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141. 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

142. 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

143. 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

144. 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

145. Identifying How Area-based Socio-economic Indicators are Measured in Canada

of variable combinations through “rough set” methodology. By grouping these discrete sets of variables for each area unit, problems associated with non- linear associations can be overcome to produce a more unbiased ABSI.(9) Identifying How Area-based Socio-economic Indicators are Measured in Canada 8 Evidence >> Insight >> Action Table 1. List of the most commonly used ABSIs in Canada Full name Abbreviation Creators Details Indicators used Canadian Marginalization Index Can-Marg Matheson, Dunn, Smith (...) in constructing these measures. One clear decision that must be made with ABSIs relates to the geographic level of aggregation and considering the potential effects of the modifiable area unit problem (MAUP). There is inconsistent evidence on whether individual- or ABSI-based health inequalities are larger, but it is clear that both levels (individual and area) have independent causal links with many health and social outcomes.(6; 12; 16; 22; 23; 45) Depending on the research question and methods used

2019 McMaster Health Forum

146. 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

147. 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)

148. 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

149. 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

150. 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

151. 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

152. 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

153. 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)

154. 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

155. 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

156. The Effect of Digital Rehabilitation System With Wearable Multi-IMU (Inertial Measurement Unit) Sensors on Upper Limb Functions in Children With Brain Injury

The Effect of Digital Rehabilitation System With Wearable Multi-IMU (Inertial Measurement Unit) Sensors on Upper Limb Functions in Children With Brain Injury The Effect of Digital Rehabilitation System With Wearable Multi-IMU (Inertial Measurement Unit) Sensors on Upper Limb Functions in Children With Brain Injury - 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. The Effect of Digital Rehabilitation System With Wearable Multi-IMU (Inertial Measurement Unit) Sensors on Upper Limb Functions in Children With Brain Injury 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

2016 Clinical Trials

157. Assessment of Corticosteroid-related Quality of Care Measures for UC and CD in the United States: a Claims Data Analysis. (PubMed)

Assessment of Corticosteroid-related Quality of Care Measures for UC and CD in the United States: a Claims Data Analysis. To evaluate corticosteroid (CS)-related quality of care indicators in patients with ulcerative colitis (UC) and Crohn's disease (CD) in the US.Adults diagnosed with UC or CD and prescription fills for an oral CS were identified from a large commercial US claims database (2005-2013). Quality indicators included prolonged CS use (≥60 days), use of CS-sparing therapy, and bone

2016 Current medical research and opinion

158. Measuring Family Satisfaction With Care Delivered in the Intensive Care Unit. (PubMed)

Measuring Family Satisfaction With Care Delivered in the Intensive Care Unit. In our competitive health care environment, measuring the experience of family members of patients in the intensive care unit to ensure that health care providers are meeting families' needs is critical. Surveys from Press Ganey and the Centers for Medicare and Medicaid Services are unable to capture families' satisfaction with care in this setting.To implement a sustainable measure for family satisfaction in a 12-bed (...) medical and surgical intensive care unit. To assess the feasibility of the selected tool for measuring family satisfaction and to make recommendations that are based on the results.A descriptive survey design using the Family Satisfaction in the Intensive Care Unit 24-item questionnaire to measure satisfaction with care and decision-making.Forty family members completed the survey. Overall, the mean score for families' satisfaction with care was 72.24% (SD, 14.87%) and the mean score for families

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2016 Critical care nurse

159. A retrospective cohort study of the relationship between quality indicator measurement and patient outcomes in adult trauma centers in the United States. (PubMed)

A retrospective cohort study of the relationship between quality indicator measurement and patient outcomes in adult trauma centers in the United States. Improving care is a key strategy for reducing the burden of injuries, but it is unknown whether the use of quality indicators (QI) is associated with patient outcomes. We sought to evaluate the association between the use of QIs by trauma centers and outcomes in adult injury patients.We identified consecutive adult patients (n=223,015 (...) of survival to trauma center discharge according to the number of QIs measured (quartiles; odds ratio{OR} [95% confidence interval{CI}] 1.00 vs. 1.08 [0.90-1.31] vs. 1.00 [0.82-1.22] vs. 1.21 [0.99-1.49]), or whether centers used reports cards (OR 1.07, 95%CI 0.94-1.23), internal (OR 1.06, 95%CI 0.89-1.26) or external (OR 1.09, 95%CI 0.92-1.31) benchmarking. The duration (geometric mean) of mechanical ventilation (4.0days), ICU stay (4.6days), hospital stay (7.7days) and proportion of patients

2016 Injury

160. Stone Attenuation Values Measured by Average Hounsfield Units and Stone Volume as Predictors of Total Laser Energy Required during Ureteroscopic Lithotripsy Using Holmium Yttrium-Aluminum-Garnet Lasers. (PubMed)

Stone Attenuation Values Measured by Average Hounsfield Units and Stone Volume as Predictors of Total Laser Energy Required during Ureteroscopic Lithotripsy Using Holmium Yttrium-Aluminum-Garnet Lasers. To evaluate the predictors of the total laser energy (TLE) required during ureteroscopic lithotripsy (URS) using the holmium:yttrium-aluminum-garnet (Ho:YAG) laser for a single ureteral stone.We retrospectively analyzed the data of 93 URS procedures performed for a single ureteral stone in our (...) institution from November 2011 to September 2015. We evaluated the association between TLE and preoperative clinical data, such as age, sex, body mass index, and noncontrast computed tomographic findings, including stone laterality, location, maximum diameter, volume, stone attenuation values measured using average Hounsfield units (HUs), and presence of secondary signs (severe hydronephrosis, tissue rim sign, and perinephric stranding).The mean maximum stone diameter, volume, and average HUs were 9.2

2016 Urology

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