157,826 results match your criteria Evidence-based spine-care journal[Journal]


The appropriateness of coronary investigation in myocardial injury and type 2 myocardial infarction (ACT-2): A randomized trial design.

Am Heart J 2018 Oct 25;208:11-20. Epub 2018 Oct 25.

Department of Cardiology, Flinders Medical Centre, Adelaide, Australia; College of Medicine and Public Health, Flinders University of South Australia, Adelaide, Australia. Electronic address:

Background: Elevated troponin level findings among patients presenting with suspected acute coronary syndrome (ACS) or another intercurrent illness undeniably identifies patients at increased risk of mortality. Whilst enhancing our capacity to discriminate risk, the use of high-sensitivity troponin assays frequently identifies patients with myocardial injury (i.e. Read More

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October 2018
2 Reads

Prevalence and correlates of physical inactivity among older adults in Malaysia: Findings from the National Health and Morbidity Survey (NHMS) 2015.

Arch Gerontol Geriatr 2018 Nov 26;81:74-83. Epub 2018 Nov 26.

Centre for Epidemiology and Evidence Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. Electronic address:

Malaysia has an increasingly aging population. Despite the substantial benefits of physical activity for healthy aging, older adults are considered the most physically inactive segment of the Malaysian population. The purpose of this study was to determine the prevalence of physical inactivity among older adults in Malaysia and its correlates. Read More

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November 2018
2 Reads

Non-GVHD ocular complications after hematopoietic cell transplantation: expert review from the Late Effects and Quality of Life Working Committee of the CIBMTR and Transplant Complications Working Party of the EBMT.

Biol Blood Marrow Transplant 2018 Dec 3. Epub 2018 Dec 3.

Department of Ophthalmology, Hospital Universitario Puerta de Hierro, Madrid, Spain.

Non-graft-versus-host disease (non-GVHD) ocular complications are generally uncommon after hematopoietic cell transplantation (HCT), but can cause prolonged morbidity affecting activities of daily living and quality of life. Here we provide an expert review of non-GVHD ocular complications in a collaboration between transplant physicians and ophthalmologists through the Late Effects and Quality of Life Working Committee of the Center for International Blood and Marrow Transplant Research and the Transplant Complications Working Party of the European Society of Blood and Marrow Transplantation. Complications discussed in this review include cataracts, glaucoma, ocular infections, ocular involvement with malignancy, ischemic microvascular retinopathy, central retinal vein occlusion, retinal hemorrhage, retinal detachment and ocular toxicities associated with medications. Read More

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December 2018
5 Reads

A network approach to quantifying radiotherapy effect on cancer: radiosensitive gene group centrality.

J Theor Biol 2018 Dec 3. Epub 2018 Dec 3.

School of Electrical, Computer and Energy Engineering, Arizona State University, Tempe, AZ 85287, USA.; Department of Physics, Arizona State University, Tempe, Arizona 85287, USA.

Radiotherapy plays a vital role in cancer treatment, for which accurate prognosis is important for guiding sequential treatment and improving the curative effect for patients. An issue of great significance in radiotherapy is to assess tumor radiosensitivity for devising the optimal treatment strategy. Previous studies focused on gene expression in cells closely associated with radiosensitivity, but factors such as the response of a cancer patient to irradiation and the patient survival time are largely ignored. Read More

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December 2018

Are environmental factors for atopic eczema in ISAAC Phase Three due to reverse causation?

J Invest Dermatol 2018 Dec 3. Epub 2018 Dec 3.

Department of Paediatrics, Prince of Wales Hospital, Hong Kong, SAR China.

Some previously described environmental associations for atopic eczema (AE) may be due to reverse causation. We explored the role of reverse causation by comparing individual- and school-level results for multiple AE risk factors. ISAAC Phase Three surveyed children within schools (the sampling unit) on AE symptoms and potential risk factors. Read More

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December 2018
2 Reads

Integrated Aedes management for the control of Aedes-borne diseases.

PLoS Negl Trop Dis 2018 Dec 6;12(12):e0006845. Epub 2018 Dec 6.

MIVEGEC, IRD, CNRS, University of Montpellier, Montpellier, France.

Background: Diseases caused by Aedes-borne viruses, such as dengue, Zika, chikungunya, and yellow fever, are emerging and reemerging globally. The causes are multifactorial and include global trade, international travel, urbanisation, water storage practices, lack of resources for intervention, and an inadequate evidence base for the public health impact of Aedes control tools. National authorities need comprehensive evidence-based guidance on how and when to implement Aedes control measures tailored to local entomological and epidemiological conditions. Read More

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December 2018
3 Reads

[The Role of Testosterone in The Improvement of Sexual Desire in Postmenopausal Women: An Evidence-Based Clinical Review].

Acta Med Port 2018 Nov 30;31(11):680-690. Epub 2018 Nov 30.

Unidade de Saúde Familiar S. Julião. Agrupamento de Centros de Saúde de Lisboa Ocidental e Oeiras. Lisboa. Portugal.

Introduction: Female sexual dysfunction is a common problem, affecting more than 1/3 of women during their lives. The aim of this review is to review the evidence for the effectiveness of testosterone in sexual dysfunction in postmenopausal women, particularly in the improvement of sexual desire.

Material And Methods: The authors searched in international databases National Guidelines Clearinghouse, Guidelines Finder, Cochrane Library and MEDLINE/PubMed, for guidelines, systematic reviews, meta-analysis and randomized controlled trials, published between January 2005 and February 2017, using the MeSH terms 'testosterone', 'androgens', 'libido', 'sexual dysfunctions' and 'menopause'. Read More

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November 2018
3 Reads

Challenges in community-based participatory research.

Authors:
Fran Baum

Med J Aust 2018 Dec;209(11):489

Southgate Institute for Health, Society and Equity, Flinders University, Adelaide, SA

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December 2018

Pediatric Office Delivery of Smoking Cessation Assistance for Breast-Feeding Mothers.

Nicotine Tob Res 2018 Dec 6. Epub 2018 Dec 6.

Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA.

Introduction: National and international organizations have done an excellent job of advocating and promoting breast feeding for all mothers. This study assessed to what extent an intervention increased delivery of cessation assistance to breast-feeding mothers who smoke.

Methods: Data were collected between April and October 2015 in five US states as part of a cluster randomized controlled trial in 10 pediatric practices. Read More

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December 2018
2 Reads

Erratum. Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome.

Hum Reprod 2018 Dec 6. Epub 2018 Dec 6.

National Health and Medical Research Council Centre for Research Excellence in PCOS, Monash University, Melbourne, Victoria, Australia.

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December 2018
1 Read

Eye and Vision Health for Tomorrow: From Recommendations to Coordinated Action.

JAMA Ophthalmol 2018 Dec 6. Epub 2018 Dec 6.

Indiana University School of Optometry, Bloomington.

In 2016, the report Making Eye Health a Population Health Imperative: Vision for Tomorrow was published by the National Academies of Sciences, Engineering, and Medicine. Conference presentations and key stakeholder discussions have continued the dialogue initiated by this report. In 2018, a stakeholder meeting assessed the feasibility of establishing a backbone organization, a national center that can provide technical and resource assistance regarding eye and vision health. Read More

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December 2018
2 Reads

High-Value Interviewing: A Call for Quality Improvement in the Match Process.

Acad Med 2018 Dec 4. Epub 2018 Dec 4.

B. Frush is a first-year resident in internal medicine-pediatrics, Vanderbilt University Medical Center and Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee. The author was a fourth-year medical student, University of North Carolina School of Medicine, Chapel Hill, North Carolina, at the time of writing. J. Byerley is professor of pediatrics, vice dean for education, and chief education officer, University of North Carolina School of Medicine, Chapel Hill, North Carolina.

Within the Match process, current residency interview practices are inefficient for both applicants and programs. Problems include disorganized interview offers and scheduling, excessive numbers of applicant interviews, unclear postinterview communication policies, and the significant expenses entailed. To address these issues, the authors propose applying a quality improvement approach to create a high-value interview process that would decrease investments of time, money, and energy and improve the quality of the Match experience for both applicants and programs. Read More

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December 2018
1 Read

Barriers and facilitators to type 2 diabetes management in the Caribbean region: a systematic review protocol.

JBI Database System Rev Implement Rep 2018 Dec 4. Epub 2018 Dec 4.

The Nottingham Centre for Evidence-Based Healthcare: a Joanna Briggs Institute Centre of Excellence.

Review Objective: The objective of this systematic review is to summarize the barriers and facilitators to type 2 diabetes management in the Caribbean region. Read More

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December 2018
1 Read

Evaluation of triage quality in the emergency department: a scoping review protocol.

JBI Database System Rev Implement Rep 2018 Dec 4. Epub 2018 Dec 4.

School of Nursing, University of São Paulo, São Paulo, Brazil.

Review Questions: The objective of this scoping review is to explore the existing literature on the evaluation of the quality of triage for patients of all ages and medical conditions in emergency departments (ED).The question for this review is: How is triage in ED evaluated? More specifically, we are interested in answering the following sub-questions. Read More

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December 2018

An embodied neurocomputational framework for organically integrating biopsychosocial processes: An application to the role of social support in health and disease.

Psychosom Med 2018 Dec 5. Epub 2018 Dec 5.

University of Arizona, Departments of Psychiatry, 1501 N. Campbell Ave, Tucson, AZ 85724-5002, United States.

Objective: Two distinct perspectives - typically referred to as the biopsychosocial and biomedical models - currently guide clinical practice. While the role of psychosocial factors in contributing to physical and mental health outcomes is widely recognized, the biomedical model remains dominant. This is due in part to 1) the largely non-mechanistic focus of biopsychosocial research, and 2) the lack of specificity it currently offers in guiding clinicians to focus on social, psychological, and/or biological factors in individual cases. Read More

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December 2018
1 Read

Impact of nurse champion on quality of care and outcomes in type 2 diabetes patients.

Int J Evid Based Healthc 2018 Dec 4. Epub 2018 Dec 4.

College of Nursing, The University of Toledo, Toledo, Ohio, USA.

Over 29 million people in the United States have diabetes, with an additional 86 million living with prediabetes. On inpatient hospital units it is estimated that 50% of admitted patients have diabetes as a primary or secondary diagnosis. Nurse champions have improved outcomes and quality of life for patients across different clinical settings. Read More

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December 2018
1 Read

Case Report in Clinical Pediatric Dentistry: How to Review, Organize and Prepare a Manuscript.

J Clin Pediatr Dent 2018 Dec 6. Epub 2018 Dec 6.

A case report is a useful type of publication to describe information on unusual clinical diseases or syndromes, new management techniques, potential risk factors/oral disease associations, and uncommon side effects or responses to traditional dental treatments. In the practice of Dentistry and Medicine, the publication of case reports has the purpose of sharing new clinical experiences and knowledge with interested colleagues. Case reports in the field of Evidence-Based Pediatric Dentistry convey unique contributions to the clinical practice and help improve the process of clinical decision making in the form of a brief written communication. Read More

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December 2018

Dermatologic manifestations in end stage renal disease.

Hemodial Int 2018 Dec 6. Epub 2018 Dec 6.

Department of Nephrology, Cleveland Clinic Akron General, Akron, Ohio, USA.

Skin manifestations are commonly seen in end stage renal disease (ESRD). Skin involvement in this population can be extensive and dramatically worsen quality of life. Close observation of the skin and nails of ESRD patients by clinicians allows for timely diagnosis and treatment, which ultimately improves quality of life and reduces mortality. Read More

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December 2018
3 Reads

[Coronary artery disease: when to withhold a decision and call in the Heart Team? Almost every time].

Authors:
Lucia Torracca

G Ital Cardiol (Rome) 2018 Nov;19(11):14-17

U.O. Cardiochirurgia, Humanitas Research Hospital, Rozzano (MI).

The multidisciplinary discussion is a well-established method, highly widespread in different medical disciplines, with documented optimal results. This practice, despite mandate by international guidelines, is not universally applied to guide treatment in coronary artery disease (CAD) patients. The literature provides data both on overtreatment or undertreatment in different patient subsets, clearly suggesting its strong need. Read More

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November 2018
1 Read

Neurodevelopmental outcome in children with spina bifida aperta repaired prenatally versus postnatally: a systematic review and meta-analysis.

Ultrasound Obstet Gynecol 2018 Dec 6. Epub 2018 Dec 6.

Academic Department Development and Regeneration, Cluster Woman and Child, Biomedical Sciences, Faculty of Medicine, Catholic University of Leuven, Leuven, Belgium.

Objective: To assess the neurodevelopmental outcome of children with spina bifida aperta (SBA) who were treated prenatally as compared to those treated postnatally.

Methods: We performed a systematic review of the literature comparing neurological outcomes of prenatally and postnatally repaired spina bifida in Pubmed/MEDLINE, Embase, Web of Science and Cochrane Library. We retrieved all randomized and non-randomized prospective controlled studies. Read More

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December 2018
2 Reads

Caring for the older person with cognitive impairment in hospital: qualitative analysis of nursing personnel reflections on fall events.

J Clin Nurs 2018 Dec 5. Epub 2018 Dec 5.

School of Nursing & Midwifery and Menzies Health Institute Queensland, Griffith University and Gold Coast Hospital and Health Service, 2.05c, G01, Gold Coast Campus, Griffith University, Southport, Queensland.

Aims And Objectives: To explore nurse and nursing assistant reflections on the care of older patients with cognitive impairment who have experienced a fall.

Background: While there are evidence-based clinical guidelines for the prevention and management of falls and for the care of older people with cognitive impairment, the falls rates for older people with cognitive impairment is three times as high as those without.

Design: Critical incident technique. Read More

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December 2018
1 Read

Advanced Paternal Age, Infertility, and Reproductive Risks: A Review of the Literature.

Prenat Diagn 2018 Dec 5. Epub 2018 Dec 5.

Department of Obstetrics, Gynecology, and Reproductive Sciences, Division of Maternal Fetal Medicine, Rutgers/Robert Wood Johnson Medical School, New Brunswick, NJ.

Advanced paternal age (APA) is associated with infertility and other reproductive risks. Studies looking at APA and outcomes have used different paternal age cut-offs, which has complicated systematic evaluations of reproductive risk associated with paternal aging. This review of the literature suggests that the impact of paternal aging on adverse reproductive outcomes is small, but significant. Read More

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December 2018

Cochrane crisis: secrecy, intolerance, and evidence-based values.

Eur J Clin Invest 2018 Dec 5:e13058. Epub 2018 Dec 5.

Stanford Prevention Research Center, Department of Medicine, the Department of Health Research and Policy, and the Department of Biomedical Data Science, Stanford University School of Medicine, The Department of Statistics, Stanford University School of Humanities and Sciences; and the Meta-Research Innovation Center at Stanford (METRICS), Stanford University, Stanford, CA, USA.

The Cochrane Collaboration was launched in 1993 with great enthusiasm. It aimed to offer a volunteer-based, community-strong, independent, and critical effort for materializing the goals of evidence-based medicine worldwide through the production of high-quality, rigorous systematic reviews (1). In the next quarter of a century, the effort did accomplish an enormous amount and its members should be proud of their achievements. Read More

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December 2018

Joint EANM/EANO/RANO practice guidelines/SNMMI procedure standards for imaging of gliomas using PET with radiolabelled amino acids and [F]FDG: version 1.0.

Eur J Nucl Med Mol Imaging 2018 Dec 5. Epub 2018 Dec 5.

Department of Neurology, University Hospital Zurich, Zurich, Switzerland.

These joint practice guidelines, or procedure standards, were developed collaboratively by the European Association of Nuclear Medicine (EANM), the Society of Nuclear Medicine and Molecular Imaging (SNMMI), the European Association of Neurooncology (EANO), and the working group for Response Assessment in Neurooncology with PET (PET-RANO). Brain PET imaging is being increasingly used to supplement MRI in the clinical management of glioma. The aim of these standards/guidelines is to assist nuclear medicine practitioners in recommending, performing, interpreting and reporting the results of brain PET imaging in patients with glioma to achieve a high-quality imaging standard for PET using FDG and the radiolabelled amino acids MET, FET and FDOPA. Read More

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December 2018

Malignant transformation of adenomyosis: literature review and meta-analysis.

Arch Gynecol Obstet 2018 Dec 5. Epub 2018 Dec 5.

Department of Gynecology, Qilu Hospital of Shandong University, Jinan, Shandong Province, China.

Purpose: To review and analyze risk factors and the pathology of malignant transformation of adenomyosis.

Methods: In this paper, the relevant research on current risks factors and the pathology of malignant transformation of adenomyosis was reviewed and analyzed by metaanalysis. All studies included were retrieved from the PUBMED. Read More

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December 2018

The IMPACT of triple dual single-inhaler therapy on exacerbations of COPD.

Authors:
Claudia C Dobler

Breathe (Sheff) 2018 Dec;14(4):333-335

Evidence-Based Practice Center, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.

http://ow.ly/pYJn30mgpFp. Read More

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December 2018

: surgical interventions in pulmonary diseases.

Authors:
Claudia C Dobler

Breathe (Sheff) 2018 Dec;14(4):262-263

Evidence-Based Practice Center, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.

http://ow.ly/iGEa30mlZuw. Read More

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December 2018

Antibiotic prescriptions to adults with acute respiratory tract infections by Italian general practitioners.

Infect Drug Resist 2018 8;11:2199-2205. Epub 2018 Nov 8.

Department of Health Sciences, Medical School, University of Catanzaro "Magna Græcia", Catanzaro, Italy,

Purpose: The overuse, misuse, and underuse of antimicrobial agents often lead to the spread of antibiotic-resistant microorganisms. The aim of our study was to describe the pattern of antibiotic prescriptions for acute respiratory tract infections (RTIs) among the adult population and the factors associated with antibiotic prescribing.

Patients And Methods: The study involved patients who visited a general practitioner with suspected acute RTI. Read More

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November 2018
1 Read

Has the quality of physiotherapy care in patients with Whiplash-associated disorders (WAD) improved over time? A retrospective study using routinely collected data and quality indicators.

Patient Prefer Adherence 2018 8;12:2291-2308. Epub 2018 Nov 8.

Department of Medical Psychology, Canisius Wilhelmina Hospital, Nijmegen, the Netherlands.

Purpose: To develop valid quality indicators (QIs) for physiotherapy care based on best available evidence, and to use these QIs to explore trends in the quality of physiotherapy care of patients with Whiplash-associated disorders (WAD) using guideline-based routinely collected data (RCD) gathered between 1996 and 2011.

Materials And Methods: The study consisted of two phases: 1) development of QIs and 2) analysis of patient records. A set of QIs was developed based on recommendations in the scientific literature and the Dutch Clinical Practice Guideline (CPG) "Physiotherapy Management and WAD". Read More

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November 2018
3 Reads

Cumulative network-meta-analyses, practice guidelines and actual prescriptions of drug treatments for postmenopausal osteoporosis: a study protocol for cumulative network meta-analyses and meta-epidemiological study.

BMJ Open 2018 Dec 4;8(12):e023218. Epub 2018 Dec 4.

Department of Health Promotion and Human Behavior, School of Public Health in the Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Introduction: Cumulative network meta-analysis (NMA) is a method to provide a global comparison of multiple treatments with real-time update to evidence users. Several studies investigated the ranking of cumulative NMA and the recommendations of practice guidelines. However, to the best of our knowledge, no study has evaluated the cumulative NMA ranking and prescription patterns. Read More

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December 2018
1 Read

Geriatrician-led evidence-based Falls Prevention Clinic: a prospective 12-month feasibility and acceptability cohort study among older adults.

BMJ Open 2018 Dec 4;8(12):e020576. Epub 2018 Dec 4.

Center for Hip Health and Mobility, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Objective: We assessed the feasibility and acceptability of delivering a geriatrician-led evidence-based Falls Prevention Clinic to older adults with a history of falls.

Design: 12-month prospective cohort study.

Setting: Vancouver Falls Prevention Clinic, Vancouver, British Columbia, Canada (www. Read More

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December 2018

Measles Status-Barriers to Vaccination and Strategies for Overcoming Them.

Dtsch Arztebl Int 2018 Oct;115(43):723-730

Institute of General Practice, Technische Universität München: The Max Planck Society's Max Planck Institute of Psychiatry, Munich; Institute of General Practice, Ludwig-Maximilians-Universität München; Department of Pediatric Infectiology and Vaccinology, Universitäts-Kinderspital beider Basel (UKBB); Institute of General Practice, Technische Universität München.

Background: The World Health Organization (WHO) set the year 2020 as a target date for the eradication of measles in Europe, yet Germany is still far away from this goal. In this article, we provide an overview of current vaccination gaps and barriers to vaccination among children and adults in Germany, as well as potential strategies for overcoming them.

Methods: This review is based on pertinent publications identified by a selective literature search in PubMed (Medline). Read More

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October 2018
1 Read

Economic evaluation of the NET intervention versus guideline dissemination for management of mild head injury in hospital emergency departments.

Implement Sci 2018 Dec 5;13(1):147. Epub 2018 Dec 5.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Background: Evidence-based guidelines for the management of mild traumatic brain injury (mTBI) in the emergency department (ED) are now widely available, and yet, clinical practice remains inconsistent with the guidelines. The Neurotrauma Evidence Translation (NET) intervention was developed to increase the uptake of guideline recommendations and improve the management of minor head injury in Australian emergency departments (EDs). However, the adoption of this type of intervention typically entails an upfront investment that may or may not be fully offset by improvements in clinical practice, health outcomes and/or reductions in health service utilisation. Read More

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December 2018

Synovial cysts of the hip joint: a single-center experience.

BMC Surg 2018 Dec 5;18(1):113. Epub 2018 Dec 5.

Department of Vascular Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.

Background: Synovial cyst of the hip joint is a rare clinical condition in need of evidence-based guidelines for its diagnosis and management. Normally, synovial cyst of the hip joint requires no treatment, but when it intrudes into surrounding structures, various clinical symptoms appear. Because of its rarity, a symptomatic synovial cyst is often confounded with a tumor as a space-occupying lesion or with other diseases, depending on its various clinical presentations. Read More

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December 2018
1 Read

The experience of gestational diabetes for indigenous Māori women living in rural New Zealand: qualitative research informing the development of decolonising interventions.

BMC Pregnancy Childbirth 2018 Dec 5;18(1):478. Epub 2018 Dec 5.

c/- Te Kupenga Hauora Māori, Medical and Health Sciences, University of Auckland, 261 Morrin Rd, Glen Innes, Auckland, 1072, New Zealand.

Background: Although early detection and management of excess rates of gestational diabetes mellitus (GDM) among Indigenous women can substantially reduce maternal and offspring complications, current interventions seem ineffective for Indigenous women. While undertaking a qualitative study in a rural community in Northland, New Zealand about the complexities of living with diabetes, we observed a common emotional discourse about the burden of diabetic pregnancies. Given the significance of GDM and our commitment to give voice to Indigenous Māori women in ways that could potentially inform solutions, we aimed to explore the phenomenon of GDM among Māori women in a rural context marked by high area-deprivation. Read More

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December 2018

Methods for trustworthy nutritional recommendations NutriRECS (Nutritional Recommendations and accessible Evidence summaries Composed of Systematic reviews): a protocol.

BMC Med Res Methodol 2018 Dec 5;18(1):162. Epub 2018 Dec 5.

Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.

Background: Recent systematic reviews and editorials suggest that many organizations that produce nutritional guideline recommendations do not adhere to internationally recognized standards set forth by the Institute of Medicine (IoM), Guidelines International Network (GIN), Appraisal of Guidelines Research and Evaluation (AGREE), and Grading Recommendations, Assessment, Development and Evaluation (GRADE).

Methods: The potential solution is an independent group with content expertise and skilled in the methodology of systematic reviews and practice guidelines to produce trustworthy guideline recommendations, recommendations that are supported by publication in a top tier journal. The BMJ Rapid Recommendations project has recently demonstrated the feasibility and utility of this approach. Read More

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December 2018

Treatment fidelity evidence for BE-ACTIV - a behavioral intervention for depression in nursing homes.

Aging Ment Health 2018 Dec 6:1-11. Epub 2018 Dec 6.

a Department of Psychological & Brain Sciences , University of Louisville , Louisville , KY , USA.

Objectives: Evidence-based depression therapies are difficult to implement in nursing homes. We present data for BE-ACTIV, a 10-week depression treatment designed for implementation in nursing homes, to address questions of treatment fidelity (delivery, receipt, and enactment) in that context.

Method: Participants were 41 patients from 13 nursing homes in the treatment arm of a clinical trial, treated by graduate student therapists. Read More

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December 2018
1 Read

Oriental Herbal Medicine for Neurological Disorders in Children: An Overview of Systematic Reviews.

Am J Chin Med 2018 Dec 6:1-26. Epub 2018 Dec 6.

* Department of Pediatrics of Korean Medicine, Kyung Hee University, Korean Medicine Hospital at Gangdong, Seoul 05278, Republic of Korea.

Oriental herbal medicine (OHM) has been widely used in pediatric neurological disorders and has attracted attention as a safe and effective treatment. We aim to summarize and evaluate the evidence for OHM in pediatric neurological disorders for evidence-based decision-making. Without language restrictions, up-to-date research data were obtained from nine electronic databases. Read More

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December 2018
1 Read

Effects of Protein Supplementation Combined with Exercise Intervention on Frailty Indices, Body Composition, and Physical Function in Frail Older Adults.

Nutrients 2018 Dec 4;10(12). Epub 2018 Dec 4.

Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan.

Aging poses a high risk of lean mass loss, which can be effectively improved through resistance exercise training (RET), or multicomponent exercise training (MET) as well as nutrition supplementation, such as protein supplementation (PS). This study investigated the effects of PS plus exercise training on frail older individuals. A comprehensive search of online databases was performed to identify randomized controlled trials (RCTs) that reported the efficacy of PS combined with RET or MET in frail older individuals. Read More

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December 2018
1 Read

Incidence of and Causes for Ventriculoperitoneal Shunt Failure in Children Younger Than 2 Years: A Systematic Review.

J Neurol Surg A Cent Eur Neurosurg 2018 Dec 3. Epub 2018 Dec 3.

Department of Neurosurgery, Cairo University Kasr Alainy Faculty of Medicine, Cairo, Egypt.

Objectives:  Ventriculoperitoneal (VP) shunting is commonly used to treat pediatric hydrocephalus, but failure rates are high. VP shunt failure in children is mostly caused by infection and/or proximal/distal shunt obstruction. However, to our knowledge, no previous reviews have discussed this topic using only clinical studies when age-related data could be obtained. Read More

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December 2018
0.493 Impact Factor

Integrating Investigative Research into the Classroom: Foundational Experiences for Both Science Majors and Pre-Professional Healthcare Students.

J Allied Health 2018 ;47(4):300-307

Dep. of Health Sciences, Long Island University, Post, 720 Northern Boulevard, Brookville, NY 11548, USA. Tel 516-299-2691.

Few students at institutions that do not have scholarly research as central to their mission have the opportunity to explore experimental design and data analysis through investigative research. Laboratory courses are often the only opportunities to apply scientific knowledge, but traditionally rely on "cookbook" labs that often only demonstrate concepts. Much of the discussion regarding the need for research experiences in undergraduate education has focused on the impact on encouraging science students into research careers. Read More

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January 2018

Evidence-Based Medicine: Can We Trust the Evidence Informing Clinical Practice?

Authors:
Simone Gambazza

J Allied Health 2018 ;47(4):296-299

Cystic Fibrosis Centre, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via della Commenda 9, 20121 Milan, Italy. Tel +390255032460.

An attempt to distinguish science from folklore in medical practice was made in 1991, when a new paradigm called evidence-based medicine (EBM) officially appeared. Although this approach was meant to avoid clinical entropy, it might constitute a barrier for contemporary health enhancement, generating results that could be selectively chosen or obtained through misapplication of frequent statistics. At worst, only few health professions can take advantage from this supposed demarcation criterion, lacking the infrastructure and institutional support to carry on research and thus offering a risky disservice to patients. Read More

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January 2018

Defining, Estimating, and Communicating Overdiagnosis in Cancer Screening.

Ann Intern Med 2018 Dec;169(11):824

Kaiser Permanente Research Affiliates Evidence-based Practice Center and Kaiser Permanente Center for Health Research, Portland, Oregon (J.S.L.).

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December 2018

Opioid analgesic use and patient-reported pain outcomes after rhinologic surgery.

Int Forum Allergy Rhinol 2018 Dec 3. Epub 2018 Dec 3.

Department of Otolaryngology-Head and Neck Surgery, Department of Anesthesiology, New York-Presbyterian Hospital-Weill Cornell Medicine, New York, NY.

Background: Opioid-based analgesics are routinely prescribed after elective rhinologic surgery. Balancing appropriate pain management while avoiding overprescription necessitates an evidence-based approach.

Methods: Patients undergoing elective rhinologic surgery, including endoscopic sinus surgery (ESS), septoplasty, or ESS with septoplasty, were prospectively enrolled. Read More

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December 2018
1 Read

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in surgery for inflammatory bowel disease.

Colorectal Dis 2018 Dec;20 Suppl 8:3-117

Western General Hospital, Edinburgh, UK.

Aim: There is a requirement of an expansive and up to date review of surgical management of inflammatory bowel disease (IBD) that can dovetail with the medical guidelines produced by the British Society of Gastroenterology.

Methods: Surgeons who are members of the ACPGBI with a recognised interest in IBD were invited to contribute various sections of the guidelines. They were directed to produce a procedure based document using literature searches that were systematic, comprehensible, transparent and reproducible. Read More

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December 2018

A machine-learning approach to predicting smoking cessation treatment outcomes.

Nicotine Tob Res 2018 Dec 3. Epub 2018 Dec 3.

Virginia Tech Carilion Research Institute, Roanoke, VA, USA.

Aims: Most cigarette smokers want to quit smoking and more than half make an attempt every year, but less than 10% remain abstinent for at least 6 months. Evidence-based tobacco use treatment improves the likelihood of quitting, but more than two-thirds of individuals relapse when provided even the most robust treatments. Identifying for whom treatment is effective will improve the success of our treatments and perhaps identify strategies for improving current approaches. Read More

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December 2018

Comparing Short-, Long-, and Oblique-Axis Approaches to Ultrasound-Guided Internal Jugular Venous Catheterization: A Meta-Analysis of Randomized Controlled Trials.

J Trauma Acute Care Surg 2018 Nov 30. Epub 2018 Nov 30.

Center for Evidence-Based Health Care, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan.

Background: Internal jugular venous catheterization (IJVC) is performed for numerous therapeutic interventions. Although ultrasound-guided IJVC is the gold standard for this procedure, complications can still occur. Various scanning axes, namely the short axis (SA), long axis (LA), and oblique axis (OA), have been developed to ameliorate these complications. Read More

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November 2018

Control of Lead Sources in the United States, 1970-2017: Public Health Progress and Current Challenges to Eliminating Lead Exposure.

J Public Health Manag Pract 2019 Jan/Feb;25 Suppl 1, Lead Poisoning Prevention:S13-S22

Lead Poisoning Prevention and Environmental Health Tracking Branch (Dr Dignam) and National Center for Chronic Disease Prevention and Health Promotion (Dr Kaufmann), Centers for Disease Control and Prevention, Atlanta, Georgia; Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia (Ms LeStourgeon); and Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Cambridge, Massachusetts (Dr Brown).

Context: During the past 45 years, exposure to lead has declined dramatically in the United States. This sustained decline is measured by blood and environmental lead levels and achieved through control of lead sources, emission reductions, federal regulations, and applied public health efforts.

Objective: Explore regulatory factors that contributed to the decrease in exposure to lead among the US population since 1970. Read More

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December 2018