keyword
https://read.qxmd.com/read/38651317/self-management-in-patients-with-adult-spinal-deformity-a-best-practice-implementation-project
#21
JOURNAL ARTICLE
Zhao Zhang, Huaxi Liu, Yiqin Shi, Qiankun Yang, Tingting Zheng, Fei Luo, Lei Liu
INTRODUCTION: The prevalence of adult spinal deformity (ASD) has increased in recent years. Patients often have to live for a prolonged period from the onset of the condition, up until the need for surgical treatment. Self-management plays a crucial role in disease progression and prognosis. OBJECTIVES: This project aimed to promote evidence-based practices for the self-management of patients with ASD. METHODS: This project was guided by the JBI Evidence Implementation Framework project and was conducted in the orthopedic department of a tertiary care hospital in China...
April 24, 2024: JBI evidence implementation
https://read.qxmd.com/read/38651127/utilization-of-post-exposure-prophylaxis-potentially-contributed-to-the-changes-of-risk-behaviors-among-men-who-have-sex-with-men-in-china
#22
JOURNAL ARTICLE
Rong Su, Yi Liu, Peilong Li, Lin Ge, Meizhen Liao, Yong Fu, Xin Song, Houlin Tang, Dongmin Li
BACKGROUND: The HIV infection status among men who have sex with men (MSM) in China is a cause for concern. Post-exposure prophylaxis (PEP) serves as a highly effective biomedical preventive measure against HIV infection. Substantial evidence has established an association between PEP utilization and risk behaviors among MSM, but whether the utilization of PEP has an impact on risk behaviors remains unknown. This study sought to elucidate the impact of PEP usage on risk behaviors among MSM and provide recommendations for developing targeted HIV prevention programs...
2024: Frontiers in Public Health
https://read.qxmd.com/read/38650593/covid-19-pediatric-vaccine-authorization-fda-authority-and-individual-misperception-of-risk
#23
JOURNAL ARTICLE
Joanna K Sax, Neal Doran
Vaccines are one component to the public health strategies to alleviate the COVID-19 pandemic. Hesitancy regarding COVID-19 vaccines in the United States has been problematic, which is not surprising given increasing overall vaccine hesitancy in recent decades. Most vaccines are administered during childhood years. Consequently, understanding hesitancy toward administration of vaccines in this age group may provide insight into possible interventions to reduce vaccine hesitancy. The present study analyzed a subset of over 130,000 public comments posted in response to a notice of meeting of the vaccine advisory group to the Food and Drug Administration...
2024: Journal of Law and the Biosciences
https://read.qxmd.com/read/38650038/association-between-diabetes-mellitus-and-primary-restenosis-following-endovascular-treatment-a-comprehensive-meta-analysis-of-randomized-controlled-trials
#24
JOURNAL ARTICLE
Xiaolei Sun, Cheng Zhang, Yarong Ma, Yanzheng He, Xiaodong Zhang, Jianbo Wu
IMPORTANCE: Diabetes mellitus (DM) is thought to be closely related to arterial stenotic or occlusive disease caused by atherosclerosis. However, there is still no definitive clinical evidence to confirm that patients with diabetes have a higher risk of restenosis. OBJECTIVE: This meta-analysis was conducted to determine the effect of DM on restenosis among patients undergoing endovascular treatment, such as percutaneous transluminal angioplasty (PTA) or stenting...
April 22, 2024: Cardiovascular Diabetology
https://read.qxmd.com/read/38650017/extracorporeal-membrane-oxygenation-technology-for-adults-an-evidence-mapping-based-on-systematic-reviews
#25
REVIEW
Kai Xie, Hui Jing, Shengnan Guan, Xinxin Kong, Wenshuai Ji, Chen Du, Mingyan Jia, Haifeng Wang
BACKGROUND: Extracorporeal membrane oxygenation (ECMO) is a cutting-edge life-support measure for patients with severe cardiac and pulmonary illnesses. Although there are several systematic reviews (SRs) about ECMO, it remains to be seen how quality they are and how efficacy and safe the information about ECMO they describe is in these SRs. Therefore, performing an overview of available SRs concerning ECMO is crucial. METHODS: We searched four electronic databases from inception to January 2023 to identify SRs with or without meta-analyses...
April 22, 2024: European Journal of Medical Research
https://read.qxmd.com/read/38649968/underreporting-of-implementation-strategies-and-barriers-in-physical-activity-interventions-for-young-people-at-risk-of-problematic-substance-use-a-brief-report
#26
JOURNAL ARTICLE
Lisa Klamert, Melinda Craike, Gillinder Bedi, Susan Kidd, Michaela C Pascoe, Alexandra G Parker
BACKGROUND: Several studies have assessed whether physical activity interventions can reduce substance use in young people at risk of problematic substance use. This report identifies and describes the reporting of implementation characteristics within published studies of physical activity interventions for young people at risk of problematic substance use and provides recommendations for future reporting. METHODS: Reported implementation strategies (including intervention manualization), barriers, implementation fidelity, and personnel acceptance were extracted from studies of physical activity interventions for young people aged 12-25 years at risk of problematic substance use that were included in a previous systematic review of intervention efficacy...
April 22, 2024: Implementation science communications
https://read.qxmd.com/read/38649921/evidence-based-recommendations-for-delivering-the-diagnosis-of-x-y-chromosome-multisomies-in-children-adolescents-and-young-adults-an-integrative-review
#27
JOURNAL ARTICLE
Kirsten A Riggan, Kelly E Ormond, Megan A Allyse, Sharron Close
BACKGROUND: The diagnosis of supernumerary X & Y chromosome variations has increased following the implementation of genetic testing in pediatric practice. Empirical evidence suggests that the delivery of the diagnosis has a lasting impact on how affected individuals and their parents perceive and adapt to the diagnosis. The purpose of this review is to synthesize the literature to obtain useful recommendations for delivering a pediatric diagnosis of a sex chromosome multisomy (SCM) based upon a growing body of quantitative and qualitative literature on patient experiences...
April 22, 2024: BMC Pediatrics
https://read.qxmd.com/read/38649735/cannabidiol-an-effective-analgesic-for-toothache
#28
JOURNAL ARTICLE
Siofra Murphy, Ellis Hayes
DESIGN: This study is a randomised, placebo-controlled, triple-arm, phase IIA clinical trial with double masking which investigates the effectiveness and safety of Cannabidiol (CBD) as an analgesic for acute dental pain. The intervention drug, Epidiolex is an FDA-approved CBD oral solution (100 mg/ml) derived from the cannabis plant. The psychoactive ingredient tetrahydrocannabinol (THC) is not included. The maximum recommended daily dose of Epidiolex is 20 mg/kg. 64 patients with moderate-severe odontogenic pain participated in the study and REDCap software was utilised to randomly assign participants into groups: CBD10 (10 mg/kg), CBD20 (20 mg/kg) and placebo...
April 22, 2024: Evidence-based Dentistry
https://read.qxmd.com/read/38649556/recommendations-for-the-management-of-myasthenia-gravis-in-belgium
#29
REVIEW
Jan L De Bleecker, Gauthier Remiche, Alicia Alonso-Jiménez, Vinciane Van Parys, Véronique Bissay, Stéphanie Delstanche, Kristl G Claeys
International guidelines on the treatment of myasthenia gravis (MG) have been published but are not tailored to the Belgian situation. This publication presents recommendations from a group of Belgian MG experts for the practical management of MG in Belgium. It includes recommendations for treatment of adult patients with generalized myasthenia gravis (gMG) or ocular myasthenia gravis (oMG). Depending on the MG-related antibody a treatment sequence is suggested with therapies that can be added on if the treatment goal is not achieved...
April 22, 2024: Acta Neurologica Belgica
https://read.qxmd.com/read/38649466/-update-kidney-allograft-pathology-a%C3%A2-better-depiction-of-microvascular-inflammation
#30
REVIEW
Nicolas Kozakowski
BACKGROUND: The Banff Foundation produces recommendations for classifying various lesions in renal allografts. Experts gather to update the classification every other year based on new scientific and clinical evidence. OBJECTIVES: This article presents the most important changes incorporated into the new recommendations after the last Banff conference. MATERIALS AND METHODS: The author of this article personally took part in the Banff conference and the subsequent survey, reported on the activities of a Banff working group (peritubular capillaritis) on-site, and contributed to drafting the recently published meeting report...
April 22, 2024: Pathologie (Heidelb)
https://read.qxmd.com/read/38649310/risks-and-benefits-of-hormone-therapy-after-menopause-for-cognitive-decline-and-dementia-a-conceptual-review
#31
REVIEW
Walter A Rocca, Kejal Kantarci, Stephanie S Faubion
OBJECTIVE: The effects on the brain of hormone therapy after the onset of menopause remain uncertain. The effects may be beneficial, neutral, or harmful. We provide a conceptual review of the evidence. METHODS: We 1) provide a brief history of the evidence, 2) discuss some of the interpretations of the evidence, 3) discuss the importance of age at menopause, type of menopause, and presence of vasomotor symptoms, and 4) provide some clinical recommendations. RESULTS: The evidence and the beliefs about hormone therapy and dementia have changed over the last 30 years or more...
April 17, 2024: Maturitas
https://read.qxmd.com/read/38649286/update-on-oral-and-oropharyngeal-cancers-a-guide-for-oral-health-care-providers
#32
JOURNAL ARTICLE
Lisa Bennett Johnson, Alex Samuel Reznik, Alessandro Villa
Oral squamous cell carcinomas (OSCC) signs and symptoms may be first identified by dental hygienists during routine extra and intra-oral examinations. A comprehensive extra-oral and intra-oral examination during regular dental hygiene assessment is paramount to identifying oral potentially malignant disorders (OPMD) and cancerous lesions for timely referral and treatment. Integrating a systematic list of questions during the medical and dental assessment along with careful visual and tactile examinations is critical to identifying OPMDs and cancerous lesions...
April 2024: Journal of Dental Hygiene: JDH
https://read.qxmd.com/read/38649248/programme-theories-to-describe-how-different-general-practitioner-service-models-work-in-different-contexts-in-or-alongside-emergency-departments-gp-ed-realist-evaluation
#33
JOURNAL ARTICLE
Alison Cooper, Michelle Edwards, Freya Davies, Delyth Price, Pippa Anderson, Andrew Carson-Stevens, Matthew Cooke, Jeremy Dale, Liam Donaldson, Bridie Angela Evans, Barbara Harrington, Julie Hepburn, Peter Hibbert, Thomas C Hughes, Alison Porter, Aloysius Niroshan Siriwardena, Alan Watkins, Helen Snooks, Adrian Edwards
BACKGROUND: Addressing increasing patient demand and improving ED patient flow is a key ambition for NHS England. Delivering general practitioner (GP) services in or alongside EDs (GP-ED) was advocated in 2017 for this reason, supported by £100 million (US$130 million) of capital funding. Current evidence shows no overall improvement in addressing demand and reducing waiting times, but considerable variation in how different service models operate, subject to local context...
April 22, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38649199/implementing-strategies-to-improve-uptake-of-patient-reported-outcome-measures-proms-in-gender-affirming-care-a-mixed-methods-implementation-study
#34
JOURNAL ARTICLE
Rakhshan Kamran, Liam Jackman, Charlie Goodwin, Anna Laws, Melissa Stepney, Conrad Harrison, Abhilash Jain, Jeremy Rodrigues
IMPORTANCE: The Practical Guide to Implementing PROMs in Gender-Affirming Care (PG-PROM-GAC) is an evidence-based resource, which was developed in response to international calls for improved patient-reported outcome measure (PROM) implementation in gender-affirming care. The PG-PROM-GAC has the potential to improve PROM implementation; however, its real-world effectiveness has not yet been investigated. OBJECTIVE: Investigate effectiveness and fidelity of three implementation strategies from the PG-PROM-GAC in a real-world gender clinic setting...
April 22, 2024: BMJ Open Quality
https://read.qxmd.com/read/38649182/comparison-of-who-versus-national-covid-19-therapeutic-guidelines-across-the-world-not-exactly-a-perfect-match
#35
JOURNAL ARTICLE
Mia Cokljat, Cintia Valeria Cruz, Verena Ilona Carrara, Kanoktip Puttaraska, Camila Capriglioni, Sabrina Marcela Insaurralde, Maximo Rousseau-Portalis, Agustina Roldan, James A Watson, Joel Tarning, Nicholas J White, Philippe J Guerin
BACKGROUND: The COVID-19 pandemic affected all WHO member states. We compared and contrasted the COVID-19 treatment guidelines of each member state with the WHO COVID-19 therapeutic guidelines. METHODS: Ministries of Health or accessed National Infectious Disease websites and other relevant bodies and experts were contacted to obtain national guidelines (NGs) for COVID-19 treatment. NGs were included only if they delineated specific pharmacological treatments for COVID-19, which were stratified by disease severity...
April 22, 2024: BMJ Global Health
https://read.qxmd.com/read/38649112/locally-advanced-esophageal-cancer-patients-with-complete-clinical-response-post-neoadjuvant-chemoradiotherapy-a-markov-decision-analysis-of-esophagectomy-versus-active-surveillance
#36
JOURNAL ARTICLE
Adom Bondzi-Simpson, Tiago Ribeiro, Angelo Grant, Michael Ko, Natalie Coburn, Julie Hallet, Girish S Kulkarni, Biniam Kidane
OBJECTIVE: Chemoradiation followed by esophagectomy is a standard treatment option for locally advanced esophageal cancer (LAEC) patients. Esophagectomy is a high-risk procedure, and recent evidence suggests select patients may benefit from omitting or delaying surgery. This study aims to compare surgery versus active surveillance for LAEC patients with complete clinical response (cCR) after neoadjuvant chemoradiotherapy (nCRT). METHODS: Decision analysis with Markov modelling was utilized...
April 20, 2024: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38648666/best-practice-for-therapeutic-drug-monitoring-of-infliximab-position-statement-from-the-international-association-of-therapeutic-drug-monitoring-and-clinical-toxicology
#37
JOURNAL ARTICLE
Dahham Alsoud, Dirk Jan A R Moes, Zhigang Wang, Rani Soenen, Zohra Layegh, Murray Barclay, Tomoyuki Mizuno, Iris K Minichmayr, Ron J Keizer, Sebastian G Wicha, Gertjan Wolbink, Jo Lambert, Séverine Vermeire, Annick de Vries, Konstantinos Papamichael, Núria Padullés-Zamora, Erwin Dreesen
BACKGROUND: Infliximab, an anti-tumor necrosis factor monoclonal antibody, has revolutionized the pharmacological management of immune-mediated inflammatory diseases (IMIDs). This position statement critically reviews and examines existing data on therapeutic drug monitoring (TDM) of infliximab in patients with IMIDs. It provides a practical guide on implementing TDM in current clinical practices and outlines priority areas for future research. METHODS: The endorsing TDM of Biologics and Pharmacometrics Committees of the International Association of TDM and Clinical Toxicology collaborated to create this position statement...
April 17, 2024: Therapeutic Drug Monitoring
https://read.qxmd.com/read/38648647/clinical-practice-guidelines-for-diagnostic-and-treatment-of-the-chronic-heart-failure
#38
JOURNAL ARTICLE
Abel A Pavía-López, José A Magaña-Serrano, José A Cigarroa-López, Adolfo Chávez-Mendoza, José L Mayorga-Butrón, Diego Araiza-Garaygordobil, Juan B Ivey-Miranda, Gustavo F Méndez-Machado, Héctor González-Godínez, Luisa F Aguilera-Mora, Antonio Jordán-Ríos, Luis Olmos-Domínguez, Marcos J Olalde-Román, Emma M Miranda-Malpica, Zuilma Vázquez-Ortiz, Jorge Rayo-Chávez, Alexandra A Mendoza, Manlio F Márquez-Murillo, Sergio A Chávez-Leal, Amada Álvarez-San Gabriel, Marissa A Silva-García, Alex D Pacheco-Bouthiller, Jorge A Aldrete-Velazco, Carlos A Guizar-Sánchez, Efraín Gaxiola-López, Arturo Guerra-López, Lourdes Figueiras-Graillet, Gustavo Sánchez-Miranda, Genaro H Mendoza-Zavala, Moisés Aceves-García, Adolfo Chávez-Negrete, Marisol Arroyo-Hernández, Bertha B Montaño-Velázquez, Luis F Romero-Moreno, María M Baquero-Hoyos, Liliana Velasco-Hidalgo, Ana L Rodríguez-Lozano, Nancy E Aguilar-Gómez, Mario Rodríguez-Vega, Jorge E Cossío-Aranda
Chronic heart failure continues to be one of the main causes of impairment in the functioning and quality of life of people who suffer from it, as well as one of the main causes of mortality in our country and around the world. Mexico has a high prevalence of risk factors for developing heart failure, such as high blood pressure, diabetes, and obesity, which makes it essential to have an evidence-based document that provides recommendations to health professionals involved in the diagnosis and treatment of these patients...
2024: Archivos de Cardiología de México
https://read.qxmd.com/read/38648536/the-longitudinal-measurement-of-sexual-orientation-and-gender-identity-a-study-of-identity-change-in-a-nationally-representative-sample-of-u-s-adults-and-adolescents
#39
JOURNAL ARTICLE
Christopher Hansen, Melissa Heim Viox, Erin Fordyce, Michelle M Johns, Sabrina Avripas, Stuart Michaels
Purpose: Research and lived experience demonstrate that sexual orientation and gender identity (SOGI) can change over the life course; however, little empirical work exists to understand the prevalence of such changes. To address this gap, we used data from a large nationally representative panel of adults and adolescents to assess changes in self-reported SOGI over time and identify trends by sex assigned at birth, age, race and ethnicity, and survey mode. Methods: We reviewed SOGI data collected between 2014 and 2022 for a sample of 19,469 adults and 970 adolescents...
April 22, 2024: LGBT Health
https://read.qxmd.com/read/38648282/most-promising-approaches-to-improve-brain-avm-management-arise-i-consensus-recommendations
#40
REVIEW
Edgar A Samaniego, Guilherme Dabus, Philip M Meyers, Peter T Kan, Juhana Frösen, Giuseppe Lanzino, Babu G Welch, Victor Volovici, Fernando Gonzalez, Johana Fifi, Fady T Charbel, Brian L Hoh, Alexander Khalessi, Michael P Marks, Alejandro Berenstein, Victor M Pereira, Mark Bain, Geoffrey P Colby, Sandra Narayanan, Satoshi Tateshima, Adnan H Siddiqui, Ajay K Wakhloo, Adam S Arthur, Michael T Lawton
Brain arteriovenous malformations (bAVMs) are complex, and rare arteriovenous shunts that present with a wide range of signs and symptoms, with intracerebral hemorrhage being the most severe. Despite prior societal position statements, there is no consensus on the management of these lesions. ARISE (Aneurysm/bAVM/cSDH Roundtable Discussion With Industry and Stroke Experts) was convened to discuss evidence-based approaches and enhance our understanding of these complex lesions. ARISE identified the need to develop scales to predict the risk of rupture of bAVMs, and the use of common data elements to perform prospective registries and clinical studies...
May 2024: Stroke; a Journal of Cerebral Circulation
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