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Units of Measure

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163. Effect of Medication Label Units of Measure on Parent Choice of Dosing Tool: A Randomized Experiment. (PubMed)

Effect of Medication Label Units of Measure on Parent Choice of Dosing Tool: A Randomized Experiment. Some experts recommend eliminating "teaspoon" and "tablespoon" terms from pediatric medication dosing instructions, because these terms could inadvertently encourage use of nonstandard tools (ie, kitchen spoons), which are associated with dosing errors. We examined whether use of "teaspoon" or "tsp" on prescription labels affects parents' choice of dosing tools, and the role of health literacy (...) and language.Analysis of data collected as part of a controlled experiment (SAFE Rx for Kids [Safe Administration For Every Prescription for Kids] study), which randomized English- and Spanish-speaking parents (n = 2110) of children 8 years of age and younger to 1 of 5 groups, which varied in unit of measurement pairings on medication labels and dosing tools. Outcome assessed was parent self-reported choice of dosing tool. Parent health literacy was measured using the Newest Vital Sign.Seventy-seven percent had

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2016 Academic pediatrics

164. Value of Procalcitonin Measurement for Early Evidence of Severe Bacterial Infections in the Pediatric Intensive Care Unit. (PubMed)

Value of Procalcitonin Measurement for Early Evidence of Severe Bacterial Infections in the Pediatric Intensive Care Unit. To determine whether peak blood procalcitonin (PCT) measured within 48 hours of pediatric intensive care unit (PICU) admission can differentiate severe bacterial infections from sterile inflammation and viral infection and identify potential subgroups of PICU patients for whom PCT may not have clinical utility.This was a retrospective, observational study of 646 critically (...) ill children who had PCT measured within 48 hours of admission to an urban, academic PICU. Patients were stratified into 6 categories by infection status. We compared test characteristics for peak PCT, C-reactive protein (CRP), white blood cell count (WBC), absolute neutrophil count (ANC), and % immature neutrophils. The area under the receiver operating characteristic curve was determined for each biomarker to discriminate bacterial infection.The area under the receiver operating characteristic

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2016 Journal of Pediatrics

165. A critical analysis of unplanned intensive care unit transfer within 48 hours from ED admission as a quality measure. (PubMed)

A critical analysis of unplanned intensive care unit transfer within 48 hours from ED admission as a quality measure. Unplanned intensive care unit (ICU) transfer (UIT) within 48 hours of emergency department (ED) admission increases morbidity and mortality. We hypothesized that a majority of UITs do not have critical interventions (CrIs) and that CrI is associated with worse outcomes.The objective of the study is to characterize all UITs (including patients who died before ICU transfer

2016 American Journal of Emergency Medicine

166. Comparison of different methods for measurement of electrolytes in patients admitted to the intensive care unit (PubMed)

Comparison of different methods for measurement of electrolytes in patients admitted to the intensive care unit To investigate whether electrolyte levels measured by using blood gas analyzers (ABG) and auto-analyzers (AA) are equivalent and can be used interchangeably.This observational prospective study was conducted in 100 patients admitted to the Intensive Care Unit, Adnan Menderes University School of Medicine, Aydin, Turkey, between March and August 2014. Samples for both AA and ABG (...) analyzers were collected simultaneously from invasive arterial catheters of patients. The electrolyte levels were measured by using 2 methods.The mean sodium level measured by ABG was 136.1 ± 6.3 mmol/L and 137.8 ± 5.4 mmol/L for AA (p=0.001). The Pearson's correlation coefficient was 0.561 (p less than 0.001). The Bland-Altman 95% limits of agreement were -9.4 to 12.6 mmol/L. The mean potassium levels measured by ABG was 3.4 ± 0.7 mmol/L and AA was 3.8 ± 0.7 mmol/L (p=0.001). The Bland-Altman

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2016 Saudi medical journal

167. Satellite gravity measurement monitoring terrestrial water storage change and drought in the continental United States (PubMed)

Satellite gravity measurement monitoring terrestrial water storage change and drought in the continental United States We use satellite gravity measurements in the Gravity Recovery and Climate Experiment (GRACE) to estimate terrestrial water storage (TWS) change in the continental United States (US) from 2003 to 2012, and establish a GRACE-based Hydrological Drought Index (GHDI) for drought monitoring. GRACE-inferred TWS exhibits opposite patterns between north and south of the continental US

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2016 Scientific reports

168. System Error Compensation Methodology Based on a Neural Network for a Micromachined Inertial Measurement Unit (PubMed)

System Error Compensation Methodology Based on a Neural Network for a Micromachined Inertial Measurement Unit Errors compensation of micromachined-inertial-measurement-units (MIMU) is essential in practical applications. This paper presents a new compensation method using a neural-network-based identification for MIMU, which capably solves the universal problems of cross-coupling, misalignment, eccentricity, and other deterministic errors existing in a three-dimensional integrated system. Using (...) a neural network to model a complex multivariate and nonlinear coupling system, the errors could be readily compensated through a comprehensive calibration. In this paper, we also present a thermal-gas MIMU based on thermal expansion, which measures three-axis angular rates and three-axis accelerations using only three thermal-gas inertial sensors, each of which capably measures one-axis angular rate and one-axis acceleration simultaneously in one chip. The developed MIMU (100 × 100 × 100 mm

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2016 Sensors (Basel, Switzerland)

169. Measuring energy expenditure in the intensive care unit: a comparison of indirect calorimetry by E-sCOVX and Quark RMR with Deltatrac II in mechanically ventilated critically ill patients (PubMed)

Measuring energy expenditure in the intensive care unit: a comparison of indirect calorimetry by E-sCOVX and Quark RMR with Deltatrac II in mechanically ventilated critically ill patients Indirect calorimetry allows the determination of energy expenditure in critically ill patients by measuring oxygen consumption (VO2) and carbon dioxide production (VCO2). Recent studies have demonstrated variable performance of "breath-by-breath" instruments compared to mixing chamber technology. The aim (...) of this study was to validate two modern devices (E-sCOVX and Quark RMR) against a reference method (Deltatrac II).Measurements of VO2/VCO2 with the test and reference devices were performed simultaneously over a 20-min period in mechanically ventilated adult intensive care unit patients. Accuracy and precision of instruments were analyzed using Bland-Altman plots.Forty-eight measurements in 22 patients were included for analysis. Both E-sCOVX and Quark RMR overestimated VO2 and VCO2 compared to Deltatrac

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2016 Critical Care

170. Can we routinely measure patient involvement in treatment decision-making in chronic kidney care? A service evaluation in 27 renal units in the UK (PubMed)

Can we routinely measure patient involvement in treatment decision-making in chronic kidney care? A service evaluation in 27 renal units in the UK Shared decision making is considered an important aspect of chronic disease management. We explored the feasibility of routinely measuring kidney patients' involvement in making decisions about renal replacement therapy (RRT) in National Health Service settings.We disseminated a 17-item paper questionnaire on involvement in decision-making among (...) ) and 10 (Phase 2) out of 20.Our study shows the importance of assessing the feasibility of data collection in a chronic disease context prior to implementation in routine practice. Routine measurement of patient involvement in established kidney disease treatment decisions is feasible, but there are challenges in selecting the measure needed to capture experience of involvement, reducing variation in response rate by service and identifying when to capture experience in a service managing people's

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2016 Clinical kidney journal

171. Mapping radon hazard areas using 238U measurements and geological units: a study in a high background radiation city of China (PubMed)

Mapping radon hazard areas using 238U measurements and geological units: a study in a high background radiation city of China In order to identify radon-prone areas and evaluate radon risk level, a soil gas radon survey combined with gamma-ray spectrometry measurements was carried out in Shenzhen City, south China. Meanwhile, the statistical analysis was applied to evaluate the distribution of measured results. This paper presents the methodology of the radon risk assessment. A radon risk map

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2016 Journal of Radioanalytical and Nuclear Chemistry

172. Perceived versus Observed Patient Safety Measures in a Critical Care Unit from a Teaching Hospital in Southern Colombia (PubMed)

Perceived versus Observed Patient Safety Measures in a Critical Care Unit from a Teaching Hospital in Southern Colombia Introduction. Patient safety is an important topic. The purpose of this study is to evaluate the perceived versus observed patient safety measures (PSM) in critically ill patients in a teaching hospital in Latin America. Materials and Methods. The level of perceived patient safety was evaluated with the patient safety hospital survey. Three months later, a qualitative study (...) measures was 20.8%. Perceived adherence was higher than the real patient safety protocol measures observed in the videos. Conclusion. Perception of PSM was higher than observed in the management of critically ill patients in a teaching hospital in southern Colombia.

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2016 Critical care research and practice

173. Measuring and tracking obesity inequality in the United States: evidence from NHANES, 1971-2014 (PubMed)

Measuring and tracking obesity inequality in the United States: evidence from NHANES, 1971-2014 Because people care about their weight relative to peers and society, obesity inequality plays a role in explaining obesity incidence and the impacts of being obese on subjective well-being. While the increase in obesity prevalence and mean body mass index (BMI) is well documented, the measurement of distributional changes and corresponding obesity inequality is yet to be fully explored.The present (...) study analyzed BMI data for adults aged 20 to 74 from the National Health and Nutritional Examination Survey (NHANES) I (1971-1974), II (1976-1980), III (1988-1994), and continuous NHANES (1999-2014). We applied tools developed to measure income inequality to analyze the inter-temporal variation in the BMI distribution among US adults. Using stochastic dominance tests, we construct partial orderings on cumulative BMI distributions during the study period. Shapley decompositions and inequality

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2016 Population health metrics

174. Erratum to: ‘Measuring energy expenditure in the intensive care unit: a comparison of indirect calorimetry by E-sCOVX and Quark RMR with Deltatrac II in mechanically ventilated critically ill patients’ (PubMed)

Erratum to: ‘Measuring energy expenditure in the intensive care unit: a comparison of indirect calorimetry by E-sCOVX and Quark RMR with Deltatrac II in mechanically ventilated critically ill patients’ 27075474 2016 08 17 2018 11 13 1466-609X 20 1 2016 Apr 13 Critical care (London, England) Crit Care Erratum to: 'Measuring energy expenditure in the intensive care unit: a comparison of indirect calorimetry by E-sCOVX and Quark RMR with Deltatrac II in mechanically ventilated critically ill

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2016 Critical Care

175. Units of Measure

Units of Measure Units of Measure Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Units of Measure Units of Measure Aka: Units (...) One kilogram (kg) = 2.205 pounds (or 35 ounces) One grain = 64.799 mg One microgram (ug) = 0.000001 grams One ounce = 28 grams Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Units of Measure." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Examination About FPnotebook.com is a rapid access, point-of-care medical reference

2018 FP Notebook

176. The evolution of healthcare quality measurement in the United States. (PubMed)

The evolution of healthcare quality measurement in the United States. Quality measurement is fundamental to systematic improvement of the healthcare system. Whilst the United States has made significant investments in healthcare quality measurement and improvement, progress has been somewhat limited. Public and private payers in the United States increasingly mandate measurement and reporting as part of pay-for-performance programmes. Numerous issues have limited improvement, including lack (...) of alignment in the use of measures and improvement strategies, the fragmentation of the U.S. healthcare system, and the lack of national electronic systems for measurement, reporting, benchmarking and improvement. Here, we provide an overview of the evolution of U.S. quality measurement efforts, including the role of the National Quality Forum. Important contextual changes such as the growing shift towards electronic data sources and clinical registries are discussed together with international

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2016 Journal of internal medicine

177. Carbapenem-resistant Enterobacteriaceae on a cardiac surgery intensive care unit: successful measures for infection control. (PubMed)

Carbapenem-resistant Enterobacteriaceae on a cardiac surgery intensive care unit: successful measures for infection control. Carbapenem-resistant Enterobacteriaceae (CRE) cause surgical site infections (SSIs) in intensive care units (ICUs). This study aimed to evaluate the impact of intervention and control measures to reduce CRE colonization and infection rates among patients in the ICU of a cardiac surgery hospital following a CRE outbreak.An observational study of the pre (...) - and postintervention status of a cohort of colonized or infected patients in the postoperative adult cardiac surgery ICU was performed between April 2013 and December 2014. As well as the usual measures of screening and cohort nursing, the control measures were enhanced during the intervention period by providing alcohol gel at the bedside, daily bathing with no-rinse 2% chlorhexidine-impregnated wash cloths, and disinfection of surfaces around the patient three times per day.The rates of CRE colonization (P<0.001

2016 Journal of Hospital Infection

178. Neurovascular unit impairment in early Alzheimer's disease measured with magnetic resonance imaging. (PubMed)

Neurovascular unit impairment in early Alzheimer's disease measured with magnetic resonance imaging. The neurovascular unit, which protects neuronal cells and supplies them with essential molecules, plays an important role in the pathophysiology of Alzheimer's Disease (AD). The aim of this study was to noninvasively investigate 2 linked functional elements of the neurovascular unit, blood-brain barrier (BBB) permeability and cerebral blood flow (CBF), in patients with early AD and healthy (...) controls. Therefore, both dynamic contrast-enhanced magnetic resonance imaging and arterial spin labeling magnetic resonance imaging were applied to measure BBB permeability and CBF, respectively. The patients with early AD showed significantly lower CBF and local blood volume in the gray matter, compared with controls. In the patients, we also found that a reduction in CBF is correlated with an increase in leakage rate. This finding supports the hypothesis that neurovascular damage, and in particular

2016 Neurobiology of Aging

179. Implementing a patient-centred outcome measure in daily routine in a specialist palliative care inpatient hospital unit: An observational study. (PubMed)

Implementing a patient-centred outcome measure in daily routine in a specialist palliative care inpatient hospital unit: An observational study. Gathering clinical evidence data on patients' palliative care needs is paramount to identify changes in outcomes over time and maintaining on-going quality improvement. Implementation of patient-centred outcome measures has been widely recommended. The routine use of these instruments in daily practice is challenging and not widespread.To implement (...) a patient-centred outcome measure in daily practice and fulfil one quality indicator: improve pain during the 72 h after admission, in at least 75% of patients.An observational prospective study. The Palliative care Outcome Scale was used at admission (T0), third day (T1) and weekly.Hospital palliative care unit with 17 individual rooms. All patients admitted to the unit were included in the study.Preliminary results ( N = 84) revealed inconsistent and missing data (14%). Symptoms were sub-optimally

2016 Palliative medicine

180. Accuracy of a 10 Hz GPS Unit in Measuring Shuttle Velocity Performed at Different Speeds and Distances (5 – 20 M) (PubMed)

Accuracy of a 10 Hz GPS Unit in Measuring Shuttle Velocity Performed at Different Speeds and Distances (5 – 20 M) The aim of this study was to validate the accuracy of a 10 Hz GPS device (STATSports, Ireland) by comparing the instantaneous values of velocity determined with this device with those determined by kinematic (video) analysis (25 Hz). Ten male soccer players were required to perform shuttle runs (with 180° change of direction) at three velocities (slow: 2.2 m·s-1; moderate: 3.2 m·s (...) unit in determining shuttle speed can be attributed to inaccuracy in determining the shuttle distance.

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2016 Journal of human kinetics

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