43,432 results
Search Results
2. Paper Tape May Improve Scar Aesthetics and Prevent Wound Closure Complications.
- Author
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Stratis, Catherine, Haider, Syed Ali, Oleru, Olachi, Seyidova, Nargiz, Sbitany, Hani, and Henderson, Peter W.
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PREVENTION of surgical complications ,AESTHETICS ,SCARS ,TREATMENT effectiveness ,TRAUMATOLOGY diagnosis ,DESCRIPTIVE statistics ,SYSTEMATIC reviews ,MEDLINE ,PAIN ,SURGICAL site infections ,QUALITY assurance ,ONLINE information services ,PLASTIC surgery ,POSTOPERATIVE period ,ADHESIVE tape ,EVALUATION - Abstract
There is uncertainty whether postoperative application of paper tape (PT) improves scar aesthetics and reduces wound closure complications. This study aimed to review and assess the quality of applicable findings from studies investigating PT’s efficacy. We queried PubMed and SCOPUS using the search terms “((“paper tape”) AND (wound OR closure OR heal* OR complication OR skin OR prevent* OR scar*)).” We excluded articles that were duplicates, basic science, or not clinically relevant. We assessed the level of evidence for each article using the American Society of Plastic Surgeons (ASPS) Rating Levels of Evidence and Grading Recommendations for Therapeutic Studies, ranging from I (highest) to V (lowest). Of 186 publications reviewed, we included eight studies in the literature review. Five of these studies reported statistically significant positive outcomes on scar aesthetics and wound closure associated with using PT. Using the ASPS rating system, we found that two studies were Level I, three studies were Level II, two studies were Level IV, and one study was Level V. Notably, heterogeneity in the study designs limited outcome comparison. The data from the studies included in this literature review support using PT to optimize scar and wound management. The lack of higher levels of evidence, however, suggests the need for additional randomized controlled trials to rigorously evaluate patient outcomes when using PT compared with other forms of adhesive dressings. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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- View/download PDF
3. Surgical stabilization of rib fractures (SSRF): the WSES and CWIS position paper.
- Author
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Sermonesi, Giacomo, Bertelli, Riccardo, Pieracci, Fredric M., Balogh, Zsolt J., Coimbra, Raul, Galante, Joseph M., Hecker, Andreas, Weber, Dieter, Bauman, Zachary M., Kartiko, Susan, Patel, Bhavik, Whitbeck, SarahAnn S., White, Thomas W., Harrell, Kevin N., Perrina, Daniele, Rampini, Alessia, Tian, Brian, Amico, Francesco, Beka, Solomon G., and Bonavina, Luigi
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VIDEO-assisted thoracic surgery , *CONSENSUS (Social sciences) , *MEDICAL protocols , *MEDICAL information storage & retrieval systems , *THORACIC surgery , *FRACTURE fixation , *TREATMENT effectiveness , *MINIMALLY invasive procedures , *ORTHOPEDIC surgery , *MEDLINE , *MEDICAL databases , *RIB fractures , *ONLINE information services , *COMMITTEES - Abstract
Background: Rib fractures are one of the most common traumatic injuries and may result in significant morbidity and mortality. Despite growing evidence, technological advances and increasing acceptance, surgical stabilization of rib fractures (SSRF) remains not uniformly considered in trauma centers. Indications, contraindications, appropriate timing, surgical approaches and utilized implants are part of an ongoing debate. The present position paper, which is endorsed by the World Society of Emergency Surgery (WSES), and supported by the Chest Wall Injury Society, aims to provide a review of the literature investigating the use of SSRF in rib fracture management to develop graded position statements, providing an updated guide and reference for SSRF. Methods: This position paper was developed according to the WSES methodology. A steering committee performed the literature review and drafted the position paper. An international panel of experts then critically revised the manuscript and discussed it in detail, to develop a consensus on the position statements. Results: A total of 287 studies (systematic reviews, randomized clinical trial, prospective and retrospective comparative studies, case series, original articles) have been selected from an initial pool of 9928 studies. Thirty-nine graded position statements were put forward to address eight crucial aspects of SSRF: surgical indications, contraindications, optimal timing of surgery, preoperative imaging evaluation, rib fracture sites for surgical fixation, management of concurrent thoracic injuries, surgical approach, stabilization methods and material selection. Conclusion: This consensus document addresses the key focus questions on surgical treatment of rib fractures. The expert recommendations clarify current evidences on SSRF indications, timing, operative planning, approaches and techniques, with the aim to guide clinicians in optimizing the management of rib fractures, to improve patient outcomes and direct future research. [ABSTRACT FROM AUTHOR]
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- 2024
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4. "No Papers, No Treatment": a scoping review of challenges faced by undocumented immigrants in accessing emergency healthcare.
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Kisa, Sezer and Kisa, Adnan
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HEALTH services accessibility , *MEDICAL information storage & retrieval systems , *EMERGENCY medical services , *SYSTEMATIC reviews , *MEDLINE , *LITERATURE reviews , *HEALTH equity , *ONLINE information services - Abstract
Background: Undocumented immigrants face many obstacles in accessing emergency healthcare. Legal uncertainties, economic constraints, language differences, and cultural disparities lead to delayed medical care and thereby exacerbate health inequities. Addressing the healthcare needs of this vulnerable group is crucial for both humanitarian and public health reasons. Comprehensive strategies are needed to ensure equitable health outcomes. Objective: This study aimed to identify and analyze the barriers undocumented immigrants face in accessing emergency healthcare services and the consequences on health outcomes. Methods: We used a scoping review methodology that adhered to established frameworks. Utilizing MEDLINE/PubMed, Embase, Web of Science, PsychoInfo, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL), we identified 153 studies of which 12 focused on the specific challenges that undocumented immigrants encounter when accessing emergency healthcare services based on the inclusion and exclusion criteria. Results: The results show that undocumented immigrants encounter significant barriers to emergency healthcare, including legal, financial, linguistic, and cultural challenges. Key findings were the extensive use of emergency departments as primary care due to lack of insurance and knowledge of alternatives, challenges faced by health professionals in providing care to undocumented migrants, increased hospitalizations due to severe symptoms and lack of healthcare access among undocumented patients, and differences in emergency department utilization between irregular migrants and citizens. The findings also serve as a call for enhanced healthcare accessibility and the dismantling of existing barriers to mitigate the adverse effects on undocumented immigrants' health outcomes. Conclusions: Undocumented immigrants' barriers to emergency healthcare services are complex and multifaceted and therefore require multifaceted solutions. Policy reforms, increased healthcare provider awareness, and community-based interventions are crucial for improving access and outcomes for this vulnerable population. Further research should focus on evaluating the effectiveness of these interventions and exploring the broader implications of healthcare access disparities. [ABSTRACT FROM AUTHOR]
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- 2024
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5. Evaluation of the informatician perspective: determining types of research papers preferred by clinicians.
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Ru B, Wang X, and Yao L
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- Humans, Bibliographies as Topic, Biomedical Research, Choice Behavior, MEDLINE, Medical Subject Headings
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Background: To deliver evidence-based medicine, clinicians often reference resources that are useful to their respective medical practices. Owing to their busy schedules, however, clinicians typically find it challenging to locate these relevant resources out of the rapidly growing number of journals and articles currently being published. The literature-recommender system may provide a possible solution to this issue if the individual needs of clinicians can be identified and applied., Methods: We thus collected from the CiteULike website a sample of 96 clinicians and 6,221 scientific articles that they read. We examined the journal distributions, publication types, reading times, and geographic locations. We then compared the distributions of MeSH terms associated with these articles with those of randomly sampled MEDLINE articles using two-sample Z-test and multiple comparison correction, in order to identify the important topics relevant to clinicians., Results: We determined that the sampled clinicians followed the latest literature in a timely manner and read papers that are considered landmarks in medical research history. They preferred to read scientific discoveries from human experiments instead of molecular-, cellular- or animal-model-based experiments. Furthermore, the country of publication may impact reading preferences, particularly for clinicians from Egypt, India, Norway, Senegal, and South Africa., Conclusion: These findings provide useful guidance for developing personalized literature-recommender systems for clinicians.
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- 2017
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6. Dissemination effect of data papers on scientific datasets.
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Jiao, Hong, Qiu, Yuhong, Ma, Xiaowei, and Yang, Bo
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PROFESSIONAL peer review , *PUBLISHING , *ONLINE information services , *SERIAL publications , *NATURAL language processing , *CONTENT mining , *CITATION analysis , *INFORMATION resources , *RESEARCH funding , *MEDLINE , *MEDICAL research - Abstract
Open data as an integral part of the open science movement enhances the openness and sharing of scientific datasets. Nevertheless, the normative utilization of data journals, data papers, scientific datasets, and data citations necessitates further research. This study aims to investigate the citation practices associated with data papers and to explore the role of data papers in disseminating scientific datasets. Dataset accession numbers from NCBI databases were employed to analyze the prevalence of data citations for data papers from PubMed Central. A dataset citation practice identification rule was subsequently established. The findings indicate a consistent growth in the number of biomedical data journals published in recent years, with data papers gaining attention and recognition as both publications and data sources. Although the use of data papers as citation sources for data remains relatively rare, there has been a steady increase in data paper citations for data utilization through formal data citations. Furthermore, the increasing proportion of datasets reported in data papers that are employed for analytical purposes highlights the distinct value of data papers in facilitating the dissemination and reuse of datasets to support novel research. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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7. Advancing the Roles of the Registered Nurse and Advanced Practice Registered Nurse in Continence and Pelvic Health Care in the United States: A White Paper.
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Newman, Diane K., Carillo, Megan, Talley, Kristine, Starr, Julie A., Thompson, Donna, and Wyman, Jean F.
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NURSES -- United States , *NURSES , *CONTINUING education units , *OCCUPATIONAL roles , *URINARY incontinence , *CINAHL database , *NURSING , *DIVERSITY in the workplace , *NURSE practitioners , *UROLOGICAL nursing , *GYNECOLOGIC nursing , *SYSTEMATIC reviews , *MEDLINE , *PELVIC floor disorders , *WOMEN'S health services , *NURSING practice , *INCONTINENCE management , *ADULTS - Abstract
The high prevalence and costs of urinary incontinence and related pelvic floor disorders in adults highlights the need for competent nurses and advanced practice nurses who can provide high-quality continence and pelvic health care. However, challenges exist in recognizing this as a nursing specialty, preparing new and experienced nurses with specialty knowledge and skills, increasing the number and diversity of the workforce, and promoting individual achievement and professional recognition as a continence and pelvic health nursing specialist. This White Paper provides recommendations based on evidence and expert opinion to support the Society of Urologic Nurses and Associate's efforts in advancing the roles of registered nurses and advanced practice registered nurses in the expanded specialty area of continence and pelvic health nursing. [ABSTRACT FROM AUTHOR]
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- 2024
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8. Aerosol Generating Procedures and Associated Control/Mitigation Measures: A position paper from the Canadian Dental Hygienists Association and the American Dental Hygienists' Association.
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Ghoneim, Abdulrahman, Proaño, Diego, Kaur, Harpinder, and Singhal, Sonica
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PREVENTION of infectious disease transmission , *CROSS infection prevention , *MEDICAL databases , *MEDICAL masks , *COVID-19 , *AEROSOLS , *MEDICAL information storage & retrieval systems , *ORAL hygiene , *SYSTEMATIC reviews , *BACTERIAL contamination , *ORAL health , *MOUTHWASHES , *CROSS infection , *OCCUPATIONAL exposure , *INFECTION control , *RISK assessment , *INFECTIOUS disease transmission , *PATIENT-professional relations , *MEDLINE , *PERSONAL protective equipment , *PREDICTION models , *DISEASE risk factors - Abstract
Background Since the outbreak of COVID-19, how to reduce the risk of spreading viruses and other microorganisms while performing aerosol generating procedures (AGPs) has become a challenging question within the dental and dental hygiene communities. The purpose of this position paper is to summarize the existing evidence about the effectiveness of various mitigation methods used to reduce the risk of infection transmission during AGPs in dentistry. Methods The authors searched six databases, MEDLINE, EMBASE, Scopus, Web of Science, Cochrane Library, and Google Scholar, for relevant scientific evidence published in the last ten years (January 2012 to December 2022) to answer six research questions about the the aspects of risk of transmission, methods, devices, and personal protective equipment (PPE) used to reduce contact with microbial pathogens and limit the spread of aerosols. Results A total of 78 studies fulfilled the eligibility criteria. There was limited literature to indicate the risk of infection transmission of SARS-CoV-2 between dental hygienists and their patients. A number of mouthrinses are effective in reducing bacterial contaminations in aerosols; however, their effectiveness against SARS-CoV-2 was limited. The combined use of eyewear, masks, and face shields are effective for the prevention of contamination of the facial and nasal region, while performing AGPs. High volume evacuation with or without an intraoral suction, low volume evacuation, saliva ejector, and rubber dam (when appropriate) have shown effectiveness in reducing aerosol transmission beyond the generation site. Finally, the appropriate combination of ventilation and filtration in dental operatories are effective in limiting the spread of aerosols. Conclusion Aerosols produced during clinical procedures can potentially pose a risk of infection transmission between dental hygienists and their patients. The implementation of practices supported by available evidence are best practices to ensure patient and provider safety in oral health settings. More studies in dental clinical environment would shape future practices and protocols, ultimately to ensure safe clinical care delivery. [ABSTRACT FROM AUTHOR]
- Published
- 2024
9. Exploring unfinished nursing care among nursing students: a discussion paper.
- Author
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Palese, Alvisa, Chiappinotto, Stefania, Bayram, Aysun, Sermeus, Walter, Suhonen, Riitta, and Papastavrou, Evridiki
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NURSING audit , *MEDICAL quality control , *CINAHL database , *ONLINE information services , *PROFESSIONS , *QUALITY assurance , *LEGAL compliance , *NURSING students , *MEDLINE , *NURSING interventions - Abstract
Background: In line with the impetus traceable among the nursing staff, studies regarding the perception of Unfinished Care among students have increased in recent years as also recommended by some policy documents in the consideration that, as future members of the staff, they are expected to raise concerns about failures in the standards of care. However, no discussion of their methodological requirements has been provided to date. The aim of this study is to debate Unfinished Care explorations among nursing students and developing recommendations. Methods: A Rapid Review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, followed by a scientific discussion based on empirical evidence that emerged from the review combined with expert knowledge. Medline, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus databases were searched up to May 2022. Results: In the last five years, seven studies have been conducted by researchers affiliated at the university level, involving from 18 to 737 undergraduate students across Europe. By critically analysing their key aspects, there are derived some recommendations in conducting investigations in this field as, (a) the hidden meaning of Unfinished Care investigations among students by also deciding which concept is mostly appropriate to investigate; (b) the need of establishing alliances with the clinical settings in order to involve them in such explorations; (c) more complex research methods capable of exploring this issue among students by promoting learning outcomes and not only a simple data collection; and (e) the influences of these explorations on students' wellbeing, as well as on ethical implications and that regarding the relationship between the healthcare services and the universities. Conclusion: Policymakers consider students to be key informants of the quality of nursing care issues witnessed during their clinical placements. The related emerging line of research is intriguing because of the underlying methodological, ethical and system complexities that need to be addressed according to some considerations. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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10. Reviews and Reviewing: Approaches to Research Synthesis. An Annual Review of Information Science and Technology (ARIST) paper.
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Smith, Linda C.
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ONLINE information services , *OCCUPATIONAL roles , *ARTIFICIAL intelligence , *INFORMATION science , *HEALTH , *INFORMATION resources , *QUALITY assurance , *DECISION making , *TECHNOLOGY , *MEDLINE , *COVID-19 pandemic , *ERIC (Information retrieval system) - Abstract
Reviews have long been recognized as among the most important forms of scientific communication. The rapid growth of the primary literature has further increased the need for reviews to distill and interpret the literature. This review on Reviews and Reviewing: Approaches to Research Synthesis encompasses the evolution of the review literature, taxonomy of review literature, uses and users of reviews, the process of preparing reviews, assessment of review quality and impact, the impact of information technology on the preparation of reviews, and research opportunities for information science related to reviews and reviewing. In addition to providing a synthesis of prior research, this review seeks to identify gaps in the published research and to suggest possible future research directions. [ABSTRACT FROM AUTHOR]
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- 2024
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11. Scientific authorships and collaboration network analysis on Chagas disease: papers indexed in PubMed (1940-2009).
- Author
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González-Alcaide G, Park J, Huamaní C, Gascón J, and Ramos JM
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- Cooperative Behavior, Humans, Authorship, Bibliometrics, Chagas Disease, MEDLINE statistics & numerical data, Research statistics & numerical data
- Abstract
Chagas disease is a chronic, tropical, parasitic disease, endemic throughout Latin America. The large-scale migration of populations has increased the geographic distribution of the disease and cases have been observed in many other countries around the world. To strengthen the critical mass of knowledge generated in different countries, it is essential to promote cooperative and translational research initiatives. We analyzed authorship of scientific documents on Chagas disease indexed in the Medline database from 1940 to 2009. Bibliometrics was used to analyze the evolution of collaboration patterns. A Social Network Analysis was carried out to identify the main research groups in the area by applying clustering methods. We then analyzed 13,989 papers produced by 21,350 authors. Collaboration among authors dramatically increased over the study period, reaching an average of 6.2 authors per paper in the last five-year period. Applying a threshold of collaboration of five or more papers signed in co-authorship, we identified 148 consolidated research groups made up of 1,750 authors. The Chagas disease network identified constitutes a "small world," characterized by a high degree of clustering and a notably high number of Brazilian researchers.
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- 2012
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12. Medical research productivity of Lebanon: a bibliometric study of papers indexed in Medline, 1985-2004.
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Mazboudi M and Ben Abdelaziz A
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- History, 20th Century, History, 21st Century, Humans, Lebanon, Bibliometrics history, MEDLINE
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Background: Analysis of biomedical publications of a country is used to monitor research trends which leads to a better formulation of health policy planning and management., Aim: We sought to describe the Lebanese medical publications productivity over a 20 years period from 1985 to 2004., Methods: Medline's database was consulted and the query contained the name of the country, the medical universities, the main teaching hospitals, and cities, both in French and in English. The articles with a Lebanese health affiliation were included and the articles of dentistry, veterinary, nursing and pharmacy were excluded., Results: We counted 1964 medical articles over a two-decade period. The productivity was 2,9 articles/100000 capita/year and 9,2 articles/billion US dollars GDP/year. The growth rate of publication drew a decline passing from 202% (1990-1994) to 55,3% (2000- 2004). The four most productive specialties (Anesthesiology, Internal medicine, Gynecology, Pediatrics) published 611 articles (31,1%). The governorate of Beirut, the American University of Beirut and its teaching hospital published the most with respectively 1926 (98%), 568 (28,9%), and 601 articles (30,6%)., Conclusion: The Lebanese medical productivity was weak and unstable mainly due to the lack of financial resources and the instability of the region. Increasing research funding, improving the physicians' research methodology and writing capacities are likely needed to improve the Lebanese medical output.
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- 2010
13. The use of Husserl's phenomenology in nursing research: A discussion paper.
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Al‐Sheikh Hassan, Mohammed
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ONLINE information services , *CINAHL database , *PSYCHOLOGY information storage & retrieval systems , *RESEARCH methodology , *SYSTEMATIC reviews , *PHENOMENOLOGY , *QUALITATIVE research , *NURSING research , *MEDLINE - Abstract
Aims: To discuss how Husserl's descriptive phenomenology, as a philosophy and approach, has been used and reported in researching the experiences of others, using the topic of foreign‐trained nurses. Design: Discussion paper. Data sources A systematic search of MEDLINE (PubMed), CINAHL, SCOPUS, British Nursing Database and PsycInfo was carried out in December 2021. The inclusion criteria were peer‐reviewed phenomenological research articles, grounded by Husserl's philosophy, conducted among foreign‐trained nurses and published in English from 2000 to 2021. Findings Two main themes were the outcome of critically reviewing relevant selected literature, 'referring to the original philosophy is not enough' and 'phenomenological findings need to be phenomenological'. These findings confirm some arguments about nurse researchers' discrepant use of phenomenology in their studies, including the proper application of phenomenological notions on the ground. Implication for Nursing: Nurse researchers need to clearly distinguish between phenomenology and other qualitative research approaches and consider the uniqueness of philosophical underpinnings that are essential in Husserl's phenomenology, which also need to be clearly applied and reflected in their studies. Conclusion: There are continually existing discrepancies and variations in using phenomenology by nurse researchers. These variations were uniquely evident when nurse researchers could not provide enough philosophical grounds and assumptions to their studies and underestimated the need to keep up with the various applications of Husserl's phenomenological notions, including the proper practice of phenomenological attitude. Therefore, it is recommended that nurse researchers should opt for different, less complex qualitative approaches if they do not adequately prepare and understand what constitutes phenomenology and the particulars of Husserl's philosophy. Impact What problem did the study address? Phenomenology remains popular in nursing. However, it can confuse nurse researchers and may result in an improper understanding of its core concepts. The use of phenomenology in nursing has been criticized over the years with nurse researchers being accused of conducting phenomenological research inconsistent with the original philosophy. What were the main findings? Using phenomenology by nurse researchers is various and includes some discrepancies. This variation is caused by not complying with essential philosophical grounds and underestimating proper applications of Husserl's phenomenological notions. Where and on whom will the research have impact? Outcomes of this paper illustrate examples of proper and improper uses of Husserl's phenomenology in nursing research, including critical considerations, which can guide nurse researchers aiming to conduct descriptive phenomenological research. Additionally, nurse lecturers can utilize this paper to show and emphasize the importance of philosophical grounds in phenomenology. No Patient or Public Contribution: Due to the nature of this discussion paper addressing philosophical and methodological aspects using examples from the literature, no direct patient or public contribution was required. [ABSTRACT FROM AUTHOR]
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- 2023
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14. Dermatological publications in the Gulf Cooperation Council countries. An analysis of 1966-2004 Medline papers.
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Al-Aboud FM, Al-Aboud KM, Al-Hawsawi KA, and Ramesh V
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- Dermatology trends, Humans, MEDLINE trends, Middle East, Publications trends, Research statistics & numerical data, Research trends, Dermatology statistics & numerical data, MEDLINE statistics & numerical data, Publications statistics & numerical data
- Abstract
Objective: To investigate the publications in dermatology cited in the Medline from 6 countries of the Gulf Cooperation Council (GCC) from 1966 to 2004., Methods: Medline was searched with the aid of Internet provider Pubmed using the same strategy at a given time for all countries., Results: At the time of search, the Medline listed biomedical research papers from the GCC countries totaled 12837. Of these, 140 were in Dermatology. The Kingdom of Saudi Arabia followed by Kuwait was by far the most prolific contributor, whereas almost none were noted from Bahrain. The publications were highest during the year 2002 (19) followed by 2003 (13), most of them being in the English language in the International Journal of Dermatology (60 citations) and Pediatric Dermatology (13 citations)., Conclusion: Though the GCC countries have seen a relatively small period in the history of development of medical research, data show that they are trying to keep pace with the rest of the developed world. What remains to be exploited is their good economy that should be directed to provide better infrastructure and improve the quality of training programs. Professional societies within the region must play an active role in ensuring optimum and judicious use of funds.
- Published
- 2004
15. The accuracy of MEDLINE and Journal contents pages for papers published in Clinical Otolaryngology.
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De S, Jones T, Brazier H, Jones AS, and Fenton JE
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- Abstracting and Indexing standards, Humans, MEDLINE standards, Otolaryngology, Periodicals as Topic standards, Publishing standards
- Abstract
MEDLINE is widely used as a source for identifying and reviewing medical journal literature. Its accuracy is generally taken for granted, as is that of the contents pages published by the journals themselves. In this study of citation accuracy we examined the articles published in Clinical Otolaryngology and Allied Sciences from 1976 to 1998. The entries in MEDLINE were compared with the entries in the Journal's contents pages, and with the actual articles. Of 1651 articles published in the journal, one was omitted from MEDLINE and 25 (1.5%) were incorrectly cited, while 88 (5.3%) were incorrectly cited in the contents pages. Twenty-one (84%) of the errors in MEDLINE involved names of authors. Apart from incomplete retrieval of information for practice and research, errors could result in an author not getting credit for publications.
- Published
- 2001
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16. Scientific publication productivity of Korean medical colleges: an analysis of 1988-1999 MEDLINE papers.
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Han MC and Lee CS
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- Korea, Medicine statistics & numerical data, Research standards, Schools, Medical standards, Specialization, Bibliometrics, MEDLINE, Periodicals as Topic statistics & numerical data, Schools, Medical statistics & numerical data
- Abstract
To identify where the quality research activity has been and is carried out in Korea, and to examine to what extents Korean medical colleges play leading roles in the production of international research papers, we investigated the publication productivity of Korean medical colleges and their medical departments as measured by the number of papers published in foreign journals indexed in MEDLINE. The 12-year period from 1988 to 1999 is covered. A total of 4,881 papers is published in MEDLINE foreign journals by the researchers in Korean medical colleges during the period. The production of MEDLINE papers are concentrated in a few universities. More than 60% of MEDLINE foreign journal papers is published by top five universities 25% by Seoul National University, and 15% by Yonsei University. The newly established medical colleges at the University of Ulsan and Sungkyunkwan University produced outstanding numbers of papers in less than ten years. Radiology has led the internationalization of Korean medical papers. It was the most productive specialty identified in this study. The productivity of Internal medicine is on the rise from the mid-1 990s, and the field began to produce the most number of papers since then.
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- 2000
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17. A collaborative approach to develop indicators for quality of care for ST segment Elevation Myocardial Infarction in networks without coronary intervention: A position paper.
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Rodríguez-Ramos, Miguel Alejandro, Santos-Medina, Maikel, Dueñas-Herrera, Alfredo, Prohías Martínez, Juan Adolfo, and Rivas-Estany, Eduardo
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MEDICAL quality control , *ONLINE information services , *CONSENSUS (Social sciences) , *KEY performance indicators (Management) , *MIDDLE-income countries , *SYSTEMATIC reviews , *PATIENT readmissions , *ST elevation myocardial infarction , *HUMAN services programs , *CLINICAL medicine , *INTERPROFESSIONAL relations , *HEALTH care teams , *ELECTROCARDIOGRAPHY , *DESCRIPTIVE statistics , *LOW-income countries , *MEDLINE , *REPERFUSION , *DELPHI method - Abstract
BACKGROUND: Data about performance measures (PM) in patients with ST segment Elevation Myocardial Infarction (STEMI) in low- and middle-income countries is really scarce. One of the reasons is the lack of appropriate measures for these scenarios where coronary intervention is not the standard treatment. OBJECTIVE: This study aimed to develop a set of PM and quality markers for patients with STEMI in these countries. METHODS: Two investigators systematically reviewed existing guidelines and scientific literature to identify potential PM by referring to documents searched through PubMed from 2010 through 2019, using terms "Myocardial Infarction", "STEMI", "quality indicator", and "performance measure". A modified Delphi technique, involving multidisciplinary panel interview, was used. A 15-member multidisciplinary expert panel individually rated each potential indicator on a scale of 1 (lowest) to 5 (highest) during three rounds. All indicators that received a median score ≥4.5, in final round without significant disagreement were included as PM. RESULTS: Through the consensus-building process, 84 potential indicators were found, of which 10 were proposed as performance measures and 2 as quality metrics, as follows: Pre-Hospital Electrocardiogram; Patients with reperfusion therapy; Pre-hospital Reperfusion; Ischemic time less than 120 minutes; System delay time less than 90 minutes; In-hospital Mortality; Complete in-hospital Treatment; Complete in-hospital Treatment in patients with Heart Failure; 30 day-Re-admissions; 30 day-mortality; Patients with in-hospital stress test performed; and, Patients included in rehabilitation programs. CONCLUSION: This document provides the official set of PM of attention in ST segment Elevation Myocardial Infarction of the Cuban Society of Cardiology and Cuban National Group of Cardiology. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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18. The tendency toward English-language papers in MEDLINE.
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Haiqi Z, Yamazaki S, and Urata K
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- Authorship, CD-ROM, Information Storage and Retrieval, International Cooperation, Language, Serial Publications statistics & numerical data, MEDLINE statistics & numerical data, Publishing statistics & numerical data
- Published
- 1997
19. How to read a paper. The Medline database.
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Greenhalgh T
- Subjects
- Sensitivity and Specificity, United States, Abstracting and Indexing standards, MEDLINE standards
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- 1997
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20. The completeness of MEDLINE for papers published and abstracted in the Journal of Emergency Medicine.
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Vilke GM, Vilke TS, and Rosen P
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- Authorship, Bias, Evaluation Studies as Topic, Research Design, Abstracting and Indexing, Emergency Medicine, MEDLINE standards, Periodicals as Topic, Publishing classification
- Abstract
The purpose of this paper is to assess whether MEDLINE, a common source for reviewing the medical literature, is complete with regard to referencing papers published and abstracted in The Journal of Emergency Medicine (JEM) over a 10-year period. In that time, 1178 abstracts and 843 original contributions were included in JEM. All papers were reviewed and classified as either a review of subject, case report with review of literature, editorial, or prospective or retrospective original research. Results showed 98.5% of all original work published in JEM and 99.74% of all abstracts referenced in JEM were found in MEDLINE, thus supporting the hypothesis that MEDLINE is a complete and thorough database for current literature.
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- 1995
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21. Factors influencing intrapartum health outcomes among Black birthing persons: A discursive paper.
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Gillette‐Pierce, Kiersten TâLeigh, Richards‐McDonald, Lynn, Arscott, Joyell, Josiah, Nia, Duroseau, Brenice, Jacques, Keilah, Wilson, Patty R., and Baptiste, Diana
- Subjects
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MASCULINITY , *ONLINE information services , *CINAHL database , *DIVERSITY & inclusion policies , *MEDICAL information storage & retrieval systems , *SOCIAL determinants of health , *BLACK people , *SYSTEMATIC reviews , *DISCRIMINATION (Sociology) , *GENDER dysphoria , *PREGNANCY outcomes , *STEREOTYPES , *NURSING practice , *HEALTH attitudes , *CULTURAL competence , *MEDLINE , *INTRAPARTUM care , *CISGENDER people , *REPRODUCTIVE health - Abstract
Aim: To examine factors that influence intrapartum health outcomes among Black childbearing persons, including cisgender women, transmasculine and gender‐diverse birthing persons. Background: Black childbearing persons are three to four times (243%) more likely to die while giving birth than any other racial/ethnic group. Black birthing persons are not just dying from complications but also from inequitable care from healthcare providers compared to their white counterparts. Design: Discursive paper. Method: Searching national literature published between 2010 and 2021 in PubMed, CINAHL, Embase and SCOPUS, we explored factors associated with poor intrapartum health outcomes among Black childbearing persons. Discussion Several studies have ruled out social determinants of health as sufficient causative factors for poor intrapartum health outcomes among Black birthing persons. Recent research has shown that discrimination by race heavily influences whether a birthing person dies while childbearing. Conclusions: There is a historical context for obstetric medicine that includes harmful stereotypes, implicit bias and racism, all having a negative impact on intrapartum health outcomes. The existing health disparity among this population is endemic and requires close attention. Impact on Nursing Practice: Nurses and other healthcare professionals must understand their role in establishing unbiased care that promotes respect for diversity, equity and inclusion. No Patient or Public Contribution: There was no patient or public involvement in the design or drafting of this discursive paper. [ABSTRACT FROM AUTHOR]
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- 2023
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22. A systematic review of retractions in biomedical research publications: reasons for retractions and their citations in Indian affiliations.
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Sharma, Pratibha, Sharma, Bhavya, Reza, Asad, Inampudi, Krishna Kishore, and Dhamija, Rajinder K
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RESEARCH ethics ,IMPACT factor (Citation analysis) ,MEDLINE ,MEDIAN (Mathematics) ,MEDICAL research ,PERIODICAL articles ,RECIDIVISTS ,PUBLISHED articles - Abstract
Retractions of peer-reviewed biomedical journal articles with Indian authorship have been on the rise for many years. Our study aimed to investigate the reason behind these retractions, namely plagiarism, falsification, fabrication, duplicate publication, author conflicts, ethical issues, fake peer-reviews, and data-related issues, besides providing year-wise trends regarding retraction, authorship, impact factor, and citations. We retrieved retracted publications with Indian affiliations indexed in MEDLINE between 1 January 1990 to 31 December 2021. During this period a total of 619 papers from 372 different journals with median values (interquartile range) pertaining to impact factor [3.2 (1.5, 5.2)], retraction time [24 (10, 51)] months, pre-retraction citations [4 (1, 12)], and post-retraction citations [4 (2, 12)] were retracted. While retractions still account for a small fraction of all publications (0.1%), the overall rate of retractions, that is, the number of retractions relative to the number of newly published journal articles in a given year, has been increasing. The reasons for retractions included plagiarism (27%), falsification and fabrication (26%), duplicate publication (21%), erroneous data (12%), authorship issues (4%), fake-peer reviews (3%), and ethical and funding issues (2%). We have analysed these reasons separately and compared them with each other. Besides a spurt in retraction due to plagiarism, instances of falsification have been escalating over the past decade. Half of the papers retracted on grounds of falsification were published by repeat offender authors in high-impact journals. Furthermore, 82% of retracted papers continued to accumulate citations even after the release of the journal retraction notices. The increase in retractions raises concerns over research quality as well as the wastage of scientific resources, which is especially pressing considering the present environment of scarce funding. The problem of retractions due to reasons such as plagiarism, duplicate publication, authorship issues, and, ethical issues as well as post-retraction citations can be mitigated by educating and raising awareness on publication ethics and responsible research conduct of researchers and journal publishers. Retractions due to fabrication, falsification, and fake peer reviews are more challenging to difficult to address and require further research for the identification of effective solutions. [ABSTRACT FROM AUTHOR]
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- 2023
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23. Paper Chase can put you back in the hunt.
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Lunn RH
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- Grateful Med, MEDLINE
- Published
- 1991
24. The management of surgical patients in the emergency setting during COVID-19 pandemic: the WSES position paper
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Ari Leppanemi, Belinda De Simone, Leonardo Pagani, Edoardo Picetti, Emmanouil Pikoulis, Fausto Catena, Salomone Di Saverio, Elie Chouillard, Gian Luca Baiocchi, A. B. Peitzmann, Federico Coccolini, Luca Ansaloni, Yoram Kluger, Gustavo Pereira Fraga, Walter L. Biffl, Massimo Sartelli, Massimo Valentino, Ernest E. Moore, Fikri M. Abu-Zidan, and Ciro Paolillo
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Infectious Disease Transmission, Patient-to-Professional ,Isolation (health care) ,Non operative management ,MEDLINE ,lcsh:Surgery ,030204 cardiovascular system & hematology ,Global Health ,Open surgery ,Perioperative Care ,03 medical and health sciences ,Postoperative care ,0302 clinical medicine ,COVID-19 Testing ,Personal protective equipment ,Health care ,Medicine ,Humans ,030212 general & internal medicine ,Pandemics ,Infection Control ,Pandemic ,business.industry ,SARS-CoV-2 ,Follow-up ,lcsh:Medical emergencies. Critical care. Intensive care. First aid ,COVID-19 ,Emergency department ,lcsh:RD1-811 ,lcsh:RC86-88.9 ,medicine.disease ,Trauma surgery ,Mass-casualty incident ,Surgical Procedures, Operative ,2019-nCoV ,Emergency Medicine ,Emergency surgery ,Laparoscopy ,Screening ,Position paper ,Surgery ,Medical emergency ,Emergencies ,business ,Research Article - Abstract
Background Since the COVID-19 pandemic has occurred, nations showed their unpreparedness to deal with a mass casualty incident of this proportion and severity, which resulted in a tremendous number of deaths even among healthcare workers. The World Society of Emergency Surgery conceived this position paper with the purpose of providing evidence-based recommendations for the management of emergency surgical patients under COVID-19 pandemic for the safety of the patient and healthcare workers. Method A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA-P) through the MEDLINE (PubMed), Embase and SCOPUS databases. Synthesis of evidence, statements and recommendations were developed in accordance with the GRADE methodology. Results Given the limitation of the evidence, the current document represents an effort to join selected high-quality articles and experts’ opinion. Conclusions The aim of this position paper is to provide an exhaustive guidelines to perform emergency surgery in a safe and protected environment for surgical patients and for healthcare workers under COVID-19 and to offer the best management of COVID-19 patients needing for an emergency surgical treatment. We recommend screening for COVID-19 infection at the emergency department all acute surgical patients who are waiting for hospital admission and urgent surgery. The screening work-up provides a RT-PCR nasopharyngeal swab test and a baseline (non-contrast) chest CT or a chest X-ray or a lungs US, depending on skills and availability. If the COVID-19 screening is not completed we recommend keeping the patient in isolation until RT-PCR swab test result is not available, and to manage him/she such as an overt COVID patient. The management of COVID-19 surgical patients is multidisciplinary. If an immediate surgical procedure is mandatory, whether laparoscopic or via open approach, we recommend doing every effort to protect the operating room staff for the safety of the patient.
- Published
- 2021
25. An umbrella review of systematic reviews examining the relationship between type 2 diabetes and periodontitis: Position paper from the Canadian Dental Hygienists Association.
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Lavigne, Salme E. and Forrest, Jane L.
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PERIODONTITIS treatment ,GLYCOSYLATED hemoglobin ,ONLINE information services ,CINAHL database ,INFORMATION storage & retrieval systems ,MEDICAL databases ,PERIODONTITIS ,GLYCEMIC control ,SYSTEMATIC reviews ,TYPE 2 diabetes ,DESCRIPTIVE statistics ,MEDLINE - Abstract
Copyright of Canadian Journal of Dental Hygiene is the property of Canadian Dental Hygienists Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
26. Wellbeing Outcomes and Risk and Protective Factors for Parents with Migrant and Refugee Backgrounds from the Middle East in the First 1000 Days: A Systematic Review.
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Winter, Amelia Kate, Due, Clemence, and Ziersch, Anna
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MENTAL illness risk factors ,MENTAL illness prevention ,ANXIETY prevention ,PREVENTION of mental depression ,RISK assessment ,MEDICAL information storage & retrieval systems ,EMIGRATION & immigration ,HEALTH services accessibility ,INFANT development ,HEALTH attitudes ,HEALTH status indicators ,RESEARCH funding ,PSYCHOLOGICAL distress ,MATERNAL health services ,PSYCHOLOGY of refugees ,MOTHERS ,CHILD health services ,PARENT attitudes ,POSTPARTUM depression ,HELP-seeking behavior ,DESCRIPTIVE statistics ,DISEASE prevalence ,LONELINESS ,PARENTING ,FAMILY roles ,FAMILIES ,PREGNANCY outcomes ,POPULATION geography ,EXPERIENCE ,SYSTEMATIC reviews ,MEDLINE ,THEMATIC analysis ,MIGRANT labor ,CHILD development ,PATIENT-professional relations ,PSYCHOLOGY of parents ,ONLINE information services ,SOCIAL support ,PATIENT satisfaction ,PSYCHOSOCIAL factors ,WELL-being ,PSYCHOLOGY information storage & retrieval systems ,MENTAL depression ,SOCIAL isolation ,COMMUNICATION barriers ,COVID-19 pandemic ,PREGNANCY - Abstract
The First 1000 Days (the period from conception to a child's second birthday) is an important developmental period. However, little is known about experiences of parents with refugee and migrant backgrounds during this period. A systematic review was conducted according to PRISMA guidelines. Publications were identified through searches of the Embase, PsycINFO, PubMed, and Scopus databases, critically appraised, and synthesised using thematic analysis. A total of 35 papers met inclusion criteria. Depressive symptomatology was consistently higher than global averages, however maternal depression conceptualisations differed across studies. Several papers reported changes in relationship dynamics as a result of having a baby post-migration. Consistent relationships were found between social and health support and wellbeing. Conceptualisations of wellbeing may differ among migrant families. Limited understanding of health services and relationships with health providers may impede help-seeking. Several research gaps were identified, particularly in relation to the wellbeing of fathers, and of parents of children over 12 months old. [ABSTRACT FROM AUTHOR]
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- 2024
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27. Clinical Genomics for the Diagnosis of Monogenic Forms of Inflammatory Bowel Disease: A Position Paper From the Paediatric IBD Porto Group of European Society of Paediatric Gastroenterology, Hepatology and Nutrition
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Simon Travis, Scott B. Snapper, Tobias Schwerd, Aleixo M. Muise, Dan Turner, Christoph Klein, Fabienne Charbit-Henrion, Caterina Strisciuglio, Frank M. Ruemmele, Richard K Russell, Marina Macchi, Johan L van Limbergen, David C. Wilson, Anne M. Griffiths, Dror S. Shouval, Lissy de Ridder, Daniel Kotlarz, Holm H. Uhlig, Paediatric Gastroenterology, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, APH - Digital Health, APH - Health Behaviors & Chronic Diseases, Pediatrics, Uhlig, H. H., Charbit-Henrion, F., Kotlarz, D., Shouval, D. S., Schwerd, T., Strisciuglio, C., de Ridder, L., van Limbergen, J., Macchi, M., Snapper, S. B., Ruemmele, F. M., Wilson, D. C., Travis, S. P. L., Griffiths, A. M., Turner, D., Klein, C., Muise, A. M., and Russell, R. K.
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medicine.medical_specialty ,very early-onset inflammatory bowel disease ,MEDLINE ,primary immunodeficiency ,digestive system ,Article ,ulcerative coliti ,03 medical and health sciences ,0302 clinical medicine ,030225 pediatrics ,Internal medicine ,Medicine ,Humans ,Family history ,Young adult ,Intensive care medicine ,Child ,Exome ,Genetic testing ,medicine.diagnostic_test ,business.industry ,Gastroenterology ,Genomics ,Hepatology ,Colitis ,Inflammatory Bowel Diseases ,digestive system diseases ,Crohn's disease ,Systematic review ,Pediatrics, Perinatology and Child Health ,Genomic ,Position paper ,030211 gastroenterology & hepatology ,genetic ,business ,Child Nutritional Physiological Phenomena ,exome sequencing ,Coliti ,Human - Abstract
BACKGROUND: It is important to identify patients with monogenic IBD as management may differ from classical IBD. In this position statement we formulate recommendations for the use of genomics in evaluating potential monogenic causes of IBD across age groups. METHODS: The consensus included paediatric IBD specialists from the Paediatric IBD Porto group of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and specialists from several monogenic IBD research consortia. We defined key topics and performed a systematic literature review to cover indications, technologies (targeted panel, exome and genome sequencing), gene panel setup, cost-effectiveness of genetic screening, and requirements for the clinical care setting. We developed recommendations that were voted upon by all authors and Porto group members (32 voting specialists). RESULTS: We recommend next-generation DNA-sequencing technologies to diagnose monogenic causes of IBD in routine clinical practice embedded in a setting of multidisciplinary patient care. Routine genetic screening is not recommended for all IBD patients. Genetic testing should be considered depending on age of IBD-onset (infantile IBD, very early-onset IBD, paediatric or young adult IBD), and further criteria, such as family history, relevant comorbidities, and extraintestinal manifestations. Genetic testing is also recommended in advance of hematopoietic stem cell transplantation. We developed a diagnostic algorithm that includes a gene panel of 75 monogenic IBD genes. Considerations are provided also for low resource countries. CONCLUSIONS: Genomic technologies should be considered an integral part of patient care to investigate patients at risk for monogenic forms of IBD.
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- 2021
28. An umbrella review of systematic reviews of the evidence of a causal relationship between periodontal microbes and respiratory diseases: Position paper from the Canadian Dental Hygienists Association.
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Lavigne, Salme E. and Forrest, Jane L.
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CAUSALITY (Physics) ,CINAHL database ,INFORMATION storage & retrieval systems ,MEDICAL databases ,LUNG diseases ,MEDLINE ,ONLINE information services ,PERIODONTAL disease ,PERIODONTITIS ,SYSTEMATIC reviews - Abstract
Copyright of Canadian Journal of Dental Hygiene is the property of Canadian Dental Hygienists Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
29. An umbrella review of systematic reviews of the evidence of a causal relationship between periodontal disease and adverse pregnancy outcomes: A position paper from the Canadian Dental Hygienists Association.
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Lavigne, Salme E. and Forrest, Jane L.
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PERIODONTAL disease treatment ,ATTRIBUTION (Social psychology) ,CINAHL database ,MEDICAL databases ,INFORMATION storage & retrieval systems ,MEDLINE ,ORAL hygiene ,ONLINE information services ,PERIODONTAL disease ,PREGNANCY complications ,RESEARCH funding ,RISK assessment ,SYSTEMATIC reviews ,DISEASE complications ,DISEASE risk factors ,PREGNANCY - Abstract
Copyright of Canadian Journal of Dental Hygiene is the property of Canadian Dental Hygienists Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
30. An umbrella review of systematic reviews of the evidence of a causal relationship between periodontal disease and cardiovascular diseases: Position paper from the Canadian Dental Hygienists Association.
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Lavigne, Salme E. and Forrest, Jane L.
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PERIODONTAL disease treatment ,CARDIOVASCULAR diseases ,CARDIOVASCULAR diseases risk factors ,CAUSALITY (Physics) ,CINAHL database ,INFORMATION storage & retrieval systems ,MEDICAL databases ,MEDLINE ,ONLINE information services ,PERIODONTAL disease ,RESEARCH funding ,SYSTEMATIC reviews ,CLINICAL trial registries - Abstract
Copyright of Canadian Journal of Dental Hygiene is the property of Canadian Dental Hygienists Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
31. Make science evolve into a One Health approach to improve health and security: a white paper
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Osterhaus, Albert D M E, Vanlangendonck, Chris, Barbeschi, Maurizio, Bruschke, Christianne J M, Christensen, Renee, Daszak, Peter, de Groot, Frouke, Doherty, Peter, Drury, Patrick, Gmacz, Sabri, Hamilton, Keith, Hart, John, Katz, Rebecca, Longuet, Christophe, McLeay, Jesse, Morelli, Gaetano, Schlundt, Joergen, Smith, Trevor, Suri, Sameera, Umali, Khristeen, van Aken, Jan, Wagenaar, Jaap A, Bedrijfsvoering, LS GZ Landbouwhuisdieren, Klinische infectiologie en microb. lab., dI&I I&I-4, Bedrijfsvoering, LS GZ Landbouwhuisdieren, Klinische infectiologie en microb. lab., and dI&I I&I-4
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0301 basic medicine ,medicine.medical_specialty ,040301 veterinary sciences ,Ecology (disciplines) ,030106 microbiology ,education ,MEDLINE ,Review ,0403 veterinary science ,03 medical and health sciences ,White paper ,Political science ,Global health ,medicine ,health care economics and organizations ,lcsh:Environmental sciences ,lcsh:GE1-350 ,Government ,business.industry ,Public health ,lcsh:Public aspects of medicine ,lcsh:RA1-1270 ,04 agricultural and veterinary sciences ,Public relations ,Food safety ,One Health ,business - Abstract
The World One Health Congresses are biennial gatherings of approximately 1500 professionals from relevant international organisations, OIE, FAO, WHO, World Bank, leading scientific experts and researchers in the field of One Health, animal production and trade, food safety, animal health, human health and environmentology/ecology, government representatives in public health, human health, food safety, environmental health and global health security. The Congress is organized by the One Health Platform.This white paper summarizes highlights of the 5th International One Health Congress in Saskatoon, Canada, June 2018 and serves as a roadmap for the future, detailing several concrete action points to be carried out in the run-up to the 6th World One Health Congress in Edinburgh, Scotland, June 2020.
- Published
- 2020
32. Acupuncture Therapy as an Evidence-Based Nonpharmacologic Strategy for Comprehensive Acute Pain Care: The Academic Consortium Pain Task Force White Paper Update.
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Nielsen, Arya, Dusek, Jeffery A, Taylor-Swanson, Lisa, and Tick, Heather
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PERIOPERATIVE care , *ONLINE information services , *CINAHL database , *MEDICAL databases , *INTENSIVE care units , *HOSPITAL emergency services , *ACADEMIC medical centers , *OUTPATIENT medical care , *ACUPUNCTURE , *SYSTEMATIC reviews , *EVIDENCE-based medicine , *ALTERNATIVE medicine , *CONSORTIA , *MEDLINE , *PAIN management , *POSTOPERATIVE pain , *ACUTE diseases - Abstract
Background A crisis in pain management persists, as does the epidemic of opioid overdose deaths, addiction, and diversion. Pain medicine is meeting these challenges by returning to its origins: the Bonica model of multidisciplinary pain care. The 2018 Academic Consortium White Paper detailed the historical context and magnitude of the pain crisis and the evidence base for nonpharmacologic strategies. More than 50% of chronic opioid use begins in the acute pain care setting. Acupuncture may be able to reduce this risk. Objective This article updates the evidence base for acupuncture therapy for acute pain with a review of systematic reviews and meta-analyses on postsurgical/perioperative pain with opioid sparing and acute nonsurgical/trauma pain, including acute pain in the emergency department. Methods To update reviews cited in the 2018 White Paper, electronic searches were conducted in PubMed, MEDLINE, CINAHL, and the Cochrane Central Register of Controlled Trials for "acupuncture" and "acupuncture therapy" and "acute pain," "surgery," "peri-operative," "trauma," "emergency department," "urgent care," "review(s) ," "systematic review," "meta-analysis," with additional manual review of titles, links, and reference lists. Results There are 22 systematic reviews, 17 with meta-analyses of acupuncture in acute pain settings, and a review for acute pain in the intensive care unit. There are additional studies of acupuncture in acute pain settings. Conclusion The majority of reviews found acupuncture therapy to be an efficacious strategy for acute pain, with potential to avoid or reduce opioid reliance. Future multicenter trials are needed to clarify the dosage and generalizability of acupuncture for acute pain in the emergency department. With an extremely low risk profile, acupuncture therapy is an important strategy in comprehensive acute pain care. [ABSTRACT FROM AUTHOR]
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- 2022
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33. There Is a Clinical Need to Consider the Physical Activity: Sedentary Pattern in Children with Obesity – Position Paper of the European Childhood Obesity Group.
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Julian, Valérie, Ring-Dimitriou, Susanne, Wyszyńska, Justyna, Mazur, Artur, Matlosz, Piotr, Frelut, Marie Laure, Erhardt, Eva, Vlachopapadopoulou, Elpis, Forslund, Anders, Boyland, Emma, Weghuber, Daniel, and Thivel, David
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SEDENTARY lifestyles , *ONLINE information services , *MEDICAL databases , *CHILDHOOD obesity , *SYSTEMATIC reviews , *CARDIOVASCULAR diseases , *PHYSICAL activity , *MEDICAL protocols , *SCREEN time , *MEDLINE , *ADIPOSE tissues - Abstract
Introduction: While international prevention guidelines recently advocated, in addition to moderate and vigorous physical activity (MVPA) guidelines, for a minimization of sedentary (SED) time, recommendations remain to be developed for youths with obesity. Methods: A literature search was conducted in PubMed, the Cochrane Library, plus the reference lists of selected articles for relevant publications in English, including original papers, systematic reviews, and meta-analyses, with search terms "sedentary behaviors" or "sedentary time" or "screen time" AND "children" or "adolescents" AND "obesity" or "adiposity" or "cardiometabolic risk" or "cardiometabolic disease." The results were summarized as a narrative review and presented to the scientific board of the European Childhood Obesity Group (ECOG), who then discussed their implication in clinical practice and proposed the position outlined in this paper. Results: SED and screen times are associated with adiposity and cardiometabolic risks, independently of youths' physical activity (PA) level. Besides considering MVPA and SED times as separate variables, comprehensive studies have questioned the impact of different patterns of MVPA and SED levels. Although lower body adiposity and better cardiometabolic health are achieved among those with desirable movement behavior patterns (i.e., more MVPA/less SED or active/not SED), youths with intermediate patterns (i.e., high MVPA/high SED and low MVPA/low SED, or active/SED and inactive/not SED) have been found to be associated with intermediate risks. Conclusion: There is a need to decrease SED behaviors irrespective of MVPA and to consider PA-SED patterns in youth with obesity. The ECOG encourages anti-obesity strategies targeting both PA and SED behaviors to support the shift from long periods of SED time, especially screen time, to daily routines incorporating bouts of PA. Stepwise or sequential approaches to movement behavior counseling might start with targeting SED at first to decrease cardiometabolic risks when implementing MVPA is not yet possible. [ABSTRACT FROM AUTHOR]
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- 2022
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34. Impact of electronic versus paper-based recording before EHR implementation on healthcare professionals' perceptions of EHR use, data quality, data reuse
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Ameen Abu-Hanna, Martine C. de Bruijne, Erik Joukes, Ronald Cornet, Nicolette F. de Keizer, Public and occupational health, APH - Methodology, APH - Quality of Care, APH - Digital Health, Medical Informatics, APH - Aging & Later Life, and APH - Global Health
- Subjects
Adult ,Male ,Paper ,020205 medical informatics ,media_common.quotation_subject ,Health Personnel ,MEDLINE ,Health Informatics ,02 engineering and technology ,03 medical and health sciences ,0302 clinical medicine ,Health Information Management ,Electronic health record ,Perception ,Health care ,0202 electrical engineering, electronic engineering, information engineering ,Electronic Health Records ,Humans ,030212 general & internal medicine ,media_common ,Medical education ,business.industry ,Attitude to Computers ,Data reuse ,Paper based ,Middle Aged ,University hospital ,Computer Science Applications ,Data Accuracy ,Data quality ,Regression Analysis ,Female ,business ,Psychology - Abstract
Background The implementation of an electronic health record (EHR) with structured and standardized recording of patient data can improve data quality and reusability. Whether and how users perceive these advantages may depend on the preimplementation situation. Objective To determine whether the influence of implementing a structured and standardized EHR on perceived EHR use, data quality, and data reuse differed for users working with paper-based records versus a legacy EHR before implementation. Methods We used an electronic questionnaire to measure users' perception before implementation (2014), expected change, and perceived change after implementation (2016) on three themes. We included all health care professionals in two university hospitals in the Netherlands. Before jointly implementing the same structured and standardized EHR, one hospital used paper-based records and the other a legacy EHR. We compared perceptions before and after implementation for both centers. Additionally, we compared expected benefit with perceived benefit. Results We received 7,611 responses (4,537 before and 3,074 after implementation) of which 5,707 (75%) were from professionals reading and recording patient data. A total of 975 (13%) professionals responded to both before and after implementation questionnaires. In the formerly paper-based center staff perceived improvement in all themes after implementation. The legacy EHR center experienced deterioration of perceived EHR use and data reuse, and only one improvement in EHR use. In both centers, for half of the aspects at least 45% of responders experienced results worse than expected preimplementation. Conclusion Our results indicate that the preimplementation recording practice impacts the perceived effect of the implementation of a structured and standardized EHR. For almost half of the respondents the new EHR did not meet their expectations. Especially legacy EHR centers need to investigate the expectations as these might be different and less clear cut than those in paper-based centers. These expectations need to be addressed appropriately to achieve a successful implementation.
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- 2019
35. Prognostic Role of Soluble Urokinase Plasminogen Activator Receptor at the Emergency Department: A Position Paper by the Hellenic Sepsis Study Group
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Evangelos J. Giamarellos-Bourboulis, Styliani Gerakari, Vassileios Kaldis, John Parissis, Ioannis Pantazopoulos, Dimitrios Velissaris, Eftihia Polyzogopoulou, Pantelis Koutoukas, Nikolaos Antonakos, Malvina Lada, Antonios Papadopoulos, Apostolos Armaganidis, Dimitrios Babalis, George Dimopoulos, Zoi Alexiou, Konstantinos Leventogiannis, and Charalambos Gogos
- Subjects
0301 basic medicine ,Microbiology (medical) ,medicine.medical_specialty ,030106 microbiology ,MEDLINE ,Infectious and parasitic diseases ,RC109-216 ,suPAR ,Sepsis ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Medicine ,030212 general & internal medicine ,Mortality ,Receptor ,business.industry ,Urokinase Plasminogen Activator ,Emergency department ,medicine.disease ,Triage ,Infectious Diseases ,SuPAR ,Commentary ,Position paper ,business - Abstract
In light of the accumulating evidence on the negative predictive value of soluble urokinase plasminogen activator receptor (suPAR), a group of experts from the fields of intensive care medicine, emergency medicine, internal medicine and infectious diseases frame a position statement on the role of suPAR in the screening of patients admitted to the emergency department. The statement is framed taking into consideration existing publications and our own research experience. The main content of this statement is that sUPAR is a non-specific marker associated with a high negative predictive value for unfavourable outcomes; levels < 4 ng/ml indicate that it is safe to discharge the patient, whereas levels > 6 ng/ml are an alarming sign of risk for unfavourable outcomes. However, the suPAR levels should always be interpreted in light of the patient's history.
- Published
- 2020
36. Low Back Pain and the Social Determinants of Health: A Systematic Review and Narrative Synthesis: A Critically Appraised Paper.
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Andersen, J.C. and VanOpdorp, Heather
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- *
LUMBAR pain , *EVALUATION of medical care , *ONLINE information services , *MEDICAL databases , *SOCIAL determinants of health , *PAIN measurement , *MEDICAL information storage & retrieval systems , *SYSTEMATIC reviews , *JOB absenteeism , *RACE , *SOCIAL context , *SEX distribution , *EMPLOYMENT , *SOCIAL classes , *SOCIAL status , *MEDLINE , *MARITAL status , *EDUCATIONAL attainment - Abstract
Focused Clinical Question: In adult patients with persistent low back pain, what relationship do social determinants of health have on pain frequency or severity? Bottom Line: This systematic review identified several particular social risk factors (including education status, socioeconomic status, and occupational factors) that are consistently associated with adverse low back pain outcomes. In addition, the analysis of the population-representative (cross-sectional) studies demonstrated support for important associations between specific social determinants of health, such as low socioeconomic status/income status and employment status and chronic low back pain prevalence. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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37. Diagnosis, Management, and Prevention of Button Battery Ingestion in Childhood: A European Society for Paediatric Gastroenterology Hepatology and Nutrition Position Paper
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Matjaž Homan, Nikhil Thapar, Mike Thomson, Christos Tzivinikos, Lissy de Ridder, Amani Mubarak, Emmanuel Mas, Marc A. Benninga, Ilse Broekaert, Corina Pienar, Jernej Dolinsek, Erasmo Miele, University Medical Center [Utrecht], Emma Children’s Hospital, University Hospital of Cologne [Cologne], University medical centre Maribor (UKC Maribor), Institut de Recherche en Santé Digestive (IRSD ), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Ecole Nationale Vétérinaire de Toulouse (ENVT), Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), 'Federico II' University of Naples Medical School, Victor Babeş University of Medicine and Pharmacy (UMFT), Great Ormond Street Hospital for Children [London] (GOSH), Sheffield Children's NHS Foundation Trust, Al Jalila Children's Specialty Hospital, Eramus MC-Sophia Children’s Hospital, Partenaires INRAE, Nestle SA, Danone Nutricia, Mubarak, Amani, Benninga, Marc A, Broekaert, Ilse, Dolinsek, Jernej, Homan, Matjaž, Mas, Emmanuel, Miele, Erasmo, Pienar, Corina, Thapar, Nikhil, Thomson, Mike, Tzivinikos, Christo, de Ridder, Lissy, Paediatric Gastroenterology, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, ARD - Amsterdam Reproduction and Development, SEGUIN, Nathalie, and Pediatrics
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medicine.medical_specialty ,MEDLINE ,[SPI.MAT] Engineering Sciences [physics]/Materials ,Asymptomatic ,[SPI.MAT]Engineering Sciences [physics]/Materials ,Eating ,03 medical and health sciences ,[SDV.MHEP.PED] Life Sciences [q-bio]/Human health and pathology/Pediatrics ,Electric Power Supplies ,Esophagus ,0302 clinical medicine ,SDG 3 - Good Health and Well-being ,030225 pediatrics ,Internal medicine ,medicine ,Humans ,endoscopy ,Child ,Intensive care medicine ,[SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics ,medicine.diagnostic_test ,Impaction ,business.industry ,Gastroenterology ,[SDV.MHEP.HEG]Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology ,Guideline ,Hepatology ,Foreign Bodies ,foreign body ,esophageal perforation ,[SDV.MHEP.HEG] Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology ,3. Good health ,Endoscopy ,caustic ingestion ,[SDV.AEN] Life Sciences [q-bio]/Food and Nutrition ,medicine.anatomical_structure ,pediatric ,Pediatrics, Perinatology and Child Health ,Position paper ,030211 gastroenterology & hepatology ,medicine.symptom ,business ,[SDV.AEN]Life Sciences [q-bio]/Food and Nutrition - Abstract
International audience; Button batteries (BB) remain a health hazard to children as ingestion might lead to life-threatening complications, especially if the battery is impacted in the esophagus. Worldwide initiatives have been set up in order to prevent and also timely diagnose and manage BB ingestions. A European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) task force for BB ingestions has been founded, which aimed to contribute to reducing the health risks related to this event. It is important to focus on the European setting, next to other worldwide initiatives, to develop and implement effective management strategies. As one of the first initiatives of the ESPGHAN task force, this ESPGHAN position paper has been written. The literature is summarized, and prevention strategies are discussed focusing on some controversial topics. An algorithm for the diagnosis and management of BB ingestions is presented and compared to previous guidelines (NASPGHAN, National Poison Center). In agreement with earlier guidelines, immediate localization of the BB is important and in case of esophageal impaction, the BB should be removed instantly (preferably 12 hours after ingestion or time point of removal >12 hours after ingestion) and esophageal impaction the guideline suggests to perform a CT scan in order to evaluate for vascular injury before removing the battery. In delayed diagnosis, even if the battery has passed the esophagus, endoscopy to screen for esophageal damage and a CT scan to rule out vascular injury should be considered even in asymptomatic children. In asymptomatic patients with early diagnosis (
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- 2021
38. Withholding and withdrawing life-support in adults in emergency care: joint position paper from the French Intensive Care Society and French Society of Emergency Medicine
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Jean Reignier, Anne-Laure Feral-Pierssens, Thierry Boulain, Françoise Carpentier, Pierrick Le Borgne, Denis Del Nista, Gilles Potel, Sandrine Dray, Delphine Hugenschmitt, Alexandra Laurent, Agnès Ricard-Hibon, Thierry Vanderlinden, Tahar Chouihed, and For the French Society of Emergency Medicine (Société Française de Médecine d’Urgence, SFMU) and French Intensive Care Society (Société de Réanimation de Langue Française, SRLF)
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medicine.medical_specialty ,Withholding Treatment ,Palliative care ,business.industry ,MEDLINE ,lcsh:Medical emergencies. Critical care. Intensive care. First aid ,030208 emergency & critical care medicine ,Legislation ,Emergency department ,Review ,lcsh:RC86-88.9 ,Critical Care and Intensive Care Medicine ,humanities ,03 medical and health sciences ,0302 clinical medicine ,Intensive care ,Life support ,Emergency medicine ,medicine ,Position paper ,030212 general & internal medicine ,business - Abstract
For many patients, notably among elderly nursing home residents, no plans about end-of-life decisions and palliative care are made. Consequently, when these patients experience life-threatening events, decisions to withhold or withdraw life-support raise major challenges for emergency healthcare professionals. Emergency department premises are not designed for providing the psychological and technical components of end-of-life care. The continuous inflow of large numbers of patients leaves little time for detailed assessments, and emergency department staff often lack training in end-of-life issues. For prehospital medical teams (in France, the physician-staffed mobile emergency and intensive care units known as SMURs), implementing treatment withholding and withdrawal decisions that may have been made before the acute event is not the main focus. The challenge lies in circumventing the apparent contradiction between the need to make immediate decisions and the requirement to set up a complex treatment project that may lead to treatment withholding and/or withdrawal. Laws and recommendations are of little assistance for making treatment withholding and withdrawal decisions in the emergency setting. The French Intensive Care Society (Société de Réanimation de Langue Française, SRLF) and French Society of Emergency Medicine (Société Française de Médecine d’Urgence, SFMU) tasked a panel of emergency physicians and intensivists with developing a document to serve both as a position paper on life-support withholding and withdrawal in the emergency setting and as a guide for professionals providing emergency care. The task force based its work on the available legislation and recommendations and on a review of published studies.
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- 2019
39. The effectiveness of short answers test papers in evaluating academic nursing programs: A review of the literature.
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Stunden, Annette and Jefferies, Diana
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EDUCATIONAL tests & measurements -- Evaluation ,CINAHL database ,CURRICULUM ,EDUCATION research ,ERIC (Information retrieval system) ,HEALTH occupations students ,MEDICAL databases ,INFORMATION storage & retrieval systems ,MEDLINE ,NURSING ,NURSING education ,RESEARCH evaluation ,SCHOOL environment ,SYSTEMATIC reviews ,THEMATIC analysis ,COMPUTER assisted testing (Education) - Abstract
Abstract Short answer tests (SAT) are an assessment that examines nursing students' knowledge and can be used to evaluate expectations for student educational success. The purpose of this literature review is to combine the best available evidence as to whether short answer test papers meet nursing facility curricula learning outcomes. A literature review was performed consisting of data bases which included; ERIC, SCOPUS, CINAHL MEDLINE, COCHRANE LIBRARY and JOHANNA BIGGS INSTITUTE (JBI). The following keywords were used: Short answer test, written assessment, quiz, organisations, university, higher degree education, tertiary education, nursing, perceptions, attitude, opinions, thoughts, feeling and belief. The majority of studies demonstrated that short answer tests equip nursing students with the knowledge and critical thinking skills for the clinical setting. Three major themes were identified: the effects of increasing class sizes; authenticity and the validity of short answer tests. Short answer tests are commonly used in undergraduate nursing programs to evaluate students' level of knowledge which consists of their ability to critically analyse and problem solve. To maintain authenticity and validity of an assessment, there is a need for an evidence-based approach to their design to meet the core learning objectives within the curriculum. Highlights • Short answer tests equip nursing students with knowledge and critical thinking skills in preparation for the workforce. • Short answer tests are used to evaluate students' knowledge level and their ability to critically analyse and problem solve. • Authenticity and validity of assessments require an evidence-based approach to meet the learning outcomes in the curriculum. [ABSTRACT FROM AUTHOR]
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- 2018
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40. Re: Diagnosis, Management, and Prevention of Button Battery Ingestion in Childhood: An ESPGHAN Position Paper
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Tjark Ebels, Frederik G. Dikkers, Ear, Nose and Throat, APH - Quality of Care, and Cardiovascular Centre (CVC)
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Button battery ,Electric Power Supplies ,business.industry ,Gastroenterology ,MEDLINE ,medicine.disease ,Foreign Bodies ,Eating ,Pediatrics, Perinatology and Child Health ,Diagnosis management ,Position paper ,Medicine ,Ingestion ,Humans ,Medical emergency ,business - Published
- 2021
41. Potential Impact of a Paper About COVID-19 and Smoking on Twitter Users’ Attitudes Toward Smoking: Observational Study
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Destiny Diaz, Long Chen, Chunliang Tao, Dongmei Li, Zidian Xie, and Richard J O'Connor
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cross-sectional ,020205 medical informatics ,Coronavirus disease 2019 (COVID-19) ,social media ,Population ,Twitter ,MEDLINE ,Medicine (miscellaneous) ,Health Informatics ,02 engineering and technology ,perception ,infodemiology ,smoking ,dissemination ,Infodemiology ,03 medical and health sciences ,infoveillance ,0302 clinical medicine ,infodemic ,0202 electrical engineering, electronic engineering, information engineering ,Social media ,030212 general & internal medicine ,observational ,education ,Multinomial logistic regression ,education.field_of_study ,Original Paper ,research ,COVID-19 ,Computer Science Applications ,Infoveillance ,attitude ,impact ,Medicine ,Observational study ,Psychology ,Demography - Abstract
Background A cross-sectional study (Miyara et al, 2020) conducted by French researchers showed that the rate of current daily smoking was significantly lower in patients with COVID-19 than in the French general population, implying a potentially protective effect of smoking. Objective We aimed to examine the dissemination of the Miyara et al study among Twitter users and whether a shift in their attitudes toward smoking occurred after its publication as preprint on April 21, 2020. Methods Twitter posts were crawled between April 14 and May 4, 2020, by the Tweepy stream application programming interface, using a COVID-19–related keyword query. After filtering, the final 1929 tweets were classified into three groups: (1) tweets that were not related to the Miyara et al study before it was published, (2) tweets that were not related to Miyara et al study after it was published, and (3) tweets that were related to Miyara et al study after it was published. The attitudes toward smoking, as expressed in the tweets, were compared among the above three groups using multinomial logistic regression models in the statistical analysis software R (The R Foundation). Results Temporal analysis showed a peak in the number of tweets discussing the results from the Miyara et al study right after its publication. Multinomial logistic regression models on sentiment scores showed that the proportion of negative attitudes toward smoking in tweets related to the Miyara et al study after it was published (17.07%) was significantly lower than the proportion in tweets that were not related to the Miyara et al study, either before (44/126, 34.9%; P Conclusions The public’s attitude toward smoking shifted in a positive direction after the Miyara et al study found a lower incidence of COVID-19 cases among daily smokers.
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- 2021
42. European position paper on the management of patients with patent foramen ovale. Part II - Decompression sickness, migraine, arterial deoxygenation syndromes and select high-risk clinical conditions
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Evidence Synthesis Team, John Thomson, Dirk Sibbing, Eapci Scientific Documents, Peter Germonpré, Claudio De Angelis, Giuseppe Biondi-Zoccai, Marco Valgimigli, Bernhard Meier, Christian Pristipino, Eustaquio Onorato, Marius Hornung, Paul A. Kyrle, Robert A. Byrne, Danilo Toni, Sebastiano Gili, Jean-Louis Mas, Teiji Akagi, John D. Carroll, Pierluigi Omedè, Francesca Giordana, Massimo Chessa, Flavia Ballocca, Paolo Scacciatella, Fiorenzo Gaita, Dariusz Dudek, Umberto Barbero, Ge Junbo, Horst Sievert, Sergio Berti, Fabrizio D'Ascenzo, Geneviève Derumeaux, Giuseppe Musumeci, David Hildick-Smith, Gianpaolo Anzola, Davide Capodanno, Vijay Kunadian, Francesco Bedogni, Giuseppe Tarantini, Lars Søndergaard, Scott E. Kasner, José Luis Zamorano, Bharat Dalvi, Mario Iannaccone, and Ina Michel-Behnke
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Humans ,Syndrome ,Decompression Sickness ,Foramen Ovale, Patent ,Migraine Disorders ,Thromboembolism ,medicine.medical_specialty ,MEDLINE ,030204 cardiovascular system & hematology ,Decompression sickness ,03 medical and health sciences ,0302 clinical medicine ,medicine ,030212 general & internal medicine ,Intensive care medicine ,Grading (education) ,Foramen ovale (heart) ,business.industry ,030229 sport sciences ,Evidence-based medicine ,medicine.disease ,medicine.anatomical_structure ,Migraine ,Patent foramen ovale ,Position paper ,Patent ,Observational study ,Risk assessment ,Cardiology and Cardiovascular Medicine ,business ,Foramen Ovale - Abstract
Patent foramen ovale (PFO) is implicated in the pathogenesis of a number of medical conditions but to date only one official position paper related to left circulation thromboembolism has been published. This interdisciplinary paper, prepared with the involvement of eight European scientific societies, reviews the available evidence and proposes a rationale for decision making for other PFO-related clinical conditions. In order to guarantee a strict evidence-based process, we used a modified grading of recommendations, assessment, development, and evaluation (GRADE) methodology. A critical qualitative and quantitative evaluation of diagnostic and therapeutic procedures was performed, including assessment of the risk/benefit ratio. The level of evidence and the strength of the position statements were weighed and graded according to predefined scales. Despite being based on limited and observational or low-certainty randomised data, a number of position statements were made to frame PFO management in different clinical settings, along with suggestions for new research avenues. This interdisciplinary position paper, recognising the low or very low certainty of existing evidence, provides the first approach to several PFO-related clinical scenarios beyond left circulation thromboembolism and strongly stresses the need for fresh high-quality evidence on these topics.
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- 2021
43. Setting up and sustaining blood and marrow transplant services for children in middle-income economies : an experience-driven position paper on behalf of the EBMT PDWP
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Lawrence, Faulkner, Marta, Verna, Attilio, Rovelli, Rajat Kumar, Agarwal, Rakesh, Dhanya, Lalith, Parmar, Amit, Sedai, Ankita, Kumari, Stalin, Ramprakash, C P, Raghuram, Pallavi, Mehta, Sandeep, Elizabeth, Sadaf, Khalid, Aliya, Batool, Sarah Khan, Ghilani, Itrat, Fatima, Tatheer, Zara, Priya, Marwah, Rajpreet, Soni, Deepa, Trivedi, Valentino, Conter, Marta, Canesi, Dosti, Othman, Vian, Faeq, Katharina, Kleinschmidt, Akif, Yesillipek, Catherine G, Lam, Scott C, Howard, Selim, Corbacioglu, Jacek, Wachowiak, HUS Children and Adolescents, Clinicum, Lastentautien yksikkö, and Children's Hospital
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medicine.medical_specialty ,medicine.medical_treatment ,MEDLINE ,Context (language use) ,Hematopoietic stem cell transplantation ,Disease ,Middle East ,Quality of life (healthcare) ,Bone Marrow ,3123 Gynaecology and paediatrics ,Health care ,medicine ,Humans ,Intensive care medicine ,Child ,Cause of death ,Bone Marrow Transplantation ,Transplantation ,business.industry ,Hematopoietic Stem Cell Transplantation ,Paediatrics ,Hematology ,Health services ,surgical procedures, operative ,Perspective ,Quality of Life ,Position paper ,business - Abstract
Publisher Copyright: © 2020, The Author(s). Severe blood disorders and cancer are the leading cause of death and disability from noncommunicable diseases in the global pediatric population and a major financial burden. The most frequent of these conditions, namely sickle cell disease and severe thalassemia, are highly curable by blood or bone marrow transplantation (BMT) which can restore a normal health-related quality of life and be cost-effective. This position paper summarizes critical issues in extending global access to BMT based on ground experience in the start-up of several BMT units in middle-income countries (MICs) across South-East Asia and the Middle East where close to 700 allogeneic BMTs have been performed over a 10-year period. Basic requirements in terms of support systems, equipment, and consumables are summarized keeping in mind WHO’s model essential lists and recommendations. BMT unit setup and maintenance costs are summarized as well as those per transplant. Low-risk BMT is feasible and safe in MICs with outcomes comparable to high-income countries but at a fraction of the cost. This report might be of assistance to health care institutions in MICs interested in developing hematopoietic stem cell transplantation services and strengthening context appropriate tertiary care and higher medical education.
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- 2021
44. Insomnia evaluation and treatment during peripartum: a joint position paper from the European Insomnia Network task force "Sleep and Women," the Italian Marcè Society and international experts task force for perinatal mental health.
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Palagini, Laura, Bramante, Alessandra, Baglioni, Chiara, Tang, Nicole, Grassi, Luigi, Altena, Ellemarije, Johann, Anna F., Geoffroy, Pierre Alexis, Biggio, Giovanni, Mencacci, Claudio, Sharma, Verinder, and Riemann, Dieter
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INSOMNIA treatment , *ONLINE information services , *PSYCHOLOGY information storage & retrieval systems , *MEDICAL information storage & retrieval systems , *SYSTEMATIC reviews , *MENTAL health , *MEDICAL protocols , *MEDLINE , *PERINATAL period , *COGNITIVE therapy - Abstract
Insomnia symptoms are frequent during peripartum and are considered risk factors for peripartum psychopathology. Assessing and treating insomnia and related conditions of sleep loss during peripartum should be a priority in the clinical practice. The aim of this paper was to conduct a systematic review on insomnia evaluation and treatment during peripartum which may be useful for clinicians. The literature review was carried out between January 2000 and May 2021 on the evaluation and treatment of insomnia during the peripartum period. The PubMed, PsycINFO, and Embase electronic databases were searched for literature published according to the PRISMA guidance with several combinations of search terms "insomnia" and "perinatal period" or "pregnancy" or "post partum" or "lactation" or "breastfeeding" and "evaluation" and "treatment." Based on this search, 136 articles about insomnia evaluation and 335 articles on insomnia treatment were found and we conducted at the end a narrative review. According to the inclusion/exclusion criteria, 41 articles were selected for the evaluation part and 22 on the treatment part, including the most recent meta-analyses and systematic reviews. Evaluation of insomnia during peripartum, as for insomnia patients, may be conducted at least throughout a clinical interview, but specific rating scales are available and may be useful for assessment. Cognitive behavioral therapy for insomnia (CBT-I), as for insomnia patients, should be the preferred treatment choice during peripartum, and it may be useful to also improve mood, anxiety symptoms, and fatigue. Pharmacological treatment may be considered when women who present with severe forms of insomnia symptoms do not respond to nonpharmacologic therapy. [ABSTRACT FROM AUTHOR]
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- 2022
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45. European Position Paper on Rhinosinusitis and Nasal Polyps 2020
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Fokkens, Wytske, Lund, Valerie, Hopkins, Claire, Hellings, Peter, Kern, Robert, Reitsma, Sietze, Toppila- Salmi, Sanna, Bernal-Sprekelsen, Manuel, Mullol, Joaquim, Alobid, Isam, Anselmo- Lima, Wilma Terezinha, Bachert, Claus, Baroody, Fuad, von Buchwald, Christian, Cervin, Anders, Cohen, Noam, Constantinidis, Jannis, De Gabory, Ludovic, Desrosiers, Martin, Diamant, Zuzana, Douglas, Richard, Gevaert, Philippe, Hafner, Anita, Harvey, Richard, Joos, Guy, Kalogjera, Livije, Knill, Andrew, Kocks, Janwillem, Landis, Basile, Limpens, Jacqueline, Lebeer, Sarah, Lourenco, Olga, Matricardi, Paolo, Meco, Cem, O’Mahony, Liam, Philpott, Carl, Ryan, Dermot, Schlosser, Rodney, Senior, Brent, Smith, Timothy, Teeling, Thijs, Tomazic, Peter Valentin, Wang, De Yun, Wang, Dehui, Zhang, Luo, Agius, Adrian, Ahlström-Emanuelsson, Cecilia, Alabri, Rashid, Albu, Silviu, Alhabash, Saied, Aleksic, Aleksandra, Aloulah, Mohammad, Al- Qudah, Mohannad, Alsaleh, Saad, Baban, Muaid Aziz, Baudoin, Tomislav, Balvers, Tijmen, Battaglia, Paolo, Bedoya, Juan David, Beule, Achim, Bofares, Khaled, Braverman, Itzhak, Brozek-Madry, Eliza, Byaruhanga, Richard, Callejas, Claudio, Carrie, Sean, Caulley, Lisa, Chussi, Desderius, de Corso, Eugenio, Coste, Andre, El Hadi, Usama, Elfarouk, Ahmed, Eloy, Philippe, Farrokhi, Shokrollah, Felisati, Giovanni, Ferrari, Michel, Fishchuk, Roman, Grayson, Jessica, Goncalves, Paulo, Grdinic, Boris, Grgic, Velimir, Hamizan, Aneeza, Heinichen, Julio, Husain, Salina, Ing Ping, Tang, Ivaska, Justinas, Jakimovska, Frodita, Jovancevic, Ljiljana, Kakande, Emily, Kamel, Reda, Karpischenko, Sergei, Kariyawasam, Harsha, Kawauchi, Hideyuki, Kjeldsen, Anette, Klimek, Ludger, Krzeski, Antoni, Kopacheva Barsova, Gabriela, Wam Kim, Sung, Lal, Devyani, Letort, José, Lopatin, Andrey, Mahdjoubi, Abdelhak, Mesbahi, Alireza, Netkovski, Jane, Nyenbue Tshipukane, Dieudonné, Obando-Valverde, Andrés, Okano, Mitsuhiro, Onerci111, Metin, Ong, Yew Kwang, Orlandi, Richard, Otori, Nobuyoshi, Ouennoughy, Kheir, Ozkan, Muge, Peric, Aleksandar, Plzak, Jan, Prokopakis, Emmanuel, Prepageran, Nerayanan, Psaltis, Alkis, Pugin, Benoit, Raftopulos, Marco, Rombaux, Philippe, Riechelmann, Herbert, Sahtout, Semia, Sarafoleanu, Caius-Codrut, Searyoh, Kafui, Rhee, Chae-Seo, Shi, Jianbo, Shkoukani, Mahdi, Shukuryan, Arthur, Sicak, Marian, Smyth, David, Snidvongs, Kornkiat, Soklic Kosak, Tanja, Stjärne, Pär, Sutikno, Budi, Steinsvåg, Sverre, Tantilipikorn, Pongsakorn, Thanaviratananich, Sanguansak, Tran, Thuy, Urbancic, Jure, Valiulis, Arunas, Vasquez de Aparicio, Carolina, Vicheva, Dilyana, Virkkula, Paula, Vicente, Gil, Voegels, Richard, Wagenmann, Martin, Wardani, Retno, Welge-Lussen, Antje, Witterick, Ian, Wright, Erin, Zabolotniy, Dmytro, Zsolt, Bella, Zwetsloot, Casper, HUS Inflammation Center, Department of Dermatology, Allergology and Venereology, University of Helsinki, Korva-, nenä- ja kurkkutautien klinikka, HUS Head and Neck Center, uBibliorum, Faculteit Medische Wetenschappen/UMCG, Fokkens, Wytske J., UCL - (MGD) Service d'oto-rhino-laryngologie, UCL - SSS/IREC/MONT - Pôle Mont Godinne, UCL - SSS/IREC/PNEU - Pôle de Pneumologie, ORL et Dermatologie, UCL - (SLuc) Service d'oto-rhino-laryngologie, Ear, Nose and Throat, and AII - Inflammatory diseases
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Adult ,medicine.medical_specialty ,Evidence-based practice ,Rhinosinusitis ,MEDLINE ,Therapeutics ,PLACEBO-CONTROLLED TRIAL ,03 medical and health sciences ,0302 clinical medicine ,Nasal Polyps ,QUALITY-OF-LIFE ,Diagnosis ,paranasal sinus diseases ,nasal polyps ,therapeutics ,diagnosis ,asthma ,prevention ,control ,Paranasal Sinus Diseases ,Humans ,Medicine ,Nasal polyps ,ENDOSCOPIC-SINUS-SURGERY ,3125 Otorhinolaryngology, ophthalmology ,Sinusitis ,Prevention and Control ,Child ,030223 otorhinolaryngology ,Intensive care medicine ,UPPER RESPIRATORY-TRACT ,TERM-FOLLOW-UP ,Rhinitis ,Science & Technology ,business.industry ,General Medicine ,Guideline ,Evidence-based medicine ,RANDOMIZED CONTROLLED-TRIAL ,medicine.disease ,ACUTE MAXILLARY SINUSITIS ,Asthma ,3. Good health ,Integrated care ,CHURG-STRAUSS-SYNDROME ,Otorhinolaryngology ,Acute Disease ,Chronic Disease ,Position paper ,PRIMARY CILIARY DYSKINESIA ,Human medicine ,business ,ALLERGIC FUNGAL RHINOSINUSITIS ,Life Sciences & Biomedicine - Abstract
The European Position Paper on Rhinosinusitis and Nasal Polyps 2020 is the update of similar evidence based position papers published in 2005 and 2007 and 2012. The core objective of the EPOS2020 guideline is to provide revised, up-to-date and clear evidence-based recommendations and integrated care pathways in ARS and CRS. EPOS2020 provides an update on the literature published and studies undertaken in the eight years since the EPOS2012 position paper was published and addresses areas not extensively covered in EPOS2012 such as paediatric CRS and sinus surgery. EPOS2020 also involves new stakeholders, including pharmacists and patients, and addresses new target users who have become more involved in the management and treatment of rhinosinusitis since the publication of the last EPOS document, including pharmacists, nurses, specialised care givers and indeed patients themselves, who employ increasing self-management of their condition using over the counter treatments. The document provides suggestions for future research in this area and offers updated guidance for definitions and outcome measurements in research in different settings. EPOS2020 contains chapters on definitions and classification where we have defined a large number of terms and indicated preferred terms. A new classification of CRS into primary and secondary CRS and further division into localized and diffuse disease, based on anatomic distribution is proposed. There are extensive chapters on epidemiology and predisposing factors, inflammatory mechanisms, (differential) diagnosis of facial pain, allergic rhinitis, genetics, cystic fibrosis, aspirin exacerbated respiratory disease, immunodeficiencies, allergic fungal rhinosinusitis and the relationship between upper and lower airways. The chapters on paediatric acute and chronic rhinosinusitis are totally rewritten. All available evidence for the management of acute rhinosinusitis and chronic rhinosinusitis with or without nasal polyps in adults and children is systematically reviewed and integrated care pathways based on the evidence are proposed. Despite considerable increases in the amount of quality publications in recent years, a large number of practical clinical questions remain. It was agreed that the best way to address these was to conduct a Delphi exercise . The results have been integrated into the respective sections. Last but not least, advice for patients and pharmacists and a new list of research needs are included. The full document can be downloaded for free on the website of this journal: http://www.rhinologyjournal.com. ispartof: RHINOLOGY vol:58 issue:Suppl S29 pages:I-+ ispartof: location:Netherlands status: published
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- 2020
46. Percutaneous Endoscopic Gastrostomy in Children: An Update to the ESPGHAN Position Paper
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Luigi Dall'Oglio, Filippo Torroni, Christos Tzivinikos, Salvatore Oliva, Claudio Romano, Mike Thomson, Matjaž Homan, Jorge Amil-Dias, Raoul I. Furlano, Patrick Bontems, Frédéric Gottrand, Iva Hojsak, Bruno Hauser, Priya Narula, Clinical sciences, Growth and Development, and Pediatrics
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medicine.medical_specialty ,complications ,Fistula ,medicine.medical_treatment ,MEDLINE ,Nutritional Status ,percutaneous endoscopic gastrostomy ,Enteral Nutrition ,children ,Multidisciplinary approach ,Percutaneous endoscopic gastrostomy ,Medicine ,Humans ,balloon device ,enteral feeding ,feeding tube ,gastrostomy ,nutrition ,Balloon device ,Intensive care medicine ,Child ,Gastrostomy ,business.industry ,balloon device, children, complications, enteral feeding, feeding tube, gastrostomy, nutrition, percutaneous endoscopic gastrostomy ,Gastroenterology ,medicine.disease ,Parenteral nutrition ,Pediatrics, Perinatology and Child Health ,Tube placement ,Position paper ,business ,Child Nutritional Physiological Phenomena ,Medical literature - Abstract
BACKGROUND: The European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) position paper from 2015 on percutaneous endoscopic gastrostomy (PEG) required updating in the light of recent clinical knowledge and data published in medical journals since 2014. METHODS: A systematic review of medical literature from 2014 to 2020 was carried out. Consensus on the content of the manuscript, including recommendations, was achieved by the authors through electronic and virtual means. The expert opinion of the authors is also expressed in the manuscript when there was a lack of good scientific evidence regarding PEGs in children in the literature. RESULTS: The authors recommend that the indication for a PEG be individualized, and that the decision for PEG insertion is arrived at by a multidisciplinary team (MDT) having considered all appropriate circumstances. Well timed enteral nutrition is optimal to treat faltering growth to avoid complications of malnutrition and body composition. Timing, device choice and method of insertion is dependent on the local expertise and after due consideration with the MDT and family. Major complications such as inadvertent bowel perforation should be avoided by attention to good technique and by ensuring the appropriate experience of the operating team. Feeding can be initiated as early as 3 hours after tube placement in a stable child with iso-osmolar feeds of standard polymeric formula. Low-profile devices can be inserted initially using the single-stage procedure or after 2-3 months by replacing a standard PEG tube, in those requiring longer-term feeding. Having had a period of non-use and reliance upon oral intake for growth and weight gain-typically 8-12 weeks-a PEG may then safely be removed after due consultation. In the event of non-closure of the fistula the most successful method for closing it, to date, has been a surgical procedure, but the Over-The-Scope-Clip (OTSC) has recently been used with considerable success in this scenario. CONCLUSIONS: A multidisciplinary approach is mandatory for the best possible treatment of children with PEGs. Morbidity and mortality are minimized through team decisions on indications for insertion, adequate planning and preparation before the procedure, subsequent monitoring of patients, timing of the change to low-profile devices, management of any complications, and optimal timing of removal of the PEG.
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- 2021
47. Position paper on patient safety
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Aida Batista, Piera Polidori, and Stephanie Kohl
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business.industry ,EAHP position paper ,MEDLINE ,Pharmacy ,medicine.disease ,030226 pharmacology & pharmacy ,03 medical and health sciences ,Patient safety ,0302 clinical medicine ,Harm ,Medicine ,Position paper ,030212 general & internal medicine ,Medical emergency ,General Pharmacology, Toxicology and Pharmaceutics ,Hospital pharmacy ,Formulary ,business ,Risk assessment - Abstract
Patient safety and quality of care are a priority for hospital pharmacists all across Europe. The European Association of Hospital Pharmacists (EAHP) has manifested the importance of patient safety for hospital pharmacy practice in a dedicated section of its European Statements of Hospital Pharmacy.1 As stewards of patients’ medication safety, hospital pharmacists are the key stakeholders ensuring the safe, effective and rational use of medicines by upholding the ‘rights’ of patients. This includes improving the safety of using medications, especially high-risk medication and look-alike and sound-alike (LASA) medications, through their close surveillance as well as advising on the most appropriate use of medicines. While some prescribing, dispensing and administration may not cause harm, it may not be cost-effective or beneficial for the patient. The abovementioned phrase 'appropriate use' encompasses a multitude of situations. Patient safety, which lies at the heart of all representations made by EAHP and its members, covers many aspects. EAHP’s position on patient safety specifically focuses on medication safety. In particular, medication errors, which occur when a medicine has been inappropriately prescribed, prepared, dispensed or administered to a patient, are a key concern for hospital pharmacists. Throughout the medication use process specific measures must be taken by healthcare professionals (figure 1). For hospital pharmacists these include improving medication safety by reducing available harm through using risk assessment procedures. Figure 1 The medication use process from a patient perspective. Even before a patient is treated for a specific disease, hospital pharmacists ensure the safety of the patient throughout the care pathway. These include actions linked to the hospital formulary, such as selecting narrow-spectrum antibiotics to prevent resistance, and implementation of the decision of the Drug and Therapeutics Committee, the proper selection and procurement as well as the application of appropriate quality assurance strategies for the medication use processes to …
- Published
- 2020
48. Call for Special Issue Papers: Health Equity Call for Papers: Migrant and Refugee Health: Deadline for Manuscript Submission: October 15, 2020
- Author
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Ana E. Núñez
- Subjects
Health (social science) ,Health Information Management ,Health Policy ,Political science ,Public Health, Environmental and Occupational Health ,MEDLINE ,Call for Papers ,Public administration ,Health equity ,Refugee health - Published
- 2020
49. Assessment and interpretation of vitamin and trace element status in sick children: A Position Paper from the European Society for Paediatric Gastroenterology Hepatology, and Nutrition Committee on Nutrition
- Author
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Sissel J. Moltu, Jutta Köglmeier, Iva Hojsak, Nicholas D. Embleton, Konstantinos Gerasimidis, Jessie M. Hulst, Lorenzo Norsa, Anthony Catchpole, Christian Mølgaard, Barbara A. E. de Koning, Flavia Indrio, Mary Fewtrell, Alexandre Lapillonne, Jiri Bronsky, Magnus Domellöf, Elvira Verduci, and Pediatrics
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medicine.medical_specialty ,MEDLINE ,Nutritional Status ,Physical examination ,Disease ,03 medical and health sciences ,0302 clinical medicine ,030225 pediatrics ,Internal medicine ,medicine ,Faculty of Science ,Humans ,cardiovascular diseases ,Micronutrients ,Child ,Intensive care medicine ,Societies, Medical ,Trace elements ,medicine.diagnostic_test ,business.industry ,Gastroenterology ,Multimodal therapy ,Vitamins ,Hepatology ,Micronutrient ,equipment and supplies ,Nutritional assessment ,Trace Elements ,Dietary assessment ,Pediatrics, Perinatology and Child Health ,Biomarker (medicine) ,Position paper ,030211 gastroenterology & hepatology ,business ,Biomarkers - Abstract
Assessment of vitamin and trace element status (VTE) is important in the clinical management of the sick child. In this position paper, we present the various assessment methods available to the clinical practitioner, and critically discuss pitfalls with interpretation of their results. There are 4 main approaches to assess the VTE body status of an individual patient including clinical examination, dietary assessment, and measurement of direct and indirect biomarkers of VTE in biological samples. Clinical signs of VTE deficiencies usually present only when body stores are substantially depleted and are often difficult to detect or differentiate from other nonnutrient-related causes. In isolation, dietary assessment of micronutrients can be inaccurate and imprecise, in disease and in individual patient assessment but may be useful to complement findings from other VTE assessment methods. Use of biomarkers is the most common approach to assess VTE status in routine practice but in the presence of systemic inflammatory response and in the absence of appropriate paediatric reference intervals, interpretation of biomarker results might be challenging and potentially mislead clinical practice. The use of a multimodal approach, including clinical examination, dietary assessment, and laboratory biomarkers is proposed as the optimal way to ascertain the VTE status of individual patients. In the presence of acute inflammatory conditions, VTE measurements in plasma should be replaced by biomarkers not affected by systemic inflammatory response or delayed until inflammatory state is resolved.
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- 2020
50. Tailoring research recruitment strategies to survey harder‐to‐reach populations: A discussion paper.
- Author
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Savard, Isabelle and Kilpatrick, Kelley
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CINAHL database , *ONLINE information services , *HUMAN research subjects , *PARTICIPANT-researcher relationships , *PATIENT selection , *RESEARCH methodology , *SYSTEMATIC reviews , *COMMUNITIES , *COGNITION , *SURVEYS , *MEDICAL research personnel , *INTELLECT , *NURSES , *MEDLINE , *TRUST - Abstract
Aims: A discussion of the challenges of recruiting participants from harder‐to‐reach populations for quantitative survey studies and potential avenues for tailored strategies to address these challenges. Design Discussion paper. Data sources The search was conducted on August 2, 2021, in the CINAHL and PubMed databases, and in Google scholar. The initial search identified 5880 articles, and the final analysis included 44 articles that met the inclusion criteria. Articles were retained if they addressed methodological challenges or strategies for recruitment and concerned research with harder‐to‐reach populations. Implications for nursing: This article draws on the literature regarding the challenges of recruiting research participants from harder‐to‐reach populations and known strategies for overcoming them. These strategies include, for example, establishing a trusting relationship between the researcher and the participant community and gaining in‐depth knowledge of the target population. These challenges and strategies for recruiting participants from these populations are discussed specifically in the context of quantitative survey research. Conclusion: Nurse researchers conducting quantitative survey studies with participants from harder‐to‐reach populations must tailor their recruitment strategies to the target population and, most importantly, be flexible and creative in their recruitment methods. Impact The article discusses the challenges of recruiting participants from harder‐to‐reach populations and strategies to overcome them in quantitative survey studies. Successful recruitment requires researchers to develop a thorough understanding of the harder‐to‐reach population, develop partnerships to locate and access potential participants, build trust with the community, tailor their language, minimize participation risk and resource constraints, recognize the cognitive and physical demands required, and be flexible and creative in developing recruitment strategies. This knowledge can enable the inclusion of more people from harder‐to‐reach populations in survey studies and provide evidence that can inform research and practice to provide healthcare tailored to their needs and ultimately help improve their health and well‐being. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
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