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https://www.readbyqxmd.com/read/27999526/cme-cne-article-a-framework-of-care-in-multiple-sclerosis-part-1-updated-disease-classification-and-disease-modifying-therapy-use-in-specific-circumstances
#1
Scott D Newsome, Philip J Aliotta, Jacquelyn Bainbridge, Susan E Bennett, Gary Cutter, Kaylan Fenton, Fred Lublin, Dorothy Northrop, David Rintell, Bryan D Walker, Megan Weigel, Kathleen Zackowski, David E Jones
: Activity Available Online: To access the article, post-test, and evaluation online, go to http://www.cmscscholar.org. TARGET AUDIENCE: The target audience for this activity is physicians, physician assistants, nursing professionals, and other health-care providers involved in the management of patients with multiple sclerosis (MS). LEARNING OBJECTIVES: Apply new information about MS to a comprehensive individualized treatment plan for patients with MSIntegrate the team approach into long-term planning in order to optimize rehabilitation care of patients with MSAccreditation Statement: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Consortium of Multiple Sclerosis Centers (CMSC), Nurse Practitioner Alternatives (NPA), and Delaware Media Group...
November 2016: International Journal of MS Care
https://www.readbyqxmd.com/read/27957720/-99m-tc-labelled-s-hynic-certolizumab-pegol-in-rheumatoid-arthritis-and-spondyloarthritis-patients-a-biodistribution-and-dosimetry-study
#2
Bieke Lambert, Philippe Carron, Yves D'Asseler, Klaus Bacher, Filip Van den Bosch, Dirk Elewaut, Gust Verbruggen, Rudi Beyaert, Caroline Dumolyn, Filip De Vos
BACKGROUND: Biologicals directed against tumour necrosis factor (TNF) have proven their efficacy in the treatment of spondyloarthritis and rheumatoid arthritis. We present a radiolabelling method for certolizumab pegol (CZP), a commercially available humanized Fab'-fragment directed against TNF. A biodistribution and dosimetry study was conducted. Tc-S-HYNIC CZP was synthesized. The in vitro TNF neutralizing activity was tested by exposing L929s-cells to various concentrations 99mTc-S-HYNIC CZP and measuring TNF-induced cytotoxicity...
December 2016: EJNMMI Research
https://www.readbyqxmd.com/read/27955791/persistence-and-clearance-of-ebola-virus-rna-from-seminal-fluid-of-ebola-virus-disease-survivors-a-longitudinal-analysis-and-modelling-study
#3
Daouda Sissoko, Sophie Duraffour, Romy Kerber, Jacques Seraphin Kolie, Abdoul Habib Beavogui, Alseny-Modet Camara, Géraldine Colin, Toni Rieger, Lisa Oestereich, Bernadett Pályi, Stephanie Wurr, Jeremie Guedj, Thi Huyen Tram Nguyen, Rosalind M Eggo, Conall H Watson, W John Edmunds, Joseph Akoi Bore, Fara Raymond Koundouno, Mar Cabeza-Cabrerizo, Lisa L Carter, Liana Eleni Kafetzopoulou, Eeva Kuisma, Janine Michel, Livia Victoria Patrono, Natasha Y Rickett, Katrin Singethan, Martin Rudolf, Angelika Lander, Elisa Pallasch, Sabrina Bockholt, Estefanía Rodríguez, Antonino Di Caro, Roman Wölfel, Martin Gabriel, Céline Gurry, Pierre Formenty, Sakoba Keïta, Denis Malvy, Miles W Carroll, Xavier Anglaret, Stephan Günther
BACKGROUND: By January, 2016, all known transmission chains of the Ebola virus disease (EVD) outbreak in west Africa had been stopped. However, there is concern about persistence of Ebola virus in the reproductive tract of men who have survived EVD. We aimed to use biostatistical modelling to describe the dynamics of Ebola virus RNA load in seminal fluid, including clearance parameters. METHODS: In this longitudinal study, we recruited men who had been discharged from three Ebola treatment units in Guinea between January and July, 2015...
January 2017: Lancet Global Health
https://www.readbyqxmd.com/read/27878216/quality-of-nursing-documentation-before-and-after-the-hospital-accreditation-in-a-university-hospital
#4
Aline Tsuma Gaedke Nomura, Marcos Barragan da Silva, Miriam de Abreu Almeida
Objective: to analyze the quality of nursing documentation by comparing the periods before and after the preparation for the hospital accreditation, using the Quality of Nursing Diagnoses, Interventions and Outcomes - Brazilian version (Q-DIO- Brazilian version). Method: observational study of interventions conducted in a university hospital. Nursing documentation of 112 medical records for the period before and 112 for the period after the hospital accreditation were compared using the Q-DIO instrument - Brazilian version...
November 21, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27877026/pharmaceutical-interventions-by-collaboration-between-staff-pharmacists-and-clinical-pharmacists-and-implementation-of-joint-commission-international-accreditation-standards-on-medication-use-may-optimize-pharmacotherapy-in-geriatric-patients
#5
COMMENT
https://www.readbyqxmd.com/read/27671418/evaluation-of-patient-wristbands-and-patient-identification-process-in-a-training-hospital-in-turkey
#6
Canan Cengiz, Yusuf Celik, Neset Hikmet
Purpose The purpose of this paper is to evaluate the utilisation of patient wristbands (PWs) and patient identification (PI) process in a training hospital in Ankara, Turkey. Design/methodology/approach This descriptive and cross-sectional study was conducted in a training hospital with 640 beds, accreditied by Joint Commission International. The views of 348 patients and 419 hospital personnel on the implementation of patient wristbands and identification process were evaluated. Findings The results indicated that lack of information among patients about the importance of PWs and the misknowledge among staff participants on when, where, and by whom PWs should be put on and verified were the weakest points in this hospital...
October 10, 2016: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/27670823/the-iaslc-mesothelioma-staging-project-improving-staging-of-a-rare-disease-through-international-participation
#7
Harvey Pass, Dorothy Giroux, Catherine Kennedy, Enrico Ruffini, Ayten K Cangir, David Rice, Hisao Asamura, David Waller, John Edwards, Walter Weder, Hans Hoffmann, Jan P van Meerbeeck, Anna Nowak, Valerie W Rusch
For nearly 40 years, there was no generally accepted staging system for malignant pleural mesothelioma. In 1994, members of the International Mesothelioma Interest Group, in collaboration with the International Association for the Study of Lung Cancer, proposed a TNM staging system based on analyses of outcomes in retrospective surgical series and small clinical trials. Subsequently accepted by the American Joint Commission on Cancer and the Union for International Cancer Control for the sixth editions of their staging manuals, this system has since been the international staging standard...
December 2016: Journal of Thoracic Oncology
https://www.readbyqxmd.com/read/27666263/child-health-in-portugal
#8
Teresa Bandeira, Ricardo Ferreira, Inês Azevedo
Portugal has experienced rapid decline of neonatal and infant mortality in the last century, similar to that of other western European states. The joint venture of pediatricians and obstetricians with adequate top-down government commissions for maternal and child health for the decision making by health administrators and a well-defined schedule of preventive and managerial measures in the community and in hospitals are the most likely explanations for this success. Another achievement of child health care services is the registry for special diseases...
October 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27630801/core-measures-for-congestive-heart-failure-in-a-tertiary-care-setting-in-pakistan
#9
Rizwan Zafar, Muhammad Haris, Salman Assad, Muhammad Usman Shabbir, Haider Ghazanfar, Sarah A Malik, Tehreem Khalid, Ali H Abbas, Asad A Saleem
PURPOSE:  Heart failure presents a huge burden for individual patients and the healthcare system as a whole. This study aims to assess the adherence to these core measures as identified by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)/ American Heart Association (AHA) by physicians of Pakistan. MATERIALS AND METHODOLOGY:  We conducted a cross-sectional study in Shifa International Hospital, Islamabad, Pakistan from the period of April 2013 to April 2016...
August 8, 2016: Curēus
https://www.readbyqxmd.com/read/27578187/relation-between-safe-use-of-medicines-and-clinical-pharmacy-services-at-pediatric-intensive-care-units
#10
Lucas Miyake Okumura, Daniella Matsubara da Silva, Larissa Comarella
OBJECTIVE: Clinical Pharmacy Services (CPS) are considered standard of care and they are endorsed by the Joint Commission International, the American Academy of Pediatrics, and the American College of Clinical Pharmacy. In Brazil, single experiences have been discreetly arising and the importance of these services to children and adolescents care has led to interesting results, but certainly are under reported. This short report aims to discuss the effect of implementing a bedside CPS at a Brazilian Pediatric Intensive Care Unit (PICU)...
December 2016: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://www.readbyqxmd.com/read/27548983/-distribution-and-risk-assessment-of-sulfonamides-antibiotics-in-soil-and-vegetables-from-feedlot-livestock
#11
Cai-xia Jin, Xiao-wei Si, Zi-ying Wang, Qin-wen Zhang
Soil and vegetable samples were collected from 13 different livestock farms of different sizes in Xinxiang of China, and the residues of three sulfonamides including sulfadiazine, sulfamonomethoxine, and sulfamethoxazole were analyzed by HPLC with a fluorimetric detector, The results indicated that the total concentration ranges of the three sulfonamides in soil and vegetable were 7.60-176.26 µg · kg⁻¹ and ND-32, 70 µg · kg⁻¹, respectively. The mean concentrations were 70.73 µg · kg⁻¹ and 7.08 µg · kg⁻¹ for soil and vegetables...
April 15, 2016: Huan Jing Ke Xue= Huanjing Kexue
https://www.readbyqxmd.com/read/27456416/safecare-an-innovative-approach-for-improving-quality-through-standards-benchmarking-and-improvement-in-low-and-middle-income-countries
#12
Michael C Johnson, Onno Schellekens, Jacqui Stewart, Paul van Ostenberg, Tobias Rinke de Wit, Nicole Spieker
BACKGROUND: In low- and middle-income countries (LMICs), patients often have limited access to high-quality care because of a shortage of facilities and human resources, inefficiency of resource allocation, and limited health insurance. SafeCare was developed to provide innovative health care standards; surveyor training; a grading system for quality of care; a quality improvement process that is broken down into achievable, measurable steps to facilitate incremental improvement; and a private sector-supported health financing model...
August 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27443214/the-role-of-validated-analytical-methods-in-jecfa-drug-assessments-and-evaluation-for-recommending-mrls
#13
Joe O Boison
The Joint Food and Agriculture Organization and World Health Organization (FAO/WHO) Expert Committee on Food Additives (JECFA) is one of three Codex committees tasked with applying risk analysis and relying on independent scientific advice provided by expert bodies organized by FAO/WHO when developing standards. While not officially part of the Codex Alimentarius Commission structure, JECFA provides independent scientific advice to the Commission and its specialist committees such as the Codex Committee on Residues of Veterinary Drugs in Foods (CCRVDF) in setting maximum residue limits (MRLs) for veterinary drugs...
May 2016: Drug Testing and Analysis
https://www.readbyqxmd.com/read/27440172/testing-patients-during-seizures-a-european-consensus-procedure-developed-by-a-joint-taskforce-of-the-ilae-commission-on-european-affairs-and-the-european-epilepsy-monitoring-unit-association
#14
Sándor Beniczky, Miri Neufeld, Beate Diehl, Judith Dobesberger, Eugen Trinka, Ruta Mameniskiene, Sylvain Rheims, Antonio Gil-Nagel, Dana Craiu, Ronit Pressler, David Krysl, Angelina Lebedinsky, Laura Tassi, Guido Rubboli, Philippe Ryvlin
There is currently no international consensus procedure for performing comprehensive periictal testing of patients in the epilepsy monitoring units (EMUs). Our primary goal was to develop a standardized procedure for managing and testing patients during and after seizures in EMUs. The secondary goal was to assess whether it could be implemented in clinical practice (feasibility). A taskforce was appointed by the International League Against Epilepsy (ILAE)-Commission on European Affairs and the European Epilepsy Monitoring Unit Association, to develop a standardized ictal testing battery (ITB) based on expert opinion and experience with various local testing protocols...
September 2016: Epilepsia
https://www.readbyqxmd.com/read/27311121/-the-italian-arthroplasty-registry-a-model-to-export
#15
Marina Torre, Emilio Romanini
Medical devices (MD) registries are essentials to evaluate outcomes. They represent a key tool to support market surveillance and vigilance, being critical to identify and characterize the implants, assess their performance and trace patients in case of recall. Therefore, the recent "Proposal for a Regulation of the European Parliament and of the Council on medical devices" asked both the Commission and the Member States to take all appropriate measures to encourage the establishment of registers for specific types of devices, setting common principles to collect comparable information...
May 2016: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/27262820/development-of-a-certified-reference-material-for-myeloperoxidase-anti-neutrophil-cytoplasmic-autoantibodies-mpo-anca
#16
Evanthia Monogioudi, Dana Petronela Hutu, Gustavo Martos, Joanna Sheldon, Heinz Schimmel, Pier Luigi Meroni, Ingrid Zegers
A serum Certified Reference Material (CRM) for supporting reliable autoimmune diagnostics was recently released by the Institute for Reference Materials and Measurements (IRMM) of the Joint Research Centre of the European Commission. It was produced in collaboration with a Working Group on the Harmonisation of Autoimmune Testing of the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC WG-HAT). This material is aimed at facilitating the standardisation of measurements of anti-myeloperoxidase immunoglobulin G antibodies...
June 1, 2016: Clinica Chimica Acta; International Journal of Clinical Chemistry
https://www.readbyqxmd.com/read/27242991/effect-of-financially-punished-audit-and-feedback-in-a-pediatric-setting-in-china-within-an-antimicrobial-stewardship-program-and-as-part-of-an-international-accreditation-process
#17
Sitang Gong, Xiu Qiu, Yanyan Song, Xin Sun, Yanling He, Yilu Chen, Minqing Li, Rui Luo, Liya He, Qing Wei, Songying Shen, Yu Liu, Lian Zhang, Wei Zhou, Ping Huang, Jianning Mai, Li Liu, Yi Xu, Huiying Liang, Huimin Xia
BACKGROUND: Prior authorization, audit and feedback, and pay for performance are the three core "active" strategies of antimicrobial stewardship program (ASP), yet little is known about the individual or combined benefits of such programs, particularly in a pediatric setting. OBJECTIVES: The aim of this study was to compare these core ASP strategies and determine the incremental effect of financially punished audit and feedback. METHODS: During the journey to the Joint Commission International accreditation, a tertiary pediatric medical center performed two different hospital-wide stewardship interventions in succession...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27209089/rates-of-adverse-events-and-outcomes-among-stroke-patients-admitted-to-primary-stroke-centers
#18
Saqib A Chaudhry, Mohammad R Afzal, Burhan Z Chaudhry, Taqi T Zafar, Adnan Safdar, Mounzer Y Kassab, Syed I Hussain, Adnan I Qureshi
BACKGROUND AND PURPOSE: To identify the beneficial effects of primary stroke centers (PSCs) certification by Joint Commission (JC), we compared the rates of in-hospital adverse events and discharge outcomes among ischemic stroke patients admitted to PSCs and those admitted to non-PSC hospitals in the United States. METHODS: We obtained the data from the Nationwide Inpatient Sample from 2010 and 2011. The analysis was limited to states that publicly reported hospital identity...
August 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27198470/hospital-pharmacy-medication-reconciliation-practice-in-jordan-perceptions-and-barriers
#19
Khawla Abu Hammour, Rana Abu Farha, Iman Basheti
RATIONALE, AIMS AND OBJECTIVES: The primary aim of this study is to gain an insight into hospital pharmacists' current practice and perceptions towards medicine reconciliation and to identify common challenges preventing pharmacists from providing this service. METHODS: A cross-sectional study was conducted over 2 months (September-October 2015) at four Jordanian hospitals accredited by the Joint International Commission. A total of 76 pharmacists were recruited...
December 2016: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/27164317/securement-of-the-indwelling-urinary-catheter-for-adult-patients-a-best-practice-implementation
#20
Angela Shum, Kai Sim Wong, Kalarani Sankaran, Mien Li Goh
AIM: The evidence-based project sought to improve knowledge and practice in the care and securement of indwelling urinary catheters. METHODS: The project utilized a pre and post-implementation audit strategy, with the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice programs. The best practice recommendations on the care and securement of indwelling urinary catheters were retrieved from the Joanna Briggs Institute Clinical Online Network of Evidence for Care and Therapeutics database...
May 7, 2016: International Journal of Evidence-based Healthcare
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