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JOURNAL ARTICLE
Patrick P, Reupert A, Berger E, Morris Z, Diamond Z, Hammer M, Hine R, Fathers C
BACKGROUND: Growing demands on educators have resulted in increased levels of burnout and stress and decreasing wellbeing. This study aimed to establish expert consensus on the key characteristics required in prospective educator wellbeing initiatives. METHODS: The Delphi approach is a process of forecasting that is based on the aggregated opinion of panel members (or experts) within a field of study. Using a Delphi approach, academic and practitioner expertise were sought over a two-rounds, with 17 and 14 participants in each round respectively...
April 22, 2024: BMC Psychology
#2
JOURNAL ARTICLE
Yajie Feng, Chaojie Liu, Siyi Tao, Chen Wang, Huanyu Zhang, Xinru Liu, Zhaoyue Liu, Wei Liu, Juan Zhao, Dandan Zou, Zhixin Liu, Junping Liu, Nan Wang, Lin Wu, Qunhong Wu, Yanhua Hao, Weilan Xu, Libo Liang
BACKGROUND: Poor nurse-patient relationship poses an obstacle to care delivery, jeopardizing patient experience and patient care outcomes. Measuring nurse-patient relationship is challenging given its multi-dimensional nature and a lack of well-established scales. PURPOSE: This study aimed to develop a multi-dimensional scale measuring nurse-patient relationship in China. METHODS: A preliminary scale was constructed based on the existing literature and Delphi consultations with 12 nursing experts...
April 22, 2024: BMC Nursing
#3
JOURNAL ARTICLE
Abel A Pavía-López, José A Magaña-Serrano, José A Cigarroa-López, Adolfo Chávez-Mendoza, José L Mayorga-Butrón, Diego Araiza-Garaygordobil, Juan B Ivey-Miranda, Gustavo F Méndez-Machado, Héctor González-Godínez, Luisa F Aguilera-Mora, Antonio Jordán-Ríos, Luis Olmos-Domínguez, Marcos J Olalde-Román, Emma M Miranda-Malpica, Zuilma Vázquez-Ortiz, Jorge Rayo-Chávez, Alexandra A Mendoza, Manlio F Márquez-Murillo, Sergio A Chávez-Leal, Amada Álvarez-San Gabriel, Marissa A Silva-García, Alex D Pacheco-Bouthiller, Jorge A Aldrete-Velazco, Carlos A Guizar-Sánchez, Efraín Gaxiola-López, Arturo Guerra-López, Lourdes Figueiras-Graillet, Gustavo Sánchez-Miranda, Genaro H Mendoza-Zavala, Moisés Aceves-García, Adolfo Chávez-Negrete, Marisol Arroyo-Hernández, Bertha B Montaño-Velázquez, Luis F Romero-Moreno, María M Baquero-Hoyos, Liliana Velasco-Hidalgo, Ana L Rodríguez-Lozano, Nancy E Aguilar-Gómez, Mario Rodríguez-Vega, Jorge E Cossío-Aranda
Chronic heart failure continues to be one of the main causes of impairment in the functioning and quality of life of people who suffer from it, as well as one of the main causes of mortality in our country and around the world. Mexico has a high prevalence of risk factors for developing heart failure, such as high blood pressure, diabetes, and obesity, which makes it essential to have an evidence-based document that provides recommendations to health professionals involved in the diagnosis and treatment of these patients...
2024: Archivos de Cardiología de México
#4
JOURNAL ARTICLE
I Nieto, X Mayo, L Davies, L Reece, B W Strafford, A Jimenez
BACKGROUND: Physical activity and sport (PAS) have been related to many health outcomes and social benefits. The main aim of this research is to build a Social Return on Investment (SROI) model of PAS based on experts' opinion to clarify the domains of impact and how to measure and value them. METHODS AND ANALYSIS: A Delphi method will be employed with a systematic review on the SROI framework applied to PAS and initial interviews with experts informing the design of the Delphi survey statements...
2024: Frontiers in sports and active living
#5
JOURNAL ARTICLE
Laurie Fraticelli, Elise Verot, Hans-Martin Späth, Marine C Genton, Cédric Kempf, Celine Clement, Adeline Darlington-Bernard, Sylvain Roy, Claude Dussart, Gérard Mick, Florence Carrouel
INTRODUCTION: The healthcare pathway is at the heart of public health organization concerns, but communication between the various players can be an obstacle. This work, produced by a French transdisciplinary team, offers a methodological approach based on formalized consensus to elaborate a glossary of healthcare pathways. A two-steps procedure was elaborated, including a double rounded Delphi method to formalize expert consensus, and two groups of experts: a workgroup and a review group...
2024: Frontiers in Public Health
#6
Amy C Moreno, Erin E Watson, Laia Humbert-Vidan, Douglas E Peterson, Lisanne V van Dijk, Teresa Guerrero Urbano, Lisa Van den Bosch, Andrew J Hope, Matthew S Katz, Frank J P Hoebers, Ruth A Aponte Wesson, James E Bates, Paolo Bossi, Adeyinka F Dayo, Mélanie Doré, Eduardo Rodrigues Fregnani, Thomas J Galloway, Daphna Y Gelblum, Issa A Hanna, Christina E Henson, Sudarat Kiat-Amnuay, Anke Korfage, Nancy Y Lee, Carol M Lewis, Charlotte Duch Lynggaard, Antti A Mäkitie, Marco Magalhaes, Yvonne M Mowery, Carles Muñoz-Montplet, Jeffrey N Myers, Ester Orlandi, Jaymit Patel, Jillian M Rigert, Deborah Saunders, Jonathan D Schoenfeld, Ugur Selek, Efsun Somay, Vinita Takiar, Juliette Thariat, Gerda M Verduijn, Alessandro Villa, Nick West, Max J H Witjes, Alex Won, Mark E Wong, Christopher M K L Yao, Simon W Young, Kamal Al-Eryani, Carly E A Barbon, Doke J M Buurman, François J Dieleman, Theresa M Hofstede, Abdul Ahad Khan, Adegbenga O Otun, John C Robinson, Lauren Hum, Jorgen Johansen, Rajesh Lalla, Alexander Lin, Vinod Patel, Richard J Shaw, Mark S Chambers, Daniel Ma, Mabi Singh, Noam Yarom, Abdallah Sherif Radwan Mohamed, Katherine A Hutcheson, Stephen Y Lai, Clifton David Fuller
PURPOSE: Osteoradionecrosis of the jaw (ORNJ) is a severe iatrogenic disease characterized by bone death after radiation therapy (RT) to the head and neck. With over 9 published definitions and at least 16 diagnostic/staging systems, the true incidence and severity of ORNJ are obscured by lack of a standard for disease definition and severity assessment, leading to inaccurate estimation of incidence, reporting ambiguity, and likely under-diagnosis worldwide. This study aimed to achieve consensus on an explicit definition and phenotype of ORNJ and related precursor states through data standardization to facilitate effective diagnosis, monitoring, and multidisciplinary management of ORNJ...
April 9, 2024: medRxiv
#7
JOURNAL ARTICLE
Sirat Lodhi, Emma Stapleton
No abstract text is available yet for this article.
April 22, 2024: Journal of Laryngology and Otology
#8
JOURNAL ARTICLE
(no author information available yet)
Far-advanced gastric cancer has always been a challenging problem in clinical treatment and a key direction for breakthrough research. Non-surgical treatments are primarily managed in patients with far-advanced gastric cancer. However, with the advancement of therapeutic methods in recent years, tumor foci can be significantly regressed after effective preoperative treatment, in prospect ofregaining the opportunity of radical gastrectomy. In the surgical field, laparoscopic surgery, as one of the routine methods for gastric cancer, has proven effective in the treatment of initially resectable gastric cancer...
April 23, 2024: Zhonghua Yi Xue za Zhi [Chinese medical journal]
#9
JOURNAL ARTICLE
Christian Peter Subbe, Adnan Gebril, Catherine Atkin, Latif Raiyan Rahman, Vicky Ann Komrower
Same Day Emergency Care (SDEC) services are at the heart of recovery plans for Emergency Care in the National Health Service. There are no validated metrics for the quality of care in SDEC. The Society for Acute Medicine's Quality Improvement Committee invited to a three-stage modified Delphi process to gather metrics used by clinicians. Proposed metrics were ranked and further explored by 33 participating experts from a broad range of backgrounds including clinicians, data scientists and operational managers...
April 19, 2024: Clinical Medicine: Journal of the Royal College of Physicians of London
#10
JOURNAL ARTICLE
Giancarlo Di Gennaro, Simona Lattanzi, Oriano Mecarelli, Francesco Saverio Mennini, Federico Vigevano
BACKGROUND: Epilepsy, a globally prevalent neurological condition, presents distinct challenges in management, particularly for focal-onset types. This study aimed at addressing the current challenges and perspectives in focal epilepsy management, with focus on the Italian reality. METHODS: Using the Delphi methodology, this research collected and analyzed the level of consensus of a panel of Italian epilepsy experts on key aspects of focal epilepsy care. Areas of focus included patient flow, treatment pathways, controlled versus uncontrolled epilepsy, follow-up protocols, and the relevance of patient-reported outcomes (PROs)...
April 20, 2024: Epilepsy & Behavior: E&B
#11
JOURNAL ARTICLE
Magali Brousseau-Foley, Virginie Blanchette, Julie Houle, François Trudeau
BACKGROUND: Primary care professionals encounter difficulties coordinating the continuum of care between primary care providers and second-line specialists and adhere to practice guidelines pertaining to diabetic foot ulcers management. Family medicine groups are providing primary care services aimed to improve access, interdisciplinary care, coordination and quality of health services, and reduce emergency department visits. Most professionals working in family medicine groups are primary care physicians and registered nurses...
April 20, 2024: BMC Prim Care
#12
JOURNAL ARTICLE
Shelley Potter, Kerry Avery, Rosina Ahmed, Jana de Boniface, Sanjoy Chatterjee, David Dodwell, Peter Dubsky, Hiroji Iwata, Michael Jiang, Han-Byoel Lee, Mairead MacKenzie, Fiorita Poulakaki, Andrea L Richardson, Karla Sepulveda, Andrew Spillane, Alastair M Thompson, Gustavo Werutsky, Jean L Wright, Nicholas Zdenkowski, Katherine Cowan, Stuart McIntosh
INTRODUCTION: Neoadjuvant systemic anticancer therapy (neoSACT) is increasingly used in the treatment of early breast cancer. Response to therapy is prognostic and allows locoregional and adjuvant systemic treatments to be tailored to minimise morbidity and optimise oncological outcomes and quality of life. Accurate information about locoregional treatments following neoSACT is vital to allow the translation of downstaging benefits into practice and facilitate meaningful interpretation of oncological outcomes, particularly locoregional recurrence...
April 19, 2024: BMJ Open
#13
JOURNAL ARTICLE
A Riera-Mestre, J S García Morillo, J Castelbón Fernández, M E Hernández-Contreras, P Aguilera Peiró, J Jacob, F Martínez Valle, E Guillén-Navarro, M Morales-Conejo
BACKGROUND: Acute hepatic porphyrias (AHPs) are a group of rare diseases that encompasses acute intermittent porphyria, variegate porphyria, hereditary coproporphyria, and 5-aminolaevulinic acid dehydratase deficiency porphyria. Symptoms of AHP are nonspecific which, together with its low prevalence, difficult the diagnosis and follow-up of these patients. MATERIAL AND METHODS: This project used DELPHI methodology to answer PICO questions related to management of patients with AHPs...
April 18, 2024: Revista Clínica Espanõla
#14
JOURNAL ARTICLE
Julie Kanter, Kenneth I Ataga, Neha Bhasin, Stephanie Guarino, Abdullah Kutlar, Sophie Lanzkron, Deepa Manwani, Patrick McGann, Sean R Stowell, Venée N Tubman, Irina Yermilov, Cynthia Campos, Michael S Broder
Crizanlizumab, a monoclonal antibody against P-selectin, has been shown to reduce vaso-occlusive crises (VOCs) compared to placebo in patients ≥ 16 years with sickle cell disease (SCD). However, there have been rare reports of patients experiencing severe pain and subsequent complications within 24 hours of crizanlizumab infusions. These events are defined as infusion-related reactions (IRRs). Informed by current literature and clinical experience, a group of content experts developed clinical guidelines for the management of IRRs in patients with SCD...
April 20, 2024: Annals of Hematology
#15
JOURNAL ARTICLE
Theresa Coles, Rebecca Fillipo, Kate Plyler, Alexy Hernandez, Debra M Henke, Cara Arizmendi, Sarah Cantrell, Sandhya Lagoo-Deenadayalan, C Rory Goodwin, Thomas W LeBlanc, Erica G Horodniceanu, Vishal Bhatnagar, Bryce B Reeve, Kevin Weinfurt
PURPOSE: The U.S. Food & Drug Administration has identified physical functioning (PF) as a core patient-reported outcome (PRO) in cancer clinical trials. The purpose of this study was to identify PF PRO measures (PROMs) in adult cancer populations and classify the PROMs by content covered (facets of PF) in each measure. METHODS: As part of the Patient Reports of Physical Functioning Study (PROPS) research program, we conducted a targeted literature review to identify PROMs that could be used in clinical trials to evaluate PF from the patient perspective...
April 20, 2024: Quality of Life Research
#16
Sravanthi Parasa, Tyler Berzin, Cadman Leggett, Seth Gross, Alessandro Repici, Omer F Ahmad, Austin Chiang, Nayantara Coelho-Prabhu, Jonathan Cohen, Evelien Dekker, Rajesh N Keswani, Charles E Kahn, Cesare Hassan, Nicholas Petrick, Peter Mountney, Jonathan Ng, Michael Riegler, Yuichi Mori, Yutaka Saito, Shyam Thakkar, Irving Waxman, Michael Bradley Wallace, Prateek Sharma
BACKGROUND AND AIMS: The American Society for Gastrointestinal Endoscopy (ASGE) AI Task Force along with experts in endoscopy, technology space, regulatory authorities, and other medical subspecialties initiated a consensus process that analyzed the current literature, highlighted potential areas, and outlined the necessary research in artificial intelligence (AI) to allow a clearer understanding of AI as it pertains to endoscopy currently. METHODS: A modified Delphi process was used to develop these consensus statements...
April 16, 2024: Gastrointestinal Endoscopy
#17
JOURNAL ARTICLE
Yilin Xia, Yifei Duan, Leihao Sha, Wanlin Lai, Zhimeng Zhang, Jiaxin Hou, Lei Chen
BACKGROUND: The effective management of epilepsy in women of child-bearing age necessitates a concerted effort from multidisciplinary teams. Nevertheless, there exists an inadequacy in the seamless exchange of knowledge among healthcare providers within this context. Consequently, it is imperative to enhance the availability of informatics resources and the development of decision support tools to address this issue comprehensively. MATERIALS AND METHODS: The development of the Women with Epilepsy of Child-Bearing Age Ontology (WWECA) adhered to established ontology construction principles...
April 18, 2024: BMC Medical Informatics and Decision Making
#18
JOURNAL ARTICLE
Leonardo Baldaçara, Flávia Ismael, Daniel Kawakami, Gislene Alves da Rocha, Elie Leal de Barros Calfat, Deisy Mendes Porto, Beatriz Ferroli Cavalcante, Beatriz Plotegher Zaramella, Flávio Veloso Ribeiro, Roberto Mendes Dos Santos, Roberta Rossi Grudtner, Teng Chei Tung, Antônio Geraldo da Silva
INTRODUCTION: An integral part of Brazil's public health system, the psychiatric emergency service (PES) has been instrumental in improving qualified support for crisis situations of mental disorders, equitable, universally accessible, and humanized. The purpose of this article is to present a systematic review and consensus about the physical area and facilities, and ideal team qualified for psychiatric emergencies services on both Brazilian settings. METHODS: The authors conducted a literature search using electronic databases such as MEDLINE (PubMed), Scielo, the Cochrane Database, and documents from the WHO, the Brazilian Ministry of Health, and others deemed relevant by experts...
April 18, 2024: Revista Brasileira de Psiquiatria
#19
JOURNAL ARTICLE
Paolo Morgagni, Maria Bencivenga, Fatima Carneiro, Stefano Cascinu, Sarah Derks, Maria Di Bartolomeo, Claire Donohoe, Clarisse Eveno, Suzanne Gisbertz, Peter Grimminger, Ines Gockel, Heike Grabsh, Paulo Kassab, Rupert Langer, Sara Lonardi, Marco Maltoni, Sheraz Markar, Markus Moehler, Daniele Marrelli, Maria Antonietta Mazzei, Davide Melisi, Carlo Milandri, Paul Stefan Moenig, Bianca Mostert, Gianni Mura, Wojciech Polkowski, John Reynolds, Luca Saragoni, Mark I Van Berge Henegouwen, Richard Van Hillegersberg, Michael Vieth, Giuseppe Verlato, Lorena Torroni, Bas Wijnhoven, Guido Alberto Massimo Tiberio, Han-Kwang Yang, Franco Roviello, Giovanni de Manzoni
BACKGROUND: Many gastric cancer patients in Western countries are diagnosed as metastatic with a median overall survival of less than twelve months using standard chemotherapy. Innovative treatments, like targeted therapy or immunotherapy, have recently proved to ameliorate prognosis, but a general agreement on managing oligometastatic disease has yet to be achieved. An international multi-disciplinary workshop was held in Bertinoro, Italy, in November 2022 to verify whether achieving a consensus on at least some topics was possible...
April 18, 2024: Gastric Cancer
#20
JOURNAL ARTICLE
Mahsa Meimandi, Ghorban Taghizadeh, Golnoush Kheirollahi, Jafar Haj Ghani, Fatemeh HojabriFard, Philip von Rosen, Akram Azad
IMPORTANCE: A sense of agency is associated with complex occupation-related responsibilities. A taxonomy can guide clinicians in enhancing responsibility in patients with Parkinson's disease (PwPD). OBJECTIVE: To (1) discover levels of responsibility in occupations for PwPD and (2) propose a taxonomy for occupations. DESIGN: A two-round Delphi study with PwPD and a one-round Delphi study with international experts. SETTING: Electronic survey...
May 1, 2024: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
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