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https://www.readbyqxmd.com/read/29455703/the-development-of-a-single-health-endorsement-logo-for-south-africa
#1
Nelene Koen, Edelweiss Wentzel-Viljoen, Reneé Blaauw
OBJECTIVE: To develop health-endorsement logos (HEL) for food products indicating healthy choices based on the South African nutrient profile model and to pilot test these logos with consumers. DESIGN: Multistage mixed-methods design. SETTING: Cape Town, South Africa. SUBJECTS: Nine focus group discussions (FGD) were conducted with adult consumers to explore what types of HEL are preferred and why. Based on the findings, ten HEL were designed by a graphic design team...
February 19, 2018: Public Health Nutrition
https://www.readbyqxmd.com/read/29454368/survey-indicated-that-core-outcome-set-development-is-increasingly-including-patients-being-conducted-internationally-and-using-delphi-surveys
#2
Alice M Biggane, Lucy Brading, Philippe Ravaud, Bridget Young, Paula R Williamson
BACKGROUND: There are numerous challenges in including patients in a core outcome set (COS) study, these can vary depending on the patient group. This study describes current efforts to include patients in the development of COS, with the aim of identifying areas for further improvement and study. METHODS: Using the COMET database, corresponding authors of COS projects registered or published from 1 January 2013 to 2 February 2017 were invited via a personalised email to participate in a short online survey...
February 17, 2018: Trials
https://www.readbyqxmd.com/read/29450466/diagnostic-criteria-of-ulcerative-pyoderma-gangrenosum-a-delphi-consensus-of-international-experts
#3
Emanual Maverakis, Chelsea Ma, Kanade Shinkai, David Fiorentino, Jeffrey P Callen, Uwe Wollina, Angelo Valerio Marzano, Daniel Wallach, Kyoungmi Kim, Courtney Schadt, Anthony Ormerod, Maxwell A Fung, Andrea Steel, Forum Patel, Rosie Qin, Fiona Craig, Hywel C Williams, Frank Powell, Alexander Merleev, Michelle Y Cheng
Importance: Pyoderma gangrenosum is a rare inflammatory skin condition that is difficult to diagnose. Currently, it is a "diagnosis of exclusion," a definition not compatible with clinical decision making or inclusion for clinical trials. Objective: To propose and validate diagnostic criteria for ulcerative pyoderma gangrenosum. Evidence Review: Diagnostic criteria were created following a Delphi consensus exercise using the RAND/UCLA Appropriateness Method...
February 14, 2018: JAMA Dermatology
https://www.readbyqxmd.com/read/29442335/early-assessment-of-the-likely-cost-effectiveness-of-single-use-flexible-video-bronchoscopes
#4
Christoffer Lilja Terjesen, Julia Kovaleva, Lars Ehlers
BACKGROUND: Bronchoscopic procedures are common in the clinical setting, with estimates indicating 500,000 are undertaken per year in the USA alone. These procedures are generally regarded as safe. Unfortunately, a risk of cross-contamination between patients, with possible subsequent infection, is associated with the re-usable technology typically used in these procedures. OBJECTIVE: Our objective was to conduct an early cost-effectiveness analysis (CEA) of single-use flexible video bronchoscope technology compared with the current reusable technology in a US hospital intensive care setting...
June 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29441525/core-outcome-sets-in-dermatology-report-from-the-second-meeting-of-the-international-cochrane-skin-group-core-outcome-set-initiative
#5
J Kottner, L Jacobi, E Hahnel, M Alam, K Balzer, D Beeckman, C Busard, J Chalmers, S Deckert, V Eleftheriadou, K Furlan, S E R Horbach, J Kirkham, A Nast, P Spuls, D Thiboutot, L Thorlacius, K Weller, H C Williams, J Schmitt
Results of clinical trials are the most important information source for generating external clinical evidence. The use of different outcomes across trials, which investigate similar interventions for similar patient groups, significantly limits the interpretation, comparability and clinical application of trial results. Core outcome sets (COSs) aim to overcome this limitation. A COS is an agreed standardized collection of outcomes that should be measured and reported in all clinical trials for a specific clinical condition...
February 14, 2018: British Journal of Dermatology
https://www.readbyqxmd.com/read/29438429/choosing-important-health-outcomes-for-comparative-effectiveness-research-an-updated-systematic-review-and-involvement-of-low-and-middle-income-countries
#6
Katherine Davis, Sarah L Gorst, Nicola Harman, Valerie Smith, Elizabeth Gargon, Douglas G Altman, Jane M Blazeby, Mike Clarke, Sean Tunis, Paula R Williamson
BACKGROUND: Core outcome sets (COS) comprise a minimum set of outcomes that should be measured and reported in all trials for a specific health condition. The COMET (Core Outcome Measures in Effectiveness Trials) Initiative maintains an up to date, publicly accessible online database of published and ongoing COS. An annual systematic review update is an important part of this process. METHODS: This review employed the same, multifaceted approach that was used in the original review and the previous two updates...
2018: PloS One
https://www.readbyqxmd.com/read/29437862/structure-and-functions-of-pediatric-aerodigestive-programs-a-consensus-statement
#7
R Paul Boesch, Karthik Balakrishnan, Sari Acra, Dan T Benscoter, Shelagh A Cofer, Joseph M Collaco, John P Dahl, Cori L Daines, Alessandro DeAlarcon, Emily M DeBoer, Robin R Deterding, Joel A Friedlander, Benjamin D Gold, Rayna M Grothe, Catherine K Hart, Mikhail Kazachkov, Maureen A Lefton-Greif, Claire Kane Miller, Paul E Moore, Scott Pentiuk, Stacey Peterson-Carmichael, Joseph Piccione, Jeremy D Prager, Philip E Putnam, Rachel Rosen, Michael J Rutter, Matthew J Ryan, Margaret L Skinner, Cherie Torres-Silva, Christopher T Wootten, Karen B Zur, Robin T Cotton, Robert E Wood
Aerodigestive programs provide coordinated interdisciplinary care to pediatric patients with complex congenital or acquired conditions affecting breathing, swallowing, and growth. Although there has been a proliferation of programs, as well as national meetings, interest groups and early research activity, there is, as of yet, no consensus definition of an aerodigestive patient, standardized structure, and functions of an aerodigestive program or a blueprint for research prioritization. The Delphi method was used by a multidisciplinary and multi-institutional panel of aerodigestive providers to obtain consensus on 4 broad content areas related to aerodigestive care: (1) definition of an aerodigestive patient, (2) essential construct and functions of an aerodigestive program, (3) identification of aerodigestive research priorities, and (4) evaluation and recognition of aerodigestive programs and future directions...
February 7, 2018: Pediatrics
https://www.readbyqxmd.com/read/29435499/2016-sosort-guidelines-orthopaedic-and-rehabilitation-treatment-of-idiopathic-scoliosis-during-growth
#8
REVIEW
Stefano Negrini, Sabrina Donzelli, Angelo Gabriele Aulisa, Dariusz Czaprowski, Sanja Schreiber, Jean Claude de Mauroy, Helmut Diers, Theodoros B Grivas, Patrick Knott, Tomasz Kotwicki, Andrea Lebel, Cindy Marti, Toru Maruyama, Joe O'Brien, Nigel Price, Eric Parent, Manuel Rigo, Michele Romano, Luke Stikeleather, James Wynne, Fabio Zaina
Background: The International Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) produced its first guidelines in 2005 and renewed them in 2011. Recently published high-quality clinical trials on the effect of conservative treatment approaches (braces and exercises) for idiopathic scoliosis prompted us to update the last guidelines' version. The objective was to align the guidelines with the new scientific evidence to assure faster knowledge transfer into clinical practice of conservative treatment for idiopathic scoliosis (CTIS)...
2018: Scoliosis and Spinal Disorders
https://www.readbyqxmd.com/read/29430304/all-nurses-need-to-be-research-nurses
#9
Patricia Eckardt, Marilyn J Hammer, Margaret Barton-Burke, Margaret McCabe, Christine T Kovner, Liza Behrens, Heather Reens, Barry S Coller
Introduction: Nurses are critical to the research enterprise. However all nurses are not prepared to participate as members of the research team since education and training in clinical research nursing and nurse-specific Good Clinical Practice are not consistently included in nursing curricula. The lack of nurse education and training in clinical research and Good Clinical Practice leaves research participants vulnerable with a nursing workforce that is not prepared to balance fidelity to protocol and patient quality care and safety...
October 2017: Journal of Clinical and Translational Science
https://www.readbyqxmd.com/read/29428627/-competency-requirements-for-executives-in-healthcare-and-social-services-organizations-results-of-a-delphi-study
#10
Martin Pielach, Hans-Joachim Schubert
BACKGROUND: Leadership in social services and healthcare organizations is marked by high levels of complexity and contradiction, which cannot be fully explained by politically, economically, and socially induced changes. Rather, it is the particularities of service provision in healthcare and social services that confront executives with specific demands. OBJECTIVE: This study aimed to capture and prioritize required leadership competencies in healthcare and social services organizations...
February 7, 2018: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/29422404/new-challenges-for-a-core-procedure-development-of-a-faculty-workshop-for-skills-maintenance-for-abdominal-hysterectomy
#11
Lori R Berkowitz, Kaitlyn James, Emil Petrusa, Carey York-Best, Anjali J Kaimal
OBJECTIVE: To describe the development of a low-cost educational module for OB/GYN faculty skills maintenance for total abdominal hysterectomy (TAH), a low frequency core procedure in obstetrics and gynecology. DESIGN: After review of existing educational tools and utilization of a modified Delphi method to establish consensus regarding key procedural components for skills maintenance, a 2-hour workshop was developed to review knowledge and participate in a simulation focused on the critical steps in performing TAH...
February 5, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29414559/development-of-outcome-criteria-to-measure-effectiveness-of-antiepileptic-therapy-in-children
#12
Roshini Murugupillai, Shalini Sri Ranganathan, Jithangi Wanigasinghe, Ravi Muniyandi, Carukshi Arambepola
PURPOSE: Clinical trials of antiepileptic drugs frequently measure outcomes of seizure control, which demonstrate efficacy. Yet, functional status, quality of life, and long-term treatment effects reflecting effectiveness are scarcely assessed. We sought to use a consensus method to help identify which outcome criteria key stakeholders consider should be used to measure effectiveness in trials of antiepileptic treatments for children. METHOD: A two-round Delphi survey was used; parents of children with epilepsy and local, international experts comprising academics and clinicians participated in the survey...
January 23, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29413733/building-consensus-development-of-best-practice-guidelines-on-wrong-level-surgery-in-spinal-deformity
#13
Michael Vitale, Anas Minkara, Hiroko Matsumoto, Todd Albert, Richard Anderson, Peter Angevine, Aaron Buckland, Samuel Cho, Matthew Cunningham, Thomas Errico, Charla Fischer, Han Jo Kim, Ronald Lehman, Baron Lonner, Peter Passias, Themistocles Protopsaltis, Frank Schwab, Lawrence Lenke
STUDY DESIGN: Consensus-building using the Delphi and nominal group technique. OBJECTIVE: To establish best practice guidelines using formal techniques of consensus building among a group of experienced spinal deformity surgeons to avert wrong-level spinal deformity surgery. SUMMARY OF BACKGROUND DATA: Numerous previous studies have demonstrated that wrong-level spinal deformity occurs at a substantial rate, with more than half of all spine surgeons reporting direct or indirect experience operating on the wrong levels...
March 2018: Spine Deformity
https://www.readbyqxmd.com/read/29413182/expert-opinion-is-necessary-delphi-panel-methodology-facilitates-a-scientific-approach-to-consensus
#14
EDITORIAL
Erik Hohmann, Jefferson C Brand, Michael J Rossi, James H Lubowitz
Our current trend and focus on evidence-based medicine is biased in favor of randomized controlled trials, which are ranked highest in the hierarchy of evidence while devaluing expert opinion, which is ranked lowest in the hierarchy. However, randomized controlled trials have weaknesses as well as strengths, and no research method is flawless. Moreover, stringent application of scientific research techniques, such as the Delphi Panel methodology, allows survey of experts in a high quality and scientific manner...
February 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29411044/second-consensus-on-the-assessment-of-sublingual-microcirculation-in-critically-ill-patients-results-from-a-task-force-of-the-european-society-of-intensive-care-medicine
#15
Can Ince, E Christiaan Boerma, Maurizio Cecconi, Daniel De Backer, Nathan I Shapiro, Jacques Duranteau, Michael R Pinsky, Antonio Artigas, Jean-Louis Teboul, Irwin K M Reiss, Cesar Aldecoa, Sam D Hutchings, Abele Donati, Marco Maggiorini, Fabio S Taccone, Glenn Hernandez, Didier Payen, Dick Tibboel, Daniel S Martin, Alexander Zarbock, Xavier Monnet, Arnaldo Dubin, Jan Bakker, Jean-Louis Vincent, Thomas W L Scheeren
PURPOSE: Hand-held vital microscopes (HVMs) were introduced to observe sublingual microcirculatory alterations at the bedside in different shock states in critically ill patients. This consensus aims to provide clinicians with guidelines for practical use and interpretation of the sublingual microcirculation. Furthermore, it aims to promote the integration of routine application of HVM microcirculatory monitoring in conventional hemodynamic monitoring of systemic hemodynamic variables...
February 6, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29409370/clinical-practice-guideline-for-sj%C3%A3-gren-s-syndrome-2017
#16
Takayuki Sumida, Naoto Azuma, Masafumi Moriyama, Hiroyuki Takahashi, Hiromitsu Asashima, Fumika Honda, Saori Abe, Yuko Ono, Tomoya Hirota, Shintaro Hirata, Yoshiya Tanaka, Toshimasa Shimizu, Hideki Nakamura, Atsushi Kawakami, Hajime Sano, Yoko Ogawa, Kazuo Tsubota, Koufuchi Ryo, Ichiro Saito, Akihiko Tanaka, Seiji Nakamura, Etsuko Takamura, Masao Tanaka, Katsuya Suzuki, Tsutomu Takeuchi, Noriyuki Yamakawa, Tsuneyo Mimori, Akiko Ohta, Susumu Nishiyama, Toshio Yoshihara, Yasunori Suzuki, Mitsuhiro Kawano, Minako Tomiita, Hiroto Tsuboi
OBJECTIVES: To develop clinical practice guideline (CPG) for Sjögren's syndrome (SS) based on recently available clinical and therapeutic evidences. METHODS: The CPG committee for SS was organized by the Research Team for Autoimmune Diseases, Research Program for Intractable Disease of the Ministry of Health, Labor and Welfare (MHLW), Japan. The committee completed a systematic review of evidences for several clinical questions and developed CPG for SS 2017 according to the procedure proposed by the Medical Information Network Distribution Service (Minds)...
February 7, 2018: Modern Rheumatology
https://www.readbyqxmd.com/read/29407827/intuitionistic-fuzzy-analytical-hierarchical-processes-for-selecting-the-paradigms-of-mangroves-in-municipal-wastewater-treatment
#17
Xiaoguang Ouyang, Fen Guo
Municipal wastewater discharge is widespread and one of the sources of coastal eutrophication, and is especially uncontrolled in developing and undeveloped coastal regions. Mangrove forests are natural filters of pollutants in wastewater. There are three paradigms of mangroves for municipal wastewater treatment and the selection of the optimal one is a multi-criteria decision-making problem. Combining intuitionistic fuzzy theory, the Fuzzy Delphi Method and the fuzzy analytical hierarchical process (AHP), this study develops an intuitionistic fuzzy AHP (IFAHP) method...
December 18, 2017: Chemosphere
https://www.readbyqxmd.com/read/29401263/contractual-health-services-performance-agreements-for-responsive-health-systems-from-conception-to-implementation-in-the-case-of-qatar
#18
Huda Al-Katheeri, Fadi El-Jardali, Nour Ataya, Noura Abdulla Salem, Nader Abbas Badr, Diana Jamal
Objective: Despite their use worldwide, strategy-based performance management is limited in the Eastern Mediterranean Region. This article explores Qatar's experience, the first from the Region, in implementing contractual agreements between healthcare providers and the regulator-Ministry of Public Health-to align strategy, performance and accountabilities. Design: mixed-methods including tools development and pilot-testing, guided by performance management cycle with a focus on knowledge translation and key principles: feasibility; mandatory participation; participatory approach through Steering Committee...
February 1, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29397916/-fertility-preservation-contraception-and-menopause-hormone-therapy-in-women-treated-for-rare-ovarian-tumors-guidelines-from-the-french-national-network-dedicated-to-rare-gynaecological-cancer
#19
REVIEW
Christine Rousset-Jablonski, Fréderic Selle, Elodie Adda-Herzog, François Planchamp, Lise Selleret, Christophe Pomel, Nathalie Chabbert-Buffet, Emile Daraï, Patricia Pautier, Florence Trémollières, Frederic Guyon, Roman Rouzier, Valérie Laurence, Nicolas Chopin, Cécile Faure-Conter, Enrica Bentivegna, Marie-Cécile Vacher-Lavenu, Catherine Lhomme, Anne Floquet, Isabelle Treilleux, Fabrice Lecuru, Sébastien Gouy, Elsa Kalbacher, Catherine Genestie, Thibault de la Motte Rouge, Gwenael Ferron, Mojgan Devouassoux-Shisheboran, Jean-Emmanuel Kurtz, Moise Namer, Florence Joly, Eric Pujade-Lauraine, Michael Grynberg, Denis Querleu, Philippe Morice, Anne Gompel, Isabelle Ray-Coquard
INTRODUCTION: Rare ovarian tumors include complex borderline ovarian tumors, sex-cord tumors, germ cell tumors, and rare epithelial tumors. Indications and modalities of fertility preservation, infertility management and contraindications for hormonal contraception or menopause hormone therapy are frequent issues in clinical practice. A panel of experts from the French national network dedicated to rare gynaecological cancers, and of experts in reproductive medicine and gynaecology have worked on guidelines about fertility preservation, contraception and menopause hormone therapy in women treated for ovarian rare tumors...
February 1, 2018: Bulletin du Cancer
https://www.readbyqxmd.com/read/29397698/comprehensive-screening-links-halogenated-organic-compounds-with-testosterone-levels-in-male-delphinus-delphis-from-the-southern-california-bight
#20
Marisa L Trego, Eunha Hoh, Nicholas M Kellar, Sara Meszaros, Michelle N Robbins, Nathan Gray Dodder, Andrew Whitehead, Rebecca L Lewison
While environmental pollutants have been associated with changes in endocrine health in cetaceans, efforts to link contaminant exposure with hormones have largely been limited to a list of known, targeted contaminants, overlooking minimally characterized or unknown compounds of emerging concern. To address this gap, we analyzed a suite of potential endocrine disrupting halogenated organic compounds (HOCs) in blubber from 16 male short-beaked common dolphins (Delphinus delphis) with known maturity status collected from fishery bycatch in the Southern California Bight...
February 4, 2018: Environmental Science & Technology
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