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"Decision model"

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https://www.readbyqxmd.com/read/28924357/developmental-dysplasia-of-the-hip-do-the-responsible-for-screening-know-what-to-do
#1
Bruno Gonçalves Schröder E Souza, Tiago Evangelista de Melo, Thiago Mattos Resende, Rafaela Clara Resende da Silva, Soraya Amanda Cruz, Valdeci Manoel de Oliveira
OBJECTIVE: To evaluate the knowledge on developmental dysplasia of the hip (DDH) by professionals involved in its diagnosis. METHODS: This is a cross-sectional study using questionnaires to assess the knowledge about DDH. Orthopedic surgeons and pediatricians, residents and medical students from a tertiary teaching hospital were included in the study. RESULTS: We evaluated 142 medical students, eight orthopedic residents, ten pediatric residents, seven pediatricians, and nine orthopedic surgeons; 50% declared not having examined any DDH case in the last year and only three had diagnosed more than 10 cases during their career...
November 2016: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/28919398/controlling-bovine-paratuberculosis-at-a-regional-scale-towards-a-decision-modelling-tool
#2
Gaël Beaunée, Elisabeta Vergu, Alain Joly, Pauline Ezanno
Johne's disease (paratuberculosis), a worldwide enzootic disease of cattle caused by Mycobacterium avium subsp. paratuberculosis (Map), mainly introduced into farms by purchasing infected animals, has a large economic impact for dairy producers. Since diagnostic tests used in routine are poorly sensitive, observing Map spread in the field is hardly possible, whereas there is a need for evaluating control strategies. Our objective was to provide a modelling framework to compare the efficacy of regional control strategies combining internal biosecurity measures and testing of traded animals, against Map spread in a metapopulation of dairy cattle herds...
September 14, 2017: Journal of Theoretical Biology
https://www.readbyqxmd.com/read/28892475/cost-effectiveness-of-a-national-enterovirus-71-vaccination-program-in-china
#3
Wenjun Wang, Jianwen Song, Jingjing Wang, Yaping Li, Huiling Deng, Mei Li, Ning Gao, Song Zhai, Shuangsuo Dang, Xin Zhang, Xiaoli Jia
BACKGROUND AND AIMS: Enterovirus 71 (EV71) has caused great morbidity, mortality, and use of health service in children younger than five years in China. Vaccines against EV71 have been proved effective and safe by recent phase 3 trials and are now available in China. The purpose of this study was to evaluate the health impact and cost-effectiveness of a national EV71 vaccination program in China. METHODS: Using Microsoft Excel, a decision model was built to calculate the net clinical and economic outcomes of EV71 vaccination compared with no EV71 vaccination in a birth cohort of 1,000,000 Chinese children followed for five years...
September 11, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28883671/a-three-phase-decision-model-of-computer-aided-coding-for-the-iranian-classification-of-health-interventions-irchi
#4
Zahra Azadmanjir, Reza Safdari, Marjan Ghazisaeedi, Mehrshad Mokhtaran, Mohammad Esmail Kameli
INTRODUCTION: Accurate coded data in the healthcare are critical. Computer-Assisted Coding (CAC) is an effective tool to improve clinical coding in particular when a new classification will be developed and implemented. But determine the appropriate method for development need to consider the specifications of existing CAC systems, requirements for each type, our infrastructure and also, the classification scheme. AIM: The aim of the study was the development of a decision model for determining accurate code of each medical intervention in Iranian Classification of Health Interventions (IRCHI) that can be implemented as a suitable CAC system...
June 2017: Acta Informatica Medica: AIM
https://www.readbyqxmd.com/read/28882494/the-merits-of-decision-modelling-in-the-earliest-stages-of-the-ideal-framework-an-innovative-case-in-diep-flap-breast-reconstructions
#5
S Hummelink, J G W Gerrits, L J Schultze Kool, D J O Ulrich, M M Rovers, J P C Grutters
BACKGROUND: The IDEAL framework aims at improving the evidence base of available surgical innovations. However, the development of such innovations and collection of evidence is costly. Surgical innovation can provide more value for money if innovations are evaluated at an early stage, where evaluations can inform the decision whether to stop or to further develop an innovation. We illustrate how decision modelling can be readily adopted at the earliest stages (0-1) of the IDEAL framework, using an innovation in bilateral DIEP flap breast reconstruction as an example...
August 7, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28868661/cost-effectiveness-analysis-of-long-term-intermittent-self-catheterization-with-hydrophilic-coated-and-uncoated-catheters-in-patients-with-spinal-cord-injury-in-japan
#6
Toyohiko Watanabe, Shingo Yamamoto, Momokazu Gotoh, Tadanori Saitoh, Osamu Yokoyama, Tatsunori Murata, Masayuki Takeda
OBJECTIVES: To evaluate the cost effectiveness of disposable, hydrophilic-coated catheters in Japan. METHODS: A Markov decision model previously applied in a European study was used to evaluate the cost effectiveness of intermittent self-catheterization (ISC) with hydrophilic-coated catheters in Japanese spinal cord injury (SCI) patients suffering from chronic urinary retention from a lifetime perspective. To adjust the model to a Japanese setting, relevant Japanese data regarding the baseline risk of urinary tract infection (UTI), the average age at onset of SCI, costs, and general mortality were extracted from published literature, national statistics, or the opinions of Japanese experts...
September 2017: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28864846/the-use-of-decision-analytic-models-in-atopic-eczema-a-systematic-review-and-critical-appraisal
#7
REVIEW
Emma McManus, Tracey Sach, Nick Levell
OBJECTIVE: The objective of this systematic review was to identify and assess the quality of published economic decision-analytic models within atopic eczema against best practice guidelines, with the intention of informing future decision-analytic models within this condition. METHODS: A systematic search of the following online databases was performed: MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials, Database of Abstracts of Reviews of Effects, Cochrane Database of Systematic Reviews, NHS Economic Evaluation Database, EconLit, Scopus, Health Technology Assessment, Cost-Effectiveness Analysis Registry and Web of Science...
September 1, 2017: PharmacoEconomics
https://www.readbyqxmd.com/read/28859640/evaluation-of-infectious-diseases-and-clinical-microbiology-specialists-preferences-for-hand-hygiene-analysis-using-the-multi-attribute-utility-theory-and-the-analytic-hierarchy-process-methods
#8
Aslı Suner, Ozlem Ege Oruc, Cagri Buke, Hacer Deniz Ozkaya, Gul Kitapcioglu
BACKGROUND: Hand hygiene is one of the most effective attempts to control nosocomial infections, and it is an important measure to avoid the transmission of pathogens. However, the compliance of healthcare workers (HCWs) with hand washing is still poor worldwide. Herein, we aimed to determine the best hand hygiene preference of the infectious diseases and clinical microbiology (IDCM) specialists to prevent transmission of microorganisms from one patient to another. METHODS: Expert opinions regarding the criteria that influence the best hand hygiene preference were collected through a questionnaire via face-to-face interviews...
August 31, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28851428/social-and-economic-value-of-portuguese-community-pharmacies-in-health-care
#9
Jorge Félix, Diana Ferreira, Marta Afonso-Silva, Marta Vargas Gomes, César Ferreira, Björn Vandewalle, Sara Marques, Melina Mota, Suzete Costa, Maria Cary, Inês Teixeira, Ema Paulino, Bruno Macedo, Carlos Maurício Barbosa
BACKGROUND: Community pharmacies are major contributors to health care systems across the world. Several studies have been conducted to evaluate community pharmacies services in health care. The purpose of this study was to estimate the social and economic benefits of current and potential future community pharmacies services provided by pharmacists in health care in Portugal. METHODS: The social and economic value of community pharmacies services was estimated through a decision-model...
August 29, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28841115/cost-of-coils-for-intracranial-aneurysms-clinical-decision-analysis-for-implementation-of-a-capitation-model
#10
Gurpreet S Gandhoke, Yash K Pandya, Ashutosh P Jadhav, Tudor Jovin, Robert M Friedlander, Kenneth J Smith, Brian T Jankowitz
OBJECTIVE The price of coils used for intracranial aneurysm embolization has continued to rise despite an increase in competition in the marketplace. Coils on the US market range in list price from $500 to $3000. The purpose of this study was to investigate potential cost savings with the use of a price capitation model. METHODS The authors built a clinical decision analytical tree and compared their institution's current expenditure on endovascular coils to the costs if a capped-price model were implemented...
August 25, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28836125/automatic-optic-disk-detection-in-retinal-images-using-hybrid-vessel-phase-portrait-analysis
#11
Nittaya Muangnak, Pakinee Aimmanee, Stanislav Makhanov
We propose vessel vector-based phase portrait analysis (VVPPA) and a hybrid between VVPPA and a clustering method proposed earlier for automatic optic disk (OD) detection called the vessel transform (VT). The algorithms are based primarily on the location and direction of retinal blood vessels and work equally well on fine and poor quality images. To localize the OD, the direction vectors derived from the vessel network are constructed, and points of convergence of the resulting vector field are examined by phase portrait analysis...
August 24, 2017: Medical & Biological Engineering & Computing
https://www.readbyqxmd.com/read/28835370/screening-for-atrial-fibrillation-in-canadian-pharmacies-an-economic-evaluation
#12
Jean-Eric Tarride, Lisa Dolovich, Gordon Blackhouse, Jason Robert Guertin, Natasha Burke, Veena Manja, Alex Grinvalds, Ting Lim, Jeff S Healey, Roopinder K Sandhu
BACKGROUND: Screening for undiagnosed atrial fibrillation may lead to treatment with oral anticoagulation therapy, which can decrease the risk of ischemic stroke. The objective of this study was to conduct an economic evaluation of the Program for the Identification of 'Actionable' Atrial Fibrillation in the Pharmacy Setting (PIAAF-Pharmacy), which screened 1145 participants aged 65 years or more at 30 community pharmacies in Ontario and Alberta between October 2014 and April 2015. METHODS: We used a 2-part decision model to evaluate the short- and long-term costs and quality-adjusted life-years (QALYs) of a pharmacy screening program for atrial fibrillation compared to no screening...
August 22, 2017: CMAJ Open
https://www.readbyqxmd.com/read/28832319/uncertainty-exposure-causes-behavioural-sensitization-and-increases-risky-decision-making-in-male-rats-toward-modelling-gambling-disorder
#13
Fiona D Zeeb, Zhaoxia Li, Daniel C Fisher, Martin H Zack, Paul J Fletcher
BACKGROUND: An animal model of gambling disorder, previously known as pathological gambling, could advance our understanding of the disorder and help with treatment development. We hypothesized that repeated exposure to uncertainty during gambling induces behavioural and dopamine (DA) sensitization - similar to chronic exposure to drugs of abuse. Uncertainty exposure (UE) may also increase risky decision-making in an animal model of gambling disorder. METHODS: Male Sprague Dawley rats received 56 UE sessions, during which animals responded for saccharin according to an unpredictable, variable ratio schedule of reinforcement (VR group)...
August 23, 2017: Journal of Psychiatry & Neuroscience: JPN
https://www.readbyqxmd.com/read/28829290/believability-and-co-presence-in-human-virtual-character-interaction
#14
Elisabetta Bevacqua, Romain Richard, Pierre De Loor
Subtle phenomena rooted in our body dynamics affect the reactive and evolutive parts of every human interaction. The authors' decision model allows for adaptive physical interactions between a human and a virtual agent. This article presents an evaluation of that model in terms of agent believability, the user's feeling of co-presence, and overall game experience. The results show that the model can generate adaptive body behavior for virtual agents that is comparable to a human's, but the user and agent roles in each scenario strongly impact the user's perception of the agent...
2017: IEEE Computer Graphics and Applications
https://www.readbyqxmd.com/read/28827234/multiple-treatment-comparison-of-seven-new-drugs-for-patients-with-advanced-malignant-melanoma-a-systematic-review-and-health-economic-decision-model-in-a-norwegian-setting
#15
Eva Pike, Vida Hamidi, Ingvil Saeterdal, Jan Odgaard-Jensen, Marianne Klemp
OBJECTIVE: To assess the relative effectiveness and cost-effectiveness of seven new drugs (cobimetinib, dabrafenib, ipilimumab, nivolumab, pembrolizumab, trametinib and vemurafenib) used for treatment of patients with advanced malignant melanoma in the Norwegian setting. DESIGN: A multiple technology assessment. PATIENTS: Patients with advanced malignant melanoma aged 18 or older. DATA SOURCES: A systematic search for randomised controlled trials in relevant bibliographic databases...
August 21, 2017: BMJ Open
https://www.readbyqxmd.com/read/28821512/protocol-for-an-economic-evaluation-of-the-randomised-controlled-trial-of-culprit-lesion-only-pci-versus-immediate-multivessel-pci-in-acute-myocardial-infarction-complicated-by-cardiogenic-shock-culprit-shock-trial
#16
Zahidul Quayyum, Andrew Briggs, Jose Robles-Zurita, Keith Oldroyd, Uwe Zeymer, Steffen Desch, Suzanne de Waha, Holger Thiele
INTRODUCTION: Emergency percutaneous coronary intervention (PCI) of the culprit lesion for patients with acute myocardial infarctions is an accepted practice. A majority of patients present with multivessel disease with additional relevant stenoses apart from the culprit lesion. In haemodynamically stable patients, there is increasing evidence from randomised trials to support the practice of immediate complete revascularisation. However, in the presence of cardiogenic shock, the optimal management strategy for additional non-culprit lesions is unknown...
August 18, 2017: BMJ Open
https://www.readbyqxmd.com/read/28799670/compliance-with-recommended-protective-actions-during-an-h7n9-emergency-a-risk-perception-perspective
#17
Fei Wang, Jiuchang Wei, Xing Shi
This study investigates the factors determining an individual's response to official recommended protective measures, based on the Health Belief Model and the Protective Action Decision Model, to understand the adoption of protective behaviour during an H7N9 (Avian Influenza A) emergency. A public survey involving 1,375 respondents was conducted in Anhui Province, China, during the 2013 H7N9 outbreak to test the research model and hypotheses. The results indicate that protective, stakeholder, and risk perceptions influence positively an individual's willingness to take recommended actions...
August 11, 2017: Disasters
https://www.readbyqxmd.com/read/28782104/emergency-department-visits-hospitalizations-and-readmissions-of-patients-with-a-peritonsillar-abscess
#18
Romaine F Johnson
OBJECTIVES: To determine the demographics and treatment outcomes of patients with a peritonsillar abscess (PTA) and to provide guidance for treatment options. METHODS: The 2012 National Emergency Department Database, 2012 National Inpatient Sample, and 2013 Nationwide Readmissions Database were used to analyze patients with a PTA who presented to emergency departments (ED), were admitted and/or readmitted to hospitals in the United States. Outcomes were used to create a decision model to compare initial medical versus surgical management...
August 7, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28758093/effect-of-interactions-between-harvester-ants-on-forager-decisions
#19
Jacob D Davidson, Roxana P Arauco-Aliaga, Sam Crow, Deborah M Gordon, Mark S Goldman
Harvester ant colonies adjust their foraging activity to day-to-day changes in food availability and hour-to-hour changes in environmental conditions. This collective behavior is regulated through interactions, in the form of brief antennal contacts, between outgoing foragers and returning foragers with food. Here we consider how an ant, waiting in the entrance chamber just inside the nest entrance, uses its accumulated experience of interactions to decide whether to leave the nest to forage. Using videos of field observations, we tracked the interactions and foraging decisions of ants in the entrance chamber...
October 2016: Frontiers in Ecology and Evolution
https://www.readbyqxmd.com/read/28750077/understanding-spearfishing-in-a-coral-reef-fishery-fishers-opportunities-constraints-and-decision-making
#20
Tyler Pavlowich, Anne R Kapuscinski
Social and ecological systems come together during the act of fishing. However, we often lack a deep understanding of the fishing process, despite its importance for understanding and managing fisheries. A quantitative, mechanistic understanding of the opportunities fishers encounter, the constraints they face, and how they make decisions within the context of opportunities and constraints will enhance the design of fisheries management strategies to meet linked ecological and social objectives and will improve scientific capacity to predict impacts of different strategies...
2017: PloS One
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