keyword
MENU ▼
Read by QxMD icon Read
search

Practice changing updates

keyword
https://www.readbyqxmd.com/read/29910605/role-of-etelcalcetide-in-the-management-of-secondary-hyperparathyroidism-in-hemodialysis-patients-a-review-on-current-data-and-place-in-therapy
#1
REVIEW
Claudia Friedl, Emanuel Zitt
Secondary hyperparathyroidism (sHPT) is a frequently occurring severe complication of advanced kidney disease. Its clinical consequences include extraskeletal vascular and valvular calcifications, changes in bone metabolism resulting in renal osteodystrophy, and an increased risk of cardiovascular morbidity and mortality. Calcimimetics are a cornerstone of parathyroid hormone (PTH)-lowering therapy, as confirmed by the recently updated 2017 Kidney Disease: Improving Global Outcomes chronic kidney disease - mineral and bone disorder clinical practice guidelines...
2018: Drug Design, Development and Therapy
https://www.readbyqxmd.com/read/29907380/monoclonal-gammopathies-of-unknown-significance-and-smoldering-myeloma-assessment-and-management-of-the-elderly-patients
#2
Verónica González-Calle, María Victoria Mateos
Monoclonal gammopathy of unknown significance (MGUS) is the most frequent plasma cell disorder that commonly affects elderly patients. Although it is an asymptomatic condition, as well as smoldering myeloma (SMM), the risk of progression to multiple myeloma requiring therapy or other B-cell disorders varies greatly for individual patients, remaining low for MGUS (1% per year), while higher and not uniform for SMM patients (10% per year). This scenario implies some special considerations regarding assessment and follow-up, especially in the elderly...
June 12, 2018: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29902941/accessibility-information-in-new-delhi-for-easenaccess-android-based-app-for-persons-with-disability-an-observational-study
#3
Yashovardhan Agarwal
BACKGROUND: The World Health Organization and the World Bank's "World Report on Disability" reported that over 1 billion people have various kinds of disability worldwide while Indian Census 2011 reported about 26 million in India. The United Nations Convention states, "The Rights of Persons with Disabilities (PwD) include accessibility to Information, Transportation, Environment, Communication Technology and Services". OBJECTIVE: This article takes forward the reason of making the "EasenAccess" (EnA) Android-based app to empower PwD with wheelchair-accessibility information, communication sentences and sending SOS signals with location...
June 14, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29898723/multiple-policy-approaches-in-improving-community-pharmacy-practice-the-case-in-indonesia
#4
Andi Hermansyah, Erica Sainsbury, Ines Krass
BACKGROUND: Health reform has been an ongoing agenda in many countries with community pharmacy increasingly gaining attention for contributing to healthcare improvement. Likewise, multiple policy approaches have been introduced to improve community pharmacy practice in Indonesia yet no studies have evaluated their effectiveness. Therefore, this study aimed to identify and collate information on approaches intended to improve practice in Indonesian community pharmacy and subsequently examine the perceptions of key stakeholders in healthcare and community pharmacy about these approaches and the extent to which they have affected community pharmacists as a profession...
June 14, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29889726/evolution-of-delivery-room-management-for-meconium-stained-infants-recent-updates
#5
Shilpi Chabra
BACKGROUND: The approach to intrapartum and postnatal management of an infant born through meconium-stained amniotic fluid (MSAF) in the delivery room (DR) has changed several times over the last few decades, leading to confusion and anxiety among health care providers (nurses, nurse practitioners, respiratory therapists, midwives, and physicians). This article provides state-of-the-art insight into the evidence or lack thereof for the changes in guidelines. PURPOSE: To discuss the evidence for evolution of DR management of vigorous and nonvigorous infants born through any type of MSAF...
June 8, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29886716/updates-on-prevention-of-cardioembolic-strokes
#6
Mehmet Akif Topcuoglu, Liping Liu, Dong-Eog Kim, M Edip Gurol
Cardiac embolism continues to be a leading etiology of ischemic strokes worldwide. Although pathologies that result in cardioembolism have not changed over the past decade, there have been significant advances in the treatment and stroke prevention methods for these conditions. Atrial fibrillation remains the prototypical cause of cardioembolic strokes. The availability of new long-term monitoring devices for atrial fibrillation detection such as insertable cardiac monitors has allowed accurate detection of this leading cause of cardioembolism...
May 2018: Journal of Stroke
https://www.readbyqxmd.com/read/29884556/long-term-sustainability-of-washington-state-s-quality-improvement-initiative-for-the-management-of-pediatric-spleen-injuries
#7
Benjamin J Booth, Stephen M Bowman, Mauricio A Escobar, Sam R Sharar
BACKGROUND: Initial results of Washington State's quality improvement initiative addressing the management of blunt traumatic pediatric spleen injuries were published in 2008. In this update, we evaluated whether these effects were sustained over time. METHODS: Data from the Washington Trauma Registry for years 1999-2001 (pre-intervention), 2003-2005 (post-intervention), and 2012-2014 (follow-up) were used in a retrospective cohort study. Children between ages 0 to 14 years who were hospitalized with a traumatic blunt spleen injury were included...
May 12, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29883230/updates-in-venous-thromboembolism-management-evidence-published-in-2017
#8
Matthew A Bartlett, Dennis M Bierle, Rayya A Saadiq, Karen F Mauck, Paul R Daniels
Venous thromboembolism (VTE) management is rapidly evolving and staying up-to-date is challenging. We identified the most practice-informing articles published in 2017 relevant to the non-specialist provider managing VTE. We performed a systematic search of the literature (Appendix A), limiting the search to a publication date of 2017. Two reviewers screened the 2735 resulting abstracts to identify high-quality, clinically relevant publications related to VTE management. One hundred and six full-text articles were considered for inclusion...
June 8, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29876703/clinical-indications-for-musculoskeletal-ultrasound-updated-in-2017-by-european-society-of-musculoskeletal-radiology-essr-consensus
#9
Luca Maria Sconfienza, Domenico Albano, Georgina Allen, Alberto Bazzocchi, Bianca Bignotti, Vito Chianca, Fernando Facal de Castro, Elena E Drakonaki, Elena Gallardo, Jan Gielen, Andrea Sabine Klauser, Carlo Martinoli, Giovanni Mauri, Eugene McNally, Carmelo Messina, Rebeca Mirón Mombiela, Davide Orlandi, Athena Plagou, Magdalena Posadzy, Rosa de la Puente, Monique Reijnierse, Federica Rossi, Saulius Rutkauskas, Ziga Snoj, Jelena Vucetic, David Wilson, Alberto Stefano Tagliafico
OBJECTIVES: To update the 2012 European Society of Musculoskeletal Radiology (ESSR) clinical consensus guidelines for musculoskeletal ultrasound referral in Europe. METHODS: Twenty-one musculoskeletal imaging experts from the ESSR participated in a consensus study based on a Delphic process. Two independent (non-voting) authors facilitated the procedure and resolved doubtful issues. Updated musculoskeletal ultrasound literature up to July 2017 was scored for shoulder, elbow, wrist/hand, hip, knee, and ankle/foot...
June 6, 2018: European Radiology
https://www.readbyqxmd.com/read/29873206/-interpretation-of-updated-version-of-bppv-clinical-practice-guideline-diagnosis-and-examination
#10
P X Wu, J Wang, W Y Li, H W Li
In 2008, American Academy of Otolaryngology-Head and Neck Surgery Foundation(AAO-HNSF)published the first clinical practice guideline for Benign Paroxysmal Positional Vertigo (BPPV) based on evidence-based methodology. The primary purposes of this guideline were to improve quality of care and outcomes for BPPV by enhancing the accuracy and efficacy of diagnosis of BPPV, reduce the inappropriate use of vestibular suppressant, and decrease the inappropriate use of ancillary examinations. The guideline was updated in 2017...
May 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29868894/eliminating-inappropriate-telemetry-monitoring-an-evidence-based-implementation-guide
#11
Raymond Y Yeow, Garth W Strohbehn, Calvin M Kagan, Christopher M Petrilli, Jamuna K Krishnan, Karli Edholm, L Scott Sussman, Jaime F Blanck, Remus I Popa, Amit K Pahwa
In-hospital continuous electrocardiographic monitoring, commonly referred to as telemetry, has allowed for rapid recognition of life-threatening conditions, including complex arrhythmias and myocardial ischemia. However, inappropriate use can lead to unnecessary downstream testing from "false alarms," which in turn affects clinician efficiency and increases health care costs without benefiting patients. For these reasons, the Society of Hospital Medicine's Choosing Wisely campaign recommended use of a protocol-driven discontinuation of telemetry...
June 4, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/29868691/evidence-based-practice-in-the-hospital-setting-views-of-interdisciplinary-therapy-practitioners
#12
Ashlea D Cardin, Michael B Hudson
BACKGROUND: In the United States' changing health care climate, an updated picture of evidence-based practice (EBP) in the hospital setting is needed. Researchers explored EBP activities that interdisciplinary therapy team members used most frequently to acquire and appraise clinical evidence, therapists' perceptions of EBP, and barriers and enablers to EBP implementation within two similar acute-care hospitals in the Midwest. METHODS: An electronic survey was distributed to 190 therapy practitioners working in two acute-care hospital settings...
2018: Journal of Allied Health
https://www.readbyqxmd.com/read/29866632/ultrasound-probe-use-and-reprocessing-results-from-a-national-survey-among-u-s-infection-preventionists
#13
Ruth M Carrico, Stephen Furmanek, Connor English
BACKGROUND: Improper infection prevention practice associated with ultrasound probe use has been linked to increased infection risk, outbreaks, and death. Although guidelines for reprocessing and use of probes exist, it is unclear how extensively these have been adopted in practice. METHODS: Infection preventionists from U.S. health care facilities were surveyed (N = 358). The anonymous survey had 31 multiple choice, sliding scale, and text response questions...
June 1, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29866081/evaluation-of-the-impact-of-the-arc-program-on-national-nursing-and-midwifery-regulations-leadership-and-organizational-capacity-in-east-central-and-southern-africa
#14
Jessica M Gross, Carey F McCarthy, Andre R Verani, Jill Iliffe, Maureen A Kelley, Kenneth W Hepburn, Melinda K Higgins, Alphonce T Kalula, Agnes N Waudo, Patricia L Riley
BACKGROUND: The African Health Professions Regulatory Collaborative (ARC) was launched in 2011 to support countries in East, Central, and Southern Africa to safely and sustainably expand HIV service delivery by nurses and midwives. While the World Health Organization recommended nurse initiated and managed antiretroviral therapy, many countries in this region had not updated their national regulations to ensure nurses and midwives were authorized and trained to provide essential HIV services...
June 4, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29864216/continuous-intravenous-perioperative-lidocaine-infusion-for-postoperative-pain-and-recovery-in-adults
#15
REVIEW
Stephanie Weibel, Yvonne Jelting, Nathan L Pace, Antonia Helf, Leopold Hj Eberhart, Klaus Hahnenkamp, Markus W Hollmann, Daniel M Poepping, Alexander Schnabel, Peter Kranke
BACKGROUND: The management of postoperative pain and recovery is still unsatisfactory in a number of cases in clinical practice. Opioids used for postoperative analgesia are frequently associated with adverse effects, including nausea and constipation, preventing smooth postoperative recovery. Not all patients are suitable for, and benefit from, epidural analgesia that is used to improve postoperative recovery. The non-opioid, lidocaine, was investigated in several studies for its use in multimodal management strategies to reduce postoperative pain and enhance recovery...
June 4, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29848034/primary-high-risk-human-papillomavirus-testing-for-cervical-cancer-screening-in-the-united-states-is-it-time
#16
Melina B Flanagan
CONTEXT: - The most recent update to cervical cancer screening guidelines offers interim guidance on the use of primary human papillomavirus (HPV) screening, with algorithms for management of results. After decades of screening with pure cytology and a shorter time with adjunctive HPV or cotesting with Papanicolaou (Pap) test and HPV, this is a significant change to our screening methods. OBJECTIVE: - To briefly review the history of cervical cancer screening, the evidence upon which these interim guidelines were based, the arguments for and against primary HPV testing, and the current state of the field...
June 2018: Archives of Pathology & Laboratory Medicine
https://www.readbyqxmd.com/read/29847435/adoption-of-an-electronic-template-to-promote-evidence-based-practice-for-policies-procedures-guidelines-and-directives-documents
#17
Juliann Corey, Sharon C OʼDonoghue, Veronica Kelly, Lynn Mackinson, Donna Williams, Kristin OʼReilly, Susan DeSanto-Madeya
BACKGROUND: Policies, procedures, and guidelines standardize care, meet regulatory requirements, and can promote safety in clinical practice. The existing protocols, policies, guidelines, and directives (PPGDs) at a level 1 trauma academic medical center were underused by the intensive care unit clinicians and did not always clearly represent the supporting evidence. AIMS: The goals of this project were to update the Critical Care Practice Manual (CCPM) and to ensure that clinical practice was aligned with best evidence...
July 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29790072/effect-of-social-comparison-feedback-on-laboratory-test-ordering-for-hospitalized-patients-a-randomized-controlled-trial
#18
Kira Ryskina, C Jessica Dine, Yevgeniy Gitelman, Damien Leri, Mitesh Patel, Gregory Kurtzman, Lisa Y Lin, Andrew J Epstein
BACKGROUND: Social comparison feedback is an increasingly popular strategy that uses performance report cards to modify physician behavior. Our objective was to test the effect of such feedback on the ordering of routine laboratory tests for hospitalized patients, a practice considered overused. METHODS: This was a single-blinded randomized controlled trial. Between January and June 2016, physicians on six general medicine teams at the Hospital of the University of Pennsylvania were cluster randomized with equal allocation to two arms: (1) those e-mailed a summary of their routine laboratory test ordering vs...
May 22, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29789053/management-of-meconium-stained-newborns-in-the-delivery-room
#19
Chintan Kiritkumar Gandhi
The approach to the management of meconium-stained newborns in the delivery room has been changing for over 40 years. The goal is to prevent meconium aspiration syndrome (MAS) and complications related to MAS. For decades, airway obstruction was believed to be a major component of MAS and, consequently, suction maneuvers to remove meconium from the airways were recommended to decrease the frequency and severity of MAS. Initial recommendations were based on observational studies. However, the incidence of MAS and mortality related to MAS has declined since the 1970s, mostly because of a decrease in the number of postterm deliveries...
May 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29787684/trends-and-variation-in-prescribing-of-low-priority-treatments-identified-by-nhs-england-a-cross-sectional-study-and-interactive-data-tool-in-english-primary-care
#20
Alex J Walker, Helen J Curtis, Seb Bacon, Richard Croker, Ben Goldacre
Objectives NHS England recently announced a consultation seeking to discourage the use of treatments it considers to be low-value. We set out to produce an interactive data resource to show savings in each NHS general practice and to assess the current use of these treatments, their change in use over time, and the extent and reasons for variation in such prescribing. Design Cross-sectional analysis. Setting English primary care. Participants English general practices. Main outcome measures We determined the cost per 1000 patients for prescribing of each of 18 treatments identified by NHS England for each month from July 2012 to June 2017, and also aggregated over the most recent year to assess total cost and variation among practices...
January 1, 2018: Journal of the Royal Society of Medicine
keyword
keyword
103879
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"