178,277 results match your criteria Best Practice & Research In Clinical Rheumatology[Journal]


Barriers to evidence-based treatment of serious burns: The impact of implicit bias on clinician perceptions of patient adherence.

J Burn Care Res 2020 Jul 10. Epub 2020 Jul 10.

Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham.

The underlying assumption of modern evidence-based practice is that treatment decisions made by health care providers are based solely on the best available scientific data. However, the connection between evidence informed care guidelines, and the provision of care remains ambiguous. In reality a number of contextual and non-clinical factors can also play a role, amongst which is the implicit bias that affects the way in which we approach or treat others based on irrelevant, individual characteristics despite conscious efforts to treat everyone equally. Read More

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http://dx.doi.org/10.1093/jbcr/iraa114DOI Listing

Ovarian reserve as a predictor of cumulative live birth.

Eur J Obstet Gynecol Reprod Biol 2020 Jul 2;252:273-277. Epub 2020 Jul 2.

Reproductive Medicine Unit, University College London Hospital, 250 Euston Road, London, NW1 2BU, United Kingdom.

Objectives: Develop an up to date prediction model using recent cycle data and key pre-treatment predictor variables to estimate a couple's individualised probability of a cumulative live birth after one cycle of ovarian stimulation and transfer of all frozen embryos, before the first embryo transfer.

Study Design: This was a retrospective cohort study. To estimate the cumulative live birth rate we only included couples who had used all embryos from their initial stimulation or achieved a live birth. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.06.063DOI Listing

Implementing the Behavioral and Mental Health Entrustable Professional Activity: Insights for a Path Forward.

Acad Pediatr 2020 Jul 6. Epub 2020 Jul 6.

Department of Pediatrics, Cincinnati Children's Hospital Medical Center (CCHMC), 3333 Burnet Ave, ML 2008, Cincinnati, OH 45229; Division of Emergency Medicine, CCHMC, 3333 Burnet Ave, ML 2008, Cincinnati, OH 45229. Electronic address:

Introduction: Mental health problems in children and youth are growing exponentially. General pediatricians, while in a unique position to address these issues as they arise, report they lack adequate training in assessing and managing behavioral/mental health (B/MH) problems. Underscoring the importance of this area, the American Board of Pediatrics has defined B/MH as one of only 17 foundational entrustable professional activities (EPAs) for general pediatric practice. Read More

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http://dx.doi.org/10.1016/j.acap.2020.07.002DOI Listing

Spiritual care provision to end of life patients: A systematic literature review.

J Clin Nurs 2020 Jul 9. Epub 2020 Jul 9.

School of Nursing, Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, B15 2TT, UK.

Aim: To develop an understanding of how nurses provide spiritual care to terminally ill patients in order to develop best practice.

Background: Patients approaching the end of life (EoL) can experience suffering physically, emotionally, socially and spiritually. Nurses are responsible for assessing these needs and providing holistic care, yet are given little implementable, evidence-based guidance regarding spiritual care. Read More

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http://dx.doi.org/10.1111/jocn.15411DOI Listing

Ferritin and C-reactive protein are predictive biomarkers of mortality and macrophage activation syndrome in adult onset Still's disease. Analysis of the multicentre Gruppo Italiano di Ricerca in Reumatologia Clinica e Sperimentale (GIRRCS) cohort.

PLoS One 2020 9;15(7):e0235326. Epub 2020 Jul 9.

Rheumatology Unit, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.

Objective: To assess the predictive role of ferritin and C-reactive protein (CRP) on occurrence of macrophage activation syndrome (MAS) and mortality in patients with adult onset Still's disease (AOSD), a rare and severe disease, included in the multicentre Gruppo Italiano di Ricerca in Reumatologia Clinica e Sperimentale (GIRRCS) cohort.

Methods: The predictive role, at the time of diagnosis, of serum levels of ferritin and CRP on occurrence of MAS and mortality, was evaluated by logistic regression analyses and receiver-operating characteristic (ROC) curves were built to identify patients at high risk of MAS and mortality, respectively.

Results: In assessed 147 patients with AOSD, levels of ferritin were predictive of MAS (OR: 1. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0235326PLOS

A CFD strategy to retrofit an anaerobic digester to improve mixing performance in wastewater treatment.

Water Sci Technol 2020 Apr;81(8):1646-1657

University of Bradford, Bradford BD7 1DP, United Kingdom E-mail:

To date, mixing design practice in anaerobic digestion has focussed on biogas production, but no adequate consideration has been given to energy efficiency. A coherent, comprehensive and generalized strategy based on computational fluid dynamics (CFD) modelling is proposed to improve mixing efficiency of a full-scale, unconfined gas-mixed digester for wastewater treatment. The model consists of an Euler-Lagrange (EL) model where biogas bubbles are modelled as the Eulerian dispersed phase, and non-Newtonian sludge as the Lagrangian continuous phase. Read More

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http://dx.doi.org/10.2166/wst.2020.086DOI Listing

The lecture-free curriculum: Setting the stage for life-long learning: AMEE Guide No. 135.

Med Teach 2020 Jul 9:1-8. Epub 2020 Jul 9.

Faculty Development Unit, Education Development Center, Tehran University of Medical Sciences, Tehran, Iran.

In this AMEE Guide we propose that instruction in health sciences education transform to 'lecture-free.' We present rationale for this proposal, guidance on approaches and strategies to achieve the goal, likely challenges, and what we consider the value-added outcomes. We are supported by a confluence of factors: advances in the science of learning the learning of science and clinical reasoning, incontrovertible evidence that active and engaged learning strategies have better outcomes, current and emerging technology infrastructure in and out of the classroom, and best-practice instructional design. Read More

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http://dx.doi.org/10.1080/0142159X.2020.1789083DOI Listing

School Psychology: Training Individuals for One of the Best Kept Secrets in Professional Psychology.

J Psychol 2020 Jul 9:1-17. Epub 2020 Jul 9.

Independent Practice, Garden City, New York.

School psychology training at the doctoral level is discussed. Given the increasing diversity in the schools as well as the varied education and mental health needs of the population, school psychology training is necessarily broad, involving traditional skills such as assessment, intervention, consultation, and counseling, all of which are taught within a context of a changing school population with changing needs. Because there is compulsory education, school psychologists' interface with a broad cross-section of individual children, their parents, and their teachers. Read More

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http://dx.doi.org/10.1080/00223980.2020.1774485DOI Listing

Extended lumbar drainage in idiopathic normal pressure hydrocephalus: a systematic review and meta-analysis of diagnostic test accuracy.

Br J Neurosurg 2020 Jul 9:1-7. Epub 2020 Jul 9.

Department of Neurosurgery, Southmead Hospital, Bristol, UK.

Background: When appropriately selected, a high proportion of patients with suspected idiopathic normal pressure hydrocephalus (iNPH) will respond to cerebrospinal fluid diversion with a shunt. Extended lumbar drainage (ELD) is regarded as the most accurate test for this condition, however, varying estimates of its accuracy are found in the current literature. Here, we review the literature in order to provide summary estimates of sensitivity, specificity, positive- and negative predictive value for this test through meta-analysis of suitably rigorous studies. Read More

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http://dx.doi.org/10.1080/02688697.2020.1787948DOI Listing

Functional assessment and function-based treatment delivered via telehealth: A brief summary.

J Appl Behav Anal 2020 Jul 9. Epub 2020 Jul 9.

The University of Iowa, USA.

As the world navigates the COVID-19 health crisis, behavior analysts are considering how best to support families while maintaining services and ensuring the health and safety of everyone involved. Telehealth is one service delivery option that provides families with access to care in their own communities and homes. In this article, we provide a brief summary of the telehealth literature in applied behavior analysis that provided coaching and training to families for individuals who displayed challenging behavior. Read More

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http://dx.doi.org/10.1002/jaba.742DOI Listing

Optimizing preclinical learning with retrieval practice: A call to action.

Med Teach 2020 Jul 9:1-3. Epub 2020 Jul 9.

Department of Neurology, Yale School of Medicine, New Haven, CT, USA.

This Personal View is about our experience with preclinical education as medical students. We discuss the problem with current medical education in light of an ever-growing body of medical knowledge and increasing student disengagement with preclinical lectures. We briefly review the concept of retrieval practice as an effective, evidence-based learning strategy that helped us retain knowledge for longer periods and propose that medical educators should adopt this strategy to best prepare medical students to navigate the vastly expanding scope of modern medicine. Read More

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http://dx.doi.org/10.1080/0142159X.2020.1788212DOI Listing

Clinical recommendations in the management of advanced prostate cancer: International Gastrointestinal, Liver and Uro-oncology (IGILUC 2019) experts.

World J Urol 2020 Jul 8. Epub 2020 Jul 8.

Clinical Oncology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Purpose: Advancements in the diagnosis and treatment of prostate cancer (PC) have rapidly progressed through the past years. Various factors should be taken into account while treating individual patients to ensure optimal and careful decision making. The purpose of this consensus review is to summarize the current practice patterns when managing patients with advanced prostate cancer (APC) as there is still a lack of or very limited evidence on its clinical management in some areas. Read More

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http://dx.doi.org/10.1007/s00345-020-03328-3DOI Listing

Patient and carer experience of nutrition care throughout treatment for head and neck cancer: a systematic qualitative review and thematic synthesis.

Support Care Cancer 2020 Jul 8. Epub 2020 Jul 8.

School of Human Movement and Nutrition Sciences, University of Queensland, St Lucia, 4067, Queensland, Australia.

Nutrition care plays a critical role in the provision of best practice care to head and neck cancer (HNC) patients, with carers playing an important role in supporting patients to maintain nutrition intake. This qualitative systematic review investigated patient and carer experience of nutrition care throughout and beyond HNC treatment. Five databases were systematically searched for qualitative studies reporting on patient and carer experience of nutrition care throughout HNC. Read More

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http://dx.doi.org/10.1007/s00520-020-05576-wDOI Listing

Hydrocolloid versus silicone gel for the prevention of nasal injury in newborns submitted to noninvasive ventilation: A randomized clinical trial.

Heliyon 2020 Jul 2;6(7):e04366. Epub 2020 Jul 2.

Graduate Program on Biomedical Engineering, Universidade Tecnológica Federal do Paraná, Avenida Sete de Setembro 3165, Rebouças, Curitiba, Paraná, Brazil.

Purpose: To compare the effectiveness of the hydrocolloid and the silicone gel on the nasal protection of the newborns (NBs) during the use of noninvasive ventilation (NIV).

Materials And Methods: Thirty-three NBs were selected. They were randomly divided into three groups of 11 NBs, according to the type of nasal protection used: hydrocolloid, thick silicone gel, and thin silicone gel. Read More

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http://dx.doi.org/10.1016/j.heliyon.2020.e04366DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7334427PMC

The effect of performance feedback and educational video on endotracheal-suctioning practices of critical care nurses.

J Educ Health Promot 2020 28;9:112. Epub 2020 May 28.

Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.

Introduction: Majority of critical care nurses do not have desirable skills in performing endotracheal tube suctioning (ETS) despite related training taught in the curricula. This study aimed to investigate and compare the effect of education through video and performance feedback (PF) on nurses' skills in performing ETS.

Methods: This was a quasi-experimental study. Read More

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http://dx.doi.org/10.4103/jehp.jehp_759_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325784PMC

Vascular endothelial growth factor for in vivo bone formation: A systematic review.

J Orthop Translat 2020 Sep 7;24:46-57. Epub 2020 Jun 7.

Musculoskeletal Research Laboratory, Department of Orthopaedic Surgery & Traumatology, The Chinese University of Hong Kong, Hong Kong SAR, PR China.

Background: To achieve optimal bone formation one of the most influential parameters has been mentioned to be adequate blood supply. Vascular endothelial growth factor (VEGF) is hereby of particular interest in bone regeneration, because of its primary ability to induce neovascularization and chemokine affection for endothelial cells (EC), and is considered to be the main regulator of vascular formation. However, the growth factor has yet to be implemented in a clinical setting in orthopaedic intervention surgery. Read More

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http://dx.doi.org/10.1016/j.jot.2020.05.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7334443PMC
September 2020

Geriatric Rheumatology: The Need for a Separate Subspecialty in the Near Future.

Cureus 2020 Jun 6;12(6):e8474. Epub 2020 Jun 6.

Rheumatology, State University of New York Upstate Medical University, Syracuse, USA.

Rheumatology is a broad specialty in itself, and it involves caring for patients of all age groups. Patients of different age groups have different characteristics and a one-size-fits-all approach is not feasible in catering to their diverse medical needs. The presentation and the manifestations of diseases vary in different age groups. Read More

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http://dx.doi.org/10.7759/cureus.8474DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336673PMC

Hemodialysis Catheter-Related Thrombi: A Challenging Patient.

Cureus 2020 Jun 4;12(6):e8438. Epub 2020 Jun 4.

Nephrology, Setubal Hospital Center, Setubal, PRT.

Patients requiring renal replacement therapy remain a significant burden on the healthcare system. A substantial amount of hospitalization costs for these patients are related to vascular complications, especially catheter-related thrombosis, which is associated with a significant increase in morbidity and mortality. We report the case of a male patient with multiple myeloma (MM) and dialysis-dependent renal failure due to light-chain cast nephropathy, who presented recurrent early catheter dysfunction. Read More

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http://dx.doi.org/10.7759/cureus.8438DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336632PMC

Standardizing education in interventional pulmonology in the midst of technological change.

J Thorac Dis 2020 Jun;12(6):3331-3340

Department of Interventional Pulmonary, Lahey Hospital & Medical Center, Burlington, MA, USA.

Interventional pulmonology (IP) is a maturing subspecialty of pulmonary medicine. The robust innovation in technology demands standardization in IP training with both disease and technology driven training. Simulation based training should be considered a part of IP training as seen in other procedural and surgical subspecialties. Read More

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http://dx.doi.org/10.21037/jtd.2020.03.104DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330781PMC

Understanding barriers to lung cancer screening in primary care.

J Thorac Dis 2020 May;12(5):2536-2544

Department of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, IL, USA.

Background: Low-dose computed tomography (LDCT) scan for lung cancer screening is underutilized. Studies suggest that up to one-third of providers do not know the current lung cancer screening guidelines. Thus, identifying the barriers to utilization of LDCT scan is essential. Read More

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http://dx.doi.org/10.21037/jtd.2020.03.66DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330370PMC

Diagnostic ability of the Timed Up & Go test for balance impairment prediction in chronic obstructive pulmonary disease.

J Thorac Dis 2020 May;12(5):2406-2414

Division of Pulmonary, Critical Care, and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Background: Balance assessment is now recommended by clinical practice guidelines, specific tests have yet to be suggested. The Timed Up and Go (TUG) test is a simple measure of balance status and functional mobility. Nowadays, we need more data of an optimum cut off point of TUG time for detecting balance impairment in patients with chronic obstructive pulmonary disease (COPD). Read More

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http://dx.doi.org/10.21037/jtd.2020.03.47DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330337PMC

Are DFT Methods Able to Predict Reduction Potentials of Ruthenium Nitrosyl Complexes Accurately?

J Phys Chem A 2020 Jul 8. Epub 2020 Jul 8.

The nitric oxide (NO) molecule is directly related to important physiological and physiopathological processes. Ruthenium tetraammine nitrosyl complexes can release NO from the [RuNO] / [RuNO] reduction potential. Experimentally, is well established the practice of determining the redox potential with relation to a reference redox pair. Read More

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http://dx.doi.org/10.1021/acs.jpca.0c03718DOI Listing

Targeted Medical School Admissions: A Strategic Process for Meeting Our Social Mission.

Fam Med 2020 Jun;52(7):474-482

Department of Family Medicine, University of Washington School of Medicine, Seattle, WA.

Background And Objectives: Increased medical school class sizes and new medical schools have not addressed the workforce inadequacies in primary care or underserved settings. While there is substantial evidence that student attributes predict practice specialty and location, little is known about how schools use these factors in admissions processes. We sought to describe admissions strategies to recruit students likely to practice in primary care or underserved settings. Read More

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http://dx.doi.org/10.22454/FamMed.2020.470334DOI Listing

Consensus Recommendations on the Prehospital Care of the Injured Athlete With a Suspected Catastrophic Cervical Spine Injury.

Clin J Sport Med 2020 Jul;30(4):296-304

University of Georgia, Athens, Georgia.

Introduction: Sports participation is among the leading causes of catastrophic cervical spine injury (CSI) in the United States. Appropriate prehospital care for athletes with suspected CSIs should be available at all levels of sport. The goal of this project was to develop a set of best-practice recommendations appropriate for athletic trainers, emergency responders, sports medicine and emergency physicians, and others engaged in caring for athletes with suspected CSIs. Read More

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http://dx.doi.org/10.1097/JSM.0000000000000869DOI Listing

Electrocardiographic voltage criteria in patients with hypertrophic cardiomyopathy.

J Cardiovasc Med (Hagerstown) 2020 Jul 6. Epub 2020 Jul 6.

Department of Cardiology, Policlinico Casilino.

Background: Several ECG voltage criteria have been proposed for the diagnosis of left ventricular hypertrophy (LVH). Notably, ECG criteria have been historically validated in concentric LVH but not in hypertrophic cardiomyopathy (HCM), wherein the hypertrophy pattern is typically asymmetric.

Objectives: The aim of our study was to evaluate the performance of ECG voltage criteria for LVH diagnosis in the HCM population. Read More

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http://dx.doi.org/10.2459/JCM.0000000000001034DOI Listing

Mucosal bacterial vaccines in clinical practice - a novel approach to an old problem?

Rev Assoc Med Bras (1992) 2020 May 3;66(5):659-665. Epub 2020 Jul 3.

Unidade de Pneumologia, Universidade e Centro Hospitalar de Coimbra, Coimbra, Portugal.

OBJECTIVES To evaluate the efficacy of mucosal bacterial vaccines (MBV) in reducing the number of exacerbations in patients with chronic respiratory disease. METHODS A prospective cohort study of patients followed at the Pneumology Unit of the University and Hospital Centre of Coimbra, with frequent infectious exacerbations (3 or more) despite the best therapeutic strategies employed. MBV was used as additional therapy. Read More

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http://dx.doi.org/10.1590/1806-9282.66.5.659DOI Listing

The use of functional performance tests and simple anthropomorphic measures to screen for comorbidity in primary care.

Int J Older People Nurs 2020 Jul 7:e12333. Epub 2020 Jul 7.

School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.

Background: Many older adults are unaware that they have comorbid diseases. Increased adiposity and reduced muscle mass are identified as key contributors to many chronic diseases in older adults. Understanding the role they play in the development of comorbidities in older populations is of prime importance. Read More

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http://dx.doi.org/10.1111/opn.12333DOI Listing

The practice of oral and maxillofacial radiology during COVID-19 outbreak.

Oral Radiol 2020 Jul 7. Epub 2020 Jul 7.

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

The current coronavirus disease 2019 (COVID-19) outbreak has brought substantial challenges to the world health system, including the practice of dental and maxillofacial radiology (DMFR). DMFR will carry on an imperative role in healthcare during this crisis. This rapid communication has collected and evaluated all the best current evidence and published guidelines as well as professional recommendations to help maxillofacial radiologists and dental practitioners for safer radiological and imaging examinations on healthy, suspected, or confirmed COVID-19 patients during outbreak. Read More

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http://dx.doi.org/10.1007/s11282-020-00465-8DOI Listing

Current State of Transgender Medical Education in the United States and Canada: Update to a Scoping Review.

J Med Educ Curric Dev 2020 Jan-Dec;7:2382120520934813. Epub 2020 Jun 24.

Division of Plastic Surgery, Department of Surgery, University of Washington School of Medicine, Seattle, WA, USA.

Background: The published literature on education about transgender health within health professions curricula was previously found to be sporadic and fragmented. Recently, more inclusive and holistic approaches have been adopted. We summarize advances in transgender health education. Read More

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http://dx.doi.org/10.1177/2382120520934813DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315660PMC

Treatment After Anterior Cruciate Ligament Injury: Panther Symposium ACL Treatment Consensus Group.

Orthop J Sports Med 2020 Jun 24;8(6):2325967120931097. Epub 2020 Jun 24.

Investigation performed at University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Treatment strategies for anterior cruciate ligament (ACL) injuries continue to evolve. Evidence supporting best-practice guidelines for the management of ACL injury is to a large extent based on studies with low-level evidence. An international consensus group of experts was convened to collaboratively advance toward consensus opinions regarding the best available evidence on operative versus nonoperative treatment for ACL injury. Read More

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http://dx.doi.org/10.1177/2325967120931097DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315684PMC

Sodium-Glucose Cotransporter-2 Inhibitors in Nephrology Practice: A Narrative Review.

Can J Kidney Health Dis 2020 24;7:2054358120935701. Epub 2020 Jun 24.

Toronto General Hospital Research Institute, UHN, Toronto, ON, Canada.

Purpose Of The Review: Sodium-glucose cotransporter-2 inhibitors (SGLT2is) are recommended for eligible patients with type 2 diabetes for the secondary prevention of adverse cardiovascular and kidney disease outcomes. Patients with type 2 diabetes and albuminuric chronic kidney disease, a history of atherosclerotic cardiovascular disease, and/or heart failure with reduced ejection fraction should be assessed for the use of these therapies.

Sources Of Information: The sources include published clinical trials with SGLT2is, with a focus on cardiovascular safety studies and kidney protection trials. Read More

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http://dx.doi.org/10.1177/2054358120935701DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315675PMC

Single-cell ATAC sequencing analysis: From data preprocessing to hypothesis generation.

Comput Struct Biotechnol J 2020 12;18:1429-1439. Epub 2020 Jun 12.

Department of Biotechnology, College of Life Science & Biotechnology, Yonsei University, Seoul 03722, Korea.

Most genetic variations associated with human complex traits are located in non-coding genomic regions. Therefore, understanding the genotype-to-phenotype axis requires a comprehensive catalog of functional non-coding genomic elements, most of which are involved in epigenetic regulation of gene expression. Genome-wide maps of open chromatin regions can facilitate functional analysis of cis- and trans-regulatory elements via their connections with trait-associated sequence variants. Read More

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http://dx.doi.org/10.1016/j.csbj.2020.06.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7327298PMC

High Incidence of Burst Suppression during Propofol Sedation for Outpatient Colonoscopy: Lessons Learned from Neuromonitoring.

Anesthesiol Res Pract 2020 19;2020:7246570. Epub 2020 Jun 19.

Department of Anesthesiology, Division of Neurological Anesthesia, Thomas Jefferson University, 111 S. 11 Street, Philadelphia, PA 19107, USA.

Background: Although anesthesia providers may plan for moderate sedation, the depth of sedation is rarely quantified. Using processed electroencephalography (EEG) to assess the depth of sedation, this study investigates the incidence of general anesthesia with variable burst suppression in patients receiving propofol for outpatient colonoscopy. The lessons learned from neuromonitoring can then be used to guide institutional best sedation practice. Read More

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http://dx.doi.org/10.1155/2020/7246570DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7321500PMC

Evaluating a specialist primary care service for patients experiencing homelessness: a qualitative study.

BJGP Open 2020 Jul 7. Epub 2020 Jul 7.

Norwich Medical School, University of East Anglia, Norwich, UK.

Background: People experiencing homelessness (PEH) often experience poor health, multimorbidity, and early mortality and experience barriers to accessing high quality health care. Little is known about how best to provide specialist primary care for these patients.

Aim: To evaluate the health care provided to patients experiencing homelessness who were seen in a specialist primary care service. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101049DOI Listing

Is there a standardised consent process within the surgical specialties?

Surgeon 2020 Jul 5. Epub 2020 Jul 5.

Department of General and Colorectal Surgery, Manchester Royal Infirmary, Manchester University NHS Foundation Trust, Manchester, UK.

Introduction: The consent process is central to surgical practice. Subsequent to landmark cases such as Montgomery and Thefaut there is increasing consensus that consent should be a staged process. The aim of our survey was to identify if there was any homogeneity in the practice of surgeons with regards to the consent process in comparison to national guidelines. Read More

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http://dx.doi.org/10.1016/j.surge.2020.06.004DOI Listing

Impact of Genetically Predicted Red Blood Cell Traits on Venous Thromboembolism: Multivariable Mendelian Randomization Study Using UK Biobank.

J Am Heart Assoc 2020 Jul 8:e016771. Epub 2020 Jul 8.

School of Public Health Li Ka Shing Faculty of Medicine The University of Hong Kong Hong Kong SAR, China.

Background Red blood cell (RBC) transfusion and erythropoiesis-stimulating agent administration are cornerstones of clinical practice, yet concerns exist as to potential increased risk of thrombotic events. This study aims to identify RBC traits most relevant to venous thromboembolism (VTE) and assess their genetically predicted effects on VTE in the general population. Methods and Results We used multivariable mendelian randomization with bayesian model averaging for exposure selection. Read More

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http://dx.doi.org/10.1161/JAHA.120.016771DOI Listing

European consensus recommendations for neonatal and paediatric retrievals of positive or suspected COVID-19 patients.

Pediatr Res 2020 Jul 7. Epub 2020 Jul 7.

Department of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.

Background: The 2020 novel coronavirus (SARS-Cov-2) pandemic necessitates tailored recommendations addressing specific procedures for neonatal and paediatric transport of suspected or positive COVID-19 patients. The aim of this consensus statement is to define guidelines for safe clinical care for children needing inter-facility transport while making sure that the clinical teams involved are sufficiently protected from SARS-CoV-2.

Methods: A taskforce, composed of members of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC) Transport section and the European Society for Paediatric Research (ESPR), reviewed the published literature and used a rapid, two-step modified Delphi process to formulate recommendations regarding safety and clinical management during transport of COVID-19 patients. Read More

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http://dx.doi.org/10.1038/s41390-020-1050-zDOI Listing

Current Practices for Screening and Management of Financial Distress at NCCN Member Institutions.

J Natl Compr Canc Netw 2020 Jul;18(7):825-831

3Fred Hutchinson Cancer Research Center, University of Washington Children's Hospital, Seattle, Washington.

Background: Financial distress from medical treatment is an increasing concern. Healthcare organizations may have different levels of organizational commitment, existing programs, and expected outcomes of screening and management of patient financial distress.

Patients And Methods: In November 2018, representatives from 17 (63%) of the 27 existing NCCN Member Institutions completed an online survey. Read More

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http://dx.doi.org/10.6004/jnccn.2020.7538DOI Listing

Results from the Netherlands' 2018 Report Card and Report Card on physical activity for children and youth with and without chronic medical condition.

Public Health 2020 Jul 4;185:161-166. Epub 2020 Jul 4.

Dutch National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.

Objective: The objective of this study was to summarize the results of the 2018 the Netherlands' Physical Activity Report Card (PARC) for children and youth as well as for children and youth with a chronic medical condition (CMC; PARC).

Study Design: This study is a survey.

Methods: A total of 12 indicators were graded using the Active Healthy Kids Global Alliance PARC development process, which includes a synthesis of the best available research, surveillance, policy and practice findings and expert consensus. Read More

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http://dx.doi.org/10.1016/j.puhe.2020.04.044DOI Listing

Determinants of physicians' attitudes toward the management of infectious diseases in terminally-ill patients with cancer.

J Pain Symptom Manage 2020 Jul 4. Epub 2020 Jul 4.

Palliative Care Team, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan.

Background: Antimicrobials are frequently prescribed to terminally-ill patients with cancer; however, physicians' practice patterns regarding antimicrobial use vary widely. This study aimed to systematically identify factors that determine physicians' attitudes toward the management of infectious diseases in terminally-ill patients with cancer.

Methods: A nationwide cross-sectional survey involving 600 oncologists, 600 infectious diseases physicians, 600 palliative care physicians, and 220 home care physicians was conducted between November 2017 and January 2018. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2020.06.041DOI Listing

Diagnostic parameters of modified two-tier testing in European patients with early Lyme disease.

Eur J Clin Microbiol Infect Dis 2020 Jul 6. Epub 2020 Jul 6.

Department of Medical Microbiology, OLVG, Amsterdam, the Netherlands.

Modified two-tier testing (MTTT) for Lyme borreliosis (i.e. confirmation with an EIA instead of an immunoblot) has been shown to have improved sensitivity compared with standard two-tier testing (STTT) in samples from American patients, without losing specificity. Read More

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http://dx.doi.org/10.1007/s10096-020-03946-0DOI Listing

Adaptation of public health initiatives: expert views on current guidance and opportunities to advance their application and benefit.

Health Educ Res 2020 Jul 6. Epub 2020 Jul 6.

School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.

While there is some guidance to support the adaptation of evidence-based public health interventions, little is known about adaptation in practice and how to best support public health practitioners in its operationalization. This qualitative study was undertaken with researchers, methodologists, policy makers and practitioners representing public health expert organizations and universities internationally to explore their views on available adaptation frameworks, elicit potential improvements to such guidance, and identify opportunities to improve implementation of public health initiatives. Participants attended a face to face workshop in Newcastle, Australia in October 2018 where World Café and focus group discussions using Appreciative Inquiry were undertaken. Read More

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http://dx.doi.org/10.1093/her/cyaa014DOI Listing

Writing autohistoria-teoría: agency and illness in German life narratives by Evelyne Leandro and Mely Kiyak.

Authors:
Katja Herges

Med Humanit 2020 Jul 6. Epub 2020 Jul 6.

Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany

Health concerns by migrants have been neglected in the German healthcare system, and they are impacted by discriminating discourses of othering. By analysing two autobiographical illness narratives by immigrants in contemporary Germany, this article exposes limitations in existing discourses of migration health and argues for more relational and affirmative theories of illness and care. Evelyn Leandro's diary The Living Death: The Struggle with a Long-Forgotten Illness (2017) describes her own drawn-out therapy against leprosy as a Brazilian in Berlin. Read More

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http://dx.doi.org/10.1136/medhum-2019-011746DOI Listing

ARTP statement on pulmonary function testing 2020.

BMJ Open Respir Res 2020 Jul;7(1)

Department of Respiratory Medicine, Dorset County Hospital NHS Foundation Trust, Dorchester, Dorset, UK.

The Association for Respiratory Technology & Physiology (ARTP) last produced a statement on the performance of lung function testing in 1994. At that time the focus was on a practical statement for people working in lung function laboratories. Since that time there have been many technological advances and alterations to best practice in the measurement and interpretation of lung function assessments. Read More

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http://dx.doi.org/10.1136/bmjresp-2020-000575DOI Listing

Antibiotics and Inflatable Penile Prosthesis Insertion: A Literature Review.

Sex Med Rev 2020 Jul 3. Epub 2020 Jul 3.

Department of Urology, Vanderbilt University Medical Center, Nashville, TN, USA.

Introduction: Antibiotic stewardship is now a priority for the urologic community. Perioperative antibiotic use at the time of inflatable penile prosthesis (IPP) insertion has become a topic of interest.

Objectives: To review the literature available to inform the practice of antibiotic administration before, during, and after IPP insertion. Read More

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http://dx.doi.org/10.1016/j.sxmr.2020.04.005DOI Listing

Impact of a Hybrid Lung Cancer Screening Model on Patient Outcomes and Provider Behavior.

Clin Lung Cancer 2020 May 23. Epub 2020 May 23.

Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO; Sacred Heart Medical Center, Spokane, WA. Electronic address:

Background: Lung cancer screening (LCS) implementation is complicated by the Centers for Medicare and Medicaid Services reimbursement requirements of shared decision-making and tobacco cessation counseling. LCS programs can utilize different structures to meet these requirements, but the impact of programmatic structure on provider behavior and screening outcomes is poorly described.

Patients And Methods: In a retrospective chart review of 624 patients in a hybrid structure, academic LCS program, we compared characteristics and outcomes of primary care provider (PCP)- and specialist-screened patients. Read More

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http://dx.doi.org/10.1016/j.cllc.2020.05.018DOI Listing

Observation of Emergency Room Nurses Managing Pediatric Pain: Care to Be Given… Care Given….

Pain Manag Nurs 2020 Jul 3. Epub 2020 Jul 3.

Université de Sherbrooke, Faculté de médecine et des sciences de la santé, Sherbrooke, Quebec, Canada; CIUSSS-Estrie CHUS, University Hospital Sherbrooke, Quebec, Canada.

Background: Although pain undeniably has negative consequences, pain management often remains suboptimal, particularly in the pediatric population in the emergency room (ER).

Aim: In this observational study using qualitative and quantitative methods, we investigated everyday adherence to current nursing best-practice pediatric guidelines in the ER paying particular attention to the interaction between children, parents, and nurses.

Methods: An adapted version of the nursing observation tool for pain management was used to describe pediatric pain management provided by nurses caring for children (0-14 years old) admitted to the ER. Read More

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http://dx.doi.org/10.1016/j.pmn.2020.03.002DOI Listing

Effects of intraoperative individualized PEEP on postoperative atelectasis in obese patients: study protocol for a prospective randomized controlled trial.

Trials 2020 Jul 6;21(1):618. Epub 2020 Jul 6.

Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, No. 95 Yongan Road, Xicheng District, Beijing, 100050, China.

Background: Obese patients undergoing general anesthesia and mechanical ventilation during laparoscopic abdominal surgery commonly have a higher incidence of postoperative pulmonary complications (PPCs), due to factors such as decreasing oxygen reserve, declining functional residual capacity, and reducing lung compliance. Pulmonary atelectasis caused by pneumoperitoneum and mechanical ventilation is further aggravated in obese patients. Recent studies demonstrated that individualized positive end-expiratory pressure (iPEEP) was one of effective lung-protective ventilation strategies. Read More

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http://dx.doi.org/10.1186/s13063-020-04565-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7338115PMC

Guidance concerning chiropractic practice in response to COVID-19 in the U.S.: a summary of state regulators' web-based information.

Chiropr Man Therap 2020 07 6;28(1):44. Epub 2020 Jul 6.

Veterans Affairs Northern California Health Care System, Redding, CA, USA.

Introduction: The COVID-19 pandemic led to unprecedented changes, as many state and local governments enacted stay-at-home orders and non-essential businesses were closed. State chiropractic licensing boards play an important role in protecting the public via regulation of licensure and provision of guidance regarding standards of practice, especially during times of change or uncertainty.

Objective: The purpose of this study was to summarize the guidance provided in each of the 50 United States, related to chiropractic practice during the COVID-19 pandemic. Read More

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http://dx.doi.org/10.1186/s12998-020-00333-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336092PMC