukraine: implications for retention on opioid agonist therapy. Ukraine's volatile HIV epidemic, one of the largest in Eastern Europe and Central Asia, remains concentrated in people who inject drugs (PWID). HIV prevalence is high (21.3% to 41.8%) among the estimated 310,000 PWID. Opioid agonist therapy (OAT) is the most cost-effective HIV prevention strategy there, yet OAT services are hampered (...) , as well as random sampling. We analysed correlates of police violence by multiple factors, including by gender, and their effects on duration of OAT retention. Self-reported physical and sexual violence by police were the two primary outcomes, while retention on OAT was used as a secondary outcome.Overall, 1033 (64.0%) PWID reported being physically assaulted by police, which was positively correlated with currently or previously being on OAT (69.1% vs. 60.2%; p<0.01). HIV prevalence rates were higher

2016 Journal of the International AIDS Society

62. AGT-Reha-WK study: protocol for a non-inferiority trial comparing the efficacy and costs of home-based telerehabilitation for shoulder diseases with medical exercise therapy. Full Text available with Trip Pro

AGT-Reha-WK study: protocol for a non-inferiority trial comparing the efficacy and costs of home-based telerehabilitation for shoulder diseases with medical exercise therapy. Shoulder lesions rank among the top 15 diagnoses accounting for days of incapacity to work. Inpatient or full-day outpatient rehabilitation are some of the standard therapies. For sustainable rehabilitation, continuation of rehabilitation after discharge from a rehabilitation centre is vital. Besides medical exercise (...) therapy (MET), home-based physical exercise programmes are used. To monitor exercise quantity and quality, AGT-Reha, a health-enabling technology for home rehabilitation, has been developed and evaluated in a pilot study for technical feasibility and acceptance. To integrate the digital therapeutic AGT-Reha into regular healthcare processes, an efficacy evaluation is required.AGT-Reha-WK is a prospective, monocentric, non-randomised, unblinded non-inferiority trial. Primary objective is to investigate

2020 BMJ open

63. "The strategies are the same, the problems may be different": a qualitative study exploring the experiences of healthcare and service providers with medication therapy management for individuals with spinal cord injury/dysfunction. Full Text available with Trip Pro

"The strategies are the same, the problems may be different": a qualitative study exploring the experiences of healthcare and service providers with medication therapy management for individuals with spinal cord injury/dysfunction. Persons with spinal cord injury/dysfunction (SCI/D) often take multiple medications to treat their secondary complications and chronic conditions (multimorbidity). Multiple healthcare and service providers are often involved in care, which can result in increased (...) risk of fragmentation of care. Optimal medication therapy management (MTM) is essential to ensure therapeutic benefit from medication regimens. However, little is known about the experiences of providers in supporting persons with SCI/D with MTM.Telephone interviews were conducted to explore healthcare and service providers' experiences with MTM for persons with SCI/D. Participants were recruited through clinical organizations and researchers' personal contacts. Participants were purposefully

2020 BMC Neurology

64. A randomized multicentre trial to compare revascularization with optimal medical therapy for the treatment of chronic total coronary occlusions Full Text available with Trip Pro

A randomized multicentre trial to compare revascularization with optimal medical therapy for the treatment of chronic total coronary occlusions The clinical value of percutaneous coronary intervention (PCI) for chronic coronary total occlusions (CTOs) is not established by randomized trials. This study should compare the benefit of PCI vs. optimal medical therapy (OMT) on the health status in patients with at least one CTO.Three hundred and ninety-six patients were enrolled in a prospective (...) in the PCI group and 7.3% cross-overs in the OMT group. At 12 months, a greater improvement of SAQ subscales was observed with PCI as compared with OMT for angina frequency [5.23, 95% confidence interval (CI) 1.75; 8.71; P = 0.003], and quality of life (6.62, 95% CI 1.78-11.46; P = 0.007), reaching the prespecified significance level of 0.01 for the primary endpoint. Physical limitation (P = 0.02) was also improved in the PCI group. Complete freedom from angina was more frequent with PCI 71.6% than OMT

2018 EvidenceUpdates

65. Association of Cost and Medical Service Satisfaction with Korean and Conventional Medicine Use before and after Surgery in Postsurgical Patients: A Questionnaire Survey of Korean Patients with Postsurgical Pain Visiting Korean Medicine Hospitals. Full Text available with Trip Pro

interventions used before surgery were physical therapy (43%), medications (34%), and injections (28%), in descending order, while 48% of patients reported having received acupuncture 51.3 ± 81.1 times. The mean satisfaction score for surgery was 5.5 ± 2.8 points based on a 9-point Likert scale, while that for KM-based interventions was 6.3 ± 1.7 points. With respect to health-related information, the mean scores were 6.0 ± 2.2 points on the Numeric Rating Scale (NRS), 0.6 ± 0.2 points on the 5-Level (...) Association of Cost and Medical Service Satisfaction with Korean and Conventional Medicine Use before and after Surgery in Postsurgical Patients: A Questionnaire Survey of Korean Patients with Postsurgical Pain Visiting Korean Medicine Hospitals. This study aimed to assess the costs, health status, and medical service satisfaction with Korean and conventional medicine use before and after surgery of patients visiting Korean medicine hospitals for postsurgical musculoskeletal pain. The study

2020 Evidence-based Complementary and Alternative Medicine (eCAM)

66. Evaluating drugged driving: Effects of exemplar pain and anxiety medications. (Abstract)

Evaluating drugged driving: Effects of exemplar pain and anxiety medications. Distracted and drug-influenced driving presents a major risk for traffic safety morbidity and mortality. As part of an ongoing research program, we examined the effects of a commonly prescribed combination of medications for pain relief: alprazolam, a benzodiazepine, and a hydrocodone preparation, a combination opiate and acetaminophen, on a simulated driving protocol.Utilizing a within-subjects design, we recruited 8 (...) healthy experienced drivers without major physical and psychological histories. Using a double-blind, placebo-controlled crossover design, we administered placebo, alprazolam alone, hydrocodone/acetaminophen, and the combination of the 2 drugs in a standardized simulated driving protocol. Measures of lateral and longitudinal control were collected and the data were reduced and statically analyzed.The study observed clear detrimental effects of alprazolam on driving measures of lateral control

2019 Traffic injury prevention Controlled trial quality: uncertain

67. Alternatives to Regular Medication Normally Given via a Syringe Pump When this is Not Available

or suspected to have an infectious agent. As the situation changes, there may be changing availability of drugs. We aim to keep these guidelines updated in view of this. Management Anticipatory prescribing The aim of anticipatory prescribing is to ensure that patients with advancing illness and uncontrolled symptoms have timely access to medications to improve their physical comfort. Guidance for this is available in the Scottish Palliative Care Guidelines. The following guidelines are for use when usual (...) be a reasonable alternative. Some medicines are available as buccal preparations – moistening a dry mouth helps absorption. Some injectable preparations can be administered by the buccal or sublingual route. Drugs given by the sublingual or buccal route can also be dispersed in water and administered down an NG tube where this is in place. Medication Pain/Breathlessness/Cough/Pyrexia Medicine Route Dose Administration/ Comments Paracetamol suppositories 500mg and 1g Rectal SHORT ACTING 500mg to 1g every 4-6

2020 Scottish Palliative Care Guidelines

68. Update on COVID-19 epidemiology and impact on medical care in children: April 2020

) and underline the primary importance of meticulous environmental cleaning [ ] . Managing children and youth infected with symptomatic COVID-19 No treatment for COVID-19 is proven to be effective at the present time, and early reports from trials of hydroxychloroquine in adults have not demonstrated any beneficial effect on morbidity or mortality [ ] . Several Canadian universities, research centres, and medical organizations have recommended against using of off-label, investigational therapies (...) (PHAC) has suggested that wearing a non-medical mask can prevent spread of respiratory droplets from contaminating others or landing on surfaces. Both the PHAC and the American Academy of Pediatrics (AAP) have indicated that masks covering the nose and mouth can be used by adults and by children over 2 years of age in community settings, for short periods, when physical distancing measures cannot be taken [ ] [ ] . Remind patients that touching the mask is a risk factor for contamination of hands

2020 Canadian Paediatric Society

69. The Geriatricians’ Perspective on Medical Services to Residential Aged Care Facilities (RCFs) in Australia.

Comprehensive Medical Assessments and Care Plans and assisting them with access to the multidisciplinary team enhancements and allied health funding. Multidisciplinary practice models that include a geriatrician, nurses, and allied health therapists, are the cornerstone of hospital and ambulatory geriatric medicine, and there is good evidence for the efficacy of this model in reducing decline in physical functioning. [54]. The Transition Care Program in Australia has allowed for the development (...) The Geriatricians’ Perspective on Medical Services to Residential Aged Care Facilities (RCFs) in Australia. Australian and New Zealand Society for Geriatric Medicine Position Statement No’s 9 and 10 The Geriatricians’ Perspective on Medical Services to Residential Aged Care Facilities (RCFs) in Australia. Revised August 2011 Companion paper regarding the NZ perspective to follow. 1. The demand for residential aged care in Australia continues to grow as the population ages. 2. Dementia, chronic

2020 Australian and New Zealand Society for Geriatric Medicine

70. Recommendations: Prehospital Emergency Medical Services (EMS) COVID-19

notification, EMS providers should continue to communicate with the designated point of contact at the receiving facility with updates on the patient’s condition and ETA to facilitate reception of the patient immediately upon arrival. 3.9 Air Medical Transport Considerations Ground transport should be prioritized for stable PUIs even with extended transport distance as most medical transport aircrafts do not have a physical separation between the cockpit and the patient cabin. Flight Crew Precautions (...) Recommendations: Prehospital Emergency Medical Services (EMS) COVID-19 Prehospital Emergency Medical Services (EMS) C O V I D - 19 R e c o m m e n d a t i o n s Draft document, Version 4.4. March 27, 2020 PAN AMERICAN HEALTH ORGANIZATION (PAHO/WHO) | www.paho.org Prehospital Emergency Medical Services Prehospital Emergency Medical Services (EMS) COVID-19 Recommendations | 1 Contents Introduction 2 Section 1: DISPATCH / CALL MANAGEMENT 3 Section 2: PRE-TRANSPORT / EMS ON SCENE 4 Section 3: EMS

2020 WHO Coronavirus disease (COVID-19) Pandemic

71. Comparative effects of combined physical therapy with Kinesio taping and physical therapy in patients with knee osteoarthritis: a systematic review and meta-analysis

effects of combined physical therapy with Kinesio taping and physical therapy in patients with knee osteoarthritis: a systematic review and meta-analysis , , , , , Affiliations Expand Affiliations 1 Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Chiayi, Taiwan. 2 School of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan. 3 Department of Neurology, Chang Gung Memorial Hospital, Chiayi, Taiwan. 4 Department of Nursing, Chang Gung University (...) of Science and Technology, Chiayi Campus, Chiayi, Taiwan. PMID: 32597199 DOI: Item in Clipboard Comparative effects of combined physical therapy with Kinesio taping and physical therapy in patients with knee osteoarthritis: a systematic review and meta-analysis Chia-Hung Lin et al. Clin Rehabil . 2020 Aug . Show details Clin Rehabil Actions . 2020 Aug;34(8):1014-1027. doi: 10.1177/0269215520928398. Epub 2020 Jun 28. Authors , , , , , Affiliations 1 Department of Physical Medicine and Rehabilitation

2020 EvidenceUpdates

72. Sustainability of physical exam skills in a resident-led curriculum in a large internal medicine program with competency based medical education Full Text available with Trip Pro

Sustainability of physical exam skills in a resident-led curriculum in a large internal medicine program with competency based medical education Competency Based Medical Education (CBME) designates physical examination competency as an Entrustable Professional Activity (EPA). Considerable concern persists regarding the increased time burden CBME may place on educators. We developed a novel physical examination curriculum that shifted the burden of physical examination case preparation (...) and performance assessment from faculty to residents. Our first objective was to determine if participation led to sustainable improvements in physical examination skills. The second objective was to determine if resident peer assessment was comparable to faculty assessment.We selected physical exam case topics based on the Objectives of Training in the Specialty of Internal Medicine as prescribed by the Royal College of Physicians and Surgeons of Canada. Internal Medicine residents compiled evidence-based

2018 Canadian medical education journal

73. Teaching Physical Examination to Medical Students on Inpatient Medicine Teams: A Prospective, Mixed-Methods Descriptive Study. Full Text available with Trip Pro

Teaching Physical Examination to Medical Students on Inpatient Medicine Teams: A Prospective, Mixed-Methods Descriptive Study. Physical examination (PE) is a core clinical competency, and the internal medicine clerkship is a premiere venue for students to develop PE skills. However, clinical rotations often lack opportunities for real-time instruction. We sought to measure the frequency, content, and factors affecting PE instruction during the internal medicine clerkship. We conducted (...) to affect PE instruction. In brief, we found that residents and attending physicians who are part of internal medicine teaching services do not routinely emphasize PE instruction.© 2018 Society of Hospital Medicine.

2018 Journal of Hospital Medicine

74. Misuse of illicit drugs and medicines: applying All Our Health

Misuse of illicit drugs and medicines: applying All Our Health Misuse of illicit drugs and medicines: applying All Our Health - GOV.UK GOV.UK uses cookies to make the site simpler. Accept cookies You’ve accepted all cookies. You can at any time. Hide Search Guidance Misuse of illicit drugs and medicines: applying All Our Health Published 3 May 2019 Contents © Crown copyright 2019 This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated (...) . To view this licence, visit or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: . Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. This publication is available at https://www.gov.uk/government/publications/misuse-of-illicit-drugs-and-medicines-applying-all-our-health/misuse-of-illicit-drugs-and-medicines-applying-all-our-health 1. Introduction This ‘All Our Health’ misuse

2019 Public Health England

75. Barriers and Enablers to Deprescribing Medications

and antidepressants; 2 for proton pump inhibitors and 5 for miscellaneous PIMs [potentially inappropriate medications] (4, p.3). Reeve et al. 2013 included the following medication classes/therapeutic groups: benzodiazapeines, psychotropic medications, depression/anxiety medications, selective serotonin reuptake inhibitors, donepezil, methadone, antiepileptics, hormone replacement therapy, proton pump inhibitors, interferon-b1a, antihypertensives, and long-term drug therapy (7). NLCAHR May 2020 | Rapid Evidence (...) pharmacists distributed an educational brochure to community-dwelling older adults on the harms associated with their prescribed medications. The brochure included safer drug or non-drug therapy options as potential substitutes for their current medications. This study also found that receipt of these educational interventions had no negative impact on in the level of trust patients placed in their healthcare providers. The authors suggest that these findings should bolster prescriber confidence

2020 Newfoundland and Labrador Centre for Health Information

76. Effectiveness of Later-Stage Exercise Programs vs Usual Medical Care on Physical Function and Activity After Total Knee Replacement: A Randomized Clinical Trial Full Text available with Trip Pro

programs after TKR and to explore heterogeneity of treatment effects.Three-arm single-blind randomized clinical trial (January 7, 2015, to November 9, 2017) using an intent-to-treat approach with follow-ups at 3 months and 6 months. The setting was Allegheny County, Pennsylvania (an outpatient physical therapy clinic and 4 community centers). Participants had primary TKR performed more than 2 months previously, were 60 years or older, experienced moderate functional limitations, and were medically (...) Effectiveness of Later-Stage Exercise Programs vs Usual Medical Care on Physical Function and Activity After Total Knee Replacement: A Randomized Clinical Trial Several functional limitations persist after total knee replacement (TKR). Intensive exercise programs could resolve these limitations but are not well tolerated by many patients until a later stage (>2 months) after surgery. Evidence for exercise at a later stage after TKR is limited.To compare the effectiveness of later-stage exercise

2019 EvidenceUpdates

77. The dose of physical activity to minimise functional decline in older general medical patients receiving 24-hr acute care: A systematic scoping review Full Text available with Trip Pro

The dose of physical activity to minimise functional decline in older general medical patients receiving 24-hr acute care: A systematic scoping review To identify evidence for a recommended and feasible activity dose to minimise functional decline in older hospitalised general medical patients.Quality 24-hr care of older patients involves balancing activity to minimise functional decline, with rest to aid recovery. However, there is limited guidance regarding an optimal type and dose (...) were included. Study contexts were general medical wards (n = 11, 73.3%), Acute care of the elderly unit (n = 3, 20%) and a nursing unit (n = 1, 6.7%) located in tertiary referral acute hospitals. Most participants were aged 75-84 years (n = 10, 66%), had variable medical diagnoses and samples were either physically capable (n = 4, 26.7%) of limited physical capability (n = 1, 6.7%) or of mixed capability to mobilise independently (n = 10, 66.7%). Walking at least twice a day for approximately 20

2019 EvidenceUpdates

78. Physical therapies for postural abnormalities in people with cystic fibrosis. (Abstract)

Physical therapies for postural abnormalities in people with cystic fibrosis. Cystic fibrosis (CF) is the most common life-threatening, inherited disease in white populations which causes several dysfunctions, including postural abnormalities. Physical therapy may help in some consequences of these postural abnormalities, such as pain, trunk deformity and quality of life.To determine the effects of a range of physical therapies for managing postural abnormalities in people with cystic fibrosis (...) controlled trials examining any modality of physical therapy considered relevant for treating postural disorders compared with each other, no physical therapy, sham treatment or usual care in people with CF (of any age or disease severity).Two review authors independently selected eligible trials, assessed the risk of bias in each trial and extracted the data. We contacted trial authors to obtain missing or additional information. We assessed the quality of the evidence using the GRADE criteria.Two

2020 Cochrane

79. Covid-19 Medical interventions that spread aerosols

"] 1247 #12 [mh ^"Oxygen Inhalation Therapy"] 1116 #13 [mh ^"Autopsy"] 44 #14 [mh "Respiratory Function Tests"] 23517 #15 [mh "Spirometry"] 1659 #16 [mh "cardiopulmonary resuscitation"] 1028 #17 [mh ^"respiration, artificial"] 3278 #18 [mh ^"Breathing exercises"] 760 #19 #1 OR #2 OR #3 OR #4 OR #5 OR #6 OR #7 OR #8 OR #9 OR #10 OR #11 OR #12 OR #13 OR #14 OR #15 OR #16 OR #17 OR #18 35931 #20 [mh ^"Physical Therapy Modalities"] 3563 #21 [mh ^"thorax"] 348 #22 #20 and #21 18 #23 #19 or #22 35935 #24 (...) 'drug resistant tuberculosis'/de 2272 #64 'lung tuberculosis'/de 84526 #63 'tuberculosis'/de 137390 #62 'parainfluenza virus infection'/de 1271 #61 'influenza'/exp 91609 #60 'influenza virus'/exp 63701 #59 'coronavirus infection'/exp 11793 #58 #56 OR #57 770060 #57 'health care worker*':ti OR 'healthcare worker*':ti OR 'health care provider*':ti OR 'healthcare provider*':ti OR physiotherapist*:ti OR dentist*:ti OR nurse*:ti OR doctor*:ti OR physician*:ti OR 'health personnel':ti OR 'medical

2020 Belgian Health Care Knowledge Centre

80. The effect of exercise therapy on physical function and health-related quality of life in older patients with cancer receiving medical antineoplastic treatments: a systematic review and meta-analysis

The effect of exercise therapy on physical function and health-related quality of life in older patients with cancer receiving medical antineoplastic treatments: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears (...) research paper (e.g. review, editorial) 2. Not an in vivo animal study 3. No metastases/ only primary tumor 4. No control group 5. Combination therapy or contamination 6. Not about analgesics used in the clinic Full text-screening: As above, with the addition of: 7. No relevant outcome measure reported ">Prioritise the exclusion criteria Example: Two reviewers will independently extract data from each article. We first try to extract numerical data from tables, text or figures

2019 PROSPERO

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