1,621 results match your criteria British Journal Of Guidance & Counselling[Journal]


Automatic Midline Identification in Transverse 2-D Ultrasound Images of the Spine.

Ultrasound Med Biol 2020 Jul 7. Epub 2020 Jul 7.

Department of Electrical and Computer Engineering, University of British Columbia, Vancouver, British Columbia, Canada; Department of Mechanical Engineering, University of British Columbia, Vancouver, British Columbia, Canada.

Effective epidural needle placement and injection involves accurate identification of the midline of the spine. Ultrasound, as a safe pre-procedural imaging modality, is suitable for epidural guidance because it offers adequate visibility of the vertebral anatomy. However, image interpretation remains a key challenge, especially for novices. Read More

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http://dx.doi.org/10.1016/j.ultrasmedbio.2020.04.018DOI 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

An EAPCI Expert Consensus Document on Ischaemia with Non-Obstructive Coronary Arteries in Collaboration with European Society of Cardiology Working Group on Coronary Pathophysiology & Microcirculation Endorsed by Coronary Vasomotor Disorders International Study Group.

Eur Heart J 2020 Jul 6. Epub 2020 Jul 6.

Centre for Cardiovascular Medicine and Devices, William Harvey Research Institute, Queen Mary University of London and Barts Heart Centre, London, UK.

This consensus document, a summary of the views of an expert panel organized by the European Association of Percutaneous Cardiovascular Interventions (EAPCI), appraises the importance of ischaemia with non-obstructive coronary arteries (INOCA). Angina pectoris affects approximately 112 million people globally. Up to 70% of patients undergoing invasive angiography do not have obstructive coronary artery disease, more common in women than in men, and a large proportion have INOCA as a cause of their symptoms. Read More

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http://dx.doi.org/10.1093/eurheartj/ehaa503DOI Listing

Lecture capture in pharmacy education at UBC: Updating our understanding.

Curr Pharm Teach Learn 2020 Sep 22;12(9):1037-1045. Epub 2020 May 22.

Office of Educational Technology and Learning Designs, University of British Columbia, Faculty of Pharmaceutical Sciences, 2405 Wesbrook Mall, Vancouver, British Columbia V6T 1Z3, Canada. Electronic address:

Introduction: Lecture capture is a contemporary learning technology used to improve the quality of professional programs such as pharmacy. Building on our 2014 study, the objective of this study was to reexamine the value of lecture capture for student and faculty users and make decisions about its continuance and optimization.

Methods: Survey methodology was used to gather student and faculty perspectives on the lecture recordings. Read More

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http://dx.doi.org/10.1016/j.cptl.2020.04.031DOI Listing
September 2020

Conducting a Mixed-Methods Study with Older Adults in Five Languages: Lessons from the Field.

Can J Aging 2020 Jun 19:1-10. Epub 2020 Jun 19.

Centre for Hip Health and Mobility, University of British Columbia & Vancouver Coastal Health Research Institute, Vancouver.

One third of older adults in Canada are foreign-born, yet there is a dearth of literature on this population. When our team set out to engage in a mixed-methods study on the physical activity and mobility of foreign-born older adults (FBOAs), we found limited guidance. The objective of this Research Note is to share the lessons that we learned in implementing a mixed-methods study in five languages, with 49 visible minority FBOAs from diverse ethno-cultural groups. Read More

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http://dx.doi.org/10.1017/S0714980820000100DOI Listing

Histopathologic Assessment of Suspected Idiopathic Pulmonary Fibrosis: Where We Are and Where We Need to Go.

Arch Pathol Lab Med 2020 Jul 2. Epub 2020 Jul 2.

and the Department of Pathology, Mount Sinai Health System, Icahn School of Medicine, New York, New York (Dr Beasley).

Context.—: Accurate diagnosis of idiopathic pulmonary fibrosis (IPF) requires multidisciplinary diagnosis that includes clinical, radiologic, and often pathologic assessment. In 2018, the American Thoracic Society, European Respiratory Society, Japanese Respiratory Society, and the Latin American Thoracic Society (ATS/ERS/JRS/ALAT) and the Fleischner Society each published guidelines for the diagnosis of IPF, which include criteria for 4 categories of confidence of a histologic usual interstitial pneumonia (UIP) pattern. Read More

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http://dx.doi.org/10.5858/arpa.2020-0052-RADOI Listing

Obituary for Earl Warren Davie 1927-2020.

J Thromb Haemost 2020 Jun 30. Epub 2020 Jun 30.

Centre for Blood Research, Life Sciences Institute Faculty of Medicine, University of British Columbia, Vancouver, Canada.

Earl W. Davie was born and raised near Mount Rainier in his beloved Washington State. After receiving his bachelor of science degree in chemistry in 1950 from the University of Washington, Earl enrolled as a graduate student under the guidance of the distinguished protein chemist, Hans Neurath. Read More

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http://dx.doi.org/10.1111/jth.14978DOI Listing

Management of Fracture Risk in Patients with Chronic Obstructive Pulmonary Disease (COPD): Building a UK Consensus Through Healthcare Professional and Patient Engagement.

Int J Chron Obstruct Pulmon Dis 2020 15;15:1377-1390. Epub 2020 Jun 15.

NIHR Nottingham BRC Respiratory Theme, School of Medicine, University of Nottingham, City Hospital Campus, Nottingham, UK.

Introduction: Osteoporosis and bone fractures are common in chronic obstructive pulmonary disease (COPD) and contribute significantly to morbidity and mortality. Current national guidance on COPD management recommends addressing bone health in patients, however, does not detail how. This consensus outlines key elements of a structured approach to managing bone health and fracture risk in patients with COPD. Read More

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http://dx.doi.org/10.2147/COPD.S233398DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311204PMC

Clozapine prescribing: comparison of clozapine dosage and plasma levels between White British and Bangladeshi patients.

BJPsych Bull 2020 Jul 1:1-5. Epub 2020 Jul 1.

Tower Hamlets Clozapine Clinic, East London NHS Foundation Trust, UK.

Aims And Method: To compare differences in clozapine doses and plasma levels between Bangladeshi and White British patients. Following ethical approval we identified all current Bangladeshi and White British patients on clozapine maintenance in an east London clinic. We carried out univariate and multivariate regression analyses to examine associations between clozapine doses and ethnicity, age, gender, smoking status and weight. Read More

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http://dx.doi.org/10.1192/bjb.2020.59DOI Listing

TRANSFUSION THRESHOLDS FOR ADULT RESPIRATORY EXTRACORPOREAL LIFE SUPPORT: AN EXPERT CONSENSUS DOCUMENT.

Can J Cardiol 2020 Jun 26. Epub 2020 Jun 26.

Department of Critical Care Medicine, Cumming School of Medicine - Alberta Health Services and University of Calgary and Libin Cardiovascular Institute of Alberta, University of Calgary.

Severe acute respiratory distress syndrome (ARDS) can complicate novel pandemic coronavirus disease (COVID-19). Extracorporeal life support (ECLS) represents the final possible rescue strategy. Variations in practice, combined with a paucity of rigorous guidelines, may complicate blood product resource availability and allocation during a pandemic. Read More

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http://dx.doi.org/10.1016/j.cjca.2020.06.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319637PMC

Resumption of laser/IPL skin services post COVID-19 lockdown-British Medical Laser Association (BMLA) guidance document.

Authors:
Vishal Madan

Lasers Med Sci 2020 Jun 27. Epub 2020 Jun 27.

Salford Royal NHS Foundation Trust, Stott Lane, Salford, M6 8HD, UK.

The COVID-19 pandemic has had a significant negative impact on the global health economies. As health care resources have been prioritised to cater for patients affected by COVID-19, routine health care services have remained suspended. In an effort to slow the spread of SARS-CoV-2 virus, the UK introduced a country-wide lockdown which came into effect on the 23rd March 2020. Read More

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http://dx.doi.org/10.1007/s10103-020-03086-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319908PMC

Public health response to ultra-processed food and drinks.

BMJ 2020 06 26;369:m2391. Epub 2020 Jun 26.

Menzies Centre for Health Policy, School of Public Health, University of Sydney, Sydney Australia.

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http://dx.doi.org/10.1136/bmj.m2391DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318879PMC

A Pathway for Implementing the Nurse Practitioner Workforce in a Rural and Remote Health Region.

Nurs Leadersh (Tor Ont) 2020 Jun;33(2):44-53

Professor and the Northern Health-UNBC Knowledge Mobilization Research Chair, School of Nursing, University of Northern British Columbia, Prince George, BC.

Despite descriptions of nurse practitioner (NP) implementation, there is little guidance for health authorities on how to address the evolving and ongoing challenges of implementing and sustaining NP roles and practice, particularly in rural and remote communities where recruitment and retention are difficult and professional supports may be limited. This article describes a pathway through which NPs have been recruited, supported and retained in their practice in a large rural and remote health authority. The pathway's main steps were the creation of an NP lead for the health authority and the facilitation of conversations with NPs, which resulted in a new organizational model and a renewable action plan for recruitment and retention. Read More

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http://dx.doi.org/10.12927/cjnl.2020.26238DOI Listing

Improving intravenous fluid prescribing.

J R Coll Physicians Edinb 2020 Jun;50(2):181-187

Renal Unit, Aberdeen Royal Infirmary, Aberdeen, UK.

Intravenous (IV) fluid therapy is integral to the care of patients in hospitals but involves complex decisions. Errors in fluid prescribing are common, leading to significant harm due to inappropriate fluid type, rate or volume. British national guidelines have been developed to improve prescribing, but adherence has been generally poor. Read More

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http://dx.doi.org/10.4997/JRCPE.2020.224DOI Listing

Change in practice due to COVID-19 - Early experiences of a United Kingdom district general hospital in trauma & orthopaedics.

J Orthop 2020 Nov-Dec;22:288-290. Epub 2020 Jun 6.

East Kent Hospitals University Hospitals NHS Trust, William Harvey Hospital, Kennington Road, Willesborough, Ashford, Kent, TN24 0LZ, UK.

COVID-19 is a significant worldwide challenge to many healthcare systems. In Trauma and Orthopaedics, there has been a significant change in the workload but departments have been compelled to change their practice in order to match the demand, as well as respond to the escalating situation of COVID. Some guidance is available on these changes from bodies such as the National Health Service (NHS), Public Health England and the British Orthopaedic Association (BOA). Read More

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http://dx.doi.org/10.1016/j.jor.2020.06.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7274983PMC

Infectious Diseases Society of America Guidelines on the Diagnosis of COVID-19.

Clin Infect Dis 2020 Jun 16. Epub 2020 Jun 16.

Division of Nephrology and Hypertension, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas.

Background: Accurate molecular diagnostic tests are necessary for confirming a diagnosis of coronavirus disease 2019 (COVID-19). Direct detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) nucleic acids in respiratory tract specimens informs patient, healthcare institution and public health level decision-making. The numbers of available SARS-CoV-2 nucleic acid detection tests are rapidly increasing, as is the COVID-19 diagnostic literature. Read More

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http://dx.doi.org/10.1093/cid/ciaa760DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7337674PMC

Public Attitudes, Behaviors, and Beliefs Related to COVID-19, Stay-at-Home Orders, Nonessential Business Closures, and Public Health Guidance - United States, New York City, and Los Angeles, May 5-12, 2020.

MMWR Morb Mortal Wkly Rep 2020 Jun 19;69(24):751-758. Epub 2020 Jun 19.

SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), is thought to be transmitted mainly by person-to-person contact (1). Implementation of nationwide public health orders to limit person-to-person interaction and of guidance on personal protective practices can slow transmission (2,3). Such strategies can include stay-at-home orders, business closures, prohibitions against mass gatherings, use of cloth face coverings, and maintenance of a physical distance between persons (2,3). Read More

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http://dx.doi.org/10.15585/mmwr.mm6924e1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302477PMC

Cardiac Rehabilitation during the COVID-19 Era: Guidance on Implementing Virtual Care.

Can J Cardiol 2020 Jun 14. Epub 2020 Jun 14.

Centre for Cardiovascular Innovation, Division of Cardiology, University of British Columbia, Vancouver, BC, Canada.

Cardiac rehabilitation programs across Canada have suspended in-person services as a result of large-scale physical distancing recommendations designed to flatten the COVID-19 pandemic curve. Virtual cardiac rehabilitation (VCR) offers an alternate mechanism of care delivery, capable of providing similar patient outcomes and safety profiles compared to centre-based programs. In order to minimize care gaps, all centres should consider developing and implementing a VCR program. Read More

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http://dx.doi.org/10.1016/j.cjca.2020.06.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7293761PMC

British Society of Gastroenterology endorsed guidance for the management of immune checkpoint inhibitor-induced enterocolitis.

Lancet Gastroenterol Hepatol 2020 Jul;5(7):679-697

The Royal Marsden Hospital, London, UK.

Immune checkpoint inhibitors are a novel class of cancer treatment that have improved outcomes for a subset of cancer patients. They work by antagonising inhibitory immune pathways, thereby augmenting immune-mediated antitumour responses. However, immune activation is not cancer-specific and often results in the activation of immune cells in non-cancer tissues, resulting in off-target immune-mediated injury and organ dysfunction. Read More

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http://dx.doi.org/10.1016/S2468-1253(20)30014-5DOI Listing

Cancer-associated venous thromboembolism: Treatment and prevention with rivaroxaban.

Res Pract Thromb Haemost 2020 May 4;4(4):532-549. Epub 2020 Apr 4.

Memorial Sloan Kettering Cancer Center New York NY USA.

Cancer-associated venous thromboembolism (VTE) is a frequent, potentially life-threatening event that complicates cancer management. Anticoagulants are the cornerstone of therapy for the treatment and prevention of cancer-associated thrombosis (CAT); factor Xa-inhibiting direct oral anticoagulants (DOACs; apixaban, edoxaban, and rivaroxaban), which have long been recommended for the treatment of VTE in patients without cancer, have been investigated in this setting. The first randomized comparisons of DOACs against low-molecular-weight heparin for the treatment of CAT indicated that DOACs are efficacious in this setting, with findings reflected in recent updates to published guidance on CAT treatment. Read More

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http://dx.doi.org/10.1002/rth2.12327DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292665PMC

Quality Control of Next-Generation Sequencing-Based HIV-1 Drug Resistance Data in Clinical Laboratory Information Systems Framework.

Viruses 2020 Jun 14;12(6). Epub 2020 Jun 14.

Rega Institute for Medical Research, Department of Microbiology, Immunology and Transplantation, KU Leuven, 3000 Leuven, Belgium.

Next-generation sequencing (NGS) in HIV drug resistance (HIVDR) testing has the potential to improve both clinical and public health settings, however it challenges the normal operations of quality management systems to be more flexible due to its complexity, massive data generation, and rapidly evolving protocols. While guidelines for quality management in NGS data have previously been outlined, little guidance has been implemented for NGS-based HIVDR testing. This document summarizes quality control procedures for NGS-based HIVDR testing laboratories using a laboratory information systems (LIS) framework. Read More

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http://dx.doi.org/10.3390/v12060645DOI Listing

Clinical use of Convalescent Plasma in the COVID-19 pandemic; a transfusion-focussed gap analysis with recommendations for future research priorities.

Vox Sang 2020 Jun 15. Epub 2020 Jun 15.

Department Unit Transfusion Medicine, Sanquin Blood Supply Foundation, Amsterdam, Netherlands.

Background And Objectives: Use of convalescent plasma for Coronavirus disease 2019 (COVID-19) treatment has gained interest worldwide. However, there is lack of evidence on its dosing, safety and effectiveness. Until data from clinical studies are available to provide solid evidence for worldwide applicable guidelines, there is a need to provide guidance to the transfusion community and researchers on this emergent therapeutic option. Read More

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http://dx.doi.org/10.1111/vox.12973DOI Listing

Including 'seldom heard' views in research: opportunities, challenges and recommendations from focus groups with British South Asian people with type 2 diabetes.

BMC Med Res Methodol 2020 Jun 15;20(1):157. Epub 2020 Jun 15.

Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG, UK.

Background: The inclusion of 'seldom heard' groups in health and social care research is increasingly seen as important on scientific, policy and ethical grounds. British South Asians, the largest minority ethnic group in the United Kingdom (UK), are under-represented in health research yet over-represented in the incidence of certain conditions such as type 2 diabetes. With the growing requirement of patient involvement in research and the inclusion of diverse populations, methodological guidance on how to include, engage and conduct research with UK South Asian populations is essential if services and interventions are to be relevant and impactful. Read More

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http://dx.doi.org/10.1186/s12874-020-01045-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296709PMC

What do occupational hygienists really know about skin exposure?

Ann Work Expo Health 2020 Jun 15. Epub 2020 Jun 15.

Institute of Biological Chemistry, Biophysics and Bioengineering, Heriot-Watt University, Riccarton, Edinburgh, UK.

This article describes responses to a questionnaire on current work practices and understanding of the management of dermal exposure issues in the workplace from members of the British Occupational Hygiene Society (BOHS) and the Australian Institute of Occupational Hygienists (AIOH). The survey comprised questions in four key areas: employment demographics, experience managing dermal exposure, knowledge of dermal exposure management, and opinions on professional knowledge gaps and preferred training methods. The survey was disseminated in 2016 in the UK and 2018 in Australia, with 116 and 114 responses from each jurisdiction, respectively. Read More

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http://dx.doi.org/10.1093/annweh/wxaa046DOI Listing

Guidance for the Procurement of COVID-19 Convalescent Plasma: Differences between High and Low-Middle Income Countries.

Vox Sang 2020 Jun 13. Epub 2020 Jun 13.

Dept Unit Transfusion Medicine, Sanquin Blood Supply Foundation, Amsterdam, NL, Netherlands.

Background And Objectives: COVID-19 convalescent plasma (CCP) has been used, predominantly in high-income countries (HICs) to treat COVID-19; available data suggest the safety and efficacy of use. We sought to develop guidance for procurement and use of CCP, particularly in low and middle-income countries (LMICs) for which data are lacking.

Materials And Methods: A multidisciplinary, geographically representative group of individuals with expertise spanning transfusion medicine, infectious diseases and hematology was tasked with the development of a guidance document for CCP, drawing on expert opinion, survey of group members and review of available evidence. Read More

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http://dx.doi.org/10.1111/vox.12970DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323328PMC

Canadian Society of Nephrology COVID-19 Rapid Response Team Home Dialysis Recommendations.

Can J Kidney Health Dis 2020 29;7:2054358120928153. Epub 2020 May 29.

University of Ottawa, The Ottawa Hospital, Ottawa, ON, Canada.

Purpose Of Program: This paper will provide guidance on how to best manage patients with end-stage kidney disease who will be or are being treated with home dialysis during the COVID-19 pandemic.

Sources Of Information: Program-specific documents, pre-existing, and related to COVID-19; documents from national and international kidney agencies; national and international webinars, including webinars that we hosted for input and feedback; with additional information from formal and informal review of published academic literature.

Methods: Members of the Canadian Society of Nephrology (CSN) Board of Directors solicited a team of clinicians and administrators with expertise in home dialysis. Read More

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http://dx.doi.org/10.1177/2054358120928153DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262737PMC

Restarting gastrointestinal endoscopy in the deceleration and early recovery phases of COVID-19 pandemic: Guidance from the British Society of Gastroenterology.

Clin Med (Lond) 2020 Jun 9. Epub 2020 Jun 9.

BSG and consultant gastroenterologist, Royal Infirmary of Edinburgh, UK.

Many non-emergency clinical services were suspended during COVID-19 pandemic peak. It is essential to develop a plan for restarting services following the peak. It is equally important to protect patients and staff and to use resources and personal protective equipment (PPE) efficiently. Read More

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http://dx.doi.org/10.7861/clinmed.2020-0296DOI Listing
June 2020
1.685 Impact Factor

An Algorithmic Approach to Natural Behavior.

Curr Biol 2020 Jun;30(11):R663-R675

Department of Zoology, University of Oxford, 11a Mansfield Road, Oxford OX1 3SZ, UK.

Uncovering the mechanisms and implications of natural behavior is a goal that unites many fields of biology. Yet, the diversity, flexibility, and multi-scale nature of these behaviors often make understanding elusive. Here, we review studies of animal pursuit and evasion - two special classes of behavior where theory-driven experiments and new modeling techniques are beginning to uncover the general control principles underlying natural behavior. Read More

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http://dx.doi.org/10.1016/j.cub.2020.04.018DOI Listing

Spring in London with Covid-19: a personal view.

Authors:
Diana Brahams

Med Leg J 2020 Jul 9;88(2):57-64. Epub 2020 Jun 9.

London, UK.

This is a personal view from London as the Covid-19 pandemic continues to spread here and the situation changes from day to day. As such it can only be a snapshot caught in time; it is not a diary of events. The Coronavirus Act 2020 gives Government enormous powers and was passed by Parliament in one day of debate immediately before it closed early for the Easter break. Read More

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http://dx.doi.org/10.1177/0025817220923692DOI Listing

A comparison of five paediatric dosing guidelines for antibiotics.

Bull World Health Organ 2020 Jun 28;98(6):406-412F. Epub 2020 Apr 28.

Paediatric Infectious Diseases Research Group, Institute of Infection and Immunity, St George's, University of London, Cranmer Terrace, London SW17 0RE, England.

Objective: To compare dosing guidance in the paediatric formularies of high- and middle-income countries for 32 commonly prescribed antibiotics on the World Health Organization's (WHO's) 2017

Methods: We identified paediatric antibiotic guidelines that were either widely used internationally or originated from countries in which antibiotic use has increased markedly in recent years (i.e. Brazil, China, India, the Russian Federation and South Africa). Read More

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http://dx.doi.org/10.2471/BLT.19.234310DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265929PMC

Characteristics and outcomes of pregnant women admitted to hospital with confirmed SARS-CoV-2 infection in UK: national population based cohort study.

BMJ 2020 06 8;369:m2107. Epub 2020 Jun 8.

National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK.

Objectives: To describe a national cohort of pregnant women admitted to hospital with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in the UK, identify factors associated with infection, and describe outcomes, including transmission of infection, for mothers and infants.

Design: Prospective national population based cohort study using the UK Obstetric Surveillance System (UKOSS).

Setting: All 194 obstetric units in the UK. Read More

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http://dx.doi.org/10.1136/bmj.m2107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277610PMC

Adaptations to the British Society of Gastroenterology guidelines on the management of acute severe UC in the context of the COVID-19 pandemic: a RAND appropriateness panel.

Gut 2020 Jun 8. Epub 2020 Jun 8.

Department of Gastroenterology, Guy's and Saint Thomas' Hospitals NHS Trust, London, UK

Objective: Management of acute severe UC (ASUC) during the novel COVID-19 pandemic presents significant dilemmas. We aimed to provide COVID-19-specific guidance using current British Society of Gastroenterology (BSG) guidelines as a reference point.

Design: We convened a RAND appropriateness panel comprising 14 gastroenterologists and an IBD nurse consultant supplemented by surgical and COVID-19 experts. Read More

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http://dx.doi.org/10.1136/gutjnl-2020-321927DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299646PMC
June 2020
14.660 Impact Factor

Management of Plaque Psoriasis With Biologic Therapies in Women of Child-Bearing Potential Consensus Paper.

J Cutan Med Surg 2020 Jul/Aug;24(1_suppl):3S-14S. Epub 2020 Jun 5.

Department of Medicine, McMaster University, Hamilton, ON, Canada.

Background: Plaque psoriasis (PsO) is a chronic inflammatory disease that often presents at peak reproductive age in women of child-bearing potential (WOCBP). With the emergence of biologic therapies to treat PsO, guidance on disease management in WOCBP is needed to inform treatment decisions before, during, and after pregnancy.

Objectives: To develop a practical, up-to-date consensus document, based on available evidence and expert opinion where evidence was lacking, in order to guide both Canadian and international clinicians treating PsO in WOCBP. Read More

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http://dx.doi.org/10.1177/1203475420928376DOI Listing

Evaluation of a marker-less, intra-operative, augmented reality guidance system for robot-assisted laparoscopic radical prostatectomy.

Int J Comput Assist Radiol Surg 2020 Jul 5;15(7):1225-1233. Epub 2020 Jun 5.

Electrical and Computer Engineering, University of British Columbia, 2329 West Mall, Vancouver, BC, V6T 1Z4, Canada.

Purpose: Robot-assisted laparoscopic radical prostatectomy (RALRP) using the da Vinci surgical robot is a common treatment for organ-confined prostate cancer. Augmented reality (AR) can help during RALRP by showing the surgeon the location of anatomical structures and tumors from preoperative imaging. Previously, we proposed hand-eye and camera intrinsic matrix estimation procedures that can be carried out with conventional instruments within the patient during surgery, take < 3 min to perform, and fit seamlessly in the existing surgical workflow. Read More

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http://dx.doi.org/10.1007/s11548-020-02181-4DOI Listing

Guidance for otolaryngology health care workers performing aerosol generating medical procedures during the COVID-19 pandemic.

J Otolaryngol Head Neck Surg 2020 Jun 3;49(1):36. Epub 2020 Jun 3.

BC Rotary Hearing and Balance Centre at St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for Coronavirus disease 2019 (COVID-19) has a predilection for infecting the mucosa of the upper and lower airways. Otolaryngologists and supporting health care workers (HCWs) are particularly at high risk of becoming infected while treating patients as many in-office procedures and surgeries are Aerosol Generating Medical Procedures (AGMP). Based on a review of the literature and various guidelines, recommendations are made to mitigate the risk to health care workers of becoming infected with SARS-CoV-2 while providing clinical care. Read More

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http://dx.doi.org/10.1186/s40463-020-00429-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7269420PMC

Exercise Electrocardiography and Computed Tomography Coronary Angiography for Patients With Suspected Stable Angina Pectoris: A Post Hoc Analysis of the Randomized SCOT-HEART Trial.

JAMA Cardiol 2020 Jun 3. Epub 2020 Jun 3.

British Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.

Importance: Recent European guidance supports a diminished role for exercise electrocardiography (ECG) in the assessment of suspected stable angina.

Objective: To evaluate the utility of exercise ECG in contemporary practice and assess the value of combined functional and anatomical testing.

Design, Setting, And Participants: This is a post hoc analysis of the Scottish Computed Tomography of the Heart (SCOT-HEART) open-label randomized clinical trial, conducted in 12 cardiology chest pain clinics across Scotland for patients with suspected angina secondary to coronary heart disease. Read More

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http://dx.doi.org/10.1001/jamacardio.2020.1567DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271417PMC

[A river stretch scale assessment of urban river habitat in the Taihu Lake Basin].

Ying Yong Sheng Tai Xue Bao 2020 Feb;31(2):581-589

School of Ecological and Environmental Sciences, East China Normal University/Shanghai Key Laboratory for Urban Ecological Processes and Eco-Restoration, Shanghai 200241, China.

Under the background of rapid urbanization, the degradation of urban river water environment and ecological function in the Taihu Lake Basin has become increasingly prominent. Consequently, it is particularly important to systematically assess urban river habitat. This study referred to and corrected the British Urban River Survey evaluation system. Read More

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http://dx.doi.org/10.13287/j.1001-9332.202002.006DOI Listing
February 2020

The Stanford Hall consensus statement for post-COVID-19 rehabilitation.

Br J Sports Med 2020 May 31. Epub 2020 May 31.

Defence Medical Rehabilitation Centre, Stanford Hall, Loughborough, United Kingdom.

The highly infectious and pathogenic novel coronavirus (CoV), severe acute respiratory syndrome (SARS)-CoV-2, has emerged causing a global pandemic. Although COVID-19 predominantly affects the respiratory system, evidence indicates a multisystem disease which is frequently severe and often results in death. Long-term sequelae of COVID-19 are unknown, but evidence from previous CoV outbreaks demonstrates impaired pulmonary and physical function, reduced quality of life and emotional distress. Read More

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http://dx.doi.org/10.1136/bjsports-2020-102596DOI Listing

Command application of UK military climatic guidance on Exercise SAIF SAREEA 3.

Authors:
M B Smith S White

BMJ Mil Health 2020 May 30. Epub 2020 May 30.

Department of Military Medicine, Royal Centre for Defence Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK.

Health and risk management of personnel in hot climates remains a Commander's responsibility, with Joint Service Publication 539 Heat Illness and Cold Injury: Prevention and Management (JSP 539) being the guiding document for the UK military. This policy can be challenging to interpret occasionally, needing medical professionals to provide ongoing advice to commanders. This is to achieve a shared understanding of scientific concepts and risks to allow a more informed decision-making by commanders. Read More

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http://dx.doi.org/10.1136/bmjmilitary-2019-001358DOI Listing

Cost effectiveness of testing HIV infected individuals for TB in a low TB/HIV setting.

J Infect 2020 May 27. Epub 2020 May 27.

Department of HIV and Respiratory Medicine, Royal Free London NHS Foundation Trust, Pond Street, London NW3 2QG, United Kingdom; UCL Respiratory, Division of Medicine, University College London, Royal Free Campus, Rowland Hill Street, London NW3 2PF, United Kingdom.

Objectives: Guidelines recommend routine testing for latent TB infection (LTBI) in people living with HIV. However there are few cost-effectiveness studies to justify this in contemporary high resource, low TB/HIV incidence settings. We sought to assess the uptake, yield and cost-effectiveness of testing for latent and active TB. Read More

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http://dx.doi.org/10.1016/j.jinf.2020.05.055DOI Listing

Emergency Radiology During the COVID-19 Pandemic: The Canadian Association of Radiologists Recommendations for Practice.

Can Assoc Radiol J 2020 May 29:846537120930344. Epub 2020 May 29.

Department of Radiology, McMaster University, Hamilton, Ontario, Canada.

Coronavirus Disease 2019 (COVID-19) is the disease caused by the novel coronavirus officially named the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), declared as a pandemic by the World Health Organization on March 11, 2020. The COVID-19 pandemic presents an unprecedented challenge to emergency radiology practice. The continuity of an effective emergency imaging service for both COVID-19 and non-COVID-19 patients is essential, while adhering to best infection control practices. Read More

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http://dx.doi.org/10.1177/0846537120930344DOI Listing

Translating 'protein foods' from the new Canada's Food Guide to consumers: Knowledge gaps and recommendations.

Appl Physiol Nutr Metab 2020 May 27. Epub 2020 May 27.

University of Manitoba , Room 209 Human Ecology , Department of Human Nutritional Sciences , Winnipeg, Manitoba, Canada , R3T 2N2 ;

The revised version of Canada's Food Guide, released in January 2019, issued new guidance by combining meat and alternatives with milk and alternatives into a single group called 'protein foods' and emphasized selecting plant-based foods from this category more often. Though the changes represent a simple depiction of a healthy plate, the new Food Guide has opened knowledge gaps about 'protein foods' and exposed new concerns about the interpretation and implementation of the Food Guide among vulnerable groups, particularly children and the elderly. To address key knowledge and research gaps, nutrition leaders need to reach a consensus on key messages to best inform the development of tools and resources to support practitioners in translating messages to consumers, including foodservice standards. Read More

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http://dx.doi.org/10.1139/apnm-2020-0192DOI Listing

Is withdrawing treatment really more problematic than withholding treatment?

J Med Ethics 2020 May 25. Epub 2020 May 25.

Murdoch Childrens Research Institute, Parkville, Victoria, Australia.

There is a concern that as a result of COVID-19 there will be a shortage of ventilators for patients requiring respiratory support. This concern has resulted in significant debate about whether it is appropriate to withdraw ventilation from one patient in order to provide it to another patient who may benefit more. The current advice available to doctors appears to be inconsistent, with some suggesting withdrawal of treatment is more serious than withholding, while others suggest that this distinction should not be made. Read More

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http://dx.doi.org/10.1136/medethics-2020-106330DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295851PMC

Percutaneous CT-guided epidural fibrin sealant injection for refractory pediatric post-dural puncture headache.

Pediatr Radiol 2020 Jul 23;50(8):1156-1158. Epub 2020 May 23.

Department of Radiology, Vancouver General Hospital, University of British Columbia, 3350-950 West 10th Ave., Vancouver, BC, V5Z 4E3, Canada.

Post-dural puncture headache is an uncommon entity in young children and adolescents. Percutaneous epidural blood patching has been classically used to manage refractory post-dural puncture headaches. Injectable fibrin sealant has been shown in a few adult cases to relieve symptoms where blood patching has either failed or was not appropriate. Read More

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http://dx.doi.org/10.1007/s00247-020-04691-4DOI Listing

Effects of maternal use of hormonal contraception during breastfeeding: Results from a British birth cohort.

Eur J Obstet Gynecol Reprod Biol 2020 Jul 5;250:143-149. Epub 2020 May 5.

Department of Reproductive Health and Research, World Health Organization, 1211 Geneva 27, Switzerland. Electronic address:

Objective: The impact of early hormonal contraception (HC) exposure during breastfeeding on child growth and pubertal and behavioural development was assessed using data from the Avon Longitudinal Study of Parents and Children (Avon study).

Study Design: The Avon study is a prospective cohort study designed to identify environmental factors affecting child health and development (n = 14,541; delivery dates: 1 April 1991-31 December 1992). This secondary analysis was restricted to breastfed singleton infants. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.04.040DOI Listing

COVID-SAFER: Deprescribing Guidance for Hydroxychloroquine Drug Interactions in Older Adults.

J Am Geriatr Soc 2020 May 22. Epub 2020 May 22.

Division of Experimental Medicine, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.

Background/objectives: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection causes high morbidity and mortality in older adults with chronic illnesses. Several trials are currently underway evaluating the antimalarial drug hydroxychloroquine as a potential treatment for acute infection. However, polypharmacy predisposes patients to increased risk of drug-drug interactions with hydroxychloroquine and may render many in this population ineligible to participate in trials. Read More

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http://dx.doi.org/10.1111/jgs.16623DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280600PMC

Personal Protective Equipment (PPE) use among emergency eye care professionals in the UK during the COVID19 pandemic.

Eye (Lond) 2020 Jul 21;34(7):1224-1228. Epub 2020 May 21.

Manchester Royal Eye Hospital, Manchester Foundation Trust, Manchester, United Kingdom.

EEC staff were provided with rapidly changing personal PPE guidance by Public Health England (PHE) with specific subspecialty advice from the British Emergency Eye Care Society (BEECS) and the Royal College of Ophthalmologists (RCOphth) UK during the COVID19 pandemic. BEECS undertook a baseline survey of its members after the initial response from the RCOphth 16/3/20 mirroring Public Health England (PHE) advice and a follow- up survey after the guidance was updated on 9/4/20. A combined total of 84 responses were received. Read More

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http://dx.doi.org/10.1038/s41433-020-0970-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241584PMC

Global Access to Handwashing: Implications for COVID-19 Control in Low-Income Countries.

Environ Health Perspect 2020 05 15;128(5):57005. Epub 2020 May 15.

Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.

Background: Low-income countries have reduced health care system capacity and are therefore at risk of substantially higher COVID-19 case fatality rates than those currently seen in high-income countries. Handwashing is a key component of guidance to reduce transmission of the SARS-CoV-2 virus, responsible for the COVID-19 pandemic. Prior systematic reviews have indicated the effectiveness of handwashing to reduce transmission of respiratory viruses. Read More

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http://dx.doi.org/10.1289/EHP7200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263456PMC

Effects of heat: UK exercise Saif Sareea 3 and interpreting military climatic guidance.

BMJ Mil Health 2020 May 19. Epub 2020 May 19.

5 Armoured Medical Regiment, British Army, Catterick Garrison, UK

Introduction: Over recent years much research, both civilian and military, has occurred in the field of heat illness. This has helped force health protection and medical management of service personnel operating in hot climates. Exercise Saif Sareea 3 in Oman saw a collection of presentations to the deployed UK medical treatment facilities due to the effects of heat. Read More

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http://dx.doi.org/10.1136/bmjmilitary-2019-001356DOI Listing