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https://www.readbyqxmd.com/read/29762314/effectiveness-of-dexmedetomidine-versus-propofol-on-extubation-times-length-of-stay-and-mortality-rates-in-adult-cardiac-surgery-patients-a-systematic-review-and-meta-analysis
#1
John Nguyen, Noel Nacpil
OBJECTIVE: To determine the effects of dexmedetomidine versus propofol on extubation time, intensive care unit (ICU) length of stay, total hospital length of stay and in-hospital mortality rates in cardiac surgery patients. INTRODUCTION: Recovery from cardiovascular surgery involves weaning from mechanical ventilation. Mechanical ventilation decreases the work of breathing for patients by inhaling oxygen and exhaling carbon dioxide via a ventilator or breathing machine...
May 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29626044/efficacy-of-iron-supplementation-on-fatigue-and-physical-capacity-in-non-anaemic-iron-deficient-adults-a-systematic-review-of-randomised-controlled-trials
#2
Brett L Houston, Daryl Hurrie, Jeff Graham, Brittany Perija, Emily Rimmer, Rasheda Rabbani, Charles N Bernstein, Alexis F Turgeon, Dean A Fergusson, Donald S Houston, Ahmed M Abou-Setta, Ryan Zarychanski
OBJECTIVE: Iron supplementation in iron-deficiency anaemia is standard practice, but the benefits of iron supplementation in iron-deficient non-anaemic (IDNA) individuals remains controversial. Our objective is to identify the effects of iron therapy on fatigue and physical capacity in IDNA adults. DESIGN: Systematic review and meta-analysis of randomised controlled trials (RCTs). SETTING: Primary care. PARTICIPANTS: Adults (≥18 years) who were iron deficient but non-anaemic...
April 5, 2018: BMJ Open
https://www.readbyqxmd.com/read/29607495/acupuncture-for-acute-stroke
#3
REVIEW
Mangmang Xu, Dan Li, Shihong Zhang
BACKGROUND: Sensory stimulation via acupuncture has been reported to alter activities of numerous neural systems by activating multiple efferent pathways. Acupuncture, one of the main physical therapies in Traditional Chinese Medicine, has been widely used to treat patients with stroke for over hundreds of years. This is the first update of the Cochrane Review originally published in 2005. OBJECTIVES: To assess whether acupuncture could reduce the proportion of people with death or dependency, while improving quality of life, after acute ischemic or hemorrhagic stroke...
March 30, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29582940/closed-system-drug-transfer-devices-plus-safe-handling-of-hazardous-drugs-versus-safe-handling-alone-for-reducing-exposure-to-infusional-hazardous-drugs-in-healthcare-staff
#4
REVIEW
Kurinchi Selvan Gurusamy, Lawrence Mj Best, Cynthia Tanguay, Elaine Lennan, Mika Korva, Jean-François Bussières
BACKGROUND: Occupational exposure to hazardous drugs can decrease fertility and result in miscarriages, stillbirths, and cancers in healthcare staff. Several recommended practices aim to reduce this exposure, including protective clothing, gloves, and biological safety cabinets ('safe handling'). There is significant uncertainty as to whether using closed-system drug-transfer devices (CSTD) in addition to safe handling decreases the contamination and risk of staff exposure to infusional hazardous drugs compared to safe handling alone...
March 27, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29568026/insufficient-evidence-for-interventions-to-prevent-dry-mouth-and-salivary-gland-dysfunction-post-head-and-neck-radiotherapy
#5
Debra M Ferraiolo, Analia Veitz-Keenan
Data sourcesCochrane Oral Health's Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL), Medline, Embase, CINAHL, EBSCO (Cumulative Index to Nursing and Allied Health Literature, LILACS, BIREME, Virtual Health Library (Latin American and Caribbean Health Science Information database), Zetoc Conference Proceedings, the US National Institutes of Health Ongoing Trials Register, (ClinicalTrials.gov) and the World Health Organization International Clinical Trials Registry Platform for ongoing trials...
March 23, 2018: Evidence-based Dentistry
https://www.readbyqxmd.com/read/29549206/effectiveness-of-serious-games-and-impact-of-design-elements-on-engagement-and-educational-outcomes-in-healthcare-professionals-and-students-a-systematic-review-and-meta-analysis-protocol
#6
Marc-André Maheu-Cadotte, Sylvie Cossette, Véronique Dubé, Guillaume Fontaine, Tanya Mailhot, Patrick Lavoie, Alexis Cournoyer, Fabio Balli, Gabrielle Mathieu-Dupuis
INTRODUCTION: Serious games (SGs) are interactive and entertaining digital software with an educational purpose. They engage the learner by proposing challenges and through various design elements (DEs; eg, points, difficulty adaptation, story). Recent reviews suggest the effectiveness of SGs in healthcare professionals' and students' education is mixed. This could be explained by the variability in their DEs, which has been shown to be highly variable across studies. The aim of this systematic review is to identify, appraise and synthesise the best available evidence regarding the effectiveness of SGs and the impact of DEs on engagement and educational outcomes of healthcare professionals and students...
March 16, 2018: BMJ Open
https://www.readbyqxmd.com/read/29530911/comparative-efficacy-and-acceptability-of-psychotherapies-for-post-traumatic-stress-disorder-in-children-and-adolescents-study-protocol-for-a-systematic-review-and-network-meta-analysis
#7
Yuqing Zhang, Xinyu Zhou, Lining Yang, Sarah E Hetrick, John R Weisz, Pim Cuijpers, Jürgen Barth, Cinzia Del Giovane, Shuai Yuan, David Cohen, Donna Gillies, Xiaofeng Jiang, Teng Teng, Peng Xie
INTRODUCTION: Post-traumatic stress disorder (PTSD) is common among children and adolescents who are exposed to trauma, and it is often associated with significant negative impacts on their psychosocial functioning and quality of life. Many types of psychotherapies have been found to be effective for PTSD in children and adolescents. However, due to the lack of direct comparisons between different psychotherapies, the hierarchy of treatment efficacy is still unclear. Therefore, we plan to conduct a systematic review and network meta-analysis to evaluate the efficacy and acceptability of various types of psychotherapies for PTSD in children and adolescents...
March 12, 2018: BMJ Open
https://www.readbyqxmd.com/read/29504018/determinants-of-course-grades-in-allied-health-sciences-programs
#8
Roy K Chen
Past research has shown that there is a pattern of systematic grade inflation in higher education in the U.S. As a result, it is difficult for prospective employers and graduate school admission directors to distinguish bright candidates when recruiting new graduates. The purpose of this study was two-fold: 1) to determine the grading patterns of four academic departments (i.e., rehabilitation services, communication science and disorders, social work, and nursing) in an allied health college at a large public university over time, and 2) to consider which instructor demographic factors and course characteristics might influence the grading patterns...
2018: Journal of Allied Health
https://www.readbyqxmd.com/read/29500999/the-effectiveness-of-outcome-based-education-on-the-competencies-of-nursing-students-a-systematic-review
#9
REVIEW
Katherine Tan, Mei Chan Chong, Pathmawathy Subramaniam, Li Ping Wong
BACKGROUND: Outcome Based Education (OBE) is a student-centered approach of curriculum design and teaching that emphasize on what learners should know, understand, demonstrate and how to adapt to life beyond formal education. However, no systematic review has been seen to explore the effectiveness of OBE in improving the competencies of nursing students. OBJECTIVE: To appraise and synthesize the best available evidence that examines the effectiveness of OBE approaches towards the competencies of nursing students...
May 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29441518/haloperidol-for-delirium-in-critically-ill-patients-protocol-for-a-systematic-review
#10
M Barbateskovic, S R Kraus, M O Collet, O Mathiesen, J C Jakobsen, A Perner, J Wetterslev
BACKGROUND: In the intensive care unit, the prevalence of delirium is high. Delirium has been associated with morbidity and mortality including more ventilator days, longer intensive care unit stay, increased long-term mortality, and cognitive impairment. Thus, the burden of delirium for patients, relatives, and societies is considerable. The objective of this systematic review was to critically access the evidence of randomised clinical trials on the effects of haloperidol vs. placebo or any other agents for delirium in critically ill patients...
May 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29383710/family-and-carer-smoking-control-programmes-for-reducing-children-s-exposure-to-environmental-tobacco-smoke
#11
REVIEW
Behrooz Behbod, Mohit Sharma, Ruchi Baxi, Robert Roseby, Premila Webster
BACKGROUND: Children's exposure to other people's tobacco smoke (environmental tobacco smoke, or ETS) is associated with a range of adverse health outcomes for children. Parental smoking is a common source of children's exposure to ETS. Older children in child care or educational settings are also at risk of exposure to ETS. Preventing exposure to ETS during infancy and childhood has significant potential to improve children's health worldwide. OBJECTIVES: To determine the effectiveness of interventions designed to reduce exposure of children to environmental tobacco smoke, or ETS...
January 31, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29363550/bereaved-caregivers-of-patients-with-high-grade-glioma-a-systematic-review
#12
REVIEW
Karin Piil, Sara Nordentoft, Anders Larsen, Mary Jarden
OBJECTIVE: Caregivers to patients with primary malignant brain tumours neglect their own physical and emotional needs during the disease trajectory. The aim of the systematic review was to explore how informal caregivers of patients with primary malignant brain tumour (high-grade glioma (HGG)) experience and manage their life situation after the death of the patient. METHODS: A systematic literature search was carried out in December 2016 and revised in September 2017...
January 23, 2018: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/29353087/the-impact-of-timetable-changes-on-student-achievement-and-learning-experiences
#13
Nicole B Reinke
BACKGROUND: Many pre-registration nursing programs in Australia use distributive models of clinical placement whereby students attend placement on regular days each week of the teaching semester. The use of this model offers practical advantages by increasing the placement offerings, but reduces the weekdays available for students to attend on-campus classes. The impact of introducing this model on the delivery of on-campus classes has not been examined. OBJECTIVES: The aim of this study was to explore the impact of delivering classes using a condensed weekly timetable on the academic achievement, learning experiences and approaches to learning of pre-registration Bachelor of Nursing Science students at an Australian regional university...
March 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29290131/a-comparison-of-the-techniques-of-direct-pars-interarticularis-repairs-for-spondylolysis-and-low-grade-spondylolisthesis-a-meta-analysis
#14
Nasser Mohammed, Devi Prasad Patra, Vinayak Narayan, Amey R Savardekar, Rimal Hanif Dossani, Papireddy Bollam, Shyamal Bir, Anil Nanda
OBJECTIVE Spondylosis with or without spondylolisthesis that does not respond to conservative management has an excellent outcome with direct pars interarticularis repair. Direct repair preserves the segmental spinal motion. A number of operative techniques for direct repair are practiced; however, the procedure of choice is not clearly defined. The present study aims to clarify the advantages and disadvantages of the different operative techniques and their outcomes. METHODS A meta-analysis was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines...
January 2018: Neurosurgical Focus
https://www.readbyqxmd.com/read/29182800/interventions-to-increase-tuberculosis-case-detection-at-primary-healthcare-or-community-level-services
#15
REVIEW
Francis A Mhimbira, Luis E Cuevas, Russell Dacombe, Abdallah Mkopi, David Sinclair
BACKGROUND: Pulmonary tuberculosis is usually diagnosed when symptomatic individuals seek care at healthcare facilities, and healthcare workers have a minimal role in promoting the health-seeking behaviour. However, some policy specialists believe the healthcare system could be more active in tuberculosis diagnosis to increase tuberculosis case detection. OBJECTIVES: To evaluate the effectiveness of different strategies to increase tuberculosis case detection through improving access (geographical, financial, educational) to tuberculosis diagnosis at primary healthcare or community-level services...
November 28, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29170283/local-anaesthetics-combined-with-vasoconstrictors-in-patients-with-cardiovascular-disease-undergoing-dental-procedures-systematic-review-and-meta-analysis-protocol
#16
Caio Chaves Guimaraes, Rogério Heládio Lopes Motta, Cristiane de Cássia Bergamaschi, Jimmy de Oliveira Araújo, Natalia Karol de Andrade, Mabel Fernandes Figueiró, Juliana Cama Ramacciato, Luciane Cruz Lopes
INTRODUCTION: The use of vasoconstrictors combined with local anaesthetics (LAs) in dentistry for patients with cardiovascular disease (CVD) is still controversial in the scientific literature. It raises concerns regarding the possibility of transient episodes, triggering negative cardiovascular outcomes. METHOD/DESIGN: Trials eligible for our systematic review will enrol patients with CVD who have undergone dental treatments carried out with the use of LAs by comparing two arms: LAs with vasoconstrictors and LAs without vasoconstrictors...
November 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/29148566/factors-that-influence-the-provision-of-intrapartum-and-postnatal-care-by-skilled-birth-attendants-in-low-and-middle-income-countries-a-qualitative-evidence-synthesis
#17
REVIEW
Susan Munabi-Babigumira, Claire Glenton, Simon Lewin, Atle Fretheim, Harriet Nabudere
BACKGROUND: In many low- and middle-income countries women are encouraged to give birth in clinics and hospitals so that they can receive care from skilled birth attendants. A skilled birth attendant (SBA) is a health worker such as a midwife, doctor, or nurse who is trained to manage normal pregnancy and childbirth. (S)he is also trained to identify, manage, and refer any health problems that arise for mother and baby. The skills, attitudes and behaviour of SBAs, and the extent to which they work in an enabling working environment, impact on the quality of care provided...
November 17, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29122581/physical-activity-based-interventions-using-electronic-feedback-may-be-ineffective-for-reducing-pain-and-disability-in-patients-with-chronic-musculoskeletal-pain-a-systematic-review-with-meta-analysis
#18
REVIEW
Crystian B Oliveira, Márcia R Franco, Chris G Maher, Paulo H Ferreira, Priscila K Morelhão, Tatiana M Damato, Cynthia Gobbi, Rafael Z Pinto
OBJECTIVE: To investigate the effectiveness of physical activity-based interventions using electronic feedback to reduce pain and disability compared to minimal or no interventions in patients with chronic musculoskeletal pain. DESIGN: Systematic review with meta-analysis DATA SOURCES: The following electronic databases were searched: EMBASE, MEDLINE, the Cochrane Central Register of Controlled Trials, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, SPORTDiscus, Web of Science, Physiotherapy Evidence Database (PEDro), and main clinical trial registers...
November 6, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29120934/predictors-of-program-completion-and-nclex-rn-success-in-an-associate-degree-nursing-program
#19
Nicole Robert
Unsuccessful nursing students have a great impact on nursing programs. The purpose of this study was to determine the relationships among preadmission HESI A2 (Health Education Systems, Incorporated Admission Assessment) score, science and math course grades, program completion, and NCLEX-RN success in an associate degree nursing program using a retrospective, correlational research design. A statistically significant relationship was found between preadmission examination scores and successful NCLEX-RN passage on first attempt...
January 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29113438/performance-in-grade-12-mathematics-and-science-predicts-student-nurses-performance-in-first-year-science-modules-at-a-university-in-the-western-cape
#20
Katlego D T Mthimunye, Felicity M Daniels
BACKGROUND: The demand for highly qualified and skilled nurses is increasing in South Africa as well as around the world. Having a background in science can create a significant advantage for students wishing to enrol for an undergraduate nursing qualification because nursing as profession is grounded in scientific evidence. AIM: The aim of this study was to investigate the predictive validity of grade 12 mathematics and science on the academic performance of first year student nurses in science modules...
October 26, 2017: Curationis
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