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ABCDE approach

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https://www.readbyqxmd.com/read/29923215/self-management-of-diabetes-in-hospital-a-guideline-from-the-joint-british-diabetes-societies-jbds-for-inpatient-care-group
#1
D Flanagan, K Dhatariya, A Kilvert
The aims of these guidelines are to improve the inpatient experience and safety for people with diabetes through effective self-management. The guidelines are aimed primarily at healthcare professionals working in hospitals, although some aspects are relevant to staff involved in pre-admission preparation. The guidelines suggest an approach to providing patient information, the circumstances in which self-management is appropriate, the development of care plans and the elements needed for effective self-management...
June 19, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29907602/improvised-first-aid-techniques-for-terrorist-attacks
#2
EDITORIAL
Andrew Loftus, Harvey Pynn, Paul Parker
Terrorist acts occur every day around the world. Healthcare professionals are often present as bystander survivors in these situations, with none of the equipment or infrastructure they rely on in their day-to-day practice. Within several countries there has been a move to disseminate the actions to take in the event of such attacks: in the UK, Run, Hide, Tell , and in the USA, Fight Back This paper outlines how a very basic medical knowledge combined with everyday high-street items can render highly effective first aid and save lives...
June 15, 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29782304/role-of-in-vivo-reflectance-confocal-microscopy-in-the-analysis-of-melanocytic-lesions
#3
Elena-Daniela Serban, Francesca Farnetani, Giovanni Pellacani, Maria Magdalena Constantin
Worldwide melanoma incidence and mortality are increasing (1). Despite the ongoing research, advanced melanoma is still incurable; therefore, the most appropriate solution seems to be early detection combined with complete surgical excision (2). Since the diagnostic protocol of suspicious lesions includes a complete excision with safety margins (2), the problem of unnecessary scarring is significant. The real challenge in this case is to have a properly formulated diagnosis before acquiring a biopsy. Currently available non-invasive techniques are coherence tomography, digital dermoscopy, and reflectance confocal microscopy...
April 2018: Acta Dermatovenerologica Croatica: ADC
https://www.readbyqxmd.com/read/29773251/-abcde-a-new-approach-to-patient-management-in-emergency-departments
#4
Frédéric Lodier
The ABCDE method constitutes an effective method of patient management in an emergency department. It is structured, systematic and universal. Many patients are able to benefit from it, in traumatology as well as in other sectors. It requires specific training.
May 2018: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/29733608/stereocontrolled-construction-of-abcd-tetracyclic-ring-system-with-vicinal-all-carbon-quaternary-stereogenic-centers-of-calyciphylline-a-type-alkaloids
#5
Yusuke Sasano, Junpei Koyama, Kaori Yoshikawa, Naoki Kanoh, Eunsang Kwon, Yoshiharu Iwabuchi
A unique approach to the synthesis of an ABCD tetracyclic core bearing the vicinal all-carbon quaternary stereogenic centers of the calyciphylline A type alkaloids is reported. The synthesis features two C-C bond formations at a sterically congested position: one is an intramolecular pinacol coupling to construct the central A ring; the other is a semipinacol rearrangement to construct a quaternary stereogenic center adjacent to another quaternary center.
May 7, 2018: Organic Letters
https://www.readbyqxmd.com/read/29706313/a-description-of-the-abcd-organizational-structure-and-communication-framework
#6
REVIEW
Allison M Auchter, Margie Hernandez Mejia, Charles J Heyser, Paul D Shilling, Terry L Jernigan, Sandra A Brown, Susan F Tapert, Gayathri J Dowling
The Adolescent Brain Cognitive Development (ABCD) study is designed to be the largest study of brain development and child health in the United States, performing comprehensive assessments of 11,500 children repeatedly for 10 years. An endeavor of this magnitude requires an organized framework of governance and communication that promotes collaborative decision-making and dissemination of information. The ABCD consortium structure, built upon the Matrix Management approach of organizational theory, facilitates the integration of input from all institutions, numerous internal workgroups and committees, federal partners, and external advisory groups to make use of a broad range of expertise to ensure the study's success...
August 2018: Developmental Cognitive Neuroscience
https://www.readbyqxmd.com/read/29673337/communities-in-charge-of-alcohol-cica-a-protocol-for-a-stepped-wedge-randomised-control-trial-of-an-alcohol-health-champions-programme
#7
Penny A Cook, Suzy C Hargreaves, Elizabeth J Burns, Frank de Vocht, Steve Parrott, Margaret Coffey, Suzanne Audrey, Cathy Ure, Paul Duffy, David Ottiwell, Kiran Kenth, Susan Hare, Kate Ardern
BACKGROUND: Communities In Charge of Alcohol (CICA) takes an Asset Based Community Development (ABCD) approach to reducing alcohol harm. Through a cascade training model, supported by a designated local co-ordinator, local volunteers are trained to become accredited 'Alcohol Health Champions' to provide brief opportunistic advice at an individual level and mobilise action on alcohol availability at a community level. The CICA programme is the first time that a devolved UK region has attempted to coordinate an approach to building health champion capacity, presenting an opportunity to investigate its implementation and impact at scale...
April 19, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29564304/track-and-field-practice-and-bone-outcomes-among-adolescents-a-pilot-study-abcd-growth-study
#8
Yuri da Silva Ventura Faustino-da-Silva, Ricardo Ribeiro Agostinete, André Oliveira Werneck, Santiago Maillane-Vanegas, Kyle Robinson Lynch, Isabella Neto Exupério, Igor Hideki Ito, Romulo Araújo Fernandes
Background: Osteoporosis is considered a public health problem with high worldwide prevalence. One approach to prevention is through the promotion of physical activity, especially exercise, during adolescence. Methods: This study compared bone variables in different body segments in adolescents according to participation in track and field. The study included 34 adolescents (22 boys), of whom 17 were track and field athletes and 17 were control subjects. Bone mineral density (BMD, g/cm2 ) and bone mineral content (BMC, g) were analyzed using dual energy X-ray absorptiometry (total body stratified by body segments)...
February 2018: Journal of Bone Metabolism
https://www.readbyqxmd.com/read/29488728/using-a-systematic-approach-to-assess-an-acutely-unwell-patient-with-catatonia-a-case-study
#9
Martha Dixon
Patients in acute settings may present with a variety of signs and symptoms; however, the principles of assessment are applicable to all acutely unwell patients. This article details a case study of a patient who presented to the author's medical ward in a catatonic state, and was assessed using the ABCDE (airway, breathing, circulation, disability, exposure) approach. Catatonia is a disturbed mental state in which a patient exhibits abnormal behaviour, such as the inability to speak and non-responsiveness to stimuli, alongside immobility...
February 28, 2018: Nursing Standard
https://www.readbyqxmd.com/read/29404162/the-view-of-the-turkish-thoracic-society-on-the-report-of-the-gold-2017-global-strategy-for-the-diagnosis-management-and-prevention-of-copd
#10
Nurdan Köktürk, Alev Gürgün, Elif Şen, Ali Kocabaş, Mehmet Polatlı, Sibel Atış Naycı, Lütfi Çöplü, Emel Tellioğlu, Funda Elmas, Ertürk Erdinç
Since the Global Initiative for Obstructive Lung Disease (GOLD) published its first guidelines on chronic obstructive pulmonary disease (COPD) in 2001, much has changed till 2017. Previous versions of GOLD guidelines mentioned the forced expiratory volume in one second (FEV1 )-based approach for staging and treatment modalities. Since 2011, a composite multi-dimensional approach has been introduced to cover various aspects of the disease. Unfortunately, this approach was not found to be correlated with mortality as well as the FEV1 -based approach, despite the fact that it was better for estimating exacerbation rates...
April 2017: Turkish Thoracic Journal
https://www.readbyqxmd.com/read/29244967/diagnosis-and-treatment-of-chronic-wounds-current-standards-of-germany-s-initiative-for-chronic-wounds-e-v
#11
J Dissemond, A Bültemann, V Gerber, B Jäger, K Kröger, C Münter
The diagnosis and treatment of patients with chronic wounds is an enormous challenge in various disciplines of medicine. These very complex processes usually involve several experts of different medical specialties with varying educational backgrounds. A necessary basis for consistent communication and documentation is the use of unambiguous nomenclature. Therefore, the board of the German wound association, Initiative for Chronic Wounds (ICW) e.V., has started to define various terms and procedures. An easy to remember algorithm, in the form of the ABCDE rule, has been developed for the structured diagnosis of chronic wounds...
December 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/29185642/using-the-abcde-approach-to-assess-the-deteriorating-patient
#12
Duncan Smith, Tracey Bowden
Patients who deteriorate without recognition or timely interventions are at risk of critical care admission and increased morbidity or mortality. This article outlines the systematic ABCDE (airway, breathing, circulation, disability, exposure) approach to patient assessment, which enables healthcare practitioners to identify and respond to life-threatening conditions in order of priority. The patient's vital signs should be measured as part of the ABCDE assessment and recorded using a track and trigger tool to enhance recognition of physiological abnormalities that signal deterioration...
November 29, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29169198/-changes-in-sense-of-coherence-mental-distress-and-satisfaction-with-life-and-studies-in-the-course-of-psychosocial-counselling
#13
Asimina Koutsoukou-Argyraki, Alina Bertolino, Volker Kreß, Frank-Hagen Hofmann, Michael Sperth, Rainer Matthias Holm-Hadulla
"Sense of coherence" (SOC) plays an essential role in the maintenance or recovery of health, according to the salutogenetic approach of Aaron Antonovsky. Empirical studies provide evidence of significant links between sense of coherence and different indicators of mental health. In the present study, the effectivity of an integrative counselling concept for the promotion of sense of coherence, reduction of mental distress and improvement of satisfaction with life was tested in a sample of 153 clients and patients...
February 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/29150307/approaching-retention-within-the-abcd-study
#14
REVIEW
Sarah W Feldstein Ewing, Linda Chang, Linda B Cottler, Susan F Tapert, Gayathri J Dowling, Sandra A Brown
Retention efforts are critical to maintain relationships with research participants over time. This is especially important for the Adolescent Brain Cognitive Development (ABCD) study, where families are asked to stay engaged with the study throughout the course of 10 years. This high-degree of involvement is essential to longitudinally track child and adolescent development. At a minimum, we will connect with families every 6 months by telephone, and every year in person, with closer contact with the youth directly as they transition into adolescence...
November 11, 2017: Developmental Cognitive Neuroscience
https://www.readbyqxmd.com/read/29127102/algorithms-to-guide-ambulance-clinicians-in-the-management-of-emergencies-in-patients-with-implanted-rotary-left-ventricular-assist-devices
#15
REVIEW
Christopher T Bowles, Rachel Hards, Neil Wrightson, Paul Lincoln, Shishir Kore, Laura Marley, Jonathan R Dalzell, Binu Raj, Tracey A Baker, Diane Goodwin, Petra Carroll, Jane Pateman, John J M Black, Paul Kattenhorn, Mark Faulkner, Jayan Parameshwar, Charles Butcher, Mark Mason, Alexander Rosenberg, Ian McGovern, Alexander Weymann, Carl Gwinnutt, Nicholas R Banner, Stephan Schueler, Andre R Simon, David W Pitcher
Advances in left ventricular assist device (LVAD) therapy have resulted in increasing numbers of adult LVAD recipients in the community. However, device failure, stroke, bleeding, LVAD thrombosis and systemic infection can be life-threatening emergencies. Currently, four LVAD systems are implanted in six UK transplant centres, each of which provides device-specific information to local emergency services. This has resulted in inconsistent availability and content of information with the risks of delayed or inappropriate decision-making...
December 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29112128/an-embedded-wireless-sensor-network-with-wireless-power-transmission-capability-for-the-structural-health-monitoring-of-reinforced-concrete-structures
#16
Luca Gallucci, Costantino Menna, Leopoldo Angrisani, Domenico Asprone, Rosario Schiano Lo Moriello, Francesco Bonavolontà, Francesco Fabbrocino
Maintenance strategies based on structural health monitoring can provide effective support in the optimization of scheduled repair of existing structures, thus enabling their lifetime to be extended. With specific regard to reinforced concrete (RC) structures, the state of the art seems to still be lacking an efficient and cost-effective technique capable of monitoring material properties continuously over the lifetime of a structure. Current solutions can typically only measure the required mechanical variables in an indirect, but economic, manner, or directly, but expensively...
November 7, 2017: Sensors
https://www.readbyqxmd.com/read/29094536/undertaking-an-accurate-and-comprehensive-assessment-of-the-acutely-ill-adult
#17
Paula Mayo
Accurate assessment of the acutely ill adult who has recently been admitted to hospital, or an inpatient whose condition begins to deteriorate, is becoming a required skill for nurses as people live longer and with a variety of complex conditions, and as nursing skills continue to evolve and develop. This article emphasises the importance of undertaking an accurate and comprehensive patient assessment to ensure that management strategies are implemented in a timely manner. The article also considers the importance of the National Early Warning Score (NEWS), which is a 'track-and-trigger' tool designed to identify patients who are at risk of deterioration...
October 18, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28980360/one-pot-synthesis-of-abcde-multiblock-copolymers-with-hydrophobic-hydrophilic-and-semi-fluorinated-segments
#18
Athina Anastasaki, Bernd Oschmann, Johannes Willenbacher, Anna Melker, Martin H C Van Son, Nghia P Truong, Morgan W Schulze, Emre H Discekici, Alaina J McGrath, Thomas P Davis, Christopher M Bates, Craig J Hawker
The scope and accessibility of sequence-controlled multiblock copolymers is demonstrated by direct "in situ" polymerization of hydrophobic, hydrophilic and fluorinated monomers. Key to the success of this strategy is the ability to synthesize ABCDE, EDCBA and EDCBABCDE sequences with high monomer conversions (>98 %) through iterative monomer additions, yielding excellent block purity and low overall molar mass dispersities (Ð<1.16). Small-angle X-ray scattering showed that certain sequences can form well-ordered mesostructures...
October 4, 2017: Angewandte Chemie
https://www.readbyqxmd.com/read/28960547/developing-nurses-intercultural-intraprofessional-communication-skills-using-the-excellence-in-cultural-experiential-learning-and-leadership-social-interaction-maps
#19
Saras Henderson, Michelle Barker
AIMS AND OBJECTIVES: To examine how the use of Social Interaction Maps, a tool in the EXCELLence in Cultural Experiential Learning and Leadership Program, can enhance the development of nurses' intercultural/intraprofessional communication skills. BACKGROUND: Nurses face communication challenges when interacting with others from similar background as well as those from a culturally and linguistically diverse background. We used the EXCELLence in Cultural Experiential Learning and Leadership Program's Social Interaction Maps tool to foster intercultural/intraprofessional communication skills in nurses...
September 27, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28955029/effects-of-abcde-bundle-on-hemodynamics-in-patients-on-mechanical-ventilation
#20
Xiao-Li Ren, Jian-Hua Li, Chong Peng, Hong Chen, Hai-Xia Wang, Xue-Ling Wei, Qing-Hong Cheng
BACKGROUND Mechanical ventilation is an important part of advanced life support in the intensive care unit (ICU). This study aimed to investigate the effects of ABCDE bundle on hemodynamics in patients on mechanical ventilation (MV). MATERIAL AND METHODS This study used a cross-sectional overall controlled approach in which 143 patients on mechanical ventilation were divided into 2 groups. In the pre-ABCDE bundle group (n=70), conventional sedation and analgesia strategy were used. In the post-ABCDE bundle group (n=73), ABCDE bundle was used...
September 28, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
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