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181. Postoperative Medical Complications and Intermediate Care Unit/Intensive Care Unit Admission in Joint Replacement Surgery: A Prospective Risk Model. (PubMed)

relevant parameters to predict postoperative medical complications. We devised a prospective risk model, measuring the individual probability for intermediate care unit (IMC) or intensive care unit (ICU) admission. The study includes all patients (n = 649) treated with primary or revision total knee arthroplasty in our clinic from 2008 to 2012.The association between general comorbidity scores and mortality risk is well known. Among different comorbidity scores, the Charlson Comorbidity Index (...) Postoperative Medical Complications and Intermediate Care Unit/Intensive Care Unit Admission in Joint Replacement Surgery: A Prospective Risk Model. Postoperative complications are the main consumers of technical, medical, and human resources. Especially in the field of elective joint replacement surgery, a specialized, easy-to-obtain, and cost-efficient preoperative stratification and risk-estimation model is missing.With preoperatively surveyed patient parameters, we identified the most

2019 Journal of Arthroplasty

182. Efficacy and safety of a morning injection of insulin glargine 300 units/mL versus insulin glargine 100 units/mL in adult patients with type 1 diabetes: A multicentre, randomized controlled trial using continuous glucose monitoring. (PubMed)

Efficacy and safety of a morning injection of insulin glargine 300 units/mL versus insulin glargine 100 units/mL in adult patients with type 1 diabetes: A multicentre, randomized controlled trial using continuous glucose monitoring. This multicentre (N = 104), randomized controlled phase 4 study compared the efficacy and safety of insulin glargine 300 units/mL (Gla-300) with insulin glargine 100 units/mL (Gla-100) in patients with type 1 diabetes (T1D) (ClinicalTrials.gov identifier (...) : NCT02688933).Patients were randomized 1:1 to self-perform morning Gla-300 or Gla-100 injections daily for 16 weeks. The primary endpoint was the percentage of time blood glucose remained in the target range (70-180 mg/dL) during Week 15/16, measured by blinded continuous glucose monitoring. Secondary endpoints included incidence and rate of nocturnal symptomatic hypoglycaemia (≤ 70 mg/dL), glycaemic variability parameters, and safety assessments. Exploratory analyses were performed in patients

2019 obesity & metabolism

183. Research Outcomes of Implementing CEASE: An Innovative, Nurse-Driven, Evidence-Based, Patient-Customized Monitoring Bundle to Decrease Alarm Fatigue in the Intensive Care Unit/Step-down Unit. (PubMed)

, Electrodes (daily changes), Appropriateness (evaluation), Setup alarm parameters (patient customization), and Education (ongoing).(1) In a 36-bed intensive care unit/step-down unit (ICU/SDU) with continuous hemodynamic and respiratory monitoring, does application of an evidence-based, patient-customized monitoring bundle compared with existing monitoring practice lead to less alarm fatigue as measured by the number of hemodynamic and respiratory monitoring alarms? (2) In a 36-bed ICU/SDU with continuous (...) Research Outcomes of Implementing CEASE: An Innovative, Nurse-Driven, Evidence-Based, Patient-Customized Monitoring Bundle to Decrease Alarm Fatigue in the Intensive Care Unit/Step-down Unit. The research literature is replete with evidence that alarm fatigue is a real phenomenon in the clinical practice environment and can lead to desensitization of the need to respond among nursing staff. A few studies attest to the effectiveness of incorporating parts of the American Association of Critical

2019 Dimensions of critical care nursing

184. Associations of Topics of Discussion on Twitter With Survey Measures of Attitudes, Knowledge, and Behaviors Related to Zika: Probabilistic Study in the United States (PubMed)

Associations of Topics of Discussion on Twitter With Survey Measures of Attitudes, Knowledge, and Behaviors Related to Zika: Probabilistic Study in the United States Recent outbreaks of Zika virus around the world led to increased discussions about this issue on social media platforms such as Twitter. These discussions may provide useful information about attitudes, knowledge, and behaviors of the population regarding issues that are important for public policy.We sought to identify (...) the associations of the topics of discussions on Twitter and survey measures of Zika-related attitudes, knowledge, and behaviors, not solely based upon the volume of such discussions but by analyzing the content of conversations using probabilistic techniques.Using probabilistic topic modeling with US county and week as the unit of analysis, we analyzed the content of Twitter online communications to identify topics related to the reported attitudes, knowledge, and behaviors captured in a national

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2018 JMIR public health and surveillance

185. Atherosclerotic Cardiovascular Disease in South Asians in the United States: Epidemiology, Risk Factors, and Treatments: A Scientific Statement From the American Heart Association

with one’s own heritage but also with the culture of the host country. When biculturalism has been indirectly assessed as fluency in native language and English in Asian Americans, it has been shown to be associated with lower rates of obesity as measured by BMI. In the MASALA study, there was a suggestion that most participants were acculturated because the majority had lived in the United States for ≥20 years and spoke English. In an attempt to achieve a multidimensional approach to acculturation (...) Atherosclerotic Cardiovascular Disease in South Asians in the United States: Epidemiology, Risk Factors, and Treatments: A Scientific Statement From the American Heart Association Atherosclerotic Cardiovascular Disease in South Asians in the United States: Epidemiology, Risk Factors, and Treatments: A Scientific Statement From the American Heart Association | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019

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2018 American Heart Association

186. 2018 United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease

2018 United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease 2018 United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease 2 2018 United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease Guideline development group: Jonathan Ross (lead author), Michelle Cole, Ceri Evans, Deirdre Lyons, Gillian Dean, Darren Cousins, PPI representative What is new in the 2018 update? ? the role of Mycoplasma genitalium (...) (PID) covering the management of the initial presentation, as well as how to reduce transmission, complications and future repeat infection. It is aimed primarily at women aged 16 years or older (see specific guidelines for those under 16) presenting to health care professionals working in departments offering specialist care in STI management within the United Kingdom. However, the principles of the recommendations should be adopted across all providers – non-specialist providers may need

2018 British Association for Sexual Health and HIV

187. Amniotic fluid lactate measurement to predict response to syntocinon in slow labour

identified which used amniotic fluid lactate levels to guide actual clinical decision-making. Therefore, the potential of this test as a diagnostic tool has not been evaluated in the current literature. The impact of this test on patient outcomes has not been reported. The following device was used in some of the identified studies and appears to be CE marked for the indication of interest: AFL Measurement Unit (LMU 061) manufactured by ObsteCare. Cost effectiveness No evidence relating to the cost (...) Amniotic fluid lactate measurement to predict response to syntocinon in slow labour Page 1 of 4 TER010 June 2018 Topic Exploration Report Topic explorations are designed to provide a high-level briefing on new topics submitted for consideration by Health Technology Wales. The main objectives of this report are to: 1. Inform discussions on new topics received by HTW. 2. Determine the quantity and type of evidence available on a topic. 3. Assess the topic against HTW selection criteria. Topic

2019 Health Technology Wales

188. Identifying Performance Measures, Indicators and Targets to Monitor and Evaluate Dementia Strategies

Identifying Performance Measures, Indicators and Targets to Monitor and Evaluate Dementia Strategies The image part with relationship ID rId9 was not found in the file. Rapid Synthesis Identifying Performance Measures, Indicators and Targets to Monitor and Evaluate Dementia Strategies 6 April 2018 McMaster Health Forum 1 Evidence >> Insight >> Action Rapid Synthesis: Identifying Performance Measures, Indicators and Targets to Monitor and Evaluate Dementia Strategies Three-day response 6 April (...) 2018 Identifying Performance Measures, Indicators and Targets to Monitor and Evaluate Dementia Strategies 2 Evidence >> Insight >> Action McMaster Health Forum The McMaster Health Forum’s goal is to generate action on the pressing health-system issues of our time, based on the best available research evidence and systematically elicited citizen values and stakeholder insights. We aim to strengthen health systems – locally, nationally, and internationally – and get the right programs, services

2018 McMaster Health Forum

189. Developing a Value Framework for Genetic Diagnosis: Part I A Systematic Review of Outcomes Hierarchies and Measurement Approaches

Coronary artery disease CBA Cost-benefit analysis CEA Cost-effectiveness analysis CGS Clinical genetic services CUA Cost-utility analysis EMR Electronic medical records EU European Union EGAPP Evaluation of Genomic Applications in Practice and Prevention HbA 1 c Hemoglobin A 1 c HRQL Health-related quality of life IOM Institute of Medicine NICE United Kingdom (UK) National Institute for Health and Clinical Excellence NIH National Institutes of Health (DHHS) NQMC National Quality Measures Clearinghouse (...) Developing a Value Framework for Genetic Diagnosis: Part I A Systematic Review of Outcomes Hierarchies and Measurement Approaches ACMG Value Review, March 16, 2012 Page 1 Developing a Value Framework for Genetic Diagnosis: Part I A Systematic Review of Outcomes Hierarchies and Measurement Approaches March 16, 2012 Prepared for: American College of Medical Genetics (ACMG) ACMG Ad Hoc Committee on the Value of Genetic Diagnosis Prepared by: Linda A. Bradley, PhD, FACMG Glenn E Palomaki, PhD

2019 American College of Medical Genetics and Genomics

190. Isolation as a strategy for controlling the transmission of hepatitis C virus (HCV) infection in haemodialysis units. (PubMed)

played a significant role in transmission; however, erythropoietin therapy has reduced the need for transfusions, and coupled with improved screening of donated blood, has significantly decreased transmission by transfusion. Although control of hospital-acquired infection has improved with the advent of biosafety measures, stopping HCV transmission in haemodialysis units remains challenging.Isolating people infected with HCV involves physical separation from others to limit direct or indirect (...) Isolation as a strategy for controlling the transmission of hepatitis C virus (HCV) infection in haemodialysis units. The hepatitis C virus (HCV) infection affects about 2% of the world's population and can cause chronic liver infection and persistent long-term sequelae such as cirrhosis and liver cancer.The prevalence of HCV infection among people on haemodialysis is often higher than the general population. The virus is easily transmitted parenterally, and blood transfusions have previously

2016 Cochrane

191. Measurement properties of patient-reported outcome measures of medication adherence in cardiovascular disease: a systematic review

Measurement properties of patient-reported outcome measures of medication adherence in cardiovascular disease: a systematic review 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 no responsibility or liability for the content of this registration record (...) , any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address: Timing and effect measures Timing and effect measures Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address: Context and rationale Inclusion criteria: Exclusion criteria: Inclusion criteria: Exclusion criteria: Inclusion criteria: Exclusion criteria: Inclusion criteria: Exclusion criteria: Inclusion criteria: Exclusion

2019 PROSPERO

192. A COSMIN systematic review to critically appraise, compare and summarize the quality of measurement properties of instruments measuring medication literacy

, the decision to pool certain units of measurement for an outcome, the choice of effect measure, how subgroup variables are stratified etc. In order to assess the robustness of the findings of the meta-analysis, the analyses are re-run using the alternative options for each decision. If the results of both meta-analyses are similar, the results seem robust. When the conclusions of a meta-analysis significantly change, this should be discussed. Example: To test the robustness of our findings when selecting (...) A COSMIN systematic review to critically appraise, compare and summarize the quality of measurement properties of instruments measuring medication literacy 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 no responsibility or liability for the content

2019 PROSPERO

193. How well do voice-hearing assessment measures capture the positive experiences of individuals? A review of published assessment measures to date

, the decision to pool certain units of measurement for an outcome, the choice of effect measure, how subgroup variables are stratified etc. In order to assess the robustness of the findings of the meta-analysis, the analyses are re-run using the alternative options for each decision. If the results of both meta-analyses are similar, the results seem robust. When the conclusions of a meta-analysis significantly change, this should be discussed. Example: To test the robustness of our findings when selecting (...) How well do voice-hearing assessment measures capture the positive experiences of individuals? A review of published assessment measures to date 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 no responsibility or liability for the content

2019 PROSPERO

194. Variability in measuring baseline functions prior to critical illness to assess post-intensive care syndrome (PICS): a systematic review of measurement tools

, the decision to pool certain units of measurement for an outcome, the choice of effect measure, how subgroup variables are stratified etc. In order to assess the robustness of the findings of the meta-analysis, the analyses are re-run using the alternative options for each decision. If the results of both meta-analyses are similar, the results seem robust. When the conclusions of a meta-analysis significantly change, this should be discussed. Example: To test the robustness of our findings when selecting (...) Variability in measuring baseline functions prior to critical illness to assess post-intensive care syndrome (PICS): a systematic review of measurement tools 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 no responsibility or liability for the content

2019 PROSPERO

195. Recovery rate and associated factors of children age 6 to 59 months admitted with severe acute malnutrition at inpatient unit of Bahir Dar Felege Hiwot Referral hospital therapeutic feeding unite, northwest Ethiopia. (PubMed)

Recovery rate and associated factors of children age 6 to 59 months admitted with severe acute malnutrition at inpatient unit of Bahir Dar Felege Hiwot Referral hospital therapeutic feeding unite, northwest Ethiopia. Despite numerous advances made in improving child health and the clinical management protocols for treating severe acute malnutrition at treatment centers, evidences concerning the treatment outcomes are scarce. Therefore, this study was conducted to assess the recovery rate (...) and associated factors of severely acute malnourished children of age 6 to 59 months admitted to inpatient therapeutic feeding unit at Felege Hiwot Referral Hospital.We conducted a hospital-based cross-sectional study including 401 severely malnourished children who were admitted from September 2012 to January 2016. Bivariable and a Multivariable logistic regression model were fitted to identify factors associated with recovery rate. Adjusted Odds ratio with its 95% CI was reported and P-value less than 0.05

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2017 PLoS ONE

196. Mobile Stroke Units for Prehospital Care of Ischemic Stroke

Neurological Treatment and Optimization of Medical Care in Stroke Study (PHANTOM-S), like the Saarland trial, randomized patients in week-long blocks to mobile stroke unit care (n = 310) or conventional stroke care (n = 220). The PHANTOM-S trial looked at adult patients in urban Berlin. 7 Time to Treatment Much of the research about mobile stroke units evaluates the time it takes for a patient to receive treatment. However, the outcome measured varies from study to study. For example, the primary end point (...) and to meet requirements before operating the mobile stroke unit. 8 Radiation shielding of the CT scanner was also assessed by a medical physicist before putting the mobile stroke unit into service. 8 In Berlin, the mobile stroke unit includes a small, shielded compartment to protect staff when running the CT scanner. 41 Radiation shielding and operating procedures were also tested in simulations for two weeks before seeing patients. The radiation levels measured throughout the course of the PHANTOM-S

2017 CADTH - Issues in Emerging Health Technologies

197. Longevity of 3-Unit Bridge Restorations Utilizing CAD/CAM Technology Is Comparable to That of Metal-Ceramic Castings

CAD-CAM and metal-ceramic FPDs would have both been 100% had it not been for a “longitudinal root fracture seen in an endodontically treated abutment tooth.” Reich/2005 did not measure survival rates. It is commonly understood, however, that a more intimate marginal fit a between 3-unit prostheses and their respective abutment teeth will lead to increased clinical longevity due to an improved retention and resistance form. This is supported by fixed prosthodontics literature. Perspective (...) Longevity of 3-Unit Bridge Restorations Utilizing CAD/CAM Technology Is Comparable to That of Metal-Ceramic Castings UTCAT3157, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Longevity of 3-Unit Bridge Restorations Utilizing CAD/CAM Technology Is Comparable to That of Metal-Ceramic Castings Clinical Question In a patient needing a 3-unit bridge, does CAD/CAM technology lead to increased longevity as compared

2017 UTHSCSA Dental School CAT Library

198. A newer sedative agent may shorten length of stay in intensive care units

A newer sedative agent may shorten length of stay in intensive care units A newer sedative agent may shorten length of stay in intensive care units Discover Portal Discover Portal A newer sedative agent may shorten length of stay in intensive care units Published on 28 June 2016 doi: Adults needing mechanical ventilation who were sedated with dexmedetomidine had reduced length of stay in intensive care and reduced duration of ventilation. Various sedative drugs are available for use in England (...) although it is unclear if one is better than the others. This review compared two alpha-2 agonist drugs (clonidine and dexmedetomidine) to other commonly used sedative drugs: propofol and the benzodiazepines midazolam and lorazepam for adults on mechanical ventilation. A 2014 survey reported that, while clonidine is used in about a third of units, dexmedetomidine is not frequently used. The latter drug is expensive, and this review did not consider cost-effectiveness which will be an important factor

2019 NIHR Dissemination Centre

199. The 'value' of value in gynecologic oncology practice in the United States: Society of Gynecologic Oncology evidence-based review and recommendations

addressing interventions that have a low value for money (“ChoosingWisely”measures)andapplyingtheASCOvalueframework to ovarian cancer chemotherapy and developing gynecologic cancer APMs. 7.1. SGOChoosingWiselymeasures The American Board of Internal Medicine (ABIM) Foundation has identi?ed a growing need to address the cost of healthcare delivery and overuse of healthcare resourcesin the United States. In 2012 the ABIM Foundation launched the “Choosing Wisely” campaign as a meansto address wastefuland (...) The 'value' of value in gynecologic oncology practice in the United States: Society of Gynecologic Oncology evidence-based review and recommendations The “value”ofvalueingynecologiconcologypracticeintheUnited States:SocietyofGynecologicOncologyevidence-basedreview andrecommendations DavidE.Cohn a, ?,EmilyKo b ,LarissaAMeyer c ,JasonD.Wright d ,SarahM.Temkin e ,JonathanFoote f , NathanielL.Jones d ,LauraJ.Havrilesky f a DivisionofGynecologicOncology,DepartmentofObstetricsandGynecology,Ohio

2017 Society of Gynecologic Oncology

200. Extended visitation policy may lower risk for delirium in the intensive care unit

Extended visitation policy may lower risk for delirium in the intensive care unit Extended visitation policy may lower risk for delirium in the intensive care unit | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts (...) Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Extended visitation policy may lower risk for delirium in the intensive care unit Article Text Commentary Adult nursing Extended visitation policy may lower risk for delirium in the intensive care unit Manuel Schwanda , Rita Gruber

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2018 Evidence-Based Nursing

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