178,465 results match your criteria Best Practice & Research: Clinical Anaesthesiology[Journal]


Why calibrating LR-systems is best practice. A reaction to "The evaluation of evidence for microspectrophotometry data using functional data analysis", in FSI 305.

Forensic Sci Int 2020 Jun 27;314:110388. Epub 2020 Jun 27.

The Netherlands Forensic Institute, P.O. Box 24044, 2490 AA, The Hague, the Netherlands.

In their paper "The evaluation of evidence for microspectrophotometry data using functional data analysis", in FSI 305, Aitken et al. present a likelihood-ratio (LR) system for their data. We show the values generated by this system cannot be interpreted as LRs: they are ill-calibrated and should be interpreted as discriminating scores. Read More

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http://dx.doi.org/10.1016/j.forsciint.2020.110388DOI Listing

CommNETs/NANETS guidelines for the diagnosis and management of patients with Lung Neuroendocrine Tumors: An international collaborative endorsement and update of the 2015 ENETS expert consensus guidelines.

J Thorac Oncol 2020 Jul 11. Epub 2020 Jul 11.

Monash University and Monash Health, Melbourne, Victoria/AU.

Introduction: Lung neuroendocrine tumors (LNETs) are uncommon cancers and there is a paucity of randomized evidence to guide practice. As a result, current guidelines from different neuroendocrine tumor societies vary considerably. There is a need to update and harmonise global consensus guidelines. Read More

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http://dx.doi.org/10.1016/j.jtho.2020.06.021DOI Listing

Agreement between antenatal gestational age by ultrasound and clinical records at birth: A prospective cohort in the Brazilian Amazon.

PLoS One 2020 14;15(7):e0236055. Epub 2020 Jul 14.

Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.

This study aimed to assess agreement between antenatal estimates of gestational age by ultrasound and clinical records at birth in the Brazilian Amazon. Ultrasound examinations were scheduled during the second trimester for 578 pregnant women prospectively screened at primary health care units, following a standardized protocol for image quality control. A multistage algorithm was used to assess the best estimate of gestational age during the antenatal period, considering reliability of last menstrual period (LMP) and acceptable differences in relation to ultrasound estimates derived from fetal biparietal diameter and femur length. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0236055PLOS

Reporting animal research: Explanation and elaboration for the ARRIVE guidelines 2.0.

PLoS Biol 2020 Jul 14;18(7):e3000411. Epub 2020 Jul 14.

Veterinary Public Health Institute, Vetsuisse Faculty, University of Bern, Bern, Switzerland.

Improving the reproducibility of biomedical research is a major challenge. Transparent and accurate reporting is vital to this process; it allows readers to assess the reliability of the findings and repeat or build upon the work of other researchers. The ARRIVE guidelines (Animal Research: Reporting In Vivo Experiments) were developed in 2010 to help authors and journals identify the minimum information necessary to report in publications describing in vivo experiments. Read More

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http://dx.doi.org/10.1371/journal.pbio.3000411DOI Listing

Yoga's Effects on the Cardiovascular System of Healthy Women: Implications for Best Practices.

Altern Ther Health Med 2020 Jul 15. Epub 2020 Jul 15.

Context: Yoga as a form of physical activity is growing in popularity. During yoga, individuals interrupt the stress response, which is typically associated with high blood pressure (BP), impaired focus, and high levels of anxiety. Consequently, research into yoga's effects on stress should place a special emphasis upon the interplay of the nervous and cardiovascular systems during yoga practice. Read More

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On the Use of Sampling Weights for Retrospective Medical Record Reviews.

Authors:
Ernest Shen

Perm J 2020 ;24

Kaiser Permanente Department of Research and Evaluation, Pasadena, CA.

Retrospective medical record review is often used to answer the "why" questions that statistical modeling cannot. In addition to its utility as an explanatory tool, it can be used to generate hypotheses using available retrospective data and so is a convenient guide for developing future prospective studies. A recent review of articles that used the retrospective medical record review method listed 10 best practices that ought to be followed. Read More

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http://dx.doi.org/10.7812/TPP/18.308DOI Listing
January 2020

Comparison of Photoscreening to Chart Methodology for Vision Screening.

J Sch Nurs 2020 Jul 14:1059840520940370. Epub 2020 Jul 14.

Elks Children's Eye Clinic, Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA.

The goal of this study is to assess the referral rate accuracy of photoscreening versus the chart methodology in identifying preschool children at risk of amblyopia and amblyogenic refractive error. Vision screenings using the plusoptiX S12 and the LEA chart were performed on 127 children, aged 3-5 years old. Comprehensive eye exams were performed after screenings. Read More

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http://dx.doi.org/10.1177/1059840520940370DOI Listing

Development of consensus-based guidelines for outpatient dietetic treatment of eating disorders: A Delphi study.

Int J Eat Disord 2020 Jul 14. Epub 2020 Jul 14.

Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, University of Sydney, Sydney, New South Wales, Australia.

Objective: To generate consensus-based guidelines for outpatient dietetic treatment of patients with an eating disorder (ED) using Delphi methodology.

Method: A modified Delphi method was used to develop consensus-based guidelines in several categories: referral to a dietitian; essential components of outpatient dietetic treatment; strategies to promote collaboration between dietitians and other healthcare professionals; and skills dietitians should possess if treating patients with an ED. Participants (n = 162) were coded into three panels: ED specialists (n = 79), non-ED specialists (n = 28), and consumers and carers with lived experience of an ED (n = 55). Read More

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http://dx.doi.org/10.1002/eat.23330DOI Listing

Clinical management of lipomas in dogs under primary care in the UK.

Vet Rec 2020 Jul 13. Epub 2020 Jul 13.

Department of Pathobiology and Population Sciences, Royal Veterinary College, Hatfield, UK.

Lipomas are relatively common and biologically benign masses of mesenchymal origin consisting of adipocytes. This study reports benchmark data on the clinical management and outcomes of lipomas in dogs under UK primary veterinary care. The study used a cross-sectional analysis of cohort clinical data from dogs that were under veterinary care at practices participating within VetCompass from January 1, 2013 to December 31, 2013. Read More

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http://dx.doi.org/10.1136/vr.105804DOI Listing

Treatment after ACL injury: Panther Symposium ACL Treatment Consensus Group.

Br J Sports Med 2020 Jul 13. Epub 2020 Jul 13.

Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Treatment strategies for ACL injuries continue to evolve. Evidence supporting best practice guidelines to manage ACL injury is largely based on studies with low-level evidence. An international consensus group of experts was convened determine consensus regarding best available evidence on operative versus non-operative treatment for ACL injury. Read More

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http://dx.doi.org/10.1136/bjsports-2020-102200DOI Listing

A standardized nomenclature for spectrogram EEG patterns: Inter-rater agreement and correspondence with common intensive care unit EEG patterns.

Clin Neurophysiol 2020 Jun 24. Epub 2020 Jun 24.

Massachusetts General Hospital, Department of Neurology, Boston, MA, USA.

Objective: To determine the inter-rater agreement (IRA) of a standardized nomenclature for EEG spectrogram patterns, and to estimate the probability distribution of ictal-interictal continuum (IIC) patterns vs. other EEG patterns within each category in this nomenclature.

Methods: We defined seven spectrogram categories: "Solid Flames", "Irregular Flames", "Broadband-monotonous", "Narrowband-monotonous", "Stripes", "Low power", and "Artifact". Read More

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http://dx.doi.org/10.1016/j.clinph.2020.05.032DOI Listing

Screening strategies for adults with type 2 diabetes mellitus: a systematic review protocol.

Syst Rev 2020 Jul 13;9(1):156. Epub 2020 Jul 13.

Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa.

Background: There is limited evidence on whether screening for type 2 diabetes mellitus affects health outcomes. A recent systematic review of randomised clinical trials found only one trial that met their inclusion criteria; therefore, current guidelines for screening interventions for type 2 diabetes mellitus are based on expert opinions and best practice rather than synthesised evidence. This systematic review seeks to collate evidence from non-randomised studies to investigate the effect of screening for adults with type 2 diabetes on outcomes including diabetes-related morbidity, mortality (all-cause and diabetes-related) and harms. Read More

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http://dx.doi.org/10.1186/s13643-020-01417-3DOI Listing

Pelvic circumferential compression devices for prehospital management of suspected pelvic fractures: a rapid review and evidence summary for quality indicator evaluation.

Scand J Trauma Resusc Emerg Med 2020 Jul 13;28(1):65. Epub 2020 Jul 13.

School of Health Sciences, Western Sydney University, Sydney, Australia.

Background: Pelvic fractures, especially when unstable, may cause significant haemorrhage. The early application of a pelvic circumferential compression device (PCCD) in patients with suspected pelvic fracture has established itself as best practice. Ambulance services conduct corresponding performance measurement. Read More

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http://dx.doi.org/10.1186/s13049-020-00762-5DOI Listing

Misinformation and de-contextualization: international media reporting on Sweden and COVID-19.

Global Health 2020 Jul 13;16(1):62. Epub 2020 Jul 13.

Department of Arts and Cultural Sciences, Lund University, Box 192, 221 00, Lund, Sweden.

In the first month of the 2020 COVID-19 pandemic, Sweden took the same strategy as most other countries, working to "flatten the curve," by slowing transmission so that the healthcare system could cope with the disease. However, unlike most other countries, much of Sweden's implementation focused on voluntary and stepwise action, rather than legislation and compulsory measures, leading to considerable attention in the international media.Six main narratives emerged in the international media reporting on Sweden during the first month of the COVID-19 pandemic: (1) Life is normal in Sweden, (2) Sweden has a herd immunity strategy, (3) Sweden is not following expert advice, (4) Sweden is not following WHO recommendations (5) the Swedish approach is failing and (6) Swedes trust the government. Read More

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http://dx.doi.org/10.1186/s12992-020-00588-xDOI Listing

Staff perspectives on the usability of electronic patient records for planning and delivering dementia care in nursing homes: a multiple case study.

BMC Med Inform Decis Mak 2020 Jul 13;20(1):159. Epub 2020 Jul 13.

Centre of Expertise in Longevity and Long-Term Care, Faculty of Humanities, Charles University, Prague, Czech Republic.

Background: The electronic patient record (EPR) has been introduced into nursing homes in order to facilitate documentation practices such as assessment and care planning, which play an integral role in the provision of dementia care. However, little is known about how the EPR facilitates or hinders these practices from the end-user's perspective. Therefore, the objective of this qualitative study was to explore the usability issues associated with the EPR for assessment and care planning for people with dementia in nursing homes from a staff perspective. Read More

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http://dx.doi.org/10.1186/s12911-020-01160-8DOI Listing

Use of active learning and simulation to teach pharmacy students order verification and patient education best practices with oral oncolytic therapies.

J Oncol Pharm Pract 2020 Jul 13:1078155220940395. Epub 2020 Jul 13.

Department of Pharmacy Practice and Science, University of Maryland School of Pharmacy, Baltimore, MD, USA.

Introduction: The primary objective of this study was to describe the incorporation of the flipped classroom model and use of real-life oncology patients to facilitate student learning of oral oncolytic best safety practices and patient counseling. The secondary objective was to assess the impact of the flipped classroom learning activity on students' perceived confidence.

Methods: This study was a prospective, single center, flipped classroom learning activity and pre/post assessment survey administered to third year doctor of pharmacy students enrolled in the Oncology Pharmacotherapy didactic elective in 2016 and 2017. Read More

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http://dx.doi.org/10.1177/1078155220940395DOI Listing

Non-stationary salience processing during perceptual training in humans.

Authors:
Mario Treviño

Neuroscience 2020 Jul 10. Epub 2020 Jul 10.

Laboratorio de Plasticidad Cortical y Aprendizaje Perceptual, Instituto de Neurociencias, Universidad de Guadalajara, Guadalajara, Jalisco, México. Electronic address:

Performance in sensory tasks improves with practice. Some theories suggest that the generalization of learning depends on task difficulty. In consequence, most studies have focused on measuring learning specificity, and perceptual impact after training completes. Read More

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http://dx.doi.org/10.1016/j.neuroscience.2020.07.011DOI Listing

Intermittent fasting, a possible priming tool for host defense against SARS-CoV-2 infection: crosstalk among calorie restriction, autophagy and immune response.

Immunol Lett 2020 Jul 10. Epub 2020 Jul 10.

ABEx Bio-Research Center, East Azampur, Dhaka, 1230, Bangladesh; Graduate School of Pharmaceutical Sciences, College of Pharmacy, Ewha Womans University, Seoul, 03760, Republic of Korea. Electronic address:

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is the causative pathogen of deadly Coronavirus disease-19 (COVID-19) pandemic, which emerged as a major threat to public health across the world. Although there is no clear gender or socioeconomic discrimination in the incidence of COVID-19, individuals who are older adults and/or with comorbidities and compromised immunity have a relatively higher risk of contracting this disease. Since no specific drug has yet been discovered, strengthening immunity along with maintaining a healthy living is the best way to survive this disease. Read More

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http://dx.doi.org/10.1016/j.imlet.2020.07.001DOI Listing
July 2020
2.512 Impact Factor

The feasibility of acupuncture as an adjunct intervention for antenatal depression: a pragmatic randomised controlled trial.

J Affect Disord 2020 May 24;275:82-93. Epub 2020 May 24.

Professor of Mental Health, Translational Health Research Institute, School of Medicine Western Sydney University and Camden and Campbelltown Hospitals SWSLHD, Locked Bag 1797, Penrith, NSW 2751, Australia. Electronic address:

Background: Antenatal depression is common and associated with adverse consequences for mothers, babies, and future generations. Limitations with conventional approaches has resulted in additional therapies being considered. This study examined the feasibility and effectiveness of acupuncture for improving mental health. Read More

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http://dx.doi.org/10.1016/j.jad.2020.05.089DOI Listing

Review: The safe handling of a corpse (suspected) with COVID-19.

J Forensic Leg Med 2020 Jul 12;73:101999. Epub 2020 Jun 12.

Maastricht University, Minderbroedersberg 4-6, 6211, LK, Maastricht, the Netherlands; GGD (Public Health Service) IJsselland, Zeven Alleetjes 1, 8011, CV, Zwolle, the Netherlands. Electronic address:

Introduction: Countries around the world are confronted with a rising count of patients that die from COVID-19. Up to this date, there is no scientific evidence that proves that a COVID-19 corpse is still infectious. Different guidelines are being followed worldwide on how to deal with a COVID-19 positive corpse. Read More

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http://dx.doi.org/10.1016/j.jflm.2020.101999DOI Listing

A novel weighted distance threshold method for handling medical missing values.

Comput Biol Med 2020 Jul 30;122:103824. Epub 2020 May 30.

Information Center, China Medical University Hospital, Taichung, Taiwan.

Data in the medical field often contain missing values and may result in biased research results. Therefore, the objective of this work is to propose a new imputation method, a novel weighted distance threshold method, to impute missing values. After several experiments, we find that the proposed imputation method has the following benefits. Read More

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http://dx.doi.org/10.1016/j.compbiomed.2020.103824DOI Listing

A Bioinformatics Crash Course for Interpreting Genomics Data.

Authors:
Daniel M Rotroff

Chest 2020 Jul;158(1S):S113-S123

Department of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH. Electronic address:

Reductions in genotyping costs and improvements in computational power have made conducting genome-wide association studies (GWAS) standard practice for many complex diseases. GWAS is the assessment of genetic variants across the genome of many individuals to determine which, if any, genetic variants are associated with a specific trait. As with any analysis, there are evolving best practices that should be followed to ensure scientific rigor and reliability in the conclusions. Read More

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http://dx.doi.org/10.1016/j.chest.2020.03.004DOI Listing

Chronic Illness and Fatigue in Older Individuals: A Systematic Review.

Rehabil Nurs 2020 Jul 11. Epub 2020 Jul 11.

University of Massachusetts Amherst, Amherst, MA, USA.

Background: Fatigue is a symptom experienced by 40%-74% of older individuals in the United States. Despite its significance, clinicians face challenges helping individuals to manage or reduce fatigue levels. Some management issues are attributable to the ambiguity around the risk factors, consequences, and the effect of fatigue management strategies. Read More

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http://dx.doi.org/10.1097/RNJ.0000000000000278DOI Listing

Evaluation of the use of low-molecular-weight heparin for venous thromboembolism prophylaxis in medical patients.

S Afr Med J 2020 Feb 26;110(3):235-242. Epub 2020 Feb 26.

School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Venous thromboembolism (VTE) complicates a significant proportion of medical admissions. As well as increasing patient morbidity, pulmonary embolism is one of the commonest preventable causes of in-hospital death. An increase in the use of pharmacological preventive measures has been advocated in recent years. Read More

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http://dx.doi.org/10.7196/SAMJ.2020.v110i3.14279DOI Listing
February 2020

Parents refusing blood transfusions for their children solely on religious grounds: Who must apply for the court order?

S Afr Med J 2020 Jan 30;110(2):100-101. Epub 2020 Jan 30.

Centre for Socio-Legal Studies, University of KwaZulu-Natal, Durban, South Africa.

The South African Constitution provides that children have the right to healthcare, as well as all other rights. Furthermore, in all matters affecting them, their best interests must be 'of paramount importance'. It seems common practice that, when parents refuse blood transfusions for their children solely on religious grounds, doctors and health authorities apply for a court order to overturn such refusals. Read More

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http://dx.doi.org/10.7196/10.7196/SAMJ.2020.v110i2.14486DOI Listing
January 2020

Coaching skills for medical education in a VUCA world.

Med Teach 2020 Jul 11:1-2. Epub 2020 Jul 11.

Imperial College London, Medical Education Innovation and Research Centre, School of Public Health, London, UK.

The world is in the midst of the COVID-19 pandemic. Healthcare professionals and students globally are experiencing an increasingly 'VUCA' (volatile, uncertain, complex and ambiguous) healthcare and educational climate. Our future medical workforce needs skillsets to manage the personal and emotional challenges of work, uncertainty and change. Read More

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http://dx.doi.org/10.1080/0142159X.2020.1788713DOI Listing

PhISCS-BnB: a fast branch and bound algorithm for the perfect tumor phylogeny reconstruction problem.

Bioinformatics 2020 Jul;36(Supplement_1):i169-i176

Cancer Data Science Laboratory, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.

Motivation: Recent advances in single-cell sequencing (SCS) offer an unprecedented insight into tumor emergence and evolution. Principled approaches to tumor phylogeny reconstruction via SCS data are typically based on general computational methods for solving an integer linear program, or a constraint satisfaction program, which, although guaranteeing convergence to the most likely solution, are very slow. Others based on Monte Carlo Markov Chain or alternative heuristics not only offer no such guarantee, but also are not faster in practice. Read More

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http://dx.doi.org/10.1093/bioinformatics/btaa464DOI Listing

How to identify, incorporate and report patient preferences in clinical guidelines: A scoping review.

Health Expect 2020 Jul 12. Epub 2020 Jul 12.

University Health Network, Toronto, ON, Canada.

Background: Clinical guidelines optimize care delivery and outcomes. Guidelines support patient engagement and adherence if they reflect patient preferences for treatment options, risks and benefits. Many guidelines do not address patient preferences. Read More

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http://dx.doi.org/10.1111/hex.13099DOI Listing

Long-term follow-up of diabetic macular edema treated with dexamethasone implant: a real-life study.

Acta Diabetol 2020 Jul 12. Epub 2020 Jul 12.

Service D'Ophtalmologie, Hôpital Universitaire de La Croix-Rousse, Hospices Civils de Lyon, Université Lyon 1, 103, Grande Rue de la Croix-Rousse, 69317, Lyon Cedex 04, France.

Aims: To evaluate the efficacy and safety of intravitreal dexamethasone implant (DEX-implant) for diabetic macular edema (DME) in real-life practice with an extended follow-up for up to 5 year.

Methods: This multicentric retrospective study reviewed 227 eyes of 152 patients with DME treated by DEX-implant. Main outcome measures included changes in best corrected visual acuity (BCVA), central macular thickness (CMT), time to retreatment and incidence of adverse effects. Read More

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http://dx.doi.org/10.1007/s00592-020-01561-1DOI Listing

External Validation of the Core Obesity Model to Assess the Cost-Effectiveness of Weight Management Interventions.

Pharmacoeconomics 2020 Jul 13. Epub 2020 Jul 13.

Health Economics and Outcomes Research Ltd, Cardiff, UK.

Background: For economic models to be considered fit for purpose, it is vital that their outputs can be interpreted with confidence by clinicians, budget holders and other stakeholders. Consequently, thorough validation of models should be carried out to enhance confidence in their predictions. Here, we present results of external dependent and independent validations of the Core Obesity Model (COM), which was developed to assess the cost-effectiveness of weight management interventions. Read More

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http://dx.doi.org/10.1007/s40273-020-00941-3DOI Listing

Telehealth for Pediatric Cardiology Practitioners in the Time of COVID-19.

Pediatr Cardiol 2020 Jul 12. Epub 2020 Jul 12.

The Congenital Heart Collaborative, Case Western Reserve University School of Medicine, Cleveland, OH, USA.

Due to the COVID-19 pandemic, there has been an increased interest in telehealth as a means of providing care for children by a pediatric cardiologist. In this article, we provide an overview of telehealth utilization as an extension of current pediatric cardiology practices and provide some insight into the rapid shift made to quickly implement these telehealth services into our everyday practices due to COVID-19 personal distancing requirements. Our panel will review helpful tips into the selection of appropriate patient populations and specific cardiac diagnoses for telehealth that put patient and family safety concerns first. Read More

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http://dx.doi.org/10.1007/s00246-020-02411-1DOI Listing

Challenges in pain assessment and management among individuals with intellectual and developmental disabilities.

Pain Rep 2020 Jul-Aug;5(4):e821. Epub 2020 Jun 16.

Department of Educational Psychology, University of Minnesota, Minneapolis, MN, USA.

Introduction: Intellectual and developmental disabilities (IDD) include conditions associated with physical, learning, language, behavioural, and/or intellectual impairment. Pain is a common and debilitating secondary condition compromising functional abilities and quality of life.

Objectives: This article addresses scientific and clinical challenges in pain assessment and management in individuals with severe IDD. Read More

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http://dx.doi.org/10.1097/PR9.0000000000000822DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302581PMC

Differences in SARS-CoV-2 recommendations from major ophthalmology societies worldwide.

BMJ Open Ophthalmol 2020 7;5(1):e000525. Epub 2020 Jul 7.

Department of Ophthalmology, Stanford University School of Medicine, Stanford, California, USA.

Objective: Since the WHO declared the COVID-19 outbreak as a public health emergency, medical societies around the world published COVID-19 recommendations to physicians to ensure patient care and physician safety. During this pandemic, ophthalmologists around the world adapted their clinical and surgical practice following such guidelines. This original research examines all publicly available COVID-19 recommendations from twelve major ophthalmology societies around the world. Read More

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http://dx.doi.org/10.1136/bmjophth-2020-000525DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7342824PMC

Evaluation of 0.2 µg/day fluocinolone acetonide (ILUVIEN) implant in a cohort of previously treated patients with diabetic macular oedema (DMO): a 36-month follow-up clinical case series.

BMJ Open Ophthalmol 2020 5;5(1):e000484. Epub 2020 Jul 5.

Ophthalmology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, Yorkshire, UK.

Objective: To assess the real-world effectiveness and safety of single injection of a fluocinolone acetonide (FAc) implant in previously treated patients with recurrent diabetic macular oedema (DMO) over a 36-month follow-up period.

Methods And Analysis: This is a retrospective study conducted at a single ophthalmology department at the Royal Hallamshire Hospital, Sheffield, UK. Data were collected using electronic medical records to identify all patients treated with a FAc implant for DMO between March 2014 and November 2014, followed with a 36-month clinic follow-up. Read More

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http://dx.doi.org/10.1136/bmjophth-2020-000484DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7337879PMC

Procedure Training Workshop for Internal Medicine Residents that Emphasizes Procedural Ultrasound: Logistics and Teaching Materials.

MedEdPORTAL 2020 May 15;16:10897. Epub 2020 May 15.

Associate Professor, Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington.

Introduction: Early formal instruction in procedural skills may increase the frequency with which residents perform procedures in the clinical setting. This workshop trained internal medicine residents in ultrasound skills and manual skills required to perform procedures common on medicine wards and required for board eligibility.

Methods: Since 2016, our internal medicine residency program has executed three annual half-day workshops for interns during orientation, before clinical duties began. Read More

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http://dx.doi.org/10.15766/mep_2374-8265.10897DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331964PMC

Evaluation of prevention of ventilator-associated infections in four Australian intensive care units.

J Infect Prev 2020 Jul 14;21(4):147-154. Epub 2020 May 14.

Deakin University, Geelong. Faculty of Health, School of Nursing & Midwifery & The Institute for Health Transformation, Centre for Quality and Patient safety Research. Melbourne, VIC, Australia.

Background: Effective approaches to practice improvement require development of tailored interventions in collaboration with knowledge users.

Objectives: To explore critical care nurses' knowledge and adherence to best practice guidelines for management of patients with an artificial airway to minimise development of ventilator-associated pneumonia.

Methods: A cross-sectional study was undertaken across four intensive care units that involved three phases: (1) survey of critical care nurses regarding their current practice; (2) observation of respiratory care delivery; and (3) chart audit. Read More

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http://dx.doi.org/10.1177/1757177420908006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328504PMC

The Changing Landscape of Autoimmune Hemolytic Anemia.

Front Immunol 2020 3;11:946. Epub 2020 Jun 3.

UO Ematologia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Autoimmune hemolytic anemia (AIHA) is a greatly heterogeneous disease due to autoantibodies directed against erythrocytes, with or without complement activation. The clinical picture ranges from mild/compensated to life-threatening anemia, depending on the antibody's thermal amplitude, isotype and ability to fix complement, as well as on bone marrow compensation. Since few years ago, steroids, immunesuppressants and splenectomy have been the mainstay of treatment. Read More

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http://dx.doi.org/10.3389/fimmu.2020.00946DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325906PMC

Canadian Stroke Best Practice Guidance During the COVID-19 Pandemic.

Can J Neurol Sci 2020 07 17;47(4):474-478. Epub 2020 Apr 17.

Heart and Stroke Foundation of Canada, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1017/cjn.2020.74DOI Listing

Clinical diagnosis and management of small fiber neuropathy: an update on best practice.

Expert Rev Neurother 2020 Jul 11. Epub 2020 Jul 11.

Neuroalgology Unit, Fondazione IRCCS Istituto Neurologico "Carlo Besta" , Milan, Italy.

Introduction: Small fiber neuropathy (SFN) is a heterogeneous group of disorders affecting thinly myelinated Aδ and unmyelinated C-fibers. Common symptoms include neuropathic pain and autonomic disturbances, and the typical clinical presentation is that of a length-dependent polyneuropathy, although other distributions could be present.

Area Covered: This review focuses on several aspects of SFN including etiology, clinical presentation, diagnostic criteria and tests, management, and future perspectives. Read More

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http://dx.doi.org/10.1080/14737175.2020.1794825DOI Listing

A Step Towards Standardization: Results of Two National Surveys of Best Practices in Donation after Circulatory Death Liver Recovery and Recommendations from The American Society of Transplant Surgeons and Association of Organ Procurement Organizations.

Clin Transplant 2020 Jul 11:e14035. Epub 2020 Jul 11.

Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, United States.

Donation after circulatory death (DCD) liver allografts remain underutilized. Inconsistent processes for DCD procurement may contribute to allograft discard. Optimal surgical and organ procurement organization (OPO) practices for DCD liver recovery should be developed and adopted. Read More

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http://dx.doi.org/10.1111/ctr.14035DOI Listing

Is wearing a face mask safe for people with epilepsy?

Acta Neurol Scand 2020 Jul 12. Epub 2020 Jul 12.

Developmental Neurosciences, UCL Great Ormond Street Institute of Child Health, London, UK.

Since December 2019, the world has been experiencing a catastrophic pandemic of coronavirus disease (COVID-19) caused by SARS-CoV2. This virus primarily targets the human respiratory system. Available information suggests that people with epilepsy (PWE) are not at higher risk of being infected by the virus, nor of more severe COVID-19 manifestations, as a result of the epilepsy alone. Read More

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http://dx.doi.org/10.1111/ane.13316DOI Listing

Assessment of Fetal Lung Maturity Using Quantitative Ultrasound Analysis in Patients with Prelabor Rupture of Membranes.

Fetal Diagn Ther 2020 Jul 10:1-6. Epub 2020 Jul 10.

Medical Sciences Post Graduation, Universidade Federal Fluminense, Niterói, Brazil,

Introduction: Prelabor rupture of membranes (PROM) is a frequent clinical situation, and the decision about the best time for delivery remains controversial, mainly due to the risk of neonatal respiratory morbidity (NRM). Assessment of fetal lung maturity using ultrasound, a safe method and widely used in current obstetrical practice, could change this scenario. This study was designed to evaluate the ability of quantitative ultrasound method QuantusFLM® to predict NRM in patients with PROM and whether maternal BMI, gestational age, occurrence of the disease, and presence of oligohydramnios influenced the performance. Read More

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http://dx.doi.org/10.1159/000507550DOI Listing

Characterisation of aluminium black dross before and after stepwise salt-phase dissolution in non-aqueous solvents.

J Hazard Mater 2020 Jun 30;401:123351. Epub 2020 Jun 30.

Department of Chemical & Biological Engineering, University of Sheffield, Sheffield, South Yorkshire, S1 3JD, United Kingdom.

Aqueous leaching to recover salts from black dross is accompanied by hazardous gas generation. The gas-generating phases vary significantly across differently sourced black dross. The challenge for the industry is how to accurately qualify and quantify the problematic components of black dross, especially minor reactive phases. Read More

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http://dx.doi.org/10.1016/j.jhazmat.2020.123351DOI Listing

Scholarly Evaluation of Curricula and Educational Programs: Using a Systematic Approach to Produce Publishable Scholarship.

Acad Pediatr 2020 Jul 9. Epub 2020 Jul 9.

Departments of Medical Education and Pediatrics, University of Virginia School of Medicine, Charlottesville, VA.

The goal of designing innovative curricula and programs in medical education is to create interventions that will change the attitudes, knowledge, skills, and behaviors of learners in order to prepare them to contribute to the health of patients and communities they serve. Systematic evaluation allows curriculum/program developers to optimize their curriculum/program and ensure that the goals of the curriculum/program are met. While curriculum/program evaluation is distinct from educational research, when approached in a rigorous manner, curriculum/program evaluation can be published as educational scholarship. Read More

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http://dx.doi.org/10.1016/j.acap.2020.07.005DOI Listing

The patient and clinician experience of informed consent for surgery: a systematic review of the qualitative evidence.

BMC Med Ethics 2020 Jul 11;21(1):58. Epub 2020 Jul 11.

Centre for Public Health, Queen's University Belfast, Belfast, UK.

Background: Informed consent is an integral component of good medical practice. Many researchers have investigated measures to improve the quality of informed consent, but it is not clear which techniques work best and why. To address this problem, we propose developing a core outcome set (COS) to evaluate interventions designed to improve the consent process for surgery in adult patients with capacity. Read More

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http://dx.doi.org/10.1186/s12910-020-00501-6DOI Listing

Evidence-based medicine and COVID-19: what to believe and when to change.

Emerg Med J 2020 Jul 10. Epub 2020 Jul 10.

Emergency Medicine, Manchester Metropolitan University - All Saints Campus, Manchester, UK.

The COVID-19 pandemic has led to a surge of information being presented to clinicians regarding this novel and deadly disease. There is a clear urgency to collate, review, appraise and act on this information if we are to do the best for clinicians and patients. However, the speed of the pandemic is a threat to traditional models of knowledge translation and practice change. Read More

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http://dx.doi.org/10.1136/emermed-2020-210098DOI Listing

Outcomes Measurement in Global Hand Surgery.

J Hand Surg Am 2020 Jul 7. Epub 2020 Jul 7.

Beth Israel Deaconess Medical Center, Boston, MA. Electronic address:

The global burden of musculoskeletal trauma is high. There is a need to improve access to safe, high-quality surgery in many low- and middle-income countries (LMICs). Numerous initiatives have taken aim at solving this underlying shortage in surgical care, including mission trips, academic programs, and international collaborations. Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.04.026DOI Listing

Achieving a Quintuple Aim for Telehealth in Pediatrics.

Pediatr Clin North Am 2020 Aug 11;67(4):683-705. Epub 2020 Jun 11.

Department of Medicine, Stanford School of Medicine, Stanford, CA 94305, USA.

Pediatric practice increasingly involves providing care for children with medical complexity. Telehealth offers a strategy for providers and health care systems to improve care for these patients and their families. However, lack of awareness related to the unintended negative consequences of telehealth on vulnerable populations--coupled with failure to intentional design best practices for telehealth initiatives--implies that these novel technologies may worsen health disparities in the long run. Read More

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http://dx.doi.org/10.1016/j.pcl.2020.04.015DOI Listing

Blood pressure control in patients with a previous stroke/transient ischaemic attack in primary care in Ireland: a cross sectional study.

BMC Fam Pract 2020 Jul 10;21(1):139. Epub 2020 Jul 10.

Graduate Entry Medical School, University of Limerick, Limerick, Ireland.

Background: Uncontrolled blood pressure (BP) is an important modifiable risk factor for recurrent stroke. Secondary prevention measures when implemented can reduce stroke re-occurrence by 80%. However, hypertension control rates remain sub-optimal, and little data is available from primary care where most management occurs. Read More

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http://dx.doi.org/10.1186/s12875-020-01211-zDOI Listing

Best Practices in Modified Barium Swallow Studies.

Am J Speech Lang Pathol 2020 Jul 10;29(2S):1078-1093. Epub 2020 Jul 10.

Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.

Purpose The modified barium swallow study (MBSS) is a widely used videofluoroscopic evaluation of the functional anatomy and physiology of swallowing that permits visualization of bolus flow throughout the upper aerodigestive tract in real time. The information gained from the examination is critical for identifying and distinguishing the type and severity of swallowing impairment, determining the safety of oral intake, testing the effect of evidence-based frontline interventions, and formulating oral intake recommendations and treatment planning. The goal of this review article is to provide the state of the science and best practices related to MBSS. Read More

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http://dx.doi.org/10.1044/2020_AJSLP-19-00189DOI Listing