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Diagnostic accuracy of the T-MACS decision aid with a contemporary point-of-care troponin assay The rapid turnaround time of point-of-care (POC) cardiac troponin (cTn) assays is highly attractive for crowded emergency departments (EDs). We evaluated the diagnostic accuracy of the Troponin-only Manchester Acute Coronary Syndromes (T-MACS) decision aid with a POC cTn assay.In a prospective diagnostic accuracy study at eight EDs, we included patients with suspected acute coronary syndromes (ACS
Effects of a Personalized Web-Based Decision Aid for Surrogate Decision Makers of Patients With Prolonged Mechanical Ventilation: A Randomized Clinical Trial. Treatment decisions commonly have to be made in intensive care units (ICUs). These decisions are difficult for surrogate decision makers and often lead to decisional conflict, psychological distress, and treatments misaligned with patient preferences.To determine whether a decision aid about prolonged mechanical ventilation improved (...) prognostic concordance between surrogate decision makers and clinicians compared with a usual care control.Multicenter, parallel, randomized, clinical trial. (ClinicalTrials.gov: NCT01751061).13 medical and surgical ICUs at 5 hospitals.Adult patients receiving prolonged mechanical ventilation and their surrogates, ICU physicians, and ICU nurses.A Web-based decision aid provided personalized prognostic estimates, explained treatment options, and interactively clarified patient values to inform a family
An online healthy relationship tool and safety decision aid for women experiencing intimate partner violence (I-DECIDE): a randomised controlled trial. Evidence for online interventions to help women experiencing intimate partner violence is scarce. We assessed whether an online interactive healthy relationship tool and safety decision aid (I-DECIDE) would increase women's self-efficacy and improve depressive symptoms compared with an intimate partner violence information website.In this two
Comparison of conventional and laser-aided fiberotomy in relapse tendency of rotated tooth: A randomized controlled clinical trial. The aim of the present study was to compare the tendency of mandibular incisor rotation relapse after conventional circumferential supracrestal fiberotomy (CSF) with Er,Cr:YSGG laser-aided CSF.In this three-arm parallel study, the patients with one lower incisor rotation greater than 30 degrees before treatment were selected. The patients were randomly assigned (...) to three groups in a 1:1:1 ratio. Rotational relapse tendency was measured on a digitized model one month after arch wire removal. Probing depth, clinical crown height and pain levels were also measured.A total of 46 patients were recruited. Relapse tendency in conventional CSF and laser-aided CSF groups were 5.09±1.59° and 4.87±2.08°, respectively, and significantly lower than 11.28±2.93° in the control group (P<0.001). Relapse tendency was not different between the conventional CSF and laser CSF
Avioq htlv-i/ii microelisa system - for use in screening individual human donors, including volunteer donors of whole blood and blood components, and other living donors for the presence of anti-HTLV-I/HTLV-II, and for use as an aid in clinical diagnosis Search Page - Drug and Health Product Register Language selection Search and menus Search Search website Search Topics menu You are here: Summary Basis of Decision - - Health Canada Expand all Summary Basis of Decision (SBD) for Contact
First Aid Management of a Crushed Victim ANZCOR Guideline 9.1.7 November 2019 Page 1 of 4 ANZCOR Guideline 9.1.7 - First Aid Management of a Crushed Victim SUMMARY Who does this guideline apply to? This guideline applies to adults, adolescents and children. Who is the audience for this guideline? This guideline is for bystanders, first aiders and first aid providers. Recommendations The Australian and New Zealand Committee on Resuscitation (ANZCOR) make the following recommendations: 1 (...) accidents or by prolonged pressure to a part of the body due to their own body weight in an immobile person.(1-5) Crush syndrome refers to the multiple problems that may subsequently develop, most commonly as a result of crush injuries to the limbs, particularly the legs.(1) Crush syndrome results from disruption of the body’s chemistry and can result in kidney, heart and other problems. The likelihood of developing acute crush syndrome is directly related to the compression time, therefore crushed
Does improvement towards a normal cervical sagittal configuration aid in the management of cervical myofascial pain syndrome: a 1- year randomized controlled trial There is a growing interest concerning the understanding of and rehabilitation of the sagittal configuration of the cervical spine as a clinical outcome. However, the literature on the topic specific to conservative treatment outcomes of patients with chronic myofascial cervical pain syndrome (CMCPS) has not adequately addressed
at baseline prior to starting ABC . See baseline investigations at http://www.chiva.org.uk for further guidance. A full vaccine history should be taken and if necessary serology performed to con?rm immunity and to aid in decision making around catch-up and boosting . Local BCG practices for babies of HIV-infected mothers should be followed. In areas of low TB incidence or if there is high risk of HIV transmission, BCG vaccination should be post- poned until an infant is con?rmed as HIV negative (...) Paediatric European Network for Treatment of AIDS (PENTA) guidelines for treatment of paediatric HIV-1 infection 2015: optimizing health in preparation for adult life Paediatric European Network for Treatment of AIDS (PENTA) guidelines for treatment of paediatric HIV-1 infection 2015: optimizing health in preparation for adult life ABamford,*ATurkova,*HLyall, CFoster, NKlein, DBastiaans, DBurger, SBernardi, KButler, EChiappini, 1 2 3 3 4 5 5 6 7 8 P Clayden, 9 M Della Negra, 10 V Giacomet, 11 C
ADSTEP: Preliminary Investigation of a Multicomponent Walking Aid Program in People With Multiple Sclerosis To evaluate the effect of the Assistive Device Selection, Training and Education Program (ADSTEP) on falls and walking and sitting activity in people with multiple sclerosis (PwMS).Randomized controlled trial.Veterans affairs medical center.PwMS (N=40) using a walking aid at baseline who had fallen in the previous year.Participants were randomly assigned to ADSTEP or control. ADSTEP had 6 (...) weekly, 40-minute, 1-on-1 sessions with a physical therapist, starting with walking aid selection and fitting, followed by task-oriented progressive gait training. Control was usual medical care with the option of ADSTEP after the study.The following were assessed at baseline, intervention completion, and 3 months later: falls, timed Up and Go, timed 25-foot walk, 2-minute walk, Four Square Step Test, International Physical Activity Questionnaire, Quebec User Evaluation of Satisfaction with Assistive
Guidelines for the public on how to provide mental health first aid: narrative review Expert-consensus guidelines have been developed for how members of the public should assist a person with a mental health problem or in a mental health crisis.This review aimed to examine the range of guidelines that have been developed and how these have been implemented in practice.A narrative review was carried out based on a systematic search for literature on the development or implementation (...) of the guidelines.The Delphi method has been used to develop a wide range of guidelines for English-speaking countries, Asian countries and a number of other cultural groups. The primary implementation has been through informing the content of training courses.Further work is needed on guidelines for low- and middle-income countries.A.F.J. is an unpaid member of the Board of Mental Health First Aid International (trading as Mental Health First Aid Australia), which is a not-for-profit organisation.
Tobacco carcinogen research to aid understanding of cancer risk and influence policy Education regarding the health effects associated with tobacco use has made important progress worldwide over the last few decades. Still, tobacco remains a significant cause of cancer and other diseases. As a result, significant worldwide morbidity and mortality is still attributable to tobacco use in modern times. Research into tobacco products, the carcinogens they contain, and how users metabolize them
Using strategic information for action: lessons from the HIV/AIDS response in Vietnam 30294455 2018 11 14 2059-7908 3 5 2018 BMJ global health BMJ Glob Health Using strategic information for action: lessons from the HIV/AIDS response in Vietnam. e000793 10.1136/bmjgh-2018-000793 Son Vo Hai VH Vietnam Administration on HIV/AIDS Control, Vietnam Ministry of Health, Hanoi, Vietnam. Abdul-Quader Abu A Center for Global Health, Centers for Disease Control and Prevention, Hanoi, Viet Nam. Suthar
Factors associated with knowledge and awareness of HIV/AIDS among married women in Bangladesh: evidence from a nationally representative survey Women in Bangladesh share a greater risk of Human Immunodeficiency Virus (HIV)/AcquiredImmuneDeficiencySyndrome (AIDS) infection compared to men. Levels of knowledge and awareness largely contribute to the prevalence of the HIV epidemic and its consequences. So, it is required to conduct studies based on most recent data to explore the determinants (...) of HIV awareness. Therefore, we aimed to find the awareness level and factors influencing HIV related awareness among the married women in Bangladesh. We used data from 2014 Bangladesh Demographic and Health Survey (BDHS). About two-third of total respondents who heard about the HIV/AIDS were selected and interviewed successfully (n = 12,593) about 11 basic questions related to individual's awareness. A score of the respondent's knowledge and awareness was determined based on these questions. We used
0 2018 9 21 6 0 2018 9 21 6 1 epublish 30233834 10.1136/bmjgh-2018-000940 bmjgh-2018-000940 PMC6135478 Pediatrics. 2005 Feb;115(2):e167-72 15687425 J Infect Dis. 2016 Apr 1;213(7):1057-64 26265780 Pediatrics. 1971 Dec;48(6):902-6 5129451 J AcquirImmune Defic Syndr. 2006 Apr 1;41(4):509-13 16652061 Demography. 2013 Apr;50(2):421-44 23151996 Lancet. 2004 Oct 2-8;364(9441):1236-43 15464184 Demography. 2015 Dec;52(6):2053-6 26527470 Am Econ Rev. 2017 May;107(5):541-5 29558066 Soc Sci Med. 1983;17(6 (...) The sex gap in neonatal mortality and the AIDS epidemic in sub-Saharan Africa 30233834 2018 11 14 2059-7908 3 5 2018 BMJ global health BMJ Glob Health The sex gap in neonatal mortality and the AIDS epidemic in sub-Saharan Africa. e000940 10.1136/bmjgh-2018-000940 Yaya Sanni S 0000-0002-4876-6043 School of International Development and Global Studies, University of Ottawa, Ottawa, Ontario, Canada. Diarra Setou S Department of Economics, University of Ottawa, Ottawa, Ontario, Canada. Mabeu Marie
Severe acute respiratory distress syndrome in a patient with AIDS successfully treated with venoâ€venous extracorporeal membrane oxygenation: a case report and literature review Several successful uses of extracorporeal membrane oxygenation (ECMO) for acute respiratory distress syndrome in patients with novel HIV/AIDS infection have been reported; however, the therapeutic keys have not always been discussed.A 47-year-old man was admitted with progressive shortness of breath. He (...) was successfully decannulated and was eventually discharged.In acute respiratory distress syndrome in patients with HIV/AIDS refractory to treatment, ECMO should be considered. Post-ECMO antiretroviral therapy could improve outcomes.
and is found worldwide. HIV-2 is found mainly in West Africa but has also (...) progress rapidly to AIDS ( AcquiredImmuneDeficiencySyndrome ) within 1–2 years, while others may remain immunocompetent more than 10 years later. AIDS is the advanced stage of HIV infection when the number of CD4 cells is very low (less than 200 cells/uL). When the immune system is impaired to this extent certain opportunistic infections and malignancies can develop, such as pneumocystis pneumonia and Kaposi’s sarcoma (...) infection and acquiredimmunedeficiencysyndrome ( HIV/ AIDS ) is a spectrum of conditions caused by with the (HIV (...) ). Following initial infection, a person may not notice any symptoms or may experience a brief period of . Typically, this is followed by a prolonged period with no symptoms. As the infection progresses, it interferes more with the , increasing the risk of common infections like , as well as other , and that rarely affect people who have working immune systems. These late symptoms
Violence, abuse and discrimination: key factors militating against control of HIV/AIDS among the LGBTI sector The Lesbian, Gay, Bisexual, Transgender and Intersex (LGBTI) South Africans continue to face considerable challenges, including societal stigma, homophobic violence (particularly corrective rape), and high rates of sexually transmitted diseases and infections (particularly Human Immunodeficiency Virus (HIV)/AIDS) even when discrimination based on sexual orientation was outlawed by South (...) African's post-apartheid constitution. This study was conducted to ascertain violence, abuse and discrimination against the LGBTI sector as key factors that hinder the smooth implementation of HIV/AIDS programme among sexually minority (LGBTI) group in Walter Sisulu University, South Africa. The self-structured questionnaire was used to collect data. The study involved 3048 purposively selected participants (1285 male and 1763 female) aged 17-38 years. About 70.5% of the participants witnessed physical
Association of Viral Suppression With Lower AIDS-Defining and Non-AIDS-Defining Cancer Incidence in HIV-Infected Veterans: A Prospective Cohort Study. Viral suppression is a primary marker of HIV treatment success. Persons with HIV are at increased risk for AIDS-defining cancer (ADC) and several types of non-AIDS-defining cancer (NADC), some of which are caused by oncogenic viruses.To determine whether viral suppression is associated with decreased cancer risk.Prospective cohort.Department
Hearing Aids and Health-Related Quality of Life in Adults With Hearing Loss. Are hearing aids associated with improved health-related quality of life in adults with mild to moderate hearing loss?Compared with no hearing aids, the provision of hearing aids was associated with improvements in hearing-specific and general health-related quality of life.
of Science, and Sociological Abstracts with no restriction on publication date, for articles in English language. Sample search terms included: HIV infections OR HIV OR AIDS OR acquiredimmunodeficiencysyndrome OR human immunodeficiency virus AND social capital OR social control, informal OR social participation OR social cohesion OR generalized trust OR social trust OR collective efficacy OR community mob* OR civic participation.We identified 1581 unique manuscripts and reviewed 13 based on eligibility (...) Social capital and HIV/AIDS in the United States: Knowledge, gaps, and future directions Social capital is a well-established predictor of several behavioral health outcomes. However, we know less about the relationship with prevention, transmission, and treatment of HIV/AIDS outcomes in the United States (US).In 2017, we conducted a scoping review of empirical studies investigating the relationships between social capital and HIV/AIDS in the US by searching PubMed, Embase, PsycINFO, Web