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JOURNAL ARTICLE
Wanli Xu, Haosen Ma, Zihao Peng, Caodie Peng, Xihong Qian
INTRODUCTION: Private enterprises are playing an increasingly important role in production and employment in China. However, due to less regulation and a stronger profit motivation than state-owned enterprises with more standardized management, a considerable portion of these private enterprises fall short of fulfilling their basic responsibilities for government-mandated old-age insurance. METHODS: This study establishes a comprehensive research framework aimed at delving into the precise factors contributing to the lax adherence of private enterprises to their basic old-age insurance obligations...
2024: Frontiers in Public Health
#22
REVIEW
Nektarios K Mazarakis, Stephen D Robinson, Priyank Sinha, Christos Koutsarnakis, Spyridon Komaitis, George Stranjalis, Susan C Short, Paul Chumas, Georgios Giamas
High grade gliomas are the most common primary aggressive brain tumours with a very poor prognosis and a median survival of less than 2 years. The standard management protocol of newly diagnosed glioblastoma patients involves surgery followed by radiotherapy, chemotherapy in the form of temozolomide and further adjuvant temozolomide. The recent advances in molecular profiling of high-grade gliomas have further enhanced our understanding of the disease. Although the management of glioblastoma is standardised in newly diagnosed adult patients there is a lot of debate regarding the best treatment approach for the newly diagnosed elderly glioblastoma patients...
May 2024: Clinical and Translational Radiation Oncology
#23
JOURNAL ARTICLE
Xiaoping Chen, Fei He, Yan Jiang, Xuezhen Chen, Yubing Yan
OBJECTIVE: Early detection, diagnosis, treatment and management of chronic obstructive pulmonary disease can lower morbidity and perhaps mortality. This study aimed to evaluate the effect of the application of standardized management against the background of the rapid development of the big data center of modern internet of things technology. METHODS: Participants ≥40 years of age with chronic obstructive pulmonary disease presenting at Xiamen Medical College Affiliated Haicang Hospital from October 2019 to October 2020 were selected as the observation patients based on the Internet of Things big data center for chronic obstructive pulmonary disease standardized management, and control patients from the community were selected for without down to the chronic obstructive pulmonary disease standardized management...
2024: Digital Health
#24
JOURNAL ARTICLE
Weipeng Jiang, Xiaoyan Jin, Chunling Du, Wenchao Gu, Xiwen Gao, Chenjun Zhou, Chunlin Tu, Hongqun Chen, Hong Li, Yao Shen, Yunfeng Zhang, Xiahui Ge, Yingxin Sun, Lei Zhou, Suyun Yu, Kaishun Zhao, Qing Cheng, Xiaodan Zhu, Hongen Liao, Chunxue Bai, Yuanlin Song
BACKGROUND: Effective monitoring and management are crucial during long-term home noninvasive positive pressure ventilation (NPPV) in patients with hypercapnic chronic obstructive pulmonary disease (COPD). This study investigated the benefit of Internet of Things (IOT)-based management of home NPPV. METHODS: This multicenter, prospective, parallel-group, randomized controlled non-inferiority trial enrolled patients requiring long-term home NPPV for hypercapnic COPD...
April 2024: EClinicalMedicine
#25
JOURNAL ARTICLE
Dorothy Bbaale, Christoph Mohr, Judith Lindert, Nikki Allorto, Tresor Mabanza, Jean Bosco Katabogama, Shobha Chamania, Richard Elrod, Michael Boettcher, Julia Elrod
INTRODUCTION: The current standard management of full-thickness or deep dermal burns is early tangential excision and skin grafting. A conservative approach to deep burns without the option of skin grafting results in delayed wound healing, possibly leading to wound infection and is associated with hypertrophic scarring and increased morbidity and mortality. The aim of this study was to improve the understanding of the management and availability to perform skin grafting for burns on the African continent...
February 28, 2024: Burns
#26
JOURNAL ARTICLE
Shu Ying Lee, Rehena Sultana, John Carson Allen, Choon Looi Bong
INTRODUCTION: Perioperative hypothermia (PH) is common in children and associated with adverse clinical outcomes. Guidelines to prevent PH are mainly developed for adults and differ among institutions. We aimed to evaluate the effectiveness of customised guidelines in reducing PH in our paediatric population and the impact of cost considerations on physician practice. METHODS: Patients aged ≤16 years undergoing general anaesthesia in our tertiary paediatric hospital were prospectively recruited in this cohort study...
March 13, 2024: Singapore Medical Journal
#27
Alex Mremi, Janeth Mpelumbe, Furaha Enos Kasyupa, Elizabeth Patrick, Orgeness Jasper Mbwambo, Bartholomeo Nicholaus Ngowi
It is quite unusual to have numerous primary malignant tumors at the same time in the same patient. These cancers are classified as metachronous or synchronous. The occurrence of synchronous urologic tumors poses diagnostic and treatment challenges and has always been a subject of controversy in the clinical decision-making process. Unfortunately, no clear standardized management protocols for these patients exist. Therefore, diagnosis and treatment may be difficult, especially with few resources. We present a 75-year-old man with simultaneous prostate and kidney cancers successfully treated at our center...
March 2024: Journal of Surgical Case Reports
#28
JOURNAL ARTICLE
Josh Elias, Emma Sutherland, Ewan Kennedy
OBJECTIVE: To map existing literature about concussion management in older people, identifying and analyzing gaps in our understanding. CONTEXT: Concussion injuries affect older people, yet little guidance is available about how to approach concussion management with older people. Research does not always include older populations, and it is unclear to what extent standard concussion management is appropriate for older people. DESIGN: Scoping review...
February 27, 2024: Journal of Head Trauma Rehabilitation
#29
JOURNAL ARTICLE
Misuzu Fujita, Takehiko Fujisawa, Kiminori Suzuki, Kengo Nagashima, Tokuzo Kasai, Hideyuki Hashimoto, Kazuya Yamaguchi, Yoshihiro Onouchi, Daisuke Sato, Akira Hata
BACKGROUND: The coronavirus disease 2019 pandemic prompted healthcare providers to use different approaches from the current standards of care. We aimed to identify the changes in the number of treatments for primary non-small cell lung cancer (NSCLC) and metastatic lung cancer during the pandemic. METHODS: We used nationwide insurance claims data from January 2015 to January 2021, and estimated changes in the number of treatments using an interrupted time series analysis...
March 5, 2024: Cancer Epidemiology
#30
JOURNAL ARTICLE
Matti Jubouri, Fatima Kayali, Tiffany Agbobu, Owais Tahhan, Thurkga Moothathamby, Eyad R Abdulwahab, Bashi Velayudhan, Idhrees Mohammed, Mohamad Bashir
INTRODUCTION: With the incidence of thoracic aortic disease on the rise, total arch replacement (TAR) with frozen elephant trunk (FET) remains the gold-standard management strategy due to optimal results. Several FET devices exist commercially on the global market. However, the mainstay and most commonly used and reported device is the Thoraflex Hybrid Prosthesis (THP), with several recent reports suggesting its superiority. AREAS COVERED: This review aims to collate and summarize the evidence in the literature on the clinical outcomes of TAR with FET using THP, with a focus on mortality, neurological complications, endoleak, distal stent-induced new entry (dSINE), aortic remodeling, coagulopathy and graft kinking...
March 2, 2024: Expert Review of Medical Devices
#31
JOURNAL ARTICLE
Fei Li, Fengxia Hu, Yi Liang, Fen Liang, Huiqun Tan, Sisi Xing
CONTEXT: Severe cases of stroke can lead to cognitive impairment or even dementia. The most critical factor related to cognitive impairment after strokes is patients' lack of understanding about or attention to their conditions. Strengthening standardized management post-stroke has become a common goal for clinical workers and patients. OBJECTIVE: The study intended to explore, during post-discharge follow-up, the effectiveness of standardized management of patients with post-stroke cognitive impairment, which could provide guidance for patients and doctors to improve patients' follow-up plans...
March 1, 2024: Alternative Therapies in Health and Medicine
#32
MULTICENTER STUDY
Ahmed A H H Nasser, Manpreet Sidhu, Rohan Prakash, Ansar Mahmood, Khabab Osman, Govind S Chauhan, Rajpal Nandra, Varun Dewan, Jerome Davidson, Mohammed Al-Azzawi, Christian Smith, Mothana Gawad, Ioannis Palaiologos, Rory Cuthbert, Warran Wignadasan, Daniel Banks, James Archer, Abdulrahman Odeh, Thomas Moores, Muaaz Tahir, Margaret Brooks, Gurdeep Biring, Stevan Jordan, Zain Elahi, Mohammed Shaath, Manoj Veettil, Chiranjit De, Charles Handford, Mohit Bansal, Akshdeep Bawa, Ahmed Mattar, Varun Tandra, Audrina Daadipour, Ahmed Taha, Shafat Gangoo, Sriram Srinivasan, Mandishona Tarisai, Basil Budair, Krishna Subbaraman, Farrukh Khan, Austin Gomindes, Arjun Samuel, Niel Kang, Karan Kapur, Elizabeth Mainwaring, Hannah Bridgwater, Andre Lo, Usman Ahmed, Tahir Khaleeq, Ahmed El-Bakoury, Ramy Rashed, Hazem Hosny, Rathan Yarlagadda, Jonathan Keenan, Ahmed Hamed, Bryan Riemer, Arham Qureshi, Vatsal Gupta, Matthew Waites, Sabri Bleibleh, David Westacott, Jonathan Phillips, Jamie East, Daniel Huntley, Saqib Masud, Yusuf Mirza, Sandeep Mishra, David Dunlop, Mohamed Khalefa, Balasubramanian Balakumar, Mahesh Thibbaiah, Olivia Payton, James Berstock, Krisna Deano, Khaled M Sarraf, Kartik Logishetty, George Lee, Hariharan Subbiah-Ponniah, Nirav Shah, Aakaash Venkatesan, James Cheseldene-Culley, Joseph Ayathamattam, Samantha Tross, Sukhwinder Randhawa, Faisal Mohammed, Ramla Ali, Jonathan Bird, Kursheed Khan, Muhammad A Akhtar, Andrew Brunt, Panagiotis Roupakiotis, Padmanabhan Subramanian, Nelson Bua, Mounir Hakimi, Samer Bitar, Majed Al Najjar, Ajay Radhakrishnan, Charlie Gamble, Andrew James, Catherine Gilmore, Dan Dawson, Rajesh Sofat, Mohamed Antar, Aashish Raghu, Sam Heaton, Waleed Tawfeek, Christerlyn Charles, Henry Burnand, Sean Duffy, Luke Taylor, Laura Magill, Rita Perry, Michala Pettitt, Kelvin Okoth, Thomas Pinkney
AIMS: Periprosthetic fractures (PPFs) around the knee are challenging injuries. This study aims to describe the characteristics of knee PPFs and the impact of patient demographics, fracture types, and management modalities on in-hospital mortality. METHODS: Using a multicentre study design, independent of registry data, we included adult patients sustaining a PPF around a knee arthroplasty between 1 January 2010 and 31 December 2019. Univariate, then multivariable, logistic regression analyses were performed to study the impact of patient, fracture, and treatment on mortality...
February 1, 2024: Bone & Joint Journal
#33
JOURNAL ARTICLE
Joon Seok Lee, Hyun Su Kang, Jongmoo Park, Jeong Yeop Ryu, Kang Young Choi, Ho Yun Chung, Byeongju Kang, Jeeyeon Lee, Ho Yong Park, Jung Dug Yang
BACKGROUND: Postoperative scar formation is inevitable, and a gold standard management has not been established to date. Due to the fact long and large scar formation occurs in reconstructive surgery, this study analyzed the relationship between various factors in patients who received breast reconstruction using latissimus dorsi (LD) flap to investigate appropriate and effective management approaches. PATIENTS AND METHODS: Twenty-seven patients who underwent breast reconstruction between June 2014 and January 2015 received laser therapy on their LD donor site at the Kyungpook National University Chilgok Hospital...
2024: In Vivo
#34
JOURNAL ARTICLE
Nikolaus E Wolter, Meghan E Tepsich, Ellie S Daien, Justin T Levinsky, Mary-Elizabeth Vanderpost, Evan J Propst, Jennifer M Siu
INTRODUCTION: Flexible nasolaryngoscopy (FNL) is a common, uncomfortable procedure performed to assess the upper airway in infants. Oral sucrose is used during various painful procedures in infants but has not been used during FNL. Our objective was to understand the impact of oral sucrose on discomfort in infants undergoing FNL. METHODS: Infants (<12-months-old) undergoing FNL in the otolaryngology clinic were randomized to treatment (0.5 mL 24% oral sucrose) or standard management (no sucrose)...
February 28, 2024: Laryngoscope
#35
JOURNAL ARTICLE
W Q Hu, P Cui, D Y Song
Gastric cancer is one of the most common malignant tumors in China. Currently, the surgery-based procedure is still the most acceptable strategy for treating gastric cancer. As an important part of standardized management, appropriate specimen processing following surgery is receiving more and more attention across the world. With the release of guidelines and consensus on the specimens processing after gastric cancer surgery, several centers in China have started to follow this standard procedure. However, due to differences in understanding the consensus and the degree of surgery practice, the results are variable...
February 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
#36
JOURNAL ARTICLE
J Li, Z Chen, S S Li, B Lu, S Q Zhao, R Wang, G Q Cao, W Wang, C T Ma, X X Hou, Y H Wang, C H Zhao, G Z Wu
Developing and implementing biosafety standards for pathogenic microbiology laboratories is essential to achieving scientific, efficient, and standardized management and operation. This article analyzes the current standardization construction in biosafety in pathogenic microbiology laboratories domestically and internationally. It proposes a framework for the biosafety standard system of pathogenic microbiology laboratories, which mainly includes four parts: basic standards, management standards, technical standards, and industry applications...
February 10, 2024: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
#37
Xinyi Nan, Braden Pyle, Charlotte Kwik, Greg J Nolan
Appendiceal intussusception is a rare condition with an unknown incidence of clinical presentation, and an estimated incidence of 0.01% is based on a histological study only. It presents a diagnostic challenge with lack of standardized management strategies, and its description in literature is limited to case reports and series. Clinical presentation is often variable and nonspecific; it is uncommon to have a definitive preoperative diagnosis. Iatrogenic appendiceal intussusception can occur as a result of the historical simple inversion or inversion-ligation appendicectomy technique, but it is seldom reported to cause symptoms...
February 2024: Journal of Surgical Case Reports
#38
REVIEW
Nikhil Varun Batra, Pankaj Dangle
Open and purely laparoscopic partial nephrectomy or heminephrectomy has been the standard management for renal duplication anomalies for symptomatic children with non-functional renal moieties. While robotic-assisted laparoscopic partial nephrectomy (RALPN) has been established as a safe and feasible option for the management of renal duplex anomalies, there remains a paucity of data on this topic. The aim of this study is to comprehensively review all available outcomes data and update the use of emerging technologies in robotic surgery which continue to make RALPN a viable and advantageous option in the management of renal duplex anomalies...
2024: Frontiers in Surgery
#39
JOURNAL ARTICLE
Juan Sha, Xiaoping Zhu, Ying Xu, Du Hong, Haixia Hu, Yaoyao Yan, Yao Jiang
OBJECTIVE: Analyzing the impact of nursing workforce development, training and standardization on hybrid operating theatres. METHODS: Thirty nurses in the mixed operating room of the First Affiliated Hospital of Nanchang University from January 2021 to December 2021 were selected as the control group to receive routine nursing management and training methods and another thirty nurses were selected as the experimental group to receive nursing team construction, training and standardized management based on conventional methods...
February 9, 2024: Alternative Therapies in Health and Medicine
#40
JOURNAL ARTICLE
Peidang Fan, Ping Tao, Jiongyuan Wang, Zhenyu Wang, Yingyong Hou, Yuhong Zhou, Weiqi Lu, Lijie Ma, Yong Zhang, Hanxing Tong
BACKGROUND: To assess the correlation between clinical outcomes and diagnostic accuracy of evaluations carried out by a preoperative multidisciplinary team versus standard surgical care for patients with retroperitoneal liposarcoma undergoing surgery. METHODS: This comparative study was conducted retrospectively at a specialist assessment center within Zhongshan Hospital, Fudan University, China, between April 2011 and March 2021. Patients were assigned to a multidisciplinary team or nonmultidisciplinary team cohort based on referral to the multidisciplinary team...
February 22, 2024: Surgery
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