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https://www.readbyqxmd.com/read/29771210/variables-affecting-hospital-length-of-stay-a-scoping-review
#1
Sandra C Buttigieg, Lorraine Abela, Adriana Pace
Purpose Tertiary hospitals have registered an incremental rise in expenditure mostly because of the increasing demands by ageing populations. Reducing the length of stay (LOS) of patients within tertiary hospitals is one of the strategies, which has been used in the last decades to ensure health care systems' sustainability. Furthermore, LOS is one of the key performance indicators, which is widely used to assess hospital efficiency. Hence, it is crucial that policy makers use evidence-based practices in health care to aim for optimal LOS...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29730648/metrological-traceability-and-harmonization-of-medical-tests-a-quantum-leap-forward-is-needed-to-keep-pace-with-globalization-and-stringent-ivd-regulations-in-the-21st-century
#2
Christa Cobbaert, Nico Smit, Philippe Gillery
In our efforts to advance the profession and practice of clinical laboratory medicine, strong coordination and collaboration are needed more than ever before. At the dawn of the 21st century, medical laboratories are facing many unmet clinical needs, a technological revolution promising a plethora of better biomarkers, financial constraints, a growing scarcity of well-trained laboratory technicians and a sharply increasing number of International Organization for Standardization guidelines and new regulations to which medical laboratories should comply in order to guarantee safety and effectiveness of medical test results...
May 7, 2018: Clinical Chemistry and Laboratory Medicine: CCLM
https://www.readbyqxmd.com/read/29706866/-drosophila-rsk-influences-the-pace-of-the-circadian-clock-by-negative-regulation-of-protein-kinase-shaggy-activity
#3
Katherina Beck, Anna Hovhanyan, Pamela Menegazzi, Charlotte Helfrich-Förster, Thomas Raabe
Endogenous molecular circadian clocks drive daily rhythmic changes at the cellular, physiological, and behavioral level for adaptation to and anticipation of environmental signals. The core molecular system consists of autoregulatory feedback loops, where clock proteins inhibit their own transcription. A complex and not fully understood interplay of regulatory proteins influences activity, localization and stability of clock proteins to set the pace of the clock. This study focuses on the molecular function of Ribosomal S6 Kinase (RSK) in the Drosophila melanogaster circadian clock...
2018: Frontiers in Molecular Neuroscience
https://www.readbyqxmd.com/read/29607197/kawasaki-disease-multiple-giant-coronary-aneurysms-intervention-and-pacemaker-implantation-due-to-complete-heart-block-a-case-report
#4
Chunping Liu, Junxia Li, Zhenshuang Cui, Lili Niu, Junyu Cui, Xinli Tian, Yujie Shi
Early intravenous immunoglobulin (IVIG) is the standard treatment for Kawasaki disease (KD) to reduce the incidence of coronary aneurysms. Patients with atypical presentation or who live in a rural area are less likely to receive treatment in the early stage of presentation and are more likely to develop severe complications. There is little consensus on how to treat coronary aneurysms effectively in the acute or subacute stage especially when giant aneurysms develop that compromise cardiac function. This case study is of a 19-month-old girl who initially was not treated as KD and developed multivessel giant coronary artery aneurysms (CAAs) (>8 mm), acute myocardial infarction, and complete heart block despite late intravenous IVIG administration...
February 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29600706/accelerating-the-pace-of-chemical-risk-assessment
#5
Robert Kavlock, Tina Bahadori, Tara S Barton-Maclaren, Maureen Gwinn, Mike Rasenberg, Russell S Thomas
Changes in chemical regulations worldwide have increased the demand for new data on chemical safety. New approach methodologies (NAMs) are defined broadly here as including in silico approaches, in chemico and in vitro assays, as well as the inclusion of information from the exposure of chemicals in the context of hazard1. NAMs for toxicity testing, including alternatives to animal testing approaches, have shown promise to provide a large amount of data to fill information gaps in both hazard and exposure. But even for data poor chemicals, regulatory authorities have limited experience in the application of NAMs...
March 30, 2018: Chemical Research in Toxicology
https://www.readbyqxmd.com/read/29556462/assessment-of-digital-literacy-and-use-of-smart-phones-among-central-indian-dental-students
#6
Payal Saxena, Saurabh Kumar Gupta, Divya Mehrotra, Shivam Kamthan, Husain Sabir, Pratibha Katiyar, S V Sai Prasad
Objectives: Education has largely been digitalized. More so, for professional education, keeping updated in this fast paced world has become a necessary requisite and dentistry has not been left untouched. This cross sectional questionnaire based study aimed to assess the digital literacy and smartphone usage amongst the 260 Central Indian dental students including their perspicacity about smartphone/internet usage for learning purposes. The students' attitude for implementation of digital technology in study programs/education system was also evaluated...
January 2018: Journal of Oral Biology and Craniofacial Research
https://www.readbyqxmd.com/read/29529181/estimation-of-myocardial-work-from-pressure-strain-loops-analysis-an-experimental-evaluation
#7
Arnaud Hubert, Virginie Le Rolle, Christophe Leclercq, Elena Galli, Eigil Samset, Cyrille Casset, Philippe Mabo, Alfredo Hernandez, Erwan Donal
Purpose: The area of left ventricular (LV) pressure-strain loop (PSL) is used as an index of regional myocardial work. The purpose of the present work is to compare the main segmental PSL markers and the derived global work indices, when they are calculated using an estimated pressure signal or an observed pressure signal. Methods and results: In nine patients implanted with a bi-ventricular pace-maker (CRT), LV pressure was invasively measured in five conditions: CRT-off, LV-pacing, right ventricular-pacing and two different CRT-pacing...
February 26, 2018: European Heart Journal Cardiovascular Imaging
https://www.readbyqxmd.com/read/29521872/artemisinin-based-combination-therapy-for-uncomplicated-malaria-management-among-children-under-five-in-cameroon-a-best-practice-implementation-project
#8
Patrick Mbah Okwen, Bedes Ngem, Olivette Ndum Chia, Raphael Cheabum, Sandeep Moola
OBJECTIVE: The aim of this evidence implementation project is to promote evidence-based practice in artemisinin-based combination therapy for managing uncomplicated malaria in children under five, thereby improving patient outcomes and resource utilization in the Bali Health District, Cameroon. INTRODUCTION: The burden of disease attributable to malaria has significantly improved in the last three years, however morbidity and mortality risks are still present, especially for children under five...
March 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29512472/a-rare-case-of-tricuspid-valve-endocarditis-caused-by-enterococcus-gallinarum-in-a-patient-with-recurrent-urinary-tract-infection
#9
Angelos Tsipis, Nikolaos Skandalakis, Nikolaos Kanakakis, Nektarios Pilatis, Evdokia Petropoulou
Infective endocarditis due to Enterococus Gallinarum is a rare clinical condition. We present a case of an 85 years old male with history of valvular disease and permanent pace maker with past medical history of repetitive urinary tract infections in the previous months, who presented to the emergency department with fever, urinary disturbances, general malaise and positive blood cultures for Enterococcus Gallinarum. Echocardiography was a useful diagnostic method in the present case, showing the vegetation on the tricuspid valve...
March 1, 2018: Cardiovascular & Hematological Disorders Drug Targets
https://www.readbyqxmd.com/read/29458311/double-superior-vena-cava-presentation-of-two-cases-and-review-of-the-literature
#10
Christos Farazi-Chongouki, Ioannis Dalianoudis, Anestis Ninos, Pantelis Diamantopoulos, Dimitrios Filippou, Stefanos Pierrakakis, Panagiotis Skandalakis
INTRODUCTION: Various anomalies in the development of the great thoracic veins of the embryo can be incidentally discovered in the normal adult. Duplication of superior vena cava (SVC) is a rare abnormality, but the most common thoracic venous congenital anomaly. Case reports-methods: We present two cases in the intensive care unit of our hospital, of asymptomatic patients who underwent an uneventful central line placement in the left subclavian vein. The track of the catheter, as shown in the X-ray, was misplaced to the left of the aorta and further investigation with computed tomography angiography confirmed a persistent left SVC...
February 19, 2018: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/29405594/maximal-efficiency-is-required-to-minimize-complications-and-hospital-stay-after-tavr
#11
EDITORIAL
Carlo Di Mario, Carlotta Sorini Dini
When TAVR is performed with transfemoral percutaneous approach, local anesthesia, no routine post-procedural intensive care admission, an early discharge (<3 days) can be adopted in most TAVR patients Avoiding peri-procedural complications and minimizing pace-maker implantation rate are key to allow early patient discharge When properly selected, patients discharged early have low discharge have low risk of adverse events and readmissions in the first 30 days.
February 1, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29313140/-annual-report-2015-of-the-german-cardiac-pacemaker-and-defibrillator-register-part-1-pace-makers
#12
REVIEW
A Markewitz
No abstract text is available yet for this article.
March 2018: Herzschrittmachertherapie & Elektrophysiologie
https://www.readbyqxmd.com/read/29286413/standardized-technique-of-aortic-valve-re-implantation-for-valve-sparing-aortic-root-replacement
#13
Reza Tavakoli, Guillaume Lebreton, Max Gassmann, Peiman Jamshidi, Pascal Leprince
Despite the obvious advantages of the preservation of a normal aortic valve during aortic root replacement, the complexity of valve sparing procedures prevents a number of cardiac surgeons from incorporating them into their practice. The aim of this protocol is to describe a simplified and user-friendly technique of an aortic valve-sparing root replacement (VSRR) procedure by re-implantation of the aortic valve. Proper selection of patients and limitations of the technique are discussed. In 54 consecutive patients, normal appearing aortic valves were re-implanted in a commercially available polyester prosthesis with pre-shaped sinuses by a simplified and standardized technique...
December 11, 2017: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29222075/examining-tensions-that-affect-the-evaluation-of-technology-in-health-care-considerations-for-system-decision-makers-from-the-perspective-of-industry-and-evaluators
#14
Laura Desveaux, James Shaw, Ross Wallace, Onil Bhattacharyya, R Sacha Bhatia, Trevor Jamieson
Virtual technologies have the potential to mitigate a range of challenges for health care systems. Despite the widespread use of mobile devices in everyday life, they currently have a limited role in health service delivery and clinical care. Efforts to integrate the fast-paced consumer technology market with health care delivery exposes tensions among patients, providers, vendors, evaluators, and system decision makers. This paper explores the key tensions between the high bar for evidence prior to market approval that guides health care regulatory decisions and the "fail fast" reality of the technology industry...
December 8, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29215340/a-report-of-brugada-syndrome-presenting-with-cardiac-arrest-triggered-by-verapamil-intoxication
#15
Kahraman Yakut, İlkay Erdoğan, Birgül Varan, İlyas Atar
BACKGROUND: Brugada syndrome is a disease characterized by a specific electrocardiographic pattern and an increased risk of sudden cardiac death. We present this case with the updated literature to emphasise the need to consider the diagnosis of Brugada syndrome in patients admitted to the emergency ward with sudden cardiac arrest. CASE REPORT: A 16-year-old female patient was admitted to the emergency ward with complaints of weakness and abdominal pain, and she had four cardiac arrests during her evaluation period...
December 1, 2017: Balkan Medical Journal
https://www.readbyqxmd.com/read/29213159/nexus-between-demographic-change-and-elderly-care-need-in-the-gulf-cooperation-council-gcc-countries-some-policy-implications
#16
Hafiz T A Khan, Shereen Hussein, John Deane
Population ageing is a phenomenon affecting the whole world. The countries that make up the Gulf Cooperation Council (GCC) are no exception but transitions in population ageing are still in the early stages of the process. With current demographic dividends experienced by the GCC and the rest of the Middle-East, the pace of population ageing will be faster than that experienced by many European countries. The purpose of this paper is to explore the population ageing experience of different GCC countries while situating this within a context of social policies that still at the very early stages of acknowledging such change...
2017: Ageing International
https://www.readbyqxmd.com/read/29207228/-clinical-practice-for-the-diagnosis-of-cardiac-arrhythmias-in-patients-on-renal-replacement-therapy-data-from-a-lombard-survey
#17
Simonetta Genovesi, Elisa Nava, Alice Pasa, Enzo Corghi, Patrizia Ondei, Elisabetta Marta, Antonio Bellasi, Fabio Malberti, Ugo Teatini, Carlo Maria Guastoni, Leonardo Spatola, Maria Carmen Luise, Renza Tiboldo, Silvio Bertoli, Piergiorgio Messa, Maria Doria, Maurizio Gallieni, Mario Cozzolino, Donatella Spotti, Valeria Sala, Elisabetta Sironi, Giuseppe Boriani
Among dialysis patients, 40% of deaths are due to cardiovascular causes, and 60% of cardiac deaths are due to an arrhythmia. The purpose of this survey, carried out with the organizational support of the Lombard Section of the Italian Society of Nephrology, is to evaluate the frequency and mode of use of non-invasive instruments for the diagnosis of cardiac arrhythmias in the dialysis centers of Lombardy. Information on the prevalence and type of cardiac devices at December 1, 2016 in this population was also required...
December 5, 2017: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
https://www.readbyqxmd.com/read/29199781/velocity-distribution-of-women-s-30-km-cross-country-skiing-during-olympic-games-from-2002-2014
#18
Wlodzimierz S Erdmann, Dorota Dancewicz-Nosko, Vasilios Giovanis
BACKGROUND: Within several investigated endurance sport disciplines the distribution of load of the best competitors has a manner of evenly or slightly rising velocity values. Unfortunately many other competitors have usually diminishing values or when they are very poor they have evenly values. The aim of this study was to investigate distribution of velocity within 30-km cross-country female skiers. METHODS: Cross-country skiing runs were investigated of Olympic Games 2002-2014 (Salt Lake City, Turin, Vancouver, Sochi)...
December 1, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/29176807/adolescent-motherhood-in-bangladesh-trends-and-determinants
#19
Mohammad Mainul Islam, Md Kamrul Islam, Mohammad Sazzad Hasan, Mohammad Bellal Hossain
BACKGROUND: While studies on fertility and contraceptives issues are available, until recently adolescent motherhood has not received enough attention among policy makers in understanding adolescent motherhood in Bangladesh. We aimed to examine the trends and determinants of adolescent motherhood among women aged 15-49 years. METHODS: For trend analysis we used all the 7 waves of Bangladesh Demographic and Health Survey (BDHS, 1993-2014) data but for multivariate analysis 4 waves of BDHS (2004-2014)...
2017: PloS One
https://www.readbyqxmd.com/read/29174823/modified-balloon-aortic-valvuloplasty-in-fragile-symptomatic-patients-unsuitable-for-both-surgical-and-percutaneous-valve-replacement
#20
Gianluca Rigatelli, Fabio Dell'Avvocata, Luca Conte, Daniela Lanza, Sara Giatti, Pierluigi Del Santo, Loris Roncon, Giuseppe Faggian
BACKGROUND: Balloon Aortic valvuloplasty (BAV) is considered as a bridge therapy to percutaneous valve implantation or a palliative treatment in patients with aortic valve stenosis (AVS). Potential risk of complications, in particular in fragile patients, is still not negligible. AIM: To describe the technique and outcomes of modified BAV in fragile symptomatic patients unsuitable for other treatments using no-pacing and minimally invasive approach. METHODS: Symptomatic fragile patients with severe aortic valve stenosis judged unsuitable by the heart team for surgical or percutaneous valve implantation from 1 September 2013 to 1 September 2017 were offered modified BAV...
October 19, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
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