2,972 results on '"consensus conference"'
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102. Deliberative Democracy in Different Places
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Dryzek, John S., Leib, Ethan J., editor, and He, Baogang, editor
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- 2006
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103. Fertilizing a Patient Engagement Ecosystem to Innovate Healthcare: Toward the First Italian Consensus Conference on Patient Engagement
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Guendalina Graffigna, Serena Barello, Giuseppe Riva, Mariarosaria Savarese, Julia Menichetti, Gianluca Castelnuovo, Massimo Corbo, Alessandra Tzannis, Antonio Aglione, Donato Bettega, Anna Bertoni, Sarah Bigi, Daniela Bruttomesso, Claudia Carzaniga, Laura Del Campo, Silvia Donato, Silvia Gilardi, Chiara Guglielmetti, Michele Gulizia, Mara Lastretti, Valeria Mastrilli, Antonino Mazzone, Giovanni Muttillo, Silvia Ostuzzi, Gianluca Perseghin, Natalia Piana, Giuliana Pitacco, Gianluca Polvani, Massimo Pozzi, Livio Provenzi, Giulia Quaglini, Mariagrazia Rossi, Paola Varese, Natalia Visalli, Elena Vegni, Walter Ricciardi, and A. Claudio Bosio more...
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patient engagement ,consensus conference ,Italy ,chronic care ,Psychology ,BF1-990 - Abstract
Currently we observe a gap between theory and practices of patient engagement. If both scholars and health practitioners do agree on the urgency to realize patient engagement, no shared guidelines exist so far to orient clinical practice. Despite a supportive policy context, progress to achieve greater patient engagement is patchy and slow and often concentrated at the level of policy regulation without dialoguing with practitioners from the clinical field as well as patients and families. Though individual clinicians, care teams and health organizations may be interested and deeply committed to engage patients and family members in the medical course, they may lack clarity about how to achieve this goal. This contributes to a wide “system” inertia—really difficult to be overcome—and put at risk any form of innovation in this filed. As a result, patient engagement risk today to be a buzz words, rather than a real guidance for practice. To make the field clearer, we promoted an Italian Consensus Conference on Patient Engagement (ICCPE) in order to set the ground for drafting recommendations for the provision of effective patient engagement interventions. The ICCPE will conclude in June 2017. This document reports on the preliminary phases of this process. In the paper, we advise the importance of “fertilizing a patient engagement ecosystem”: an oversimplifying approach to patient engagement promotion appears the result of a common illusion. Patient “disengagement” is a symptom that needs a more holistic and complex approach to solve its underlined causes. Preliminary principles to promote a patient engagement ecosystem are provided in the paper. more...
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- 2017
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104. Propuestas para la incorporación del rol de enfermería en la certificación de unidades de espondiloartritis axial. Revisión bibliográfica y consenso entre expertas.
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Carrillo, Irene, López-Pineda, Adriana, García-Díaz, Silvia, López, Amparo, Valencia Muntalà, Lídia, Juanola, Xavier, Zarco, Pedro, Ignacio, Emilio, and Mira, José Joaquín
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CONTINUUM of care , *PATIENT compliance , *SPONDYLOARTHROPATHIES , *MEDICAL quality control , *PATIENT monitoring - Abstract
Analizar el papel de enfermería en el abordaje de la espondiloartritis axial (EspAax) y plantear propuestas que permitan incluir el rol de las consultas de enfermería en reumatología (CER) en la certificación de calidad de las unidades especializadas. Revisión sistemática del rol de enfermería en los sistemas de certificación de calidad en el abordaje de la EspAax, seguida de conferencia de consenso con participación de 3 enfermeras especializadas en reumatología para determinar elementos que considerar en futuras revisiones de las normas de certificación. La revisión sistemática arrojó 5 documentos relevantes. Ninguna de las publicaciones revisadas proponía estándares aplicables a la labor asistencial de enfermería en el manejo de pacientes con EspAax, aunque contemplaban actividades propias de este colectivo. Las propuestas consensuadas para incorporar el rol de las CER en las normas de certificación de las unidades monográficas de EspAax incluyeron: equipamientos y recursos básicos, organización, administración de tratamientos farmacológicos y promoción de la adherencia, programas estandarizados para EspAax, consulta telemática para control del paciente estable y promoción de la continuidad asistencial y registro de medidas de resultados informados por los pacientes. La literatura sobre estándares de calidad y normas de certificación de las unidades monográficas de EspAax es escasa y apenas refleja el papel de las CER en la provisión de una atención de calidad. Las propuestas consensuadas en este trabajo incorporarían las CER en las normas de certificación de calidad. En el futuro, la mayor presencia de CER en España debiera ir acompañada de la actualización de los estándares. To analyse the role of nursing in the approach to axial spondyloarthritis (axSpA) and to make proposals to include the role of rheumatology nursing consultations (RECs) in the quality certification of these specialized units. A systematic review of the nursing role in quality certification systems in the management of axSpA was conducted. Subsequently a consensus conference was held with the participation of 3 rheumatology nurses to determine elements that should be considered in future revisions of certification standards. The systematic review yielded 5 papers as relevant. None of the publications reviewed explicitly proposed standards applicable to nursing care in the management of patients with axSpA, although they contemplated the activities of this professional group. The proposals agreed upon to incorporate the role of RECs in the certification standards for axSpA monographic units included the following: basic equipment and resources, organization, administration of pharmacological treatments and promotion of adherence, standardized programmes for axSpA, telematic consultation (e-consultation) for monitoring the stable patient and promoting continuity of care and registry of patient-reported outcome measures. The literature on quality standards and certification standards for axSpA monographic units is scarce and hardly reflects the role of RECs in providing quality care. The consensus proposals in this study would incorporate RECs into quality certification standards. In the future, the increased presence of RECs in Spain should be accompanied by a review of the indicators regarding their role. [ABSTRACT FROM AUTHOR] more...
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- 2022
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105. Inserting the Public Into Science
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Douglas, Heather, Weingart, Peter, editor, Ezrahi, Yaron, editor, Felt, Ulrike, editor, Hagner, Michael, editor, Hilgartner, Stephen H., editor, Jasanoff, Sheila, editor, Maasen, Sabine, editor, Mendelsohn, Everett, editor, Nowotny, Helga, editor, Rheinberger, Hans-Joerg, editor, Shinn, Terry, editor, Whitley, Richard D., editor, and Wittrock, Björn, editor more...
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- 2005
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106. Representation, Expertise, and the German Parliament: A Comparison of Three Advisory Institutions
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Brown, Mark B., Lentsch, Justus, Weingart, Peter, Weingart, Peter, editor, Ezrahi, Yaron, editor, Felt, Ulrike, editor, Hagner, Michael, editor, Hilgartner, Stephen H., editor, Jasanoff, Sheila, editor, Maasen, Sabine, editor, Mendelsohn, Everett, editor, Nowotny, Helga, editor, Rheinberger, Hans-Joerg, editor, Shinn, Terry, editor, Whitley, Richard D., editor, and Wittrock, Björn, editor more...
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- 2005
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107. The process and criteria for diagnosing specific learning disorders: indications from the Consensus Conference promoted by the Italian National Institute of Health
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Maria Luisa Lorusso, Mirta Vernice, Marina Dieterich, Daniela Brizzolara, Enrica Mariani, Salvatore De Masi, Franca D'Angelo, Eleonora Lacorte, and Alfonso Mele
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Consensus Conference ,Disorders ,diagnosis ,criteria ,parameters ,Public aspects of medicine ,RA1-1270 - Abstract
A Consensus Conference on Specific Learning Disorders has been promoted by the Italian National Institute of Health (Istituto Superiore di Sanità, ISS). The Consensus Conference consisted in a systematic review of the international literature addressing the issues of diagnosis, risk factors and prognosis, treatment, service delivery and organizational models for Specific Learning Disorders (reading, spelling/writing, calculation). Selected papers were examined by a group of Evaluators and then discussed by a Scientific and Technical Committee, whose conclusions were examined and approved by a Jury Panel. The part on diagnostic issues is presented here, encompassing a systematic discussion of the use and appropriateness of diagnostic criteria, parameters, tasks and psychometric indexes as illustrated in the literature, and providing recommendations for clinical practice. Special attention has been devoted to the collection, analysis and discussion of published data concerning languages with transparent orthography. Controversial issues such as discrepancy criteria, role of reading comprehension and importance of accuracy and fluency are discussed. more...
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- 2014
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108. Defining AKD: The Spectrum of AKI, AKD, and CKD
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Andrew S. Levey
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Male ,medicine.medical_specialty ,Consensus ,urogenital system ,business.industry ,Consensus conference ,Acute kidney injury ,Acute Kidney Injury ,Kidney ,urologic and male genital diseases ,medicine.disease ,female genital diseases and pregnancy complications ,Acute Disease ,Epidemiology ,medicine ,Humans ,Female ,Renal Insufficiency, Chronic ,Intensive care medicine ,business ,Kidney disease - Abstract
Kidney Disease Improving Global Outcomes (KDIGO) guidelines address the definition, classification, and management of acute kidney injury (AKI) and chronic kidney disease (CKD). In practice, some clinical presentations of acute kidney diseases and disorders (AKD) do not meet the criteria for AKI or CKD. In principle, these presentations may be caused by the same diseases that cause AKI or CKD, which could be detected, evaluated, and treated before they evolve to AKI or CKD. In 2020, KDIGO convened a consensus conference to review recent evidence on the epidemiology of AKD and harmonize the definition and classification of AKD to be consistent with KDIGO definitions and classifications of AKI and CKD. more...
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- 2021
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109. Predictive value of the new ESGO-ESTRO-ESP endometrial cancer risk classification on survival and recurrence in the Danish population
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Gitte Ørtoft, Claus Høgdall, Margit Dueholm, and Estrid S. Hansen
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medicine.medical_specialty ,endometrial neoplasms ,Danish population ,Denmark ,medicine.medical_treatment ,Population ,DIAGNOSIS ,Cohort Studies ,CONSENSUS CONFERENCE ,Danish ,03 medical and health sciences ,0302 clinical medicine ,Predictive Value of Tests ,Risk Factors ,RADIATION-THERAPY ,Internal medicine ,MANAGEMENT ,medicine ,Adjuvant therapy ,Humans ,education ,education.field_of_study ,030219 obstetrics & reproductive medicine ,business.industry ,Endometrial cancer ,WOMEN ,Obstetrics and Gynecology ,medicine.disease ,Predictive value ,language.human_language ,Endometrial Neoplasms ,Survival Rate ,Radiation therapy ,STAGE-I ,Oncology ,030220 oncology & carcinogenesis ,language ,Female ,Neoplasm Recurrence, Local ,Risk classification ,business ,RADIOTHERAPY - Abstract
ObjectiveTo compare the performance of the new ESGO-ESTRO-ESP (European Society of Gynecological Oncology-European Society for Radiotherapy & Oncology-European Society for Pathology) 2020 risk classification system with the previous 2016 risk classification in predicting survival and patterns of recurrence in the Danish endometrial cancer population.MethodsThis Danish national cohort study included 4516 patients with endometrial cancer treated between 2005 and 2012. Five-year Kaplan–Meier adjusted and unadjusted survival estimates and actuarial recurrence rates were calculated for the previous and the new classification systems.ResultsIn the 2020 risk classification system, 81.0% of patients were allocated to low, intermediate, or high-intermediate risk compared with 69.1% in the 2016 risk classification system, mainly due to reclassification of 44.5% of patients previously classified as high risk to either intermediate or especially high-intermediate risk. The survival of the 2020 high-risk group was significantly lower, and the recurrence rate, especially the non-local recurrence rate, was significantly higher than in the 2016 high risk group (2020/2016, overall survival 59%/66%; disease specific 69%/76%; recurrence 40.5%/32.3%, non-local 34.5%/25.8%). Survival and recurrence rates in the other risk groups and the decline in overall and disease-specific survival rates from the low risk to the higher risk groups were similar in patients classified according to the 2016 and 2020 systems.ConclusionThe new ESGO-ESTRO-ESP 2020 risk classification system allocated fewer patients to the high risk group than the previous risk classification system. The main differences were lower overall and disease-specific survival and a higher recurrence rate in the 2020 high risk group. The introduction of the new 2020 risk classification will potentially result in fewer patients at high risk and allocation to the new high risk group will predict lower survival, potentially allowing more specific selection for postoperative adjuvant therapy. more...
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- 2021
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110. The future of medical scribes documenting in the electronic health record: results of an expert consensus conference
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Nicholas Solberg, Joan S. Ash, Jeffrey A. Gold, James Becton, Vishnu Mohan, Robby Bergstrom, Sky M. Corby, Keaton Whittaker, Benjamin Orwoll, and Christopher Hoekstra
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EHR ,020205 medical informatics ,Computer applications to medicine. Medical informatics ,R858-859.7 ,Health Informatics ,Documentation ,02 engineering and technology ,Health informatics ,Workflow ,03 medical and health sciences ,0302 clinical medicine ,Political science ,0202 electrical engineering, electronic engineering, information engineering ,Electronic Health Records ,Humans ,Medical scribe ,030212 general & internal medicine ,Content Analysis Approach ,Qualitative Research ,Medical Scribes ,SARS-CoV-2 ,business.industry ,Research ,Health Policy ,COVID-19 ,Usability ,Public relations ,Computer Science Applications ,Consensus Conference ,Disparate system ,Content analysis ,business ,Qualitative research - Abstract
Background With the use of electronic health records (EHRs) increasing and causing unintended negative consequences, the medical scribe profession has burgeoned, but it has yet to be regulated. The purpose of this study was to describe scribe workflow as well as identify the threats and opportunities for the future of the scribe industry. Methods The first phase of the study used ethnographic methods consisting of interviews and observations by a multi-disciplinary team of researchers at five United States sites. In April 2019, a two-day conference of experts representing different stakeholder perspectives was held to discuss the results from site visits and to predict the future of medical scribing. An interpretive content analysis approach was used to discover threats and opportunities for the future of medical scribes. Results Threats facing the medical scribe industry were related to changes in the documentation model, EHR usability, different payment structures, the need to acquire disparate data during clinical encounters, and workforce-related changes relevant to the scribing model. Simultaneously, opportunities for medical scribing in the future included extension of their role to include workflow analysis, acting as EHR-related subject-matter-experts, and becoming integrated more effectively into the clinical care delivery team. Experts thought that if EHR usability increases, the need for medical scribes might decrease. Additionally, the scribe role could be expanded to allow scribes to document more or take on more informatics-related tasks. The experts also anticipated an increased use of alternative models of scribing, like tele-scribing. Conclusion Threats and opportunities for medical scribing were identified. Many experts thought that if the scribe role could be expanded to allow scribes to document more or take on more informatics activities, it would be beneficial. With COVID-19 continuing to change workflows, it is critical that medical scribes receive standardized training as tele-scribing continues to grow in popularity and new roles for scribes as medical team members are identified. more...
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- 2021
111. Citizen deliberation in the context of Uruguay's first National Water Plan
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Micaela Trimble, Cristina Zurbriggen, Isabel Bortagaray, and Marila Lázaro
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TC401-506 ,consensus conference ,media_common.quotation_subject ,05 social sciences ,Geography, Planning and Development ,0211 other engineering and technologies ,river basin organizations ,021107 urban & regional planning ,Context (language use) ,02 engineering and technology ,Plan (drawing) ,Management, Monitoring, Policy and Law ,Public administration ,050905 science studies ,Deliberation ,River, lake, and water-supply engineering (General) ,deliberative participation ,water governance ,Political science ,water management ,mini-public ,0509 other social sciences ,Water Science and Technology ,media_common - Abstract
As part of the formulation of the first National Water Plan (NWP) in Uruguay, a mini-public process called ‘Citizen Deliberation on Water (Deci Agua)’ was developed in 2016. While the draft of the plan was being discussed in the formal arenas of water governance (Basin Commissions and Regional Water Resources Councils), a University research team (led by the authors), in coordination with the national water authority, adapted the mechanism of consensus conferences in order to incorporate the citizens’ visions and to contribute to public understanding of the NWP challenges. This article analyses the main aspects of the developed participation strategy and discusses them regarding a set of quality criteria used to evaluate deliberative processes. Although the final version of the NWP (passed by decree in 2017) incorporated some of the contributions of the Citizen Panel, an in-depth analysis of the scope of the deliberative process of Deci Agua allows us to delve into some key aspects related to the quality of participation processes and the challenges. A mixed approach that combines stakeholder participation and lay citizens is novel and desirable in water governance since it increases the scope of participation, deepens the legitimacy of decision-making and improves the public debate. Highlights Deci Agua was a citizen deliberation process based on consensus conferences.; A Citizen Panel contributed to the formulation of Uruguay's first National Water Plan.; The inclusion of the ethical dimension of water management was the main contribution.; Mini-publics like Deci Agua collaborate with the public debate.; Processes of citizen participation can complement stakeholder participation forums. more...
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- 2021
112. 2020 American Heart Association and American College of Cardiology Consensus Conference on Professionalism and Ethics: A Consensus Conference Report
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Ileana L. Piña, Richard E. Anderson, Lynn Todman, Laxmi S. Mehta, Daniel J. Murphy, Frederick A. Masoudi, Willie Lawrence, Pamela S. Douglas, Rita F. Redberg, Sharonne N. Hayes, Keith C. Ferdinand, Camara Phyllis Jones, Glenn N. Levine, Megan Coylewright, Michael J. Mack, John A. Spertus, Jennifer E. Miller, Gaby Weissman, Katherine A. Sheehan, Adrian F. Hernandez, Bernadette M. Broccolo, John P. Erwin, Jennifer H. Mieres, William J. Oetgen, Colin P. West, Cathleen Biga, Emelia J. Benjamin, Jorge F. Saucedo, Clyde W. Yancy, Robert A. Harrington, Daniel D. Matlock, Karen L. Furie, Mark A. Creager, Ivor J. Benjamin, Richard A. Chazal, Edward T.A. Fry, C. Michael Valentine, William H. Roach, Athena Poppas, and Ralph G. Brindis more...
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Research Report ,Consensus ,Association (object-oriented programming) ,media_common.quotation_subject ,Advisory Committees ,Cardiology ,Racism ,Documentation ,Physiology (medical) ,Cultural diversity ,Humans ,Medicine ,Ethics, Medical ,Quality of Health Care ,media_common ,Medical education ,Maryland ,business.industry ,Conflict of interest ,Consensus conference ,American Heart Association ,Social justice ,United States ,Health equity ,Professionalism ,Cardiovascular Diseases ,business ,Cardiology and Cardiovascular Medicine - Published
- 2021
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113. Recommended primary outcomes for clinical trials evaluating hemostatic blood products and agents in patients with bleeding: Proceedings of a National Heart Lung and Blood Institute and US Department of Defense Consensus Conference
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Joshua N. Goldstein, Andrew P. Cap, Alfonso Iorio, Nahed El Kassar, Roger J. Lewis, Andrei L. Kindzelski, Alan N. Barkun, Stephan A. Mayer, Philip C. Spinella, Jerrold H. Levy, Nigel S. Key, Dennis M. Jensen, Simon J. Stanworth, Marie E. Steiner, Terry Gernsheimer, Christopher S. Almond, John B. Holcomb, and Ernest E. Moore more...
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Severe bleeding ,medicine.medical_specialty ,Endpoint Determination ,Blood Loss, Surgical ,MEDLINE ,Hemorrhage ,Hemophilia A ,Critical Care and Intensive Care Medicine ,Article ,Hemostatics ,Humans ,Medicine ,In patient ,Cardiac Surgical Procedures ,Intensive care medicine ,Randomized Controlled Trials as Topic ,Hemostatic Agent ,Adult patients ,business.industry ,Consensus conference ,Clinical trial ,Clinical Practice ,Treatment Outcome ,Wounds and Injuries ,Surgery ,Gastrointestinal Hemorrhage ,business ,Intracranial Hemorrhages - Abstract
High-quality evidence guiding optimal transfusion and other supportive therapies to reduce bleeding is needed to improve outcomes for patients with either severe bleeding or hemostatic disorders that are associated with poor outcomes. Alongside challenges in performing high-quality clinical trials in patient populations who are at risk of bleeding or who are actively bleeding, the interpretation of research evaluating hemostatic agents has been limited by inconsistency in the choice of primary trial outcomes. This lack of standardization of primary endpoints or outcomes decreases the ability of clinicians to assess the validity of endpoints and compare research results across studies, impairs meta-analytic efforts, and, ultimately, delays the translation of research results into clinical practice. To address this challenge, an international panel of experts was convened by the National Heart Lung and Blood Institute and the US Department of Defense on September 23 and 24, 2019, to develop expert opinion, consensus-based recommendations for primary clinical trial outcomes for pivotal trials in pediatric and adult patients with six categories in various clinical settings. This publication documents the conference proceedings from the workshop funded by the National Heart Lung and Blood Institute and the US Department of Defense that consolidated expert opinion regarding clinically meaningful outcomes across a wide range of disciplines to provide guidance for outcomes of future trials of hemostatic products and agents for patients with active bleeding. more...
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- 2021
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114. Peristomal Skin Health
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Mikel Gray, Catherine R. Ratliff, Kelly Jaszarowski, Margaret Goldberg, Laurie McNichol, and Joyce Pittman
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Adult ,Content validation ,Consensus ,Consensus Development Conferences as Topic ,Ostomy ,Best practice ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Colostomy ,Humans ,Medicine ,030212 general & internal medicine ,Societies, Medical ,Advanced and Specialized Nursing ,integumentary system ,Ileostomy ,business.industry ,Task force ,Consensus conference ,Surgical Stomas ,Skin Care ,Medical–Surgical Nursing ,Peristomal Skin ,business - Abstract
The Wound, Ostomy, and Continence Nurses (WOCN) Society identified the need to define and promote peristomal skin health. A task force was appointed to complete a scoping literature review, to develop evidence-based statements to guide peristomal skin health best practices. Based on the findings of the scoping review, the Society convened a panel of experts to develop evidence- and consensus-based statements to guide care in promoting peristomal skin health. These consensus statements also underwent content validation using a different panel of clinicians having expertise in peristomal skin health. This article reports on the scoping review and subsequent 6 evidenced-based statements, along with the generation and validation of 19 consensus-based statements, to assist clinical decision-making related to promoting peristomal skin health in adults. more...
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- 2021
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115. Balancing responsibilities, rewards and challenges: A qualitative study illuminating the complexity of being a rapid response team nurse
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Bunkenborg, G, Barfod O'Connell, M, Jensen, HI, Bucknall, Tracey, Bunkenborg, G, Barfod O'Connell, M, Jensen, HI, and Bucknall, Tracey
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- 2022
116. In-depth Analysis of the 2019 Advanced Prostate Cancer Consensus Conference: The Importance of Representation of Medical Specialty and Geographic Regions
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Silke Gillessen, Susan Halabi, Aurelius Omlin, Manolis Pratsinis, and Sabine Güsewell
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Questions and answers ,medicine.medical_specialty ,Urology ,Specialty ,Hormone-sensitive prostate cancer ,APCCC ,lcsh:RC870-923 ,lcsh:RC254-282 ,Article ,Representation (politics) ,Imaging ,Prostate cancer ,Multidisciplinary approach ,Brief Correspondence ,medicine ,Genetics ,Overall survival ,Castration ,Consensus conference ,medicine.disease ,lcsh:Diseases of the genitourinary system. Urology ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Oligometastatic prostate cancer ,Identification (information) ,Prostate cancer treatment ,Tumor genomic profiling ,Family medicine ,Geographic regions ,Psychology ,Decision-making - Abstract
Rapid innovations for treatment and diagnostic procedures in advanced prostate cancer have led to improved outcomes, although uncertainty remains regarding the best management approach in many clinical situations. The 2019 Advanced Prostate Cancer Consensus Conference (APCCC) addressed these areas of uncertainty with a multidisciplinary international expert panel. A total of 57 experts voted on 123 carefully prepared questions. Primary analysis for APCCC 2019 showed consensus (≥75% agreement on one answer) for 33 questions. Here we investigate whether agreement with the consensus answers differed according to medical discipline and region of practice. Overall there was no compelling evidence for group differences in agreement with the consensus answers: expert subgroups differed no more than could be expected by chance due to differences between individual experts. All questions for which consensus was achieved had at least 50% agreement in each expert subgroup. Furthermore, the set of consensus questions changed only moderately if one of the subgroups was excluded from the panel. The identification of consensus questions and answers at APCCC 2019 appeared to be robust to the composition of the panel and well supported. Patient summary: The Advanced Prostate Cancer Consensus Conference (APCCC) addresses areas of uncertainty with a multidisciplinary panel of experts. We analyzed the decisions of these panelists and grouped them by their medical discipline and their region of practice. For all questions for which consensus (agreement ≥75%) was found, at least 50% of each group agreed, indicating widespread support of these answer choices. This finding strengthens the consensus achieved at APCCC 2019 and provides further guidance for clinicians. more...
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- 2021
117. The North American Neuroendocrine Tumor Society Consensus Guidelines for Surveillance and Management of Metastatic and/or Unresectable Pheochromocytoma and Paraganglioma
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Aaron R. Sasson, Lauren Fishbein, Nancy D. Perrier, Camilo Jimenez, Michael C. Soulen, Sylvia L. Asa, Tobias Else, Thomas A. Hope, Jaydira Del Rivero, Patricia L. M. Dahia, Kimberly Perez, Karyn A. Goodman, Mabel Ryder, Douglas L. Fraker, Pamela L. Kunz, James R. Howe, Debbie L. Cohen, and Daniel A. Pryma more...
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medicine.medical_specialty ,Endocrinology, Diabetes and Metabolism ,education ,Adrenal Gland Neoplasms ,MEDLINE ,Metastatic pheochromocytoma ,Pheochromocytoma ,Medical Oncology ,Resection ,Paraganglioma ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Internal Medicine ,medicine ,Humans ,Neoplasm Metastasis ,Societies, Medical ,Hepatology ,business.industry ,General surgery ,Consensus conference ,medicine.disease ,Neuroendocrine Tumors ,030220 oncology & carcinogenesis ,North America ,030211 gastroenterology & hepatology ,business - Abstract
This manuscript is the result of the North American Neuroendocrine Tumor Society consensus conference on the medical management and surveillance of metastatic and unresectable pheochromocytoma and paraganglioma held on October 2 and 3, 2019. The panelists consisted of endocrinologists, medical oncologists, surgeons, radiologists/nuclear medicine physicians, nephrologists, pathologists, and radiation oncologists. The panelists performed a literature review on a series of questions regarding the medical management of metastatic and unresectable pheochromocytoma and paraganglioma as well as questions regarding surveillance after resection. The panelists voted on controversial topics, and final recommendations were sent to all panel members for final approval. more...
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- 2021
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118. Patient blood management – recommendations from the International Consensus Conference, Frankfurt/Main, Germany
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Erica M. Wood, Michael F. Murphy, Philippe Vandekerckhove, Hans Van Remoortel, Markus M. Mueller, Patrick Meybohm, Jeffrey L. Carson, Kari Aranko, and Erhard Seifried
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medicine.medical_specialty ,Blood management ,Political science ,Family medicine ,Consensus conference ,medicine - Published
- 2021
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119. Report on 2020 Safe to Touch Consensus Conference on Hazardous Drug Surface Contamination
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Mary Lynn Moody, Patricia C. Kienle, Philip N. Johnson, MiKaela Olsen, John Fanikos, Christine Roussel, Lindsey B. Amerine, and Michael Gabay
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Pharmacies ,Pharmacology ,Scope (project management) ,business.industry ,Health Policy ,Consensus conference ,Pharmacy ,Hazardous drugs ,Contamination ,medicine.disease ,Subject-matter expert ,Pharmaceutical Preparations ,Touch ,Hazardous waste ,Pharmaceutical Services ,Health care ,medicine ,Humans ,Medical emergency ,business ,medicine.drug - Abstract
Purpose The 2020 Safe to Touch Consensus Conference on Hazardous Drug Surface Contamination was convened in order to gather subject matter experts in the field of hazardous drug (HD) handling to develop consensus statements regarding surface contamination monitoring for adoption by stakeholders in the drug supply chain, policy, and healthcare arenas. Summary The Safe to Touch conference convened virtually on September 22, 24, and 26, 2020. An expert panel of healthcare providers with experience in HD handling, monitoring, and research; pharmacy and nursing operations; and medication safety led the conference. An experienced audience of approximately 25 reaction panel members provided feedback to the panel via a preconference survey, during the conference, and at a postconference virtual town hall. Additionally, expert speakers presented on a range of issues, including the impact of HD surface contamination on health, current regulations and standards, surface contamination monitoring technologies, and variables impacting surface contamination testing. Conclusion At the end of the conference, the expert panel developed 11 consensus statements and corresponding recommendations that should be widely disseminated in order to educate individuals regarding the impact of HD surface contamination and increase the scope of HD surface contamination monitoring. Institutions involved in the handling of HDs should set short- and long-term goals for implementation of applicable consensus statements. more...
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- 2021
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120. Are voters influenced by the results of a consensus conference?
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Daniella Kupor, David Yokum, and Steven A. Sloman
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Sociology and Political Science ,Social Psychology ,Political science ,05 social sciences ,Political Science and International Relations ,050602 political science & public administration ,Consensus conference ,0501 psychology and cognitive sciences ,Public administration ,050105 experimental psychology ,Social Sciences (miscellaneous) ,Applied Psychology ,0506 political science - Abstract
We evaluate whether people will outsource their opinion on public policy to consensus conference participants. The ideal consensus conference brings together a representative sample of citizens and introduces them to the range of perspectives and evidence related to some policy. The sample is given the opportunity to ask questions of experts and to deliberate. Attitudes about each policy are queried before and after the conference to see if the event has changed minds. In general, such conferences do produce opinion shifts. Our hypothesis is that the shift can be leveraged by simply communicating conference results – absent substantive information about the merits of the policies discussed – to scale up the value of conferences to the population at large. In five studies, we tell participants about the impact of a consensus conference on a sample of citizens’ opinions for a range of policies without providing any new information about the inherent value of the policy itself. For several of the policies, we see a shift in opinion. We conclude that the value of consensus conferences can be scaled up simply by telling an electorate about its results. This suggests an economical way to bring evidence and rational argument to bear on citizens’ policy attitudes. more...
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- 2021
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121. Nomenclature in nephrology: preserving ‘renal’ and ‘nephro' in the glossary of kidney health and disease
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Csaba P. Kovesdy, Philippe Chauveau, Leonardo V. Riella, Nieltje Gedney, Sanjay K. Agarwal, Iain C. Macdougall, Patricia de Sequera, Mona Boaz, Jeffrey Perlmutter, Carmine Zoccali, David Goldsmith, Donald A. Molony, Srinivasan Beddhu, Annette Bruchfeld, Joel D. Kopple, Johannes F E Mann, Keith C. Norris, Peter A. McCullough, Steven D. Weisbord, Lori Hartwell, Connie M. Rhee, Tess Harris, Malini Gupta, Kamyar Kalantar-Zadeh, Jing Chen, Thomas A. Golper, and Vassilios Liakopoulos more...
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Nephrology ,medicine.medical_specialty ,Consensus ,Glossary ,medicine.medical_treatment ,030232 urology & nephrology ,Disease ,030204 cardiovascular system & hematology ,Kidney ,Terminology ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Internal medicine ,medicine ,Humans ,Renal replacement therapy ,Renal Insufficiency, Chronic ,Heart Failure ,business.industry ,Consensus conference ,medicine.disease ,medicine.anatomical_structure ,business ,Kidney disease - Abstract
A recently published nomenclature by a "Kidney Disease Improving Global Outcomes" (KDIGO) Consensus Conference suggested that the word "kidney" should be used in medical writings instead of "renal" or "nephro" when referring to kidney disease and kidney health. Whereas the decade-old move to use "kidney" more frequently should be supported when communicating with the public-at-large, such as the World Kidney Day, or in English speaking countries in communications with patients, care-partners, and non-medical persons, our point of view is that "renal" or "nephro" should not be removed from scientific and technical writings. Instead, the terms can coexist and be used in their relevant contexts. Cardiologists use "heart" and "cardio" as appropriate such as "heart failure" and "cardiac care units" and have not replaced "cardiovascular" with "heartvessel", for instance. Likewise, in nephrology, we consider that "chronic kidney disease" and "continuous renal replacement therapy" should coexist. We suggest that in scientific writings and technical communications, the words "renal" and "nephro" and their derivatives are more appropriate and should be freely used without any pressure by medical journals to compel patients, care-partners, healthcare providers, researchers and other stakeholders to change their selected words and terminologies. We call to embrace the terms "kidney", "renal" and "nephro" as they are used in different contexts and ask that scientific and medical journals not impose terminology restrictions for kidney disease and kidney health. The choice should be at the discretion of the authors, in the different contexts including in scientific journals. more...
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- 2021
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122. Empfehlungen zur Prognosebeurteilung bei cerebraler Hypoxie nach kardiopulmonaler Reanimation : Österreichische interdisziplinäre Konsensuskonferenz
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Madl, C., Hasibeder, W., Lechleitner, P., Lenz, K., Lindner, K. H., Oder, W., Prause, G., Rumpl, E., Schmutzhard, E., Sterz, F., and Arntz, H.-R., editor
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- 2002
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123. Sepsis Definitions
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Pérez, Javier, Dellinger, R. Phillip, Rello, Jordi, editor, Eichacker, Peter Q., editor, and Pugin, Jérôme, editor
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- 2001
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124. Parliament, Paradox and Policy
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Cope, David, Gethmann, Carl Friedrich, editor, Decker, Michael, editor, and Wütscher, Friederike, editor
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- 2001
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125. Pathological Diagnosis, Work-Up and Reporting of Breast Cancer 1st Central-Eastern European Professional Consensus
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Cserni Gabor, Francz Monika, Jaray Balasz, Kalman Endre, Kovacs Ilona, Krenács Tibor, Tot Erika, Udvarheyli Nora, Vass László, Vörös András, Krivokuća Ana, Kajo Karol, Kajová Macháleková Katarina, and Kulka Janina more...
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breast cancer ,consensus conference ,recommendations ,pathology ,diagnostics - Abstract
This text is based on the recommendations accepted by the 4th Hungarian Consensus Conference on Breast Cancer, modified on the basis of the international consultation and conference within the frames of the Central-Eastern European Academy of Oncology. The recommendations cover non-operative, intraoperative and postoperative diagnostics, determination of prognostic and predictive markers and the content of cytology and histology reports. Furthermore, they address some specific issues such as the current status of multigene molecular markers, the role of pathologists in clinical trials and prerequisites for their involvement, and some remarks about the future. more...
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- 2022
126. Analyse dʹun blocage et ouverture vers lʹavenir.
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Thurin, Jean-Michel
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On January 16, 1992, after a year of work on the part of all concerned, the representatives of 21 associations and scientific societies met at the Inserm (medical research centre) to sign the statutes of the French Federation of Psychiatry (FFP) The objective of the newly formed Federation is for research in all areas of psychiatry and mental health to be anchored in the idea of an open and full exchange of psychiatric practices, at a professional level and on the national and international stage. Major actions are immediately initiated. The cataloguing of these actions and their relationship to identified needs and objectives reflect the coherence of the whole. The contrast apparent between the first 15 years of operation of the FFP and those that follow is considerable. In order to understand this, the Editorial Board of this issue of Psychiatric Perspectives met to consider the question. The role of individual or institutional conflict was not thought to be the main factor. Antagonisms have always existed in psychiatry. They have not succeeded in halting the initial process. We then turned our attention to the publications and documents available to us to see if they could help us to determine what could have changed with regard to relations with those major institutions that have brought their dynamism, guidance and support to the Federation, namely the Inserm, the Andem-Anaes-Has (national French health assessment organization) and the DGS (French Department of Health). Historically the French Federation of Psychiatry has largely concerned itself with the development of EBM (Evidence-Based Medicine) and the particular questions posed by the specificity of psychiatry in the scientific field. The crisis that occurred during the first collective Inserm surveys and the intense work of the interface committee that allowed for at least partial resolution provide an important insight into the consequences that can result from the difference in the construction of knowledge that exists between the general biomedical approach and the individualised approach of psychiatry and related disciplines. The problem stems from the creation of guidelines for clinical practice, while consensus conferences, which have always included family involvement, have never posed any problems, quite the reverse. The research methodology and resulting guidelines for practice must take into account the contribution of the clinical aspect in psychiatry and mental health, including the individualised multifactorial dimension that underlies dysfunctions and their symptomatic and behavioural manifestations. Clinicians have learned to work with dynamic complexity and to adjust their practice to the individuality of each case. The formalisation of this activity represents a potential base of considerable knowledge. Together with other levels of approach, including physiological and biological ones in different conditions such as stress, it can lead to open pragmatic research from which everyone will benefit. [ABSTRACT FROM AUTHOR] more...
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- 2018
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127. Clinical conundrums in antithrombotic therapy management: A Delphi Consensus panel.
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Colonna, Paolo, Andreotti, Felicita, Ageno, Walter, Pengo, Vittorio, and Marchionni, Niccolò
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ANTICOAGULANTS , *EMBOLISMS , *ATRIAL fibrillation , *PATIENTS ,THERAPEUTIC use of fibrinolytic agents ,CORONARY artery abnormalities ,THROMBOEMBOLISM prevention - Abstract
Background Anticoagulants are recommended for the prevention of stroke/systemic embolism for most patients with atrial fibrillation (AF) and for the treatment of patients with venous thromboembolism (VTE). Regulatory-driven randomized trials, however, typically exclude extreme patient scenarios involving, for instance, severe bleeding, ischaemic risk, frailty or renal impairment, despite their common occurrence in clinical practice. Uncertainty in the management of such cases leads to a high degree of variability in therapeutic approaches. Consensus conferences or panels may provide insights and help bridge the gaps that separate clinical guidelines from real-world practice. In the present study, a description of challenging AF and VTE patients was submitted to a large panel of experts to investigate areas of common or divergent management. Method A modified-Delphi method was used to obtain consensus among 178 Italian AF and VTE specialists. A questionnaire was sent on the appropriateness of anticoagulant therapy in AF and VTE cases, including CHA 2 DS 2 -VASc = 1, comorbid coronary artery disease, frailty, advanced age, risk of falling, prior haemorrhagic stroke, and low- or intermediate-risk pulmonary embolism. Strategies to improve guideline adherence were also investigated. Results All participants completed the questionnaire. Consensus was reached on many, but not all cases, leaving uncertainty on some debated topics (conundrums) where decisions are unsupported by clinical studies or driven by controversial results. Conclusions The indications emerging from this large panel of experts may help guide the management of challenging AF or VTE cases. Studies are needed addressing treatment options in those cases for whom no consensus was reached. [ABSTRACT FROM AUTHOR] more...
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- 2017
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128. Tumor Budding beim kolorektalen Karzinom: Konsensus für den klinischen Einsatz.
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Dawson, H. and Lugli, A.
- Abstract
Copyright of Colo-Proctology is the property of Springer Nature 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.) more...
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- 2017
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129. Knowledge Mobilization and Mental Health Policy: Lessons from the Canadian Consensus Conference on the Mental Health of Emerging Adults.
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Mulvale, Gillian, Roussakis, Christina, Canning, Christopher, Papadodoulos, Despina, and Knoops, Francine
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CONFERENCES & conventions ,CONSENSUS (Social sciences) ,HEALTH promotion ,INTERVIEWING ,CASE studies ,HEALTH policy ,MENTAL health ,HEALTH literacy - Abstract
Copyright of Canadian Journal of Community Mental Health is the property of Canadian Periodical for Community Studies Inc. 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.) more...
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- 2017
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130. SIAMOC position paper on gait analysis in clinical practice: General requirements, methods and appropriateness. Results of an Italian consensus conference.
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Benedetti, Maria Grazia, Beghi, Ettore, De Tanti, Antonio, Cappozzo, Aurelio, Basaglia, Nino, Cutti, Andrea Giovanni, Cereatti, Andrea, Stagni, Rita, Verdini, Federica, Manca, Mario, Fantozzi, Silvia, Mazzà, Claudia, Camomilla, Valentina, Campanini, Isabella, Castagna, Anna, Cavazzuti, Lorenzo, Del Maestro, Martina, Croce, Ugo Della, Gasperi, Marco, and Leo, Tommaso more...
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HUMAN locomotion , *CEREBRAL palsy , *AMPUTATION , *BRAIN injuries , *PHOTOGRAMMETRY , *MOVEMENT disorders , *GAIT in humans , *KINEMATICS , *MEDICAL protocols , *DIAGNOSIS - Abstract
Gait analysis is recognized as a useful assessment tool in the field of human movement research. However, doubts remain on its real effectiveness as a clinical tool, i.e. on its capability to change the diagnostic-therapeutic practice. In particular, the conditions in which evidence of a favorable cost-benefit ratio is found and the methodology for properly conducting and interpreting the exam are not identified clearly. To provide guidelines for the use of Gait Analysis in the context of rehabilitation medicine, SIAMOC (the Italian Society of Clinical Movement Analysis) promoted a National Consensus Conference which was held in Bologna on September 14th, 2013. The resulting recommendations were the result of a three-stage process entailing i) the preparation of working documents on specific open issues, ii) the holding of the consensus meeting, and iii) the drafting of consensus statements by an external Jury. The statements were formulated based on scientific evidence or experts' opinion, when the quality/quantity of the relevant literature was deemed insufficient. The aim of this work is to disseminate the consensus statements. These are divided into 13 questions grouped in three areas of interest: 1) General requirements and management, 2) Methodological and instrumental issues, and 3) Scientific evidence and clinical appropriateness. SIAMOC hopes that this document will contribute to improve clinical practice and help promoting further research in the field. [ABSTRACT FROM AUTHOR] more...
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- 2017
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131. Mobilisation des connaissances et politiques de santé mentale : apprentissages tirés de la Conférence consensuelle canadienne sur la santé mentale des adultes émergents.
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Mulvale, Gillian, Roussakis, Christina, Canning, Christopher, Papadodoulos, Despina, and Knoops, Francine
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HEALTH policy ,MENTAL health services ,CONFERENCES & conventions ,INTERVIEWING ,MENTAL health - Abstract
Copyright of Canadian Journal of Community Mental Health is the property of Canadian Periodical for Community Studies Inc. 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.) more...
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- 2017
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132. Toward uniform standards for pharmacy technicians: Summary of the 2017 Pharmacy Technician Stakeholder Consensus Conference.
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Zellmer, William A., McAllister, Everett B., Silvester, Janet A., and Vlasses, Peter H.
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- *
CONFERENCES & conventions , *CERTIFICATION , *PHARMACY technicians , *EDUCATION - Abstract
The article discusses the highlights of the Pharmacy Technician Stakeholder Consensus Conference held in Irving, Texas, from February 14 to 16, 2017. Sponsored by the Pharmacy Technician Certification Board (PTCB), the conference aimed to resolve unsettled issues related to pharmacy technicians. The event included several plenary sessions and work-group sessions. Michael A. Moné, a vive president at Cardinal Health, was one of the speakers. more...
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- 2017
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133. Nationaler Konsensus zu Wunddokumentation beim Ulcus cruris.
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Heyer, K., Herberger, K., Protz, K., Mayer, A., Dissemond, J., Debus, S., and Augustin, M.
- Abstract
Copyright of Der Hautarzt is the property of Springer Nature 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.) more...
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- 2017
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134. Fertilizing a Patient Engagement Ecosystem to Innovate Healthcare: Toward the First Italian Consensus Conference on Patient Engagement.
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Graffigna, Guendalina, Barello, Serena, Riva, Giuseppe, Savarese, Mariarosaria, Menichetti, Julia, Castelnuovo, Gianluca, Corbo, Massimo, Tzannis, Alessandra, Aglione, Antonio, Bettega, Donato, Bertoni, Anna, Bigi, Sarah, Bruttomesso, Daniela, Carzaniga, Claudia, Del Campo, Laura, Donato, Silvia, Gilardi, Silvia, Guglielmetti, Chiara, Gulizia, Michele, and Lastretti, Mara more...
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GUIDELINES ,MEDICAL care ,PHYSICIAN practice patterns ,MEDICAL care costs ,QUALITY of life - Published
- 2017
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135. European consensus conference on unruptured brain AVMs treatment (Supported by EANS, ESMINT, EGKS, and SINCH).
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Cenzato, Marco, Boccardi, Edoardo, Beghi, Ettore, Vajkoczy, Peter, Szikora, Istvan, Motti, Enrico, Regli, Luca, Raabe, Andreas, Eliava, Shalva, Gruber, Andreas, Meling, Torstein, Niemela, Mika, Pasqualin, Alberto, Golanov, Andrey, Karlsson, Bengt, Kemeny, Andras, Liscak, Roman, Lippitz, Bodo, Radatz, Matthias, and Camera, Alessandro more...
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- *
ARTERIOVENOUS malformation , *BRAIN abnormalities , *CEREBRAL arteriovenous malformations , *HEMORRHAGE , *CLINICAL trials , *CONFERENCES & conventions , *THERAPEUTICS - Abstract
In December of 2016, a Consensus Conference on unruptured AVM treatment, involving 24 members of the three European societies dealing with the treatment of cerebral AVMs (EANS, ESMINT, and EGKS) was held in Milan, Italy. The panel made the following statements and general recommendations: (1) Brain arteriovenous malformation (AVM) is a complex disease associated with potentially severe natural history; (2) The results of a randomized trial (ARUBA) cannot be applied equally for all unruptured brain arteriovenous malformation (uBAVM) and for all treatment modalities; (3) Considering the multiple treatment modalities available, patients with uBAVMs should be evaluated by an interdisciplinary neurovascular team consisting of neurosurgeons, neurointerventionalists, radiosurgeons, and neurologists experienced in the diagnosis and treatment of brain AVM; (4) Balancing the risk of hemorrhage and the associated restrictions of everyday activities related to untreated unruptured AVMs against the risk of treatment, there are sufficient indications to treat unruptured AVMs grade 1 and 2 (Spetzler-Martin); (5) There may be indications for treating patients with higher grades, based on a case-to-case consensus decision of the experienced team; (6) If treatment is indicated, the primary strategy should be defined by the multidisciplinary team prior to the beginning of the treatment and should aim at complete eradication of the uBAVM; (7) After having considered the pros and cons of a randomized trial vs. a registry, the panel proposed a prospective European Multidisciplinary Registry. [ABSTRACT FROM AUTHOR] more...
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- 2017
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136. Impact of Consensus Conference Review on Diagnostic Disagreements in the Evaluation of Cervical Biopsy Specimens.
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Layfield, Lester J., Hammer, Richard D., Frazier, Shellaine R., Esebua, Magda, Bivin, William W., Laziuk, Katsiaryna, Nguyen, Van T., Johannesen, Eric, and Schmidt, Robert L.
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- *
SURGICAL pathology , *DIAGNOSTIC errors ,CERVIX uteri disease diagnosis - Abstract
Objectives: To determine the impact of consensus conferences on the frequency of discrepant cases in a surgical pathology practice.Methods: The percentage of discrepancies in cases reviewed at a weekly consensus conference was calculated for the first and last months of a 13-month period. Both interrater agreement and agreement with the consensus diagnoses were assessed. A total of 309 diagnoses were performed for the first month and 518 for the last month. Both absolute and chance-corrected agreement were calculated for each period.Results: Absolute agreement rate increased from 91.2% in the first month to 98.2% in the final month. Chance-corrected agreement increased from 0.80 in the first month to 0.97 in the final month.Conclusions: The consensus conference technique appears to be a useful method to reduce intradepartmental diagnostic discrepancies. Both absolute and chance-corrected agreement are improved by using consensus conferences. [ABSTRACT FROM AUTHOR] more...- Published
- 2017
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137. Fifth Ovarian Cancer Consensus Conference: individualized therapy and patient factors.
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McGee, J., Bookman, M., Harter, P., Marth, C., McNeish, I., Moore, K. N., Poveda, A., Hilpert, F., Hasegawa, K., Bacon, M., Gatsonis, C., Brand, A., Kridelka, F., Berek, J., Ottevanger, N., Levy, T., Silverberg, S., Kim, B.-G., Hirte, H., and Okamoto, A. more...
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OVARIAN cancer , *OVARIAN cancer treatment , *OVARIAN cancer diagnosis , *INDIVIDUALIZED medicine , *CANCER relapse , *CLINICAL trials , *DIAGNOSIS , *CONFERENCES & conventions - Abstract
This manuscript reports the consensus statements regarding the design and conduct of clinical trials in patients with newly diagnosed and recurrent epithelial ovarian cancer (EOC), following deliberation at the Fifth Ovarian Cancer Consensus Conference (OCCC), held in Tokyo in November 2015. Three important questions were identified for discussion prior to the meeting and achieved consensus during the meeting: (i) What are the most important factors to be evaluated prior to initial therapy? (ii) What are the most important factors to be evaluated specifically in recurrent disease? (iii) Are there specific considerations for special patient subpopulations? In addition, we report a list of important unmet needs compiled during the consensus process, which is intended to guide future research initiatives. [ABSTRACT FROM AUTHOR] more...
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- 2017
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138. Prevention and control of dental caries and periodontal diseases at individual and population level: consensus report of group 3 of joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases.
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Jepsen, Søren, Blanco, Juan, Buchalla, Wolfgang, Carvalho, Joana C., Dietrich, Thomas, Dörfer, Christof, Eaton, Kenneth A., Figuero, Elena, Frencken, Jo E., Graziani, Filippo, Higham, Susan M., Kocher, Thomas, Maltz, Marisa, Ortiz‐Vigon, Alberto, Schmoeckel, Julian, Sculean, Anton, Tenuta, Livia M.A., Veen, Monique H., and Machiulskiene, Vita more...
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CAVITY prevention , *PERIODONTAL disease prevention , *BIOFILMS , *DISEASE risk factors , *NON-communicable diseases , *POPULATION research , *EPIDEMIOLOGICAL research , *DENTAL plaque , *THERAPEUTICS , *RISK factors of periodontal disease , *CONSENSUS (Social sciences) , *DENTAL care , *DENTAL caries , *DENTAL health education , *DENTAL hygiene , *GINGIVITIS , *HEALTH behavior , *ORAL hygiene , *PERIODONTAL disease , *PERIODONTITIS , *REPORT writing , *TOOTH care & hygiene , *TOOTH loss , *WATER fluoridation , *SOCIOECONOMIC factors , *DISEASE prevalence , *FLUORIDE varnishes , *HEALTH & social status , *PSYCHOLOGY , *PREVENTION ,DENTAL caries risk factors - Abstract
Background The non-communicable diseases dental caries and periodontal diseases pose an enormous burden on mankind. The dental biofilm is a major biological determinant common to the development of both diseases, and they share common risk factors and social determinants, important for their prevention and control. The remit of this working group was to review the current state of knowledge on epidemiology, socio-behavioural aspects as well as plaque control with regard to dental caries and periodontal diseases. Methods Discussions were informed by three systematic reviews on (i) the global burden of dental caries and periodontitis; (ii) socio-behavioural aspects in the prevention and control of dental caries and periodontal diseases at an individual and population level; and (iii) mechanical and chemical plaque control in the simultaneous management of gingivitis and dental caries. This consensus report is based on the outcomes of these systematic reviews and on expert opinion of the participants. Results Key findings included the following: (i) prevalence and experience of dental caries has decreased in many regions in all age groups over the last three decades; however, not all societal groups have benefitted equally from this decline; (ii) although some studies have indicated a possible decline in periodontitis prevalence, there is insufficient evidence to conclude that prevalence has changed over recent decades; (iii) because of global population growth and increased tooth retention, the number of people affected by dental caries and periodontitis has grown substantially, increasing the total burden of these diseases globally (by 37% for untreated caries and by 67% for severe periodontitis) as estimated between 1990 and 2013, with high global economic impact; (iv) there is robust evidence for an association of low socio-economic status with a higher risk of having dental caries/caries experience and also with higher prevalence of periodontitis; (v) the most important behavioural factor, affecting both dental caries and periodontal diseases, is routinely performed oral hygiene with fluoride; (vi) population-based interventions address behavioural factors to control dental caries and periodontitis through legislation (antismoking, reduced sugar content in foods and drinks), restrictions (taxes on sugar and tobacco) guidelines and campaigns; however, their efficacy remains to be evaluated; (vii) psychological approaches aimed at changing behaviour may improve the effectiveness of oral health education; (viii) different preventive strategies have proven to be effective during the course of life; (ix) management of both dental caries and gingivitis relies heavily on efficient self-performed oral hygiene, that is toothbrushing with a fluoride-containing toothpaste and interdental cleaning; (x) professional tooth cleaning, oral hygiene instruction and motivation, dietary advice and fluoride application are effective in managing dental caries and gingivitis. Conclusion The prevention and control of dental caries and periodontal diseases and the prevention of ultimate tooth loss is a lifelong commitment employing population- and individual-based interventions. [ABSTRACT FROM AUTHOR] more...
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- 2017
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139. [GMIA-Breast Oncoplastic and Reconstruction Society consensus on operative standards of breast cancer surgery].
- Subjects
- Humans, Female, Mastectomy, Mastectomy, Segmental, Breast, Breast Neoplasms, Mammaplasty
- Abstract
Objective: The Breast Cancer Surgery Operative Standards Consensus Conference aimed to establish industry technical standards and improve breast cancer surgery practices by addressing controversial and operative breast cancer surgery-related issues in clinical practice.The conference was led by the Breast Oncoplastic and Reconstruction Branch of Guangdong Medical Industry Association (GMIA) and involved 85 breast surgeons with expertise in breast cancer conserving, oncoplastic, and reconstructive surgery.Consensus was reached through 3 meetings.The first meeting brought up the topics of interest, and evidence summaries were presented for debate during the second meeting; the third meeting was held to reach consensus recommendation for selected topics.Pre-defined consensus criteria required that the consensus was reached only when more than 70% of the panelists agreed on the topic.Out of the 57 questions set for voting, 11 operative standards were recommended as Preferred, and one was recommended as Considered.Preferred operative standards included surgical details in breast conserving surgery, mastectomy, reconstructive surgery, surgical treatment of phyllodes tumor.Selected topics that did not reach consensus among the panelists were also discussed.These Preferred operative standards could help guide clinical surgical practice in routine patient care. more...
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- 2023
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140. Market Research: What do People Really Think and does it Matter?
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Curtin, Tom, Jones, Jacqueline, Curtin, Tom, and Jones, Jacqueline
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- 2000
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141. Clinical evaluation of organ transplantation in France
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Matillon, Y., Houssin, D., and Cochat, Pierre, editor
- Published
- 2000
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142. Introduction: The Concept of the E.A.E.S. Consensus Development Conferences (CDC’s)
- Author
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Neugebauer, E., Neugebauer, Edmund, editor, and Sauerland, Stefan, editor
- Published
- 2000
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143. Development of a Standardized Clinical Assessment and Management Plan for Pediatric Acute Respiratory Distress Syndrome
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Katie McDermott, Matt Powell, Mary Kasch, Khris O’Brien, Stacey Hay, Jenny Andres, Prakadeshwari Rajapreyar, Alyssa Matuszak, Kathy Murkowski, Christina Pano, Rainer Gedeit, Martin K. Wakeham, and Tara L. Petersen more...
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medicine.medical_specialty ,Quality management ,business.industry ,Best practice ,Consensus conference ,Acute respiratory distress ,Lung injury ,Critical Care and Intensive Care Medicine ,03 medical and health sciences ,0302 clinical medicine ,030228 respiratory system ,Electronic health record ,Pediatrics, Perinatology and Child Health ,medicine ,030212 general & internal medicine ,Intensive care medicine ,business - Abstract
Pediatric acute respiratory distress syndrome (PARDS) is one of the most challenging patient populations for a clinician to manage with mortality between 8 and 31%. The project was designed to identify patients with PARDS, implement management guidelines with the goal of standardizing practice. Our objectives were to describe the development and implementation of a protocolized approach to identify patients with PARDS and institute ventilator management guidelines. Patients who met criteria for moderate or severe PARDS as per the Pediatric Acute Lung Injury Consensus Conference (PALICC) definitions were identified using the best practice alert (BPA) in the electronic health record (EHR). Patients who did not meet exclusion criteria qualified for management using the Standardized Clinical Assessment and Management Plan (SCAMP), a quality improvement (QI) methodology with iterative cycles. The creation of a BPA enabled identification of patients with PARDS. With our second cycle, the number of false BPA alerts due to incorrect data decreased from 66.7 (68/102) to 29.2% (19/65; p more...
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- 2021
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144. St. Gallen/Vienna 2021: A Brief Summary of the Consensus Discussion on Customizing Therapies for Women with Early Breast Cancer
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Christoph Thomssen, Michael Gnant, Nadia Harbeck, and Marija Balic
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Endocrine therapy ,2019-20 coronavirus outbreak ,Consensus ,Coronavirus disease 2019 (COVID-19) ,Neoadjuvant systemic therapy ,Library science ,Review Article ,Survivorship ,Breast surgery ,03 medical and health sciences ,0302 clinical medicine ,On demand ,Chemotherapy ,Medicine ,Axillary surgery ,030212 general & internal medicine ,Audience interaction ,Panel discussion ,Early breast cancer ,Radiotherapy ,business.industry ,Consensus conference ,Adjuvant treatment ,Annals ,Oncology ,030220 oncology & carcinogenesis ,Surgery ,Immunotherapy ,business - Abstract
Because of the COVID-19 pandemic, the 2021 St. Gallen/Vienna Consensus Conference on Early Breast Cancer Treatment Standards had to be held virtually. Despite the challenge of convening global contributors to both the conference itself as well as the important Consensus Panel, the scientific committee and the organizers managed to organize a well-received scientific conference, and also the panel discussion was well received in the worldwide scientific community, as indicated by numerous positive feedbacks already within the first 24 h. The virtual format was unusual, but opened the door for new elements such as Consensus questions proposed from the audience, but also live audience interaction on both days – the Consensus was split into 2 parts in order to accommodate as many time zones globally as possible, leading to almost a doubling of discussion time compared to previous meetings. Also, about 3,400 participants from over 100 countries and all continents came together, including many colleagues who could attend for the first time from world regions with restrictions that so far did not allow the travel to Vienna. Traditionally, the Panel votings and discussions were preceded by 3 days of high-level live-discussions about the lectures that were available on demand already a week before. Also, all the lectures and live discussions in mini-panels are made available online for at least 6 months (https://www.oncoconferences.ch/events/bcc-2021/). The traditional panel votings were once more moderated by Eric Winer from Harvard and included interactive elements such as audience votings and audience questions, presented by Michael Gnant. This rapid report by the editors-in-chief of Breast Care summarizes the results of the 2021 international panel votings with respect to locoregional and systemic treatment as a quick news update for our readers and clearly does not intend to replace the official St. Gallen Consensus publication that will follow shortly in Annals of Oncology. more...
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- 2021
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145. DEFICIENCY OF ADAMTS-13 IN SEPSIS PATIENTS AND ITS CORRELATION WITH MORBIDITY/ MORTALITY
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Rafia Mahmood, Dawood Ahmad, Chaudhry Altaf Hussain, Syed Owais Ali, Taqdees Fatima, and Syeda Sarwat Fatima
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Disseminated intravascular coagulation ,medicine.medical_specialty ,Medicine (General) ,Adult patients ,business.industry ,Cross-sectional study ,Consensus conference ,Thrombotic thrombocytopenic purpura ,Mean age ,medicine.disease ,member 13 ,Sepsis ,R5-920 ,Internal medicine ,a disintegrin and metalloprotease with a thrombospondin type1 motif ,medicine ,Morbidity mortality ,Medicine ,enzyme-linked immunosorbent assay ,thrombotic thrombocytopenic purpura ,business ,disseminated intravascular coagulation - Abstract
Objective: To detect ADAMTS-13 deficiency in sepsis patients and its effect on in-hospital morbidity and mortality in adult patients of sepsis. Study Design: Cross sectional study. Place and Duration of Study: Armed Forces Institute of Pathology (AFIP) and Combined Military Hospital (CMH) Rawalpindi, from Apr 2017 to Apr 2018. Methodology: All indoor patients admitted at Combined Military Hospital Rawalpindi and diagnosed as suffering from sepsis at Armed Forces Institute of Pathology according to the guidelines of the Critical Care Society of Medicine Consensus Conference Committee. Forty sepsis patients were recruited for the study. Two groups were formed on the basis of ADAMTS-13 antigen levels, non-deficient and deficient. Basic haematological and clinical parameters were recorded. Levels of ADAMTS-13 antigen were analyzed by using Technozyme kit byenzyme-linked immunosorbent assay (ELISA) and level less than 0.40 IU/ml was taken deficient as defined by manufacturer. Comparison was done between ADAMTS-13 deficient and non-deficient group with regard to clinical and haematological characteristics, ICU stay, hospital admission days and in-hospital mortality. Healthy controls of same age and gender were also observed for ADAMTS-13 antigen level. Results: Among total 40 sepsis patients, thirty two (80%) were males and eight (20%) were females with a mean age of 61 ± 15 years (range: 30-85 years). ADAMTS-13 deficiency (150 x 109/l, mean hospital stay was 10.2 ± 3.6 days and in-hospital mortality was in one (8.3%) patient respectively. ADAMTS-13 antigen level was found sufficient in healthy controls. Conclusion: Majority of the sepsis patients were found ADAMTS-13 deficient. Deficiency exhibit long term hospital admission, thrombocytopenia and increase in hospital mortality. ADAMTS-13 deficiency might play a role in sepsis induced thrombocytopenia and in hospital mortality. More studies are recommended on the subject with larger sample size to evaluate its role in sepsis. more...
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- 2021
146. Shall We Continue to Talk About (or Use) SIRS in the Twenty-first Century?
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Vincent, J.-L., Baue, A. E., editor, Berlot, G., editor, Gullo, A., editor, and Vincent, J.-L., editor
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- 1999
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147. PREFACE. The 1st Baltic Osseointegration Academy and Lihuanian University of Health Sciences Consensus Conference 9 - 10 September 2016, Kaunas, Lithuania
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Gintaras Juodzbalys
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PREFACE ,Consensus Conference ,Dentistry ,RK1-715 - Abstract
Baltic Ossoeintegration Academy (BOA) together with the Lithuanian University of Health Sciences (LSMU) and Universities from Europe and USA organized their first Consensus Conference (CC) devoted to the topic of peri-implantitis. BOA - LSMU consensus development group (CDG) was seeking to review the dental literature on a topical area in implantology and to produce high-quality, unbiased evidence-based guidelines and consensus statement (CS). CDG as the responsible body formulated the task of developing CS devoted to the topic of peri-implantitis to Gintaras Juodzbalys (Lithuania). CS Panel members were invited by the chairman. They are representatives of Universities, experts in a field and made every effort to produce nonbiased, independent, evidence-based clinical practice guidelines. Panel members had no conflicts of interest and signed a Panel Member Agreement (PMA). Working groups were established and following clinically relevant topics suitable for consensus discussion were identified: Peri-Implantitis Aetiology, Risk Factors and Pathology (group leader: Claudio Stacchi) [1]. Peri-Implantitis Diagnostics and Decision Tree (group leader: Tolga Fikret Tözüm) [2]. Peri-Implantitis Treatment (group leader: Fernando Suárez-López del Amo) [3]. more...
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- 2016
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148. An Analysis on Citizens’ Participation in Local Energy Plans: Focusing on Daegu Round-table Conference
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Oh Sumi and Sang Hyeon Jin
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Round table ,Political science ,Energy (esotericism) ,Consensus conference ,General Earth and Planetary Sciences ,Public administration ,Focus group ,Deliberative opinion poll ,General Environmental Science - Published
- 2020
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149. Report from the 2018 consensus conference on immunomodulating agents in thoracic transplantation: Access, formulations, generics, therapeutic drug monitoring, and special populations
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Katrina Ford, Lisa Peters, Kyle L. Dawson, Tara Miller, A. Cochrane, Reda E. Girgis, Linda J. Stuckey, H. Lyster, Doug Jennings, Michelle M. Kittleson, Phillip Weeks, Stuart D. Russell, T. Tse, Janet Scheel, Maureen Flattery, Monica Colvin, Christina T. Doligalski, Robert L. Page, M. Shullo, Steven Ivulich, Tamara Claridge, Martin Schweiger, C. Yost, Kathleen E. Simpson, JoAnn Lindenfeld, T. Khuu, Christopher R. Ensor, David Weill, Anne I. Dipchand, David A. Baran, and Patricia A. Uber more...
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Graft Rejection ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Consensus ,Special populations ,medicine.medical_treatment ,030230 surgery ,030226 pharmacology & pharmacy ,03 medical and health sciences ,0302 clinical medicine ,Generic drug ,medicine ,Drugs, Generic ,Humans ,Lung transplantation ,Intensive care medicine ,Immunosuppression Therapy ,Heart transplantation ,Transplantation ,medicine.diagnostic_test ,Drug Substitution ,business.industry ,Consensus conference ,Immunosuppression ,Therapeutic drug monitoring ,Surgery ,Cardiology and Cardiovascular Medicine ,business ,Immunosuppressive Agents ,Lung Transplantation - Abstract
In 2009, the International Society for Heart and Lung Transplantation recognized the importance and challenges surrounding generic drug immunosuppression. As experience with generics has expanded and comfort has increased, substantial issues have arisen since that time with other aspects of immunomodulation that have not been addressed, such as access to medicines, alternative immunosuppression formulations, additional generics, implications on therapeutic drug monitoring, and implications for special populations such as pediatrics and older adults. The aim of this consensus document is to address critically each of these concerns, expand on the challenges and barriers, and provide therapeutic considerations for practitioners who manage patients who need to undergo or have undergone cardiothoracic transplantation. more...
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- 2020
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150. The Italian technical/administrative recommendations for telemedicine in clinical neurophysiology
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Antonello Grippo, V. Di Lazzaro, C. Rabbito, R. Pasqui, Aldo Amantini, S. Lori, F. Gabbrielli, D. Olivi, D. Barloscio, Riccardo Carrai, and G. Stipa
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medicine.medical_specialty ,Telemedicine ,Neurophysiology ,Globe ,Dermatology ,Telemedicine guidelines ,03 medical and health sciences ,0302 clinical medicine ,Remote control ,Teleneurophysiology ,medicine ,Humans ,030212 general & internal medicine ,Public health ,business.industry ,Consensus conference ,Information technology ,General Medicine ,Psychiatry and Mental health ,Engineering management ,medicine.anatomical_structure ,Italy ,General Data Protection Regulation ,Telemedicine recommendations ,The Internet ,Original Article ,Neurology (clinical) ,Business ,Developed country ,030217 neurology & neurosurgery - Abstract
Recent advances in technology, information technology, Internet networks, and, more recently, fiber optics in industrialized countries allow the exchange of a huge amount of data, in real time, across the globe. The acquisition of increasingly sophisticated technologies has made it possible to develop telemedicine, by which the specialist's evaluation can be carried out on the patient even remotely. In Italy, this very useful tool, although possible from a technological and information technology point of view, has not been developed because of the lack of clear and univocal rules and of major administrative obstacles related to the Italian Public Health System. To promote telemedicine implementation in Italy, the Italian Society of Clinical Neurophysiology and the Italian Society of Telemedicine together with the National Centre for Telemedicine and New Assistive Technologies of the Italian Higher Institute of Health prepared these inter-society recommendations. Because of potential forensic value of these recommendations, they were prepared considering the current regulations and the General Data Protection Regulation and will provide the basis for a Consensus Conference planned to discuss and prepare National Telemedicine Guidelines. more...
- Published
- 2020
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