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https://www.readbyqxmd.com/read/29454491/risk-assessment-for-ballast-water-management-learning-from-the-adriatic-sea-case-study
#1
Matej David, Stephan Gollasch
The ballast water management convention incorporates principles of risk assessment. A new ballast water management risk assessment model was developed to support the implementation of most efficient management measures, which we also present as a flowchart decision support system model. The risk assessment model was tested using data from port baseline surveys where available, and real shipping and ballast water discharges data. The here presented ballast water management risk assessment and possible management options are applicable elsewhere to support and improve complex decision making in the implementation of management requirements according to the ballast water management convention...
February 14, 2018: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/29446003/development-of-a-ready-to-use-tool-that-includes-preventability-for-the-assessment-of-adverse-drug-events-in-oncology
#2
Guillaume Hébert, Florence Netzer, Sylvain Landry Kouakou, François Lemare, Etienne Minvielle
Background Adverse drug events (ADEs) occur frequently in oncology and justify continuous assessment and monitoring. There are several methods for detecting them, but the trigger tool method seems the most appropriate. Although a generic tool exists, its use for ADEs in oncology has not been convincing. The development of a focused version is therefore necessary. Objective To provide an oncology-focused trigger tool that evaluates the prevalence, harm, and preventability in a standardised method for pragmatic use in ADE surveillance...
February 14, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29431308/diagnostic-and-clinical-significance-of-t-wave-inversion-in-athletes
#3
REVIEW
Anat Milman, Gad Keren
Electrocardiography abnormalities are a common finding in athletes. To facilitate the differentiation of physiological adaptation versus pathological remodeling, a series of guidelines has emerged in the past decade that attempt to improve specificity while maintaining a high sensitivity. Recently, T wave inversion in the athletic population gained more attention, resulting in accelerated research leading to novel findings not yet integrated into clinical practice. We aim to simplify the knowledge to date and integrate it into one easy to use practical flowchart...
February 2018: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29427705/dismantling-the-justice-silos-flowcharting-the-role-and-expertise-of-forensic-science-forensic-medicine-and-allied-health-in-adult-sexual-assault-investigations
#4
Sally F Kelty, Roberta Julian, Eva Bruenisholz, Linzi Wilson-Wilde
Forensic science is increasingly used to help exonerate the innocent and establishing links between individuals and criminal activities. With increased reliance on scientific services provided by multi-disciplinary (police, medicine, law, forensic science), and multi-organisational in the private and government sectors (health, justice, legal, police) practitioners, the potential for miscommunication resulting unjust outcomes increases. The importance of identifying effective multi-organisational information sharing is to prevent the 'justice silo effect'; where practitioners from different organisations operate in isolation with minimal or no interaction...
January 31, 2018: Forensic Science International
https://www.readbyqxmd.com/read/29412304/problematization-methodology-and-convergent-healthcare-research-praxis-proposal-in-research
#5
Laura Ferreira Cortes, Stela Maris de Mello Padoin, Neusi Aparecida Navas Berbel
OBJECTIVE: Presenting theoretical subsidies for the nursing care practice based on the possibility of convergence between research practice and educational practice. METHOD: The Convergent Healthcare Research was developed from February to August 2015, with an intersectoral working group formed by 32 participants, including health, social services and public safety professionals. Ten group meetings were organized, based on the Problematization Methodology with Maguerez's Arch...
March 2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29406340/an-easy-to-use-prognostic-model-for-survival-estimation-for-patients-with-symptomatic-long-bone-metastases
#6
J J Willeumier, Y M van der Linden, C W P G van der Wal, P C Jutte, J M van der Velden, M A Smolle, P van der Zwaal, P Koper, L Bakri, I de Pree, A Leithner, M Fiocco, P D S Dijkstra
BACKGROUND: A survival estimation for patients with symptomatic long bone metastases (LBM) is crucial to prevent overtreatment and undertreatment. This study analyzed prognostic factors for overall survival and developed a simple, easy-to-use prognostic model. METHODS: A multicenter retrospective study of 1,520 patients treated for symptomatic LBM between 2000 and 2013 at the radiation therapy and/or orthopaedic departments was performed. Primary tumors were categorized into 3 clinical profiles (favorable, moderate, or unfavorable) according to an existing classification system...
February 7, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29395232/a-flow-chart-for-developing-water-quality-criteria-from-two-field-based-methods
#7
Susan M Cormier, Lei Zheng, Ryan A Hill, Rachael M Novak, Colleen M Flaherty
Field-based methods increase relevance and realism when setting water quality criteria. They also pose challenges. To enable a consistent process, a flow chart was developed for choosing between two field-based methods and then selecting among candidate results. The two field-based methods estimated specific conductivity (SC) levels likely to extirpate 5% of benthic invertebrate genera: an extirpation concentration distribution (XCD) method and a background-to-criterion (B-C) model developed by the U.S. Environmental Protection Agency...
January 29, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29392758/toward-an-application-guide-for-safety-integrity-level-allocation-in-railway-systems
#8
Kiswendsida Abel Ouedraogo, Julie Beugin, El-Miloudi El-Koursi, Joffrey Clarhaut, Dominique Renaux, Frederic Lisiecki
The work in the article presents the development of an application guide based on feedback and comments stemming from various railway actors on their practices of SIL allocation to railway safety-related functions. The initial generic methodology for SIL allocation has been updated to be applied to railway rolling stock safety-related functions in order to solve the SIL concept application issues. Various actors dealing with railway SIL allocation problems are the intended target of the methodology; its principles will be summarized in this article with a focus on modifications and precisions made in order to establish a practical guide for railway safety authorities...
February 2, 2018: Risk Analysis: An Official Publication of the Society for Risk Analysis
https://www.readbyqxmd.com/read/29383840/addressing-unmeasured-confounding-in-comparative-observational-research
#9
Xiang Zhang, Douglas E Faries, Hu Li, James D Stamey, Guido W Imbens
PURPOSE: Observational pharmacoepidemiological studies can provide valuable information on the effectiveness or safety of interventions in the real world, but one major challenge is the existence of unmeasured confounder(s). While many analytical methods have been developed for dealing with this challenge, they appear under-utilized, perhaps due to the complexity and varied requirements for implementation. Thus, there is an unmet need to improve understanding the appropriate course of action to address unmeasured confounding under a variety of research scenarios...
January 30, 2018: Pharmacoepidemiology and Drug Safety
https://www.readbyqxmd.com/read/29350117/-treating-poisoning-how-do-you-choose-the-best-type-of-gastrointestinal-decontamination
#10
M V Verschueren, F G A Jansman, D J Touw, C Kramers
- A new guideline: 'Intoxication: initial approach in the hospital' will be published this year. This guideline sets out the latest insights on gastrointestinal decontamination in intoxication; the advice is summarized in a flowchart.- The advice is to generally administer activated charcoal, unless there are indications that the toxin will not bind to activated charcoal or that the amount of toxin that the patient has ingested is too great; in these cases gastric lavage can be considered.- Activated charcoal can be administered up to 2 hours after the ingestion of a toxic substance, unless there are contra-indications...
2018: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29341809/modified-directed-self-learning-sessions-in-physiology-with-prereading-assignments-and-pecha-kucha-talks-perceptions-of-students
#11
Reem Rachel Abraham, Sharmila Torke, James Gonsalves, Sareesh Naduvil Narayanan, M Ganesh Kamath, Jay Prakash, Kiranmai S Rai
The present study reports perceptions of first-year undergraduate medical students ( n = 120), regarding modified directed self-learning (DSL) sessions in physiology. Students were provided with prereading assignments (faculty developed PowerPoint slides containing diagrams with incomplete labeling/flowcharts with missing steps) pertaining to the DSL topic 1 wk before the scheduled small-group DSL presentations. During DSL presentation sessions, which were facilitated by teachers, a few students individually presented learning objectives in the specified topic...
March 1, 2018: Advances in Physiology Education
https://www.readbyqxmd.com/read/29338968/an-alternative-tool-for-triaging-patients-with-possible-acute-coronary-symptoms-before-admission-to-a-chest-pain-unit
#12
Kuang-Chau Tsai, Ray F Lin, Chieh Lee, Ai-Hsien Li
OBJECTIVE: This study aimed to develop a triage tool to more effectively triage possible ACS patients presenting to the emergency department (ED) before admission to a protocol-driven chest pain unit (CPU). METHODS: Seven hundred ninety-three clinical cases, randomly selected from 7962 possible ACS cases, were used to develop and test an ACS triage model using cluster analysis and stepwise logistic regression. RESULTS: The ACS triage model, logit (suspected ACS patient)=-5...
December 13, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29332705/cutaneous-squamous-cell-carcinoma-management-of-advanced-and-high-stage-tumors
#13
REVIEW
Syril Keena T Que, Fiona O Zwald, Chrysalyne D Schmults
While the majority of cutaneous squamous cell carcinomas (cSCCs) can be treated surgically, the additional work-up and treatments indicated for high-risk cSCC remain undefined. In recent years, improvements in tumor staging systems have allowed for the more accurate stratification of tumors into high- and low-risk categories. This insight, along with the publication of cSCC guidelines, brings us closer to the development of a consensus approach. The second article in this continuing medical education series addresses in question and answer format the most common questions related to advanced and high-stage cSCCs, with a simplified flowchart...
February 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29328962/so-you-think-computational-approaches-to-understanding-glycosaminoglycan-protein-interactions-are-too-dry-and-too-rigid-think-again
#14
REVIEW
Nehru Viji Sankaranarayanan, Balaji Nagarajan, Umesh R Desai
Glycosaminoglycans (GAGs) play key roles in virtually all biologic responses through their interaction with proteins. A major challenge in understanding these roles is their massive structural complexity. Computational approaches are extremely useful in navigating this bottleneck and, in some cases, the only avenue to gain comprehensive insight. We discuss the state-of-the-art on computational approaches and present a flowchart to help answer most basic, and some advanced, questions on GAG-protein interactions...
January 9, 2018: Current Opinion in Structural Biology
https://www.readbyqxmd.com/read/29327989/making-it-work-for-everyone-an-evolving-reference-service
#15
Jonquil D Feldman, Emme Lopez, Christine S Gaspard, Karen D Barton, Luis F Barcenes
At an academic health science center, librarians identified problems, weaknesses, and strengths in reference services. The on-call reference schedule was discontinued and a question flowchart was developed for circulation staff. Only research questions were referred to librarians, who would respond if available. Circulation staff perceived the unscheduled, voluntary model was not working well for the patrons or the staff. After two months, the schedule was reinstated with a hybrid version of the previous on-call format...
January 2018: Medical Reference Services Quarterly
https://www.readbyqxmd.com/read/29284203/severe-methylenetetrahydrofolate-reductase-mthfr-deficiency-a-rare-treatable-cause-of-complicated-hereditary-spastic-paraplegia
#16
Alessia Perna, Marcella Masciullo, Anna Modoni, Elena Cellini, Elena Parrini, Enzo Ricci, Alice M Donati, Gabriella Silvestri
BACKGROUND: Juvenile or adult onset forms of severe 5,10-Methylenetetrahydrofolate reductase (MTHFR) deficiency manifesting as complicated hereditary spastic paraplegia have been rarely described. METHODS: Two siblings with mental retardation developed a progressive spastic paraparesis in their late teens. Their diagnostic assessment included extensive neurophysiologic, neuroimaging and metabolic studies. RESULTS: Brain MRI showed occipital white matter alterations; EMG documented a mixed polyneuropathy...
December 28, 2017: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/29283007/how-to-write-a-systematic-review-of-the-literature
#17
Debajyoti Pati, Lesa N Lorusso
This article provides a step-by-step approach to conducting and reporting systematic literature reviews (SLRs) in the domain of healthcare design and discusses some of the key quality issues associated with SLRs. SLR, as the name implies, is a systematic way of collecting, critically evaluating, integrating, and presenting findings from across multiple research studies on a research question or topic of interest. SLR provides a way to assess the quality level and magnitude of existing evidence on a question or topic of interest...
January 1, 2017: HERD
https://www.readbyqxmd.com/read/29258598/what-methods-do-reviews-of-normative-ethics-literature-use-for-search-selection-analysis-and-synthesis-in-depth-results-from-a-systematic-review-of-reviews
#18
Marcel Mertz, Daniel Strech, Hannes Kahrass
BACKGROUND: (Semi-)systematic approaches to finding, analysing, and synthesising ethics literature on medical topics are still in their infancy. However, our recent systematic review showed that the rate of publication of such (semi-)systematic reviews has increased in the last two decades. This is not only true for reviews of empirical ethics literature, but also for reviews of normative ethics literature. In the latter case, there is currently little in the way of standards and guidance available...
December 19, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/29258374/falls-prevention-process-in-assisted-living-communities
#19
DaRae Coughlin, Susan E Nordman-Oliveira, Mary Schlaak, James H Ford
Falls are a significant issue for older adults, and many older adults who once received care in nursing homes now reside in assisted living communities (ALCs). ALC staff needs to address resident falls prevention; however, federal or state requirements or oversight are limited. This research explores falls prevention in Wisconsin ALCs in the context of the Kotter Change Model to identify strategies and inform efforts to establish a more consistent, proactive falls prevention process for ALCs. A mixed methods approach demonstrated inconsistency and variability in the use of falls risk assessments and prevention programs, which led to the development of standardized, proactive falls prevention process flowcharts...
December 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29237320/clinical-management-of-women-with-listeriosis-risk-during-pregnancy-a-review-of-national-guidelines
#20
Lisa Pucci, Mario Massacesi, Giuseppina Liuzzi
INTRODUCTION: Listeriosis is an uncommon foodborne infection that may cause moderate maternal illness, but can be extremely serious for the fetus and the newborn. Several guidelines have been elaborated in order to help clinicians on the care of pregnant women with known or suspected exposure to Listeria monocytogenes. The aim of this review is to collect, assess and summarize them, in order to provide a comprehensive overlook and to highlight the grey areas in the guidance that could result in failure to detect some infected but asymptomatic women...
December 13, 2017: Expert Review of Anti-infective Therapy
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