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Ghada Asaad, Diana C Soria-Contreras, Rhonda C Bell, Catherine B Chan
Type 2 diabetes (T2D) patients often find integrating a new dietary pattern into their lifestyle challenging; therefore, the PANDA (Physical Activity and Nutrition for Diabetes in Alberta) menu plan intervention was developed to help people incorporate the Canadian Diabetes Association (CDA) nutrition therapy guidelines into their daily lives. The menu plan focused on recipes and foods that were accessible, available and acceptable to Albertans. The objective was to evaluate the effectiveness of the intervention on blood glucose control and dietary adherence and quality among patients with T2D...
2016: Healthcare (Basel, Switzerland)
Kerry Mansell, Charity Evans, David Tran, Shellina Sevany
OBJECTIVES: To determine if pharmacists providing advice on self-monitoring of blood glucose (SMBG) to new meter users, based on the Canadian Diabetes Association (CDA) Clinical Practice Guidelines (CPGs), resulted in improvements in A1C. SMBG testing patterns and pharmacist interactions were also observed. METHODS: A cluster randomized, pilot study was performed, with pharmacies randomized to an intervention or control group. The intervention group provided SMBG education according to the CDA CPGs at baseline, 2 weeks, 1 month and 3 months; the control group provided usual care...
January 2016: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
Carly Tward, Jon Barrett, Howard Berger, Mia Kibel, Alex Pittini, Ilana Halperin, Howard Cohen, Nir Melamed
BACKGROUND: Women with twin pregnancies are at increased risk for fetal growth restriction, which might be attributed to the limited maternal resources that are being shared by >1 fetus. Based on that, it may be hypothesized that the fetal effects of gestational diabetes mellitus (GDM) with respect to accelerated fetal growth may be less pronounced in twin gestations or alternatively may even have a beneficial role in decreasing the risk of fetal growth restriction in these pregnancies...
May 2016: American Journal of Obstetrics and Gynecology
Seema Bhagat, Vaibhavi K Kapatkar, Meenakshi Mourya, Sucheta Roy, Shailendra Jha, Rajasekhar Reddy, Ganesh Kadhe, Amey Mane, Sandesh Sawant
Conduct of clinical trials has undergone substantial changes over the last two decades. Newer markets, evolving guidelines and documentation and high cost involved in conducting the trials have led pharmaceutical companies to prepare a risk mitigation plan. Extensive monitoring of potential risks is an essential element of clinical trials which helps to ensure quality and integrity of a clinical investigation. Every clinical trial has pre (before the trial), conduct and post phase. This article which has been developed as a result of extensive research at ground level by a reputed pharmaceutical company to identify the potential stages of risks that could affect the overall quality and safety of a trial and its outcome during the pre-phase of trial (the stage of the trial where the study design is being planned before initiation of the clinical trial)...
2016: Reviews on Recent Clinical Trials
(no author information available yet)
No abstract text is available yet for this article.
November 2015: Journal of Cutaneous Medicine and Surgery
Farahnaz Nejatidanesh, Mehrak Amjadi, Mohadese Akouchekian, Omid Savabi
OBJECTIVES: The aim of this study was to assess the clinical performance of CAD/CAM partial coverage posterior restorations made by CEREC AC Bluecam system after 5 years. METHODS: 159 ceramic partial coverage posterior restorations were placed in 109 patients in a private practice. The restorations were made using CEREC AC Bluecam with CEREC Blocs or Empress CAD blocks. The clinical performance of the restorations was evaluated with modified California Dental Association (CDA) guidelines, gingival and plaque indices, probing pocket depth, and bleeding on probing in a period of 5 years...
September 2015: Journal of Dentistry
Leigha Rowbottom, Jordan Stinson, Rachel McDonald, Urban Emmenegger, Susanna Cheng, Julia Lowe, Angie Giotis, Paul Cheon, Ronald Chow, Mark Pasetka, Nemica Thavarajah, Natalie Pulenzas, Edward Chow, Carlo DeAngelis
BACKGROUND: Corticosteroids are used adjuvant to certain chemotherapy regimens, either as an antiemetic, to reduce other side effects, or to enhance cancer treatment. Additionally, they are frequently used for symptom control in cancer patients with end stage disease. Corticosteroid use may induce hyperglycemia in approximately 20-50% of patients, which may negatively affect patient outcomes. OBJECTIVE: To determine the frequency of blood glucose monitoring in patients with and without diabetes receiving continuous corticosteroids with chemotherapy, and to determine the incidence of treatment-emergent abnormal blood glucose levels and steroid-induced diabetes mellitus (DM)...
April 2015: Annals of Palliative Medicine
M M Agarwal, G S Dhatt, Y Othman
AIMS: To highlight the differences between eight international expert panel diagnostic criteria (either current or outdated but in use) for the diagnosis of gestational diabetes mellitus (GDM) and implications of switching to the International Association of Diabetes in Pregnancy Study Groups (IADPSG) criterion. METHODS: 2337 pregnant women underwent a 75-g oral glucose tolerance test as part of a universal screening protocol. The GDM prevalence and number of women classified differently were compared between the criteria of the American Diabetes Association (2003); Australasian Diabetes in Pregnancy Society (1998); the Canadian Diabetes Association, CDA (2003 & 2013); the European Association for the Study of Diabetes (1996); IADPSG (2010); the New Zealand Society for the Study of Diabetes (2004) and the World Health Organization (1999)...
May 2015: Journal of Diabetes and its Complications
Minho Lee, Eunyoung Heo, Heesook Lim, Jun Young Lee, Sangho Weon, Hoseok Chae, Hee Hwang, Sooyoung Yoo
OBJECTIVES: We aimed to develop a common health information exchange (HIE) platform that can provide integrated services for implementing the HIE infrastructure in addition to guidelines for participating in an HIE network in South Korea. METHODS: By exploiting the Health Level 7 (HL7) Clinical Document Architecture (CDA) and Integrating the Healthcare Enterprise (IHE) Cross-enterprise Document Sharing-b (XDS.b) profile, we defined the architectural model, exchanging data items and their standardization, messaging standards, and privacy and security guidelines, for a secure, nationwide, interoperable HIE...
January 2015: Healthcare Informatics Research
Tao Hu, Rong Liu, Junhui Li, Jing Cao, Lei Zhang, Juanjuan Li, Wei Fan, Dixiao Zhong, Xiaodong Shi
OBJECTIVE: To observe the efficacy and adverse reaction of the improvement program of cladribine combined with cytarabine (2-CdA+Ara-C) in treatment of children with refractory high-risk Langerhans cell histiocytosis (LCH). METHODS: 13 patients with refractory high-risk LCH or recurrent LCH were treated by combined 2-CdA+Ara-C chemotherapy. The treatment efficacy and the disease state in the process were evaluated according to the Histiocyte Society Evaluation and Treatment Guidelines (2009)...
November 2014: Zhonghua Xue Ye Xue za Zhi, Zhonghua Xueyexue Zazhi
Adrián Bresó, Carlos Sáez, Javier Vicente, Félix Larrinaga, Montserrat Robles, Juan Miguel García-Gómez
Diabetes Mellitus (DM) affects hundreds of millions of people worldwide and it imposes a large economic burden on healthcare systems. We present a web patient empowering system (PHSP4) that ensures continuous monitoring and assessment of the health state of patients with DM (type I and II). PHSP4 is a Knowledge-Based Personal Health System (PHS) which follows the trend of P4 Medicine (Personalized, Predictive, Preventive, and Participative). It provides messages to outpatients and clinicians about the achievement of objectives, follow-up, and treatments adjusted to the patient condition...
2015: Methods in Molecular Biology
Azam Aslani, Fatemeh Tara, Lila Ghalighi, Omid Pournik, Sabine Ensing, Ameen Abu-Hanna, Saeid Eslami
OBJECTIVES: We designed a computer-based decision aid (CDA) for use by pregnant women at home to investigate and participate in solving their pregnancy problems related to pregnancy-induced hypertension (PIH) and gestational diabetes (GD). The system cannot and is not intended to replace visits to physicians; rather it can help women focus on the most important symptoms and provides guidance on when to see a doctor. METHODS: The study is a randomized controlled trial, which is performed among Iranian pregnant women...
October 2014: Healthcare Informatics Research
Catherine Chronaki, Ana Estelrich, Giorgio Cangioli, Marcello Melgara, Dipak Kalra, Zabrina Gonzaga, Larry Garber, Elaine Blechman, Jamie Ferguson, Stephen Kay
In an increasingly mobile world, many citizens and professionals are frequent travellers. Access during unplanned care to their patient summary, their most essential health information in a form physicians in another country can understand can impact not only their safety, but also the quality and effectiveness of care. International health information technology (HIT) standards such as HL7 CDA have been developed to advance interoperability. Implementation guides (IG) and IHE profiles constrain standards and make them fit for the purpose of specific use cases...
2014: Studies in Health Technology and Informatics
Samina Abidi, Michael Vallis, Syed Sibte Raza Abidi, Helena Piccinini-Vallis, Syed Ali Imran
OBJECTIVE: To develop and evaluate Diabetes Web-Centric Information and Support Environment (D-WISE) that offers 1) a computerized decision-support system to assist physicians to A) use the Canadian Diabetes Association clinical practice guidelines (CDA CPGs) to recommend evidence-informed interventions; B) offer a computerized readiness assessment strategy to help physicians administer behaviour-change strategies to help patients adhere to disease self-management programs; and 2) a patient-specific diabetes self-management application, accessible through smart mobile devices, that offers behaviour-change interventions to engage patients in self-management...
June 2014: Canadian Journal of Diabetes
Amole Khadilkar, Jeff Whitehead, Monica Taljaard, Doug Manuel
BACKGROUND: Published data on quality of care indicators from various countries indicate the challenges of providing high-quality diabetes care. The objective of this study was to evaluate the quality of care provided to members of the Canadian Forces (CF) who have diabetes, by determining the extent to which healthcare providers adhere to recommendations outlined in the 2008 Canadian Diabetes Association (CDA) clinical practice guidelines. METHODS: All 14 CF bases meeting eligibility criteria were included in the evaluation...
February 2014: Canadian Journal of Diabetes
Aurélie Baillot, Catherine Pelletier, Peggy Dunbar, Linda Geiss, Jeffrey A Johnson, Lawrence A Leiter, Marie-France Langlois
AIMS: This study aimed to (1) describe the profile of adults with type 2 diabetes (T2D) in Canada and (2) assess the uptake of clinical care best practices, as defined by the Canadian Diabetes Association (CDA) Clinical Practice Guidelines (CPGs). METHODS: We used data from the 2011 Survey on Living with Chronic Diseases in Canada - Diabetes component. Participants were aged 20 years and older, living in the 10 Canadian provinces, with self-reported T2D. Descriptive analyses present the prevalence of complications and comorbidities, as well as the level of clinical monitoring and self-monitoring/lifestyle management recommendations participants received...
January 2014: Diabetes Research and Clinical Practice
Ting-Yu Wang, Tewodros Eguale, Robyn Tamblyn
BACKGROUND: Given the high prevalence of diabetes, guidelines are updated frequently to reflect optimal treatment recommendations. Our study aims to measure the response of primary care physicians to changes in choice of initial therapy for patients with type 2 diabetes in relationship to a change in Canadian Diabetes Association (CDA) Guidelines in 2008. We also assessed patients' and physicians' factors which may affect this change. METHODS: Historical cohort study of primary care physicians' participating in an electronic medical record research network in Quebec, Canada...
2013: BMC Health Services Research
John L Sievenpiper, Paula D N Dworatzek
Clinical practice guidelines (CPGs) for the nutritional management of diabetes mellitus have evolved considerably over the last 25 years. As major diabetes associations have focussed on the individualization of nutrition therapy, there has been a move toward a broader more flexible macronutrient distribution that emphasizes macronutrient quality over quantity. There is now a call for the integration of food- and dietary pattern-based approaches into diabetes association CPGs. The main argument has been that an approach that focuses on nutrients alone misses important nutrient interactions oversimplifying the complexity of foods and dietary patterns, both of which have been shown to have a stronger influence on disease risk than nutrients alone...
February 2013: Canadian Journal of Diabetes
Stuart A Ross, Jane Ballantine
OBJECTIVE: To evaluate the efficacy and safety of the available glucagon-like peptide-1 receptor agonists (GLP-1 RAs) exenatide and liraglutide (marketed as Byetta * and Victoza † , respectively) in first- or second-line pharmacotherapy for type 2 diabetes (T2D), described here as 'early use'. RESEARCH DESIGN AND METHODS: MEDLINE, EMBASE and Google Scholar databases were queried for clinical trial reports using the terms incretin, GLP-1, exenatide and liraglutide...
December 2013: Current Medical Research and Opinion
Carlos Sáez, Adrián Bresó, Javier Vicente, Montserrat Robles, Juan Miguel García-Gómez
The success of Clinical Decision Support Systems (CDSS) greatly depends on its capability of being integrated in Health Information Systems (HIS). Several proposals have been published up to date to permit CDSS gathering patient data from HIS. Some base the CDSS data input on the HL7 reference model, however, they are tailored to specific CDSS or clinical guidelines technologies, or do not focus on standardizing the CDSS resultant knowledge. We propose a solution for facilitating semantic interoperability to rule-based CDSS focusing on standardized input and output documents conforming an HL7-CDA wrapper...
March 2013: Computer Methods and Programs in Biomedicine
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