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121. Follow-up services for improving long-term outcomes in intensive care unit (ICU) survivors. (PubMed)

Follow-up services for improving long-term outcomes in intensive care unit (ICU) survivors. The intensive care unit (ICU) stay has been linked with a number of physical and psychological sequelae, known collectively as post-intensive care syndrome (PICS). Specific ICU follow-up services are relatively recent developments in health systems, and may have the potential to address PICS through targeting unmet health needs arising from the experience of the ICU stay. There is currently no single (...) studies; 1297 participants), or increases the ability to return to work or education (1 study; 386 participants), because the certainty of this evidence is very low. No studies measured adverse effects.We could not assess our secondary objectives because we found insufficient studies to justify subgroup analysis.We found insufficient evidence, from a limited number of studies, to determine whether ICU follow-up services are effective in identifying and addressing the unmet health needs of ICU

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2018 Cochrane

122. Hospitalisation in short-stay units for adults with internal medicine diseases and conditions. (PubMed)

both multipurpose and specialised short-stay units. Participants were adults admitted to hospital with an internal medicine disease or condition. We excluded surgical, obstetric, psychiatric, gynaecological, and ambulatory participants. Trials were included irrespective of publication status, date, and language.We used standard methodological procedures expected by Cochrane. Two review authors independently extracted data and assessed the risk of bias of each included trial. We measured (...) Hospitalisation in short-stay units for adults with internal medicine diseases and conditions. Short-stay units are hospital units that provide short-term care for selected patients. Studies have indicated that short-stay units might reduce admission rates, time of hospital stays, hospital readmissions and expenditure without compromising the quality of care. Short-stay units are often defined by a target patient category, a target function, and a target time frame. Hypothetically, short-stay

2018 Cochrane

123. Melatonin for the promotion of sleep in adults in the intensive care unit. (PubMed)

Melatonin for the promotion of sleep in adults in the intensive care unit. Patients in the intensive care unit (ICU) experience sleep deprivation caused by environmental disruption, such as high noise levels and 24-hour lighting, as well as increased patient care activities and invasive monitoring as part of their care. Sleep deprivation affects physical and psychological health, and patients perceive the quality of their sleep to be poor whilst in the ICU. Artificial lighting during night-time (...) hours in the ICU may contribute to reduced production of melatonin in critically ill patients. Melatonin is known to have a direct effect on the circadian rhythm, and it appears to reset a natural rhythm, thus promoting sleep.To assess whether the quantity and quality of sleep may be improved by administration of melatonin to adults in the intensive care unit. To assess whether melatonin given for sleep promotion improves both physical and psychological patient outcomes.We searched the Cochrane

2018 Cochrane

124. Interventions for preventing intensive care unit delirium in adults. (PubMed)

Interventions for preventing intensive care unit delirium in adults. Delirium is defined as a disturbance in attention, awareness and cognition with reduced ability to direct, focus, sustain and shift attention, and reduced orientation to the environment. Critically ill patients in the intensive care unit (ICU) frequently develop ICU delirium. It can profoundly affect both them and their families because it is associated with increased mortality, longer duration of mechanical ventilation (...) of death). With the exception of one study, all participants were mechanically ventilated in medical or surgical ICUs or mixed. The studies were overall at low risk of bias. Six studies were at high risk of detection bias due to lack of blinding of outcome assessors. We report results for the two most commonly explored approaches to delirium prevention: pharmacologic and a non-pharmacologic intervention.Haloperidol versus placebo (two RCTs, 1580 participants)The event rate of ICU delirium was measured

2018 Cochrane

125. Description of vital signs data measurement frequency in a medical/surgical unit at a community hospital in United States (PubMed)

Description of vital signs data measurement frequency in a medical/surgical unit at a community hospital in United States Vitals signs are measured at scheduled intervals by nurses in typical general wards. Vital signs may be measured more frequently if the patient condition deteriorates. In many units, the vital signs measurement frequency for some patients is different from the scheduled frequency due to various reasons such as staffing, patient acuity etc. In this article, we describe (...) the actual measurement frequency in patients admitted to general ward in a community hospital in Arizona, US. We present the data in the form of 2 sets of graphs. The first set of graphs are histograms which show the distribution of the number of measurements in a 24 h period for 6 different vital signs. The second set of graphs show the proportion of the patient population who had a measurement of a vital sign for each hour of the last day of patient's general ward stay. The significance of this data

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2017 Data in brief

126. Specialist dementia care units

(case series) Emerging practice Saidlitz (2017) 21 Cognitive and Behavioural Unit France Level IV (case series) Emerging practice Zieschang (2010) 35 Special Care Unit Germany Level IV (case series) Emerging practice The included studies used a range of outcome and process measures, including behaviour, use of chemical restraint, use of physical restraint, falls, length of stay, quality of life, carer satisfaction and staff satisfaction. Increased function was also considered to be a good outcome (...) measure; however, this needs to be evaluated in light of the falls rate, as some studies reported a significant rate of falls (20% or more) due to a decrease in restraint and an increase in function. The outcomes measured for each unit and the results achieved are detailed in Table 3. SPECIALIST DEMENTIA CARE UNITS | SAX INSTITUTE 21 Table 3: Outcomes achieved by units Lead author (year) Name of unit Outcomes measured Outcomes achieved Anderson (2016) 20 T-BASIS units Challenging behaviours Behaviours

2018 Sax Institute Evidence Check

127. United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease (2019 Interim Update)

United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease (2019 Interim Update) United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease (2019 Interim Update) Guideline development group: Jonathan Ross (lead author), Michelle Cole, Ceri Evans, Deirdre Lyons, Gillian Dean, Darren Cousins, PPI representative What is new in the 2019 interim update? • the European Medicines Agency has released new guidance highlighting the potential for disabling (...) principles needed for the effective management of pelvic inflammatory disease (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

2019 British Association for Sexual Health and HIV

128. Transitioning the Breastfeeding Preterm Infant from the Neonatal Intensive Care Unit to Home

Transitioning the Breastfeeding Preterm Infant from the Neonatal Intensive Care Unit to Home ABM Protocol ABM Clinical Protocol #12: Transitioning the Breastfeeding Preterm Infant from the Neonatal Intensive Care Unit to Home, Revised 2018 Lawrence M. Noble, 1 Adora C. Okogbule-Wonodi, 2 Michal A. Young, 2 and The Academy of Breastfeeding Medicine A central goal of the Academy of Breastfeeding Medicine is the development of clinical protocols, free from commercial interest or in?uence (...) ?ts to their health and well-being. 1–3 Ideally, preterm infants in the neonatal intensive care unit (NICU) are fed their own mothers’ milk or donor human milk forti?ed with multiple nutrients and calories to optimize growth and development. 4 Breastfeeding at the breast in the NICU before discharge should be encouraged as it may in- crease the breastfeeding duration. 5 Near the time of dis- charge, a decision must be made as to how preterm infants should feed in the postdischarge period. Growth

2019 Academy of Breastfeeding Medicine

129. Strategies for Addressing the Opioid Crisis in the United States and Canada: Cross-Border Knowledge Sharing

Strategies for Addressing the Opioid Crisis in the United States and Canada: Cross-Border Knowledge Sharing www.ccsa.ca • www.ccdus.ca Canadian Centre on Substance Use and Addiction • Centre canadien sur les dépendances et l’usage de substances Page 1 Strategies for Addressing the Opioid Crisis in the United States and Canada: Cross-Border Knowledge Sharing Introduction Both Canada and the United States (U.S.) have been experiencing increasing rates of opioid related harms in recent years (...) . and Canada who spoke about their innovative responses and lessons learned related to various the pillars of Canada’s Drug and Substances Strategy. (See Appendix A for panelists and their biographies.) Strategies for Addressing the Opioid Crisis in the United States and Canada: Cross-Border Knowledge Sharing Canadian Centre on Substance Use and Addiction • Centre canadien sur les dépendances et l’usage de substances Page 2 Following these presentations, leaders from across Canada working in opioid related

2019 Canadian Centre on Substance Abuse

130. New Quality Measure Core Sets Provide Continuity for Measuring Quality Improvement

, addressing a number of areas of clinical practice including cardiology. The release of these initial core measure sets is a significant achievement, and we commend the Collaborative for its success in uniting numerous stakeholders behind a common cause. The hard work of Collaborative members to reach consensus is a testament to their commitment to improving the reporting of health care quality information for the benefit of patients. However, consensus is not unanimity, and there is 1 major decision (...) New Quality Measure Core Sets Provide Continuity for Measuring Quality Improvement New Quality Measure Core Sets Provide Continuity for Measuring Quality Improvement | Hypertension Search Hello Guest! Login to your account Email Password Keep me logged in Search April 2019 March 2019 February 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article New Quality Measure Core Sets

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2016 American Heart Association

131. Intravenous midazolam infusion for sedation of infants in the neonatal intensive care unit. (PubMed)

Intravenous midazolam infusion for sedation of infants in the neonatal intensive care unit. Proper sedation for neonates undergoing uncomfortable procedures may reduce stress and avoid complications. Midazolam is a short-acting benzodiazepine that is used increasingly in neonatal intensive care units (NICUs). However, its effectiveness as a sedative in neonates has not been systematically evaluated.Primary objeciveTo assess the effectiveness of intravenous midazolam infusion for sedation (...) , as evaluated by behavioural and/or physiological measurements of sedation levels, in critically ill neonates in the NICU. Secondary objectivesTo assess effects of intravenous midazolam infusion for sedation on complications including the following.1. Incidence of intraventricular haemorrhage (IVH)/periventricular leukomalacia (PVL).2. Mortality.3. Occurrence of adverse effects associated with the use of midazolam (hypotension, neurological abnormalities).4. Days of ventilation.5. Days of supplemental

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2017 Cochrane

132. Measuring Social Integration among Residents in a Dementia Special Care Unit vs. Traditional Nursing Home: A Pilot Study (PubMed)

Measuring Social Integration among Residents in a Dementia Special Care Unit vs. Traditional Nursing Home: A Pilot Study The physical and mental health of older adults with dementia is affected by levels of social integration. The development of dementia special care units (D-SCU) arose, in part, to facilitate more meaningful social interactions among residents implying greater social integration of D-SCU residents as compared to residents in a traditional nursing home (TNH). But, it is unknown (...) whether D-SCU residents are receiving equal or greater benefits from living on a segregated unit intended to enhance their social environment and integration through both design and staff involvement. The purpose of this study was to pilot test a comprehensive objective assessment to measure social integration among nursing home residents with dementia and to compare levels of integration of residents living on a D-SCU to those living in a TNH. A total of 29 residents participated (15 D-SCU and 14 TNH

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2016 Dementia (London, England)

133. The Effect of Geographic Units of Analysis on Measuring Geographic Variation in Medical Services Utilization (PubMed)

The Effect of Geographic Units of Analysis on Measuring Geographic Variation in Medical Services Utilization We aimed to evaluate the effect of geographic units of analysis on measuring geographic variation in medical services utilization. For this purpose, we compared geographic variations in the rates of eight major procedures in administrative units (districts) and new areal units organized based on the actual health care use of the population in Korea.To compare geographic variation (...) of variation, we measured geographic variation for these eight procedures in districts and new areal units.Compared with districts, new areal units showed a reduction in geographic variation. Extremal quotients and inter-decile ratios for the eight procedures were lower in new areal units. While the coefficient of variation was lower for most procedures in new areal units, the pattern of change of the systematic component of variation between districts and new areal units differed among

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2016 Journal of Preventive Medicine and Public Health

134. Android Platform for Realtime Gait Tracking Using Inertial Measurement Units (PubMed)

Android Platform for Realtime Gait Tracking Using Inertial Measurement Units One of the most important movements performed by the humans is gait. Biomechanical Gait analysis is usually by optical capture systems. However, such systems are expensive and sensitive to light and obstacles. In order to reduce those costs a system based on Inertial Measurements Units (IMU) is proposed. IMU are a good option to make movement analisys indoor with a low post-processing data, allowing to connect those (...) systems to an Android platform. The design is based on two elements: a) The IMU sensors and the b) Android device. The IMU sensor is simple, small (35 x 35 mm), portable and autonomous (7.8 hrs). A resolution of 0.01° in their measurements is obtained, and sends data via Bluetooth link. The Android application works for Android 4.2 or higher, and it is compatible with Bluetooth devices 2.0 or higher. Three IMU sensors send data to a Tablet wirelessly, in order to evaluate the angles evolution for each

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2016 European journal of translational myology

135. Immunization in the United States: Recommendations, Barriers, and Measures to Improve Compliance: Part 2: Adult Vaccinations (PubMed)

Immunization in the United States: Recommendations, Barriers, and Measures to Improve Compliance: Part 2: Adult Vaccinations Despite annual recommendations, American adults remain inadequately vaccinated. The author outlines how compliance may be improved through health care professional interventions, as well as government and community-based programs.

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2016 Pharmacy and Therapeutics

136. Measurement of Family-centered care perception and parental stress in a neonatal unit (PubMed)

Measurement of Family-centered care perception and parental stress in a neonatal unit to evaluate the effects of the implementation of the Patient and Family-Centered Care Model on parents and healthcare perceptions and parental stress.a quasi-experimental study developed in a neonatal unit of a university hospital in the municipality of São Paulo, Brazil, with the implementation of this model of care. Data collection were performed by two sample groups, one using non-equivalent groups (...) of parents, and another using equivalent groups of healthcare professionals. The instruments Perceptions of Family-Centered Care-Parent Brazilian Version, Perceptions of Family-Centered Care-Staff Brazilian Version and Parental Stress Scale: Neonatal Intensive Care Unit, were applied to 132 parents of newborns hospitalized and to 57 professionals.there was a statistically significant improvement in the perceptions of the parents in most items assessed (p ≤0,05) and for the staff in relation to the family

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2016 Revista latino-americana de enfermagem

137. A PRESSURE ULCER AND FALL RATE QUALITY COMPOSITE INDEX FOR ACUTE CARE UNITS: A MEASURE DEVELOPMENT STUDY (PubMed)

A PRESSURE ULCER AND FALL RATE QUALITY COMPOSITE INDEX FOR ACUTE CARE UNITS: A MEASURE DEVELOPMENT STUDY Composite indices are single measures that combine the strengths of two or more individual measures and provide broader, easy-to-use measures for evaluation of provider performance and comparisons across units and hospitals to support quality improvement.The study objective was to develop a unit-level inpatient composite nursing care quality performance index-the Pressure Ulcer and Fall Rate (...) Quality Composite Index.Two-phase measure development study.5144 patient care units in 857 United States hospitals participating in the National Database of Nursing Quality Indictors® during the year 2013.The Pressure Ulcer and Fall Rate Quality Composite Index was developed in two phases. In Phase 1 the formula was generated using a utility function and generalized penalty analysis. Experts with experience in healthcare quality measurement provided the point of indicator equivalence. In Phase 2

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2016 International journal of nursing studies

138. Factors Influencing Continuous Breath Signal in Intubated and Mechanically-Ventilated Intensive Care Unit Patients Measured by an Electronic Nose (PubMed)

Factors Influencing Continuous Breath Signal in Intubated and Mechanically-Ventilated Intensive Care Unit Patients Measured by an Electronic Nose Continuous breath analysis by electronic nose (eNose) technology in the intensive care unit (ICU) may be useful in monitoring (patho) physiological changes. However, the application of breath monitoring in a non-controlled clinical setting introduces noise into the data. We hypothesized that the sensor signal is influenced by: (1) humidity in the side (...) in these ventilator variables after which the associations disappeared.Variations in humidity, ventilator disconnections, nebulization of medication and changes of ventilator settings indeed influenced exhaled breath signals measured in ventilated patients by continuous eNose analysis. We discussed several approaches to reduce the effects of these noise inducing variables.

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2016 Sensors (Basel, Switzerland)

139. Quality Control of Motor Unit Number Index (MUNIX) Measurements in 6 Muscles in a Single-Subject “Round-Robin” Setup (PubMed)

Quality Control of Motor Unit Number Index (MUNIX) Measurements in 6 Muscles in a Single-Subject “Round-Robin” Setup Motor Unit Number Index (MUNIX) is a neurophysiological measure that provides an index of the number of lower motor neurons in a muscle. Its performance across centres in healthy subjects and patients with Amyotrophic Lateral Sclerosis (ALS) has been established, but inter-rater variability between multiple raters in one single subject has not been investigated.To assess (...) to measurements. Intra- and inter-rater variability as determined by the coefficient of variation (COV) between different raters and their levels of experience with MUNIX were compared.Mean intra-rater COV of MUNIX was 14.0% (±6.4) ranging from 5.8 (APB) to 30.3% (EDB). Mean inter-rater COV was 18.1 (±5.4) ranging from 8.0 (BB) to 31.7 (AH). No significant differences of variability between experienced and less experienced raters were detected.We provide evidence that quality control for neurophysiological

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2016 PloS one

140. Properties of hail storms over China and the United States from the Tropical Rainfall Measuring Mission (PubMed)

Properties of hail storms over China and the United States from the Tropical Rainfall Measuring Mission A 16-yr record of hail reports over the south U.S. and from weather stations in China are collocated with Precipitation Features (PF) derived from the Tropical Rainfall Measuring Mission (TRMM) radar and passive microwave observations. Differences in the way hail is reported in the two nations make it difficult to draw meaningful conclusions about storm frequency. But taking the two together (...) yields a wide spectrum of hail sizes, suitable for comparing with remote sensing measurements. While U.S. hail reports are dominated by cases with hail size greater than 19 mm, hail reports in China mostly include diameters of 1-10 mm and mostly occur over the Tibetan Plateau. The fraction of PFs collocated with hail reports (hail PFs) reaches 3% in the plains of the U.S. In China, the fraction is higher in high elevation regions than low elevation regions. Hail PFs (as reported in the U.S.) show

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2016 Journal of geophysical research. Atmospheres : JGR

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