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.

125,674 results for

Review of Systems

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

125461. Cardiac arrest survival as a function of ambulance deployment strategy in a large urban emergency medical services system. (Abstract)

paramedics are sent to critical incidents while ambulances staffed with basic EMTs are sent to less critical incidents. A secondary outcome measure was paramedic skill proficiency between the systems.We conducted a retrospective review of all 1997 VF arrests in a large urban EMS system. The majority of the city is a busy, urban area that uses TR. Outlying areas of the city are suburban and are served by a UR model. All areas have first responders equipped with automated external defibrillators. Outcomes (...) Cardiac arrest survival as a function of ambulance deployment strategy in a large urban emergency medical services system. This study examines the effect of paramedic deployment strategy on witnessed ventricular fibrillation (VF) cardiac arrest outcomes. Our null hypothesis was that there is no difference in survival between an EMS system using targeted response (TR) and one using a uniform or all advanced life support (ALS) response (UR) model. We define targeted response as a system where

2003 Resuscitation

125462. Effects of hypothermia on energy metabolism in Mammalian central nervous system. Full Text available with Trip Pro

Effects of hypothermia on energy metabolism in Mammalian central nervous system. This review analyzes, in some depth, results of studies on the effect of lowered temperatures on cerebral energy metabolism in animals under normal conditions and in some selected pathologic situations. In sedated and paralyzed mammals, acute uncomplicated 0.5- to 3-h hypothermia decreases the global cerebral metabolic rate for glucose (CMR(glc)) and oxygen (CMRo(2)) but maintains a slightly better energy level

2003 Journal of Cerebral Blood Flow and Metabolism

125463. Designing the accident and emergency system: lessons from manufacturing. Full Text available with Trip Pro

Designing the accident and emergency system: lessons from manufacturing. To review the literature on manufacturing process design and demonstrate applicability in health care.Literature review and application of theory using two years activity data from two healthcare communities and extensive observation of activities over a six week period by seven researchers.It was possible to identify patient flows that could be used to design treatment processes around the needs of the patient. Some (...) queues are built into existing treatment processes and can be removed by better process design. Capacity imbalance, not capacity shortage, causes some unnecessary waiting in accident and emergency departments.Clinicians would find that modern manufacturing theories produce more acceptable designs of systems. In particular, good quality is seen as a necessary pre-requisite of fast, efficient services.

2003 Emergency Medicine Journal

125464. Ethics Review for Sale? Conflict of Interest and Commercial Research Review Boards Full Text available with Trip Pro

of research review; administrative law has always judged financial conflicts of interest severely. The structure of private review tends to breach a core principle of administrative law and procedural justice. Reform of the research review system will reinforce public trust in the process. (...) Ethics Review for Sale? Conflict of Interest and Commercial Research Review Boards Research review boards, established to protect the rights and welfare of human research subjects, have to ensure that conflicts of interest do not interfere with the ethical conduct of medical research. Private, commercial review boards, which increasingly review research protocols, are themselves affected by a structural conflict of interest. Within the regulatory setting, procedural conflict-of-interest rules

2000 The Milbank quarterly

125465. Integration of radiologist peer review into clinical review workstation Full Text available with Trip Pro

automatically appears and the radiologist enters the reason for disagreement and then submits the case as a discrepancy. The system holds the discordance for 3 to 5 working days, then notifies the original radiologist via E-mail that a prior interpretation has been submitted for peer review, lists the submitted discrepancy reason, and provides a link to display the discordant report. The peer-review database is separate from the existing radiology information system (RIS). At the end of every month, summary (...) reports of all peer-review activity are generated automatically. Initial benchmarks of our deployed system anticipate documentation of long-term random peer-review rate at greater than 50% of interpreted cases. The system enhances the peer-review process by integrating it with the normal interpretation workflow. The time to complete peer review using radStation is less than 1 second per normal case and less than 60 seconds for a discordant case. The E-mail notification system is fully automated

2000 Journal of Digital Imaging

125466. Supporting the delivery of cost-effective interventions in primary health-care systems in low-income and middle-income countries: an overview of systematic reviews. Full Text available with Trip Pro

Supporting the delivery of cost-effective interventions in primary health-care systems in low-income and middle-income countries: an overview of systematic reviews. Strengthening health systems is a key challenge to improving the delivery of cost-effective interventions in primary health care and achieving the vision of the Alma-Ata Declaration. Effective governance, financial and delivery arrangements within health systems, and effective implementation strategies are needed urgently in low (...) -income and middle-income countries. This overview summarises the evidence from systematic reviews of health systems arrangements and implementation strategies, with a particular focus on evidence relevant to primary health care in such settings. Although evidence is sparse, there are several promising health systems arrangements and implementation strategies for strengthening primary health care. However, their introduction must be accompanied by rigorous evaluations. The evidence base needs urgently

2008 Lancet

125467. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. Full Text available with Trip Pro

Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. To evaluate the performance of a routine incident reporting system in identifying patient safety incidents.Two stage retrospective review of patients' case notes and analysis of data submitted to the routine incident reporting system on the same patients.A large NHS hospital in England.1006 hospital admissions between January and May 2004: surgery (n=311), general (...) %) by the routine reporting system only, and 33 (10%) by both methods. 110 admissions (10.9%; 9.0% to 12.8%) had at least one patient safety incident resulting in patient harm, all of which were detected by the case note review and six (5%) by the reporting system.The routine incident reporting system may be poor at identifying patient safety incidents, particularly those resulting in harm. Structured case note review may have a useful role in surveillance of routine incident reporting and associated quality

2007 BMJ

125468. A Pilot Study to Evaluate an Osteogenic Protein 1 (OP-1) Putty Spinal System and an Autograft Spinal System

A Pilot Study to Evaluate an Osteogenic Protein 1 (OP-1) Putty Spinal System and an Autograft Spinal System A Pilot Study to Evaluate an Osteogenic Protein 1 (OP-1) Putty Spinal System and an Autograft Spinal System - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (...) (100). Please remove one or more studies before adding more. A Pilot Study to Evaluate an Osteogenic Protein 1 (OP-1) Putty Spinal System and an Autograft Spinal System 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: NCT00678171 Recruitment Status : Completed First Posted : May 15, 2008 Last Update

2008 Clinical Trials

125469. Central nervous system infections - a potential complication of systemic immunotherapy. (Abstract)

Central nervous system infections - a potential complication of systemic immunotherapy. Multiple sclerosis is a chronic inflammatory disease of the central nervous system, characterized by demyelination and axonal damage. With the emergence of more efficient immune therapies, severe sometimes even fatal central nervous system infections were observed. This review will address the role of the systemic immune system in central nervous system immune surveillance and discuss implications (...) system tissue damage. One potential side-effect of these newer therapies is their interference with the control of central nervous system infections by the immune system.Any increase in potency of multiple sclerosis therapies could well interfere with protective immunosurveillance of the central nervous system. One possible outcome is an increased incidence of opportunistic infections. A heightened vigilance for central nervous system infections in the setting of immunosuppression is necessary

2006 Current opinion in neurology

125470. Kisspeptins: a multifunctional peptide system with a role in reproduction, cancer and the cardiovascular system Full Text available with Trip Pro

Kisspeptins: a multifunctional peptide system with a role in reproduction, cancer and the cardiovascular system Orphan G-protein-coupled receptors that have recently been paired with their cognate ligand are an often untapped resource for novel drug development. The KISS1 receptor (previously designated GPR54) has been paired with biologically active cleavage peptides of the KiSS-1 gene product, the kisspeptins (KP). The focus of this review is the emerging pharmacology and physiology of the KP (...) action. A role for KP has also been shown in whole body homeostasis. KP are multifunctional peptides and further investigation is required to fully elucidate the complex pathways regulated by these peptides and how these pathways integrate in the whole body system.

2007 British journal of pharmacology

125471. Collapsing glomerulopathy in systemic autoimmune disorders: a case occurring in the course of full blown systemic lupus erythematosus Full Text available with Trip Pro

Letter Review England Ann Rheum Dis 0372355 0003-4967 IM Adolescent Female Humans Kidney Diseases complications pathology Kidney Glomerulus pathology Lupus Erythematosus, Systemic complications pathology 10 2006 1 18 9 0 2006 2 24 9 0 2006 1 18 9 0 ppublish 16410539 65/2/277 10.1136/ard.2004.033464 PMC1798030 Kidney Int. 1999 Dec;56(6):2203-13 10594796 Pediatr Nephrol. 2000 Feb;14(2):132-7 10684363 Kidney Int. 2003 Jan;63(1):233-9 12472788 Semin Nephrol. 2003 Mar;23(2):209-18 12704581 Am J Kidney Dis (...) Collapsing glomerulopathy in systemic autoimmune disorders: a case occurring in the course of full blown systemic lupus erythematosus 16410539 2006 02 23 2018 11 13 0003-4967 65 2 2006 Feb Annals of the rheumatic diseases Ann. Rheum. Dis. Collapsing glomerulopathy in systemic autoimmune disorders: a case occurring in the course of full blown systemic lupus erythematosus. 277-8 Amoura Z Z Georgin-Lavialle S S Haroche J J Merrien D D Brocheriou I I Beaufils H H Piette J-C JC eng Case Reports

2006 Annals of the Rheumatic Diseases

125472. Initial Clinical Experience with a New Complex-Shaped Detachable Platinum Coil System for the Treatment of Intracranial Cerebral Aneurysms: The Cordis Trufill DCS Detachable Coil System Full Text available with Trip Pro

Initial Clinical Experience with a New Complex-Shaped Detachable Platinum Coil System for the Treatment of Intracranial Cerebral Aneurysms: The Cordis Trufill DCS Detachable Coil System Endovascular coil occlusion of cerebral aneurysms is increasing as a viable treatment for both ruptured and unruptured aneurysms. The purpose of this study was to evaluate the safety and performance of a newer generation of complexshaped, geometrically conformable, platinum coils, the TRUFILL DCS Detachable Coil (...) System. From September 2000 to December 2002, 112 patients with 116 aneurysms, either ruptured or unruptured, deemed by an attending neuro-interventionalist to be acceptable candidates for endovascular coil embolization, were recruited into an open-label, prospective, multi-center, international registry study from 23 centers in Europe. Information on relevant clinical characteristics, device and procedure performance, and angiographic occlusion data were collected for all patients. An Independent

2006 Interventional Neuroradiology

125473. Implementing an integrated computerized patient record system: Towards an evidence-based information system implementation practice in healthcare Full Text available with Trip Pro

analyzed using qualitative methods. We found that critical issues in the case study implementation process were the techniques employed to teach the staff to use the integrated system, involvement of the users in the implementation process, and the efficiency of the human computer interface. Comparisons with a literature review showed both recurrence of previously reported implementation problems and new issues specific to the integrated system context. The results indicate that the development (...) Implementing an integrated computerized patient record system: Towards an evidence-based information system implementation practice in healthcare A large number of health information system (HIS) implementations fail due to insufficient organizational harmonization. The aim of this study is to examine whether these problems remain when implementing technically integrated and more advanced generations of HISs. In a case study, data from observations, interviews, and organizational documents were

2008 AMIA Annual Symposium Proceedings

125474. Systems Biology: The Case for a Systems Science Approach to Diabetes Full Text available with Trip Pro

in the evolution of biological science. This article reviews some examples that suggest the importance of a systems biology approach and, in addition, advance one specific systems science principle, the conservation of uncertainty, which may give insight into the emergent behavior of numerous biological and physiological phenomena. (...) Systems Biology: The Case for a Systems Science Approach to Diabetes The unprecedented accumulation of biological data in recent decades has underscored the need to organize and integrate the massive collection of information. In addition, there is rising agreement among biologists that a complete understanding of a single cell will not lead directly to a complete understanding of a system of cells. The success of a systems science approach in engineering and physics may be of great value

2008 Journal of diabetes science and technology (Online)

125475. Issues and Solutions in Introducing Western Systems to the Pre-hospital Care System in Japan Full Text available with Trip Pro

Issues and Solutions in Introducing Western Systems to the Pre-hospital Care System in Japan This report aims to illustrate the history and current status of Japanese emergency medical services (EMS), including development of the specialty and characteristics adapted from the U.S. and European models. In addition, recommendations are made for improvement of the current systems.Government reports and academic papers were reviewed, along with the collective experiences of the authors. Literature (...) searches were performed in PubMed (English) and Ichushi (Japanese), using keywords such as emergency medicine and pre-hospital care. More recent and peer-reviewed articles were given priority in the selection process.The pre-hospital care system in Japan has developed as a mixture of U.S. and European systems. Other countries undergoing economic and industrial development similar to Japan may benefit from emulating the Japanese EMS model.Currently, the Japanese system is in transition, searching

2008 Western Journal of Emergency Medicine

125476. The ABC System: a simplified classification system for small bowel obstruction after laparoscopic Roux-en-Y gastric bypass. (Abstract)

The ABC System: a simplified classification system for small bowel obstruction after laparoscopic Roux-en-Y gastric bypass. Small bowel obstruction (SBO) after bariatric surgery is well documented. Although infrequent, it can be associated with considerable morbidity and mortality. The laparoscopic approach to Roux-en-Y gastric bypass (LRYGB) has gained widespread popularity for the treatment of morbid obesity since its first description in 1994. One of the theoretical advantages of a minimally (...) invasive technique is reduced intraabdominal adhesions and, consequently, diminution in the incidence of SBO. However, the laparoscopic approach demonstrates a similar rate of obstruction to the open procedure. In this review, an electronic literature search was undertaken of Medline, Embase, and Cochrane databases for the period January 1990 to October 2006 on the history, presentation, clinical evaluation, preoperative diagnostic techniques, and management of SBO after LRYGB compared to the open

2007 Obesity Surgery

125477. FAST ultrasound as an adjunct to triage using the START mass casualty triage system: a preliminary descriptive system. (Abstract)

FAST ultrasound as an adjunct to triage using the START mass casualty triage system: a preliminary descriptive system. To determine whether the FAST examination might be a useful adjunct to simple triage and rapid treatment (START) in the secondary triage of mass-casualty victims already classified as delayed (Yellow).A retrospective chart review was conducted of all adult trauma patients evaluated by the trauma surgery service at a level 1 trauma center between January 1 and December 31, 2003

2006 Prehospital emergency care

125478. Primary central nervous system lymphoma can be histologically diagnosed after previous corticosteroid use: A pilot study to determine whether corticosteroids prevent the diagnosis of primary central nervous system lymphoma. (Abstract)

Primary central nervous system lymphoma can be histologically diagnosed after previous corticosteroid use: A pilot study to determine whether corticosteroids prevent the diagnosis of primary central nervous system lymphoma. The objective is to determine whether corticosteroid administration before biopsy prevents histopathological diagnosis of primary central nervous system lymphoma (PCNSL). A retrospective review was performed of immunocompetent PCNSL patients from 1985 to 2005. A total of 109

2008 Annals of Neurology

125479. Effectiveness of the Thin Prep(R) Imaging System in the detection of adenocarcinoma of the gynecologic system. (Abstract)

of the TIS in the detection of glandular abnormalities is limited. The goal of the current study was to evaluate the effectiveness of the TIS in detecting glandular abnormalities in cervicovaginal specimens.TIS evaluated TP tests with histologic confirmation of adenocarcinoma involving the gynecologic system were included in the current study. Two cytotechnologists independently reviewed the cases for the presence or absence of atypical glandular cells. Review results were correlated with initial (...) Effectiveness of the Thin Prep(R) Imaging System in the detection of adenocarcinoma of the gynecologic system. The ThinPrep Imaging System (TIS) has been approved by the U.S. Food and Drug Administration for use to decrease the number of false-negative results in ThinPrep (TP) gynecologic specimens and increase cytotechnology productivity. Although the increased detection of squamous abnormalities using the TIS has been well documented, to the authors' knowledge, data regarding the impact

2007 Cancer

125480. The adoption of a new classification system: time-dependent variation in interobserver reliability of the thoracolumbar injury severity score classification system. (Abstract)

changes associated with implementation of the TLISS system at 1 institution.Seventy-one consecutive patients presenting with acute thoracolumbar injury were prospectively assessed at a single training institution. Plain radiographs, computed tomography, and magnetic resonance imaging were independently reviewed, and each case was classified according to the TLISS system. Seven months later, 25 consecutive patients presenting with acute thoracolumbar injuries were prospectively assessed at the same (...) The adoption of a new classification system: time-dependent variation in interobserver reliability of the thoracolumbar injury severity score classification system. Prospective clinical assessment of the interobserver reliability of the Thoracolumbar Injury Classification and Severity Score (TLISS) in a series of consecutive patients.To evaluate the time-dependent changes in interobserver reliability of the TLISS system.Reliability of an injury classification system is fundamental to its

2007 Spine

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