176,623 results match your criteria Bailliere\'s best practice & research. Clinical gastroenterology[Journal]


British Association of Urological Surgeons' suprapubic catheter practice guidelines - revised.

BJU Int 2020 May 28. Epub 2020 May 28.

Nottingham City Hospital, Hucknall Road, Nottingham, NG5 1PB.

Aims: To report the updated and revised British Association of Urological Surgeons' (BAUS) guideline on indications, safe insertion and subsequent care of suprapubic catheters.

Methods: The existing BAUS guideline on the insertion of suprapubic catheters was reviewed and has been updated in light of both activity and outcome data published since the original guideline was written. A systematic review of all new data from 2010 onwards was carried out. Read More

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http://dx.doi.org/10.1111/bju.15123DOI Listing

A phase II trial of cabozantinib in hormone-receptor positive breast cancer with bone metastases.

Oncologist 2020 May 28. Epub 2020 May 28.

Massachusetts General Hospital Cancer Center, Boston, MA, 02114.

Background: We assessed the antitumor activity of cabozantinib, a potent multi-receptor oral tyrosine kinase inhibitor, in patients with hormone-receptor positive breast cancer with bone metastases.

Patients And Methods: In this single-arm multicenter phase II study, patients received an initial starting dose of 100 mg, later reduced to 60 mg per day. The primary endpoint was the bone scan response rate. Read More

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http://dx.doi.org/10.1634/theoncologist.2020-0127DOI Listing

Impact of COVID-19 on the mental health of surgeons and coping strategies.

Head Neck 2020 May 28. Epub 2020 May 28.

Head and Neck Unit, The Royal Marsden NHS Foundation Trust, London, UK.

Unprecedented times call for extraordinary measures. While surgeons across the globe try to comprehend the evolving facade of the COVID-19 pandemic and improvise surgical practice to the best of their ability, the psychological impact of the stress on their own mental health and well-being has been underestimated. This paper aims to review the indirect and overt factors that may affect the mental health of a surgeon in the present circumstances. Read More

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http://dx.doi.org/10.1002/hed.26291DOI Listing

Systematic review with meta-analysis: efficacy and safety of treatments for opioid-induced constipation.

Aliment Pharmacol Ther 2020 May 27. Epub 2020 May 27.

Evidence Based Practice Center, Mayo Clinic, Rochester, MN, USA.

Background: When opioid-induced constipation is treated with centrally acting opioid antagonists, there may be opioid withdrawal or aggravation of pain due to inhibition of μ-opioid analgesia. This led to the development of peripherally acting μ-opioid receptor antagonists (PAMORAs).

Aim: To evaluate the efficacy of available PAMORAs and other approved or experimental treatments for relieving constipation in patients with opioid-induced constipation, based on a systematic review and meta-analysis of published studies. Read More

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http://dx.doi.org/10.1111/apt.15791DOI Listing

Principles of disability support in rural and remote Australia: Lessons from parents and carers.

Health Soc Care Community 2020 May 27. Epub 2020 May 27.

Faculty of Medicine and Health, University of Sydney, Australia.

This study describes the understanding, experiences and expectations of families living in rural and remote Australia regarding core concepts relating to disability service provision, including person-centred practice (PCP), family-centred practice (FCP), transdisciplinary practice (TDP), choice, control, inclusion, and equity. Thirteen parents or carers, each with a child with an intellectual disability aged between 6 and 16 years, living in rural and remote areas as described by the Australian Standard Geographical Classification - Remoteness Area (ASGC-RA) and Modified Monash Model (MMM) - were recruited through distribution of flyers (hard copies or by email) to clinicians, schools, and advocacy agencies. Semi-structured interviews were conducted with participants either in-person or via telephone between July and October 2015. Read More

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http://dx.doi.org/10.1111/hsc.13033DOI Listing

Combining Targeted and Untargeted Data Acquisition to Enhance Quantitative Plant Proteomics Experiments.

Authors:
Gene Hart-Smith

Methods Mol Biol 2020 ;2139:169-178

Department of Molecular Sciences, Macquarie University, Sydney, NSW, Australia.

Most quantitative proteomics experiments either target a limited number of selected proteins for quantification or quantify proteins on a broad scale in an untargeted manner. However, we recently demonstrated that experiments that have both targeted and untargeted components can be particularly advantageous. Using a combined targeted and untargeted liquid chromatography-tandem mass spectrometry data acquisition strategy termed TDA/DDA (shorthand for targeted data acquisition/data-dependent acquisition), which we applied to a model quantitative plant proteomics experiment performed on Arabidopsis, we demonstrated improved quantification of both targeted and untargeted proteins relative to purely untargeted experiments performed using conventional data-dependent acquisition (Hart-Smith et al. Read More

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http://dx.doi.org/10.1007/978-1-0716-0528-8_13DOI Listing
January 2020

Mapping non-response in a prevention program for cardiometabolic diseases in primary care: How to improve participation?

Prev Med Rep 2020 Sep 8;19:101092. Epub 2020 Apr 8.

Netherlands Institute for Health Services Research (NIVEL), The Netherlands.

Non-response in prevention programs for cardiometabolic diseases (CMD) in primary care is often overlooked. The aim for this study was to define factors that influence the primary response to a selective CMD prevention program and to determine response-enhancing strategies that influence the willingness to participate. We conducted a non-response analysis within a randomized controlled trial evaluating a selective CMD prevention program, the study was conducted from 2013 to 2018 in Netherlands. Read More

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http://dx.doi.org/10.1016/j.pmedr.2020.101092DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240717PMC
September 2020

Impact of COVID-19 on an Academic Neurosurgery Department: The Johns Hopkins Experience.

World Neurosurg 2020 May 24. Epub 2020 May 24.

Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21231; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health. Electronic address:

Since the initial characterization of a novel coronavirus in December 2019 (COVID-19), the globe has been gripped by a disruptive and dangerous pandemic that continues to upheave economies and test the limits of health care system capacities. The pandemic's effect on neurosurgical practice has been detailed in timely editorials highlighting various challenges facing neurosurgeons who continue to strive to provide the best possible care to their patients, despite incredibly difficult circumstances. In this brief report, we seek to contribute to the ongoing efforts to accurately detail the impact of COVID-19 on neurosurgical practice in the United States by presenting our health care system's unique experience. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.05.167DOI Listing

Position paper concerning the competence, performance and environment required for the practice of ablation in children and in congenital heart disease.

Arch Cardiovasc Dis 2020 May 24. Epub 2020 May 24.

Clinique Pasteur, 31076 Toulouse, France.

The population of patients with congenital heart disease (CHD) is continuously increasing, and a significant proportion of these patients will experience arrhythmias because of the underlying congenital heart defect itself or as a consequence of interventional or surgical treatment. Arrhythmias are a leading cause of mortality, morbidity and impaired quality of life in adults with CHD. Arrhythmias may also occur in children with or without CHD. Read More

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http://dx.doi.org/10.1016/j.acvd.2020.02.002DOI Listing

Improving compliance with diabetes care using a novel mnemonic: A quality improvement project in an urban primary care clinic.

Prim Care Diabetes 2020 May 24. Epub 2020 May 24.

Frontier Nursing University, 195 School Street, Hyden, KY 41749, USA. Electronic address:

Aim: The aim of this quality improvement project was to improve compliance with the delivery of multidimensional patient-centered diabetes care using a streamlined mnemonic based on established diabetes guidelines.

Methods: Using the Institute for Healthcare Improvement (IHI) model for improvement, four rapid plan-do-study-act cycles primarily implemented different tests of change over eight weeks using a streamlined mnemonic - the LLaVES (lifestyle, laboratory tests, vaccination, examination, social/psychosocial) bundle for screening and case management of patients with diabetes. Secondary to the LLaVES bundle, tests of change were also conducted for clinic team members and patients. Read More

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http://dx.doi.org/10.1016/j.pcd.2020.04.008DOI Listing

Clinicians' attitudes and perceived barriers and facilitators to cancer treatment clinical practice guideline adherence: a systematic review of qualitative and quantitative literature.

Implement Sci 2020 May 27;15(1):39. Epub 2020 May 27.

Australian Institute of Health Innovation (AIHI), Macquarie University, Level 6, 75 Talavera Road, Sydney, NSW, 2019, Australia.

Background: Clinical Practice Guidelines (CPGs) synthesize the best available evidence to guide clinician and patient decision making. There are a multitude of barriers and facilitators to clinicians adhering to CPGs; however, little is known about active cancer treatment CPG adherence specifically. This systematic review sought to identify clinician attitudes, and perceived barriers and facilitators to active cancer treatment CPG adherence. Read More

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http://dx.doi.org/10.1186/s13012-020-00991-3DOI Listing

Can cluster analyses of linked healthcare data identify unique population segments in a general practice-registered population?

BMC Public Health 2020 May 27;20(1):798. Epub 2020 May 27.

Cwm Taf Morgannwg University Health Board, Ynysmeurig House, Navigation Park, Abercynon, Mountain Ash, CF45 4SN, UK.

Background: Population segmentation is useful for understanding the health needs of populations. Expert-driven segmentation is a traditional approach which involves subjective decisions on how to segment data, with no agreed best practice. The limitations of this approach are theoretically overcome by more data-driven approaches such as utilisation-based cluster analysis. Read More

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http://dx.doi.org/10.1186/s12889-020-08930-zDOI Listing

Acceptability of telehealth-delivered rehabilitation: Experiences and perspectives of people with traumatic brain injury and their carers.

J Telemed Telecare 2020 May 28:1357633X20923824. Epub 2020 May 28.

The University of Sydney, Faculty of Medicine and Health, Australia.

Introduction: Communication skills training for people with traumatic brain injury (TBI) and their carers is recommended best practice. Delivery via telehealth could improve access to this training. This paper focuses on the acceptability of telehealth delivery of communication skills training. Read More

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http://dx.doi.org/10.1177/1357633X20923824DOI Listing

International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth.

Dent Traumatol 2020 May 27. Epub 2020 May 27.

Faculty of Medicine and Dentistry, University of Alberta, Alberta, Canada.

Avulsion of permanent teeth is one of the most serious dental injuries. Prompt and correct emergency management is essential for attaining the best outcome after this injury. The International Association of Dental Traumatology (IADT) has developed these Guidelines as a consensus statement after a comprehensive review of the dental literature and working group discussions. Read More

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http://dx.doi.org/10.1111/edt.12573DOI Listing

A Quasi-Experimental Evaluation of an Education Program for the Use of Electrical Stimulation Therapy to Heal Pressure Injuries.

Wound Manag Prev 2020 Jan;66(1):14-23

St. Joseph's Health Care London, London, Ontario.

Electrical stimulation (E-Stim) involves applying low levels of electrical current. Despite high-level recommendations for E-stim use in many pressure injury (PrI) best practice treatment guidelines, clinicians seldom use E-Stim.

Purpose: This quasi-experimental design study aimed to determine whether an educational program could improve health care providers' knowledge and attitudes regarding the use of E-Stim for treating PrIs in community-dwelling individuals with spinal cord injury living in 1 region of Ontario, Canada. Read More

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January 2020

Automatic recognition, segmentation and sex assignment of nocturnal asthmatic cough and cough epochs in smartphone-based audio recordings: Results from an observational field study.

J Med Internet Res 2020 Apr 30. Epub 2020 Apr 30.

Center for Digital Health Interventions, Institute of Technology Management, University of St. Gallen, St. Gallen, CH.

Background: Asthma is one of the most prevalent chronic respiratory diseases. Despite increased investment in treatment, little progress has been made in the early recognition and treatment of exacerbations over the last decade. Nocturnal cough monitoring may provide an opportunity to identify patients at risk for imminent exacerbations. Read More

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http://dx.doi.org/10.2196/18082DOI Listing

Executive Summary of the Early-Onset Breast Cancer Evidence Review Conference.

Obstet Gynecol 2020 Jun;135(6):1457-1478

Department of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine, Richmond, Virginia; the Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, Michigan; the Department of Women's Health, the University of Texas at Austin Dell Medical School, Austin, Texas; the Departments of Obstetrics and Gynecology and Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; the Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, Sidney Kimmel Medical College, Philadelphia, Pennsylvania; Southeast Kaiser Permanente Medical Group, Atlanta, Georgia; the Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington; the Department of Obstetrics and Gynecology, University of Connecticut Medical School, Farmington, Connecticut; and the American College of Obstetricians and Gynecologists, Washington, DC.

The Centers for Disease Control and Prevention launched the Bring Your Brave campaign to increase knowledge about early-onset breast cancer, defined as breast cancer in women aged 18-45 years. The American College of Obstetricians and Gynecologists convened a panel of experts in breast disease from the Society for Academic Specialists in General Obstetrics and Gynecology to review relevant literature, validated tools, best practices, and practice guidelines as a first step toward developing educational materials for women's health care providers about early-onset breast cancer. Panel members conducted structured literature reviews, which were then reviewed by other panel members and discussed at an in-person meeting of stakeholder professional and patient advocacy organizations in April 2019. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003889DOI Listing

Exercise therapy in routine management of peripheral arterial disease and intermittent claudication: a scoping review.

Ther Adv Cardiovasc Dis 2020 Jan-Dec;14:1753944720924270

Department of Physiotherapy and Paramedicine, Glasgow Caledonian University, Glasgow, UK.

Background: Little is known about the extent to which routine care management of peripheral arterial disease (PAD) and intermittent claudication (IC) align with best practice recommendations on exercise therapy. We conducted a scoping review to examine the published literature on the availability and workings of exercise therapy in the routine management of patients with PAD and IC, and the attitude and practice of health professionals and patients.

Methods: A systematic search was conducted in February 2018. Read More

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http://dx.doi.org/10.1177/1753944720924270DOI Listing

International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the Primary Dentition.

Dent Traumatol 2020 May 27. Epub 2020 May 27.

Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.

Traumatic injuries to the primary dentition present special problems that often require far different management when compared to that used for the permanent dentition. The International Association of Dental Traumatology (IADT) has developed these Guidelines as a consensus statement after a comprehensive review of the dental literature and working group discussions. Experienced researchers and clinicians from various specialties and the general dentistry community were included in the working group. Read More

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http://dx.doi.org/10.1111/edt.12576DOI Listing

Should dentistry be a specialty of medicine? Two viewpoints.

J Dent Educ 2020 May 27. Epub 2020 May 27.

Administration and Finance, School of Dentistry, University of California, San Francisco, California, USA.

Dentistry and dental education are well-established domains with deep-rooted institutions, educational programs, organizational structures, and advanced specialty fields. Almost 100 years ago, Dr. William Gies, founder of the Columbia University College of Dental Medicine, stated that to best serve the oral health needs of the population, dentistry should be considered a specialty of medicine, and dental students should have the same solid foundation in the basic and clinical sciences as medical students. Read More

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http://dx.doi.org/10.1002/jdd.12184DOI Listing

Communicating risks to drinkers: testing alcohol labels with a cancer warning and national drinking guidelines in Canada.

Can J Public Health 2020 May 26. Epub 2020 May 26.

Canadian Institute for Substance Use Research, University of Victoria, Victoria, British Columbia, Canada.

Objective: To test whether alcohol labels with a cancer warning and national drinking guidelines are an effective tool for supporting more informed and safer alcohol consumption among drinkers.

Methods: Using a quasi-experimental design, pre-post surveys were conducted with 1647 cohort participants systematically selected in liquor stores in two matched sites in Canada in 2017-2018. Enhanced labels designed according to best practices for effective product labels were applied to alcohol containers in the liquor store in the intervention site for one month, and usual practice continued in the comparison site. Read More

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http://dx.doi.org/10.17269/s41997-020-00320-7DOI Listing

The role of the orthopaedic surgeon in the COVID-19 era: cautions and perspectives.

J Exp Orthop 2020 May 27;7(1):35. Epub 2020 May 27.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo 200, 00128, Rome, Italy.

The current coronavirus disease 2019 (COVID-19) pandemic has revolutionized global healthcare in an unprecedented way and with unimaginable repercussions. Resource reallocation, socioeconomic confinement and reorganization of production activities are current challenges being faced both at the national and international levels, in a frame of uncertainty and fear. Hospitals have been restructured to provide the best care to COVID-19 patients while adopting preventive strategies not to spread the infection among healthcare providers and patients affected by other diseases. Read More

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http://dx.doi.org/10.1186/s40634-020-00255-5DOI Listing

A Perspective on Management of Limb Fractures in Obese Children: Is It Time for Dedicated Guidelines?

Front Pediatr 2020 8;8:207. Epub 2020 May 8.

Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome, Italy.

Limb fractures are the most common injuries in pediatric orthopedics. Early and late complications are often not preventable, even when providing the best treatment; furthermore, these injuries are largely implicated in medico-legal claims. The development of evidence-based guidelines is one of the main goals of medical research. Read More

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http://dx.doi.org/10.3389/fped.2020.00207DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225297PMC

Harm Reduction Services in Ottawa: The Culture of Drug Use.

Res Theory Nurs Pract 2020 May;34(2):188-202

School of Nursing, University of Ottawa, Ottawa, ON, Canada.

Between January 2016 and June 2019, there were over 13,900 apparent opioid-related deaths in Canada, solidifying the need for appropriate and effective services for people who use drugs (PWUD). Within government initiatives and policies, PWUD are often inappropriately considered a homogeneous group of individuals, with implementation of services nationally often being guided by these governmental bodies without meaningful consultation and collaboration with PWUD. However, recent harm reduction research and best practice guidelines have emphasized the importance of tailoring services to local drug scenes. Read More

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http://dx.doi.org/10.1891/RTNP-D-19-00086DOI Listing

Refined conceptual model for implementing dementia risk reduction: incorporating perspectives from Australian general practice.

Aust J Prim Health 2020 May 27. Epub 2020 May 27.

Dementia is now a global health priority. With no known cure, the best way to reduce the number of people who will be living with dementia is by promoting dementia risk reduction (DRR). However, despite evidence-based guidelines, DRR is not yet routinely promoted in Australian general practice. Read More

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http://dx.doi.org/10.1071/PY19249DOI Listing

Current regulatory approaches for accessing potential COVID-19 therapies.

J Pharm Policy Pract 2020 16;13:16. Epub 2020 May 16.

1Faculty of Pharmacy, University Ss. Cyril and Methodius, Skopje, North Macedonia.

This commentary aims to elaborate challenges in the regulatory approaches for accessing and investigating COVID-19 potential therapies either with off-label use, compassionate use, emergency use or for clinical trials. Since no therapies have been formally approved and completely effective and safe to date, the best clinical choice is acquired only after consistent and fair communication and collaboration between licensed clinicians, researchers, regulatory authorities, manufacturers and patients. Read More

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http://dx.doi.org/10.1186/s40545-020-00222-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229878PMC

You Need a Plan: A Stepwise Protocol for Operating Room Preparedness During an Infectious Pandemic.

Fed Pract 2020 May;37(5):212-218

is an Anesthesiologist and Surgical Intensivist, is an Operating Room Registered Nurse Educator, is a Surgical Intensivist and Chief of General Surgery, and is an Anesthesiologist and Surgical Intensivist, all at VA Puget Sound Health Care System in Seattle, Washington. Vivek Arora and Alex Lee are affiliated with the Department of Anesthesiology and Pain Medicine and Lorrie Langdale is affiliated with the Department of Surgery, University of Washington in Seattle.

Background: The worldwide spread of SARS-CoV-2, the coronavirus that causes the syndrome designated COVID-19, presents a challenge for emergency operative management. The transmission and virulence of this new pathogen has raised concern for how best to protect operating room staff while effectively providing care to the infected patient requiring urgent or emergent surgery.

Observations: Establishment of a clear protocol that adheres to rigorous infection control measures while providing a safe system for interfacility transport and operative care is vital to a successful surgical pandemic response. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241605PMC

Establishing psychological safety in simulation: Faculty perceptions.

Nurse Educ Today 2020 May 7;91:104468. Epub 2020 May 7.

University of the Fraser Valley, 45190 Caen Ave., Chilliwack, BC V2R 0N3, Canada. Electronic address:

Background: A psychologically safe learning environment is defined as one where individuals feel comfortable to take interpersonal risks without fear of negative consequences. Despite knowledge of best practice for simulation, there is a lack of knowledge regarding how nursing faculty perceive and establish psychological safety in a simulated learning environment.

Objectives: The purpose of this study was to explore nursing faculty's perceptions of psychological safety as it exists within a simulation learning environment for pre-licensure nursing students. Read More

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http://dx.doi.org/10.1016/j.nedt.2020.104468DOI Listing

Methodology for the American Society of Hematology VTE guidelines: current best practice, innovations, and experiences.

Blood Adv 2020 May;4(10):2351-2365

Michael G. DeGroote Cochrane Canada Centre.

Background: Methods for the development of clinical guidelines have advanced dramatically over the past 2 decades to strive for trustworthiness, transparency, user-friendliness, and rigor. The American Society of Hematology (ASH) guidelines on venous thromboembolism (VTE) have followed these advances, together with application of methodological innovations.

Objective: In this article, we describe methods and methodological innovations as a model to inform future guideline enterprises by ASH and others to achieve guideline standards. Read More

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http://dx.doi.org/10.1182/bloodadvances.2020001768DOI Listing

The impact of person-centered care on job productivity, job satisfaction, and organizational commitment among employees in long-term care facilities.

J Clin Nurs 2020 May 26. Epub 2020 May 26.

Department of Long-Term Care, Tainan Municipal Hospital, Tainan, Taiwan R.O.C.

Aim: This study aimed to explore the effects of person-centered care on their job productivity, job satisfaction, and organizational commitment among employees in long-term care facilities.

Background: Person-centered care has been regarded as the best caregiving model for long-term care facilities. Few studies tested the impact of person-centered care on employee performance. Read More

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http://dx.doi.org/10.1111/jocn.15342DOI Listing

Serious Illness Conversations: A Case Management Quality Improvement Project.

Prof Case Manag 2020 Jul/Aug;25(4):220-229

Mary Elizabeth Billie, DNP, RN-BC, CCM, is the Regional Executive Director of Population Health at Loyola Physician Partners, an Accountable Care Organization, where she is responsible for directing the Case Management and Quality Programs. MariJo Letizia, PhD, APRN/ANP-BC, is Professor at the School of Nursing, Loyola University Chicago. She also works part-time as a nurse practitioner, providing chronic disease management in a skilled care setting.

Purpose/objectives: The purpose of this project was to develop, implement, and evaluate an educational program and a serious illness (SI) protocol for a case management team of nurses and social workers to achieve the following: (1) utilize an SI protocol to identify patients with SI; (2) utilize a Serious Illness Structured Communication Guide to elicit these patients' goals and preferences for SI care; and (3) document in the electronic medical record the patients' elicited values and goals using a structured SI documentation template.

Primary Practice Setting And Sample: Seventeen nurse and 3 social work case managers in an Accountable Care Organization (ACO) in a large health system in a western suburb of Chicago participated in this project. The practice setting was the primary care clinics associated with the health system. Read More

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http://dx.doi.org/10.1097/NCM.0000000000000402DOI Listing

Driving high-functioning clinical teams: An advanced practice registered nurse and PA optimization initiative.

JAAPA 2020 Jun;33(6):1-12

At the Medical University of South Carolina in Charleston, Paula B. Brooks is director of advanced practice nursing and Megan E. Fulton is director of physician assistant practice. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Background: Rapid changes in the healthcare marketplace are driving healthcare systems to modify operations by which advanced practice registered nurses (APRNs) and physician assistants (PAs) serve patients. By identifying more effective and efficient utilization workflows, organizations can meet these demands, resulting in high-functioning clinical teams.

Local Problem: With the growing number of APRNs and PAs in a large academic medical center, there was a recognized need to establish effective and efficient utilization practices for these healthcare providers. Read More

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http://dx.doi.org/10.1097/01.JAA.0000662400.04961.45DOI Listing

Forty-five years later: the challenge of optimizing assertive community treatment.

Curr Opin Psychiatry 2020 Jul;33(4):397-406

Edna L. Edison Professor of Psychiatry, New York State Psychiatric Institute, Columbia University Vagelos College of Physicians and Surgeons.

Purpose Of Review: Assertive Community Treatment is an established evidenced based practice that provides intensive community treatment for individuals with severe mental illness with recurrent hospitalizations and/or homelessness. Emerging evidence indicates limitations in its implementation in terms of to the original ACT model and its current relevance.

Recent Findings: Findings from recent studies (2018-2020) reveals challenges with implementation centered around basic implementation activities, such as changes in the psychosocial context of individuals with SMI, clinicians' abilities to demonstrate competencies with new practices, and ongoing evolution of mental health systems of care worldwide. Read More

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http://dx.doi.org/10.1097/YCO.0000000000000615DOI Listing

The economics of drug allergy.

Curr Opin Allergy Clin Immunol 2020 May 20. Epub 2020 May 20.

Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, Maryland, USA.

Purpose Of Review: As drug allergy research aims to inform clinical practice, implementation of best practices may be influenced by financial resources required to incorporate new interventions and the resulting clinical and economic returns on those resource investments. The present review summarizes new insights into the economics of drug allergy over the past year.

Recent Findings: While considering economic implications of recent drug allergy research, many studies have addressed different contextual factors related to the setting, provider, or outcomes. Read More

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http://dx.doi.org/10.1097/ACI.0000000000000651DOI Listing

ACR-ASTRO Practice Parameter for Image-guided Radiation Therapy (IGRT).

Am J Clin Oncol 2020 May 22. Epub 2020 May 22.

American College of Radiology, Reston, VA.

Aim/objectives/background: The American College of Radiology (ACR) and the American Society for Radiation Oncology (ASTRO) have jointly developed the following practice parameter for image-guided radiation therapy (IGRT). IGRT is radiation therapy that employs imaging to maximize accuracy and precision throughout the entire process of treatment delivery with the goal of optimizing accuracy and reliability of radiation therapy to the target, while minimizing dose to normal tissues.

Methods: The ACR-ASTRO Practice Parameter for IGRT was revised according to the process described on the ACR website ("The Process for Developing ACR Practice Parameters and Technical Standards," www. Read More

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http://dx.doi.org/10.1097/COC.0000000000000697DOI Listing

Finding the Best Way to Deliver Online Educational Content in Low-Resource Settings: Qualitative Survey Study.

Authors:
Lucy Kynge

JMIR Med Educ 2020 May 26;6(1):e16946. Epub 2020 May 26.

Interburns, Swansea University, Swansea, United Kingdom.

Background: The reach of internet and mobile phone coverage has grown rapidly in low- and middle-income countries (LMICs). The potential for sharing knowledge with health care workers in low-resource settings to improve working practice is real, but barriers exist that limit access to online information. Burns affect more than 11 million people each year, but health care workers in low-resource settings receive little or no training in treating burn patients. Read More

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http://dx.doi.org/10.2196/16946DOI Listing

Clinical practice guidelines on diabetes mellitus and pregnancy: ΙI. Gestational diabetes mellitus.

Hormones (Athens) 2020 May 25. Epub 2020 May 25.

Hellenic Society of Maternal-Fetal Medicine, Athens, Greece.

Gestational diabetes mellitus (GDM) is the most common metabolic disease of pregnancy and is associated with several perinatal complications. GDM is defined as diabetes diagnosed in the second or third trimester of pregnancy that was not clearly overt diabetes prior to gestation. In Europe, in 2016, the prevalence of GDM was estimated to be 5. Read More

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http://dx.doi.org/10.1007/s42000-020-00193-yDOI Listing

Degenerative Severe Aortic Stenosis and Concomitant Coronary Artery Disease: What Is Changing in the Era of the "Transcatheter Revolution"?

Curr Atheroscler Rep 2020 May 26;22(5):17. Epub 2020 May 26.

Division of Cardiology, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy.

Purpose Of Review: To summarize epidemiology, pathophysiology, prognostic relevance, and treatment options of coronary artery disease (CAD) when coupled with severe aortic stenosis (SAS). In regard to treatment options, we focused on the most recently adopted therapeutic approaches and on the future perspectives in light of the latest percutaneous and surgical technical improvements in the field of both CAD and SAS management.

Recent Findings: Nowadays, SAS is the most common valve disease requiring intervention, either surgical or percutaneous. Read More

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http://dx.doi.org/10.1007/s11883-020-0835-1DOI Listing

Shared decision making and consent post-Montgomery, UK Supreme Court judgement supporting best practice.

Patient Educ Couns 2020 May 15. Epub 2020 May 15.

Nuffield Department of Surgical Sciences, Oxford University, Oxford OX3 9DU United Kingdom.

The UK Supreme Court Montgomery judgement marks a decisive shift in the legal test of duty of care in the context of consent to treatment from the perspective of the clinician (as represented by Bolam rules) to that of the patient. This has important implications in the surgical field worldwide, where informed consent is critical. This paper aims to explain the ruling and how it impacts the consent process. Read More

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http://dx.doi.org/10.1016/j.pec.2020.05.017DOI Listing

Social prescribing for stress related disorders and brain health.

Int Rev Neurobiol 2020 5;152:237-257. Epub 2019 Dec 5.

University of Westminster, London, United Kingdom.

Social prescribing allows health professionals to refer at risk patients toward health and wellbeing interventions and activities in the local community. It is a key part of NHS (National Health Service) England health care policy, and schemes based on the social prescribing model have been developed in countries including Canada, New Zealand, the Netherlands and Singapore. In this chapter, we consider the role that social prescribing can play in reducing stress related problems and supporting and encouraging self-care and self-management of conditions for which conventional medicine may not be the only or the best option. Read More

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http://dx.doi.org/10.1016/bs.irn.2019.11.005DOI Listing
December 2019

A diverse specialty: What students teach us about Neurology and "Neurophobia".

Authors:
Fraser Moore

Can J Neurol Sci 2020 May 26:1-19. Epub 2020 May 26.

McGill University Department of Neurology Montréal, Québec Canada.

Objective: To explore what elective students learn about the specialty of Neurology.

Methods: A prospective qualitative study using pre- and post-elective written questionnaires.

Results: Analysis concentrated on three main themes: What did students learn about the specialty of Neurology? What would they change about their experience? Did their opinions change? Major findings were: (i)_Pre- and post-elective the most frequent response for "what is the best thing about Neurology?" was the "process of localization" (ii) Post-elective students were less likely to cite the challenge or problem-solving aspect of neurology as the best thing while more emphasized the importance of the physical exam and the variety of cases. Read More

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http://dx.doi.org/10.1017/cjn.2020.102DOI Listing

Impact of intravitreal aflibercept dosing regimens in treatment-naïve patients with neovascular age-related macular degeneration: 2-year results of RAINBOW.

BMC Ophthalmol 2020 May 25;20(1):206. Epub 2020 May 25.

Centre d'Imagerie Et de Laser, Paris, France.

Background: To review treatment outcomes from real-world data of patients with neovascular age-related macular degeneration (nAMD) treated with intravitreal aflibercept (IVT-AFL) injection.

Methods: RAINBOW (ClinicalTrials.gov, NCT02279537) is an ongoing, observational, 4-year study to monitor the effectiveness and safety of IVT-AFL in patients with nAMD in clinical practice in France. Read More

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http://dx.doi.org/10.1186/s12886-020-01468-zDOI Listing

Adherence to American Academy of Otolaryngology-Head and Neck Surgery Clinical Practice Guidelines: A Systematic Review.

Otolaryngol Head Neck Surg 2020 May 26:194599820922155. Epub 2020 May 26.

Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.

Objective: Clinical practice guidelines synthesize and disseminate the best available evidence to guide clinical decisions and increase high-quality care. Since 2004, the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) has published 16 guidelines. The objective of this review was to evaluate clinicians' adherence to these guidelines' recommendations as measured in the literature. Read More

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http://dx.doi.org/10.1177/0194599820922155DOI Listing

Monitoring organic pollutants in waters using the diffusive gradients in thin films (DGT) technique: investigations into the effects of biofouling and degradation.

Environ Sci Technol 2020 May 25. Epub 2020 May 25.

The diffusive gradients in thin films (DGT) passive sampling technique has been increasingly used to provide time-weighted average concentrations of the bio-relevant fraction of organic contaminants in waters, with high spatial and temporal resolutions at low cost. This study investigated the effects of biofouling and compound degradation/loss during sample handling/storage on the DGT measurement of a range of emerging organic pollutants. A worst-case biofouling was tested using biofilms collected at the influent and effluent of a typical UK urban wastewater treatment plant. Read More

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http://dx.doi.org/10.1021/acs.est.0c00224DOI Listing

[Selection of Intraocular Lenses for Patients with Maculopathies].

Klin Monbl Augenheilkd 2020 May 25. Epub 2020 May 25.

Internationale Innovative Ophthalmochirurgie (I. I. O.), Düsseldorf.

Background: Multifocal intraocular lenses (MIOLs) may bring independence from glasses. In practice the question often arises as to which patient would be suitable for the implantation of MIOLs. Surgeons are hesitant to implant MIOLs in patients with macular or retinal pathologies, mostly due to a fear that the multifocality of the implanted IOL might increase patients' existing visual handicap. Read More

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http://dx.doi.org/10.1055/a-1160-5917DOI Listing

Handover Practices in Trauma and Acute Care Surgery: A Multicenter Survey Study.

J Surg Res 2020 May 22;254:191-196. Epub 2020 May 22.

Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.

Background: The handover period has been identified as a particularly vulnerable period for communication breakdown leading to patient safety events. Clear and concise handover is especially critical in high-acuity care settings such as trauma, emergency general surgery, and surgical critical care. There is no consensus for the most effective and efficient means of evaluating or performing handover in this population. Read More

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http://dx.doi.org/10.1016/j.jss.2020.04.023DOI Listing

A Phased Approach to Resuming Suspended Allergy/Immunology Clinical Services.

J Allergy Clin Immunol Pract 2020 May 22. Epub 2020 May 22.

Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado. Electronic address:

In early 2020, the first US and Canadian cases of the novel SARS-CoV-2 infection were detected. In the ensuing months, there has been rapid spread of the infection. In March 2020, in response to the virus, state/provincial and local governments instituted shelter-in-place orders, and non-essential ambulatory care was significantly curtailed, including allergy/immunology services. Read More

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http://dx.doi.org/10.1016/j.jaip.2020.05.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242939PMC

Let Them Eat!

Authors:
Rupsa C Boelig

BJOG 2020 May 25. Epub 2020 May 25.

Division of Maternal Fetal Medicine, Department of Obstetrics & Gynecology, Thomas Jefferson University Hospital, 833 Chestnut St 1st floor, Philadelphia, PA, 19107, United States.

The authors Tan PC et al (BJOG this issue) present a randomized controlled trial addressed a commonly held belief, although poorly studied, regarding the benefit of "bowel rest" in the setting of intractable nausea vomiting. I applaud this group for another randomized study in an area where this is no clear standard of care or best practice approach. Read More

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http://dx.doi.org/10.1111/1471-0528.16335DOI Listing

Pharmacists experience of and perspectives about recruiting patients into a community pharmacy asthma service trial.

Res Social Adm Pharm 2020 May 16. Epub 2020 May 16.

The University of Sydney -The University of Sydney, A15, Science Rd, Camperdown, NSW, 2006, Australia. Electronic address:

Background: Research trials testing the impact of community pharmacy services require adequate and appropriate recruitment of patients by participating pharmacists, however, this step presents an ongoing challenge.

Objective: To identify factors affecting recruitment of patients in community pharmacies participating in a multi-center trial of a pharmacy asthma service in Australia (Pharmacy Trial Program - Asthma and Rhinitis Control (PTP-ARC).

Methods: The PTP-ARC protocol required identification and recruitment of seven eligible asthma patients per pharmacy. Read More

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http://dx.doi.org/10.1016/j.sapharm.2020.05.012DOI Listing