keyword
https://read.qxmd.com/read/38536517/development-and-validation-of-a-risk-prediction-model-for-valve-regurgitation-in-beh%C3%A3-et-s-disease
#1
JOURNAL ARTICLE
Zixian Deng, Benhui Liang, Tangzhiming Li, Qiyun Liu, Xiaoyu Wang, Xin Sun, Ziwei Ou, Lin Zhao, Cong Xu, Huadong Liu, Jianghua Li
BACKGROUND: In Behçet's disease (BD), mild-to-severe valvular regurgitation (VR) poses a serious complication that contributes significantly to heart failure and eventually death. The accurate prediction of VR is crucial in the early stages of BD subjects for improved prognosis. Accordingly, this study aimed to develop a nomogram that can detect VR early in the course of BD. METHODS: One hundred seventy-two patients diagnosed with Behçet's disease (BD) were conducted to assess cardiac valve regurgitation as the primary outcome...
March 27, 2024: Clinical Rheumatology
https://read.qxmd.com/read/38536400/guidelines-in-practice-manual-high-level-disinfection
#2
JOURNAL ARTICLE
Jennifer Speth
There are several steps involved when performing high-level disinfection (HLD) of semicritical devices. The recently updated AORN "Guideline for manual high-level disinfection" provides perioperative nurses with evidence-based best practices for performing safe and effective HLD of reusable semicritical items. The guideline also addresses preventing injury to patients and health care workers associated with the handling of high-level disinfectants. This article provides an overview of the guideline and discusses recommendations for selection of a processing method, sterile processing areas, preparation of items for HLD, preparation of high-level disinfectants, manual HLD, drying and storage of items after HLD, and processing records...
April 2024: AORN Journal
https://read.qxmd.com/read/38535866/the-adaptation-time-to-the-extender-as-a-crucial-step-for-an-accurate-evaluation-of-ram-sperm-quality-during-the-liquid-storage
#3
JOURNAL ARTICLE
Marta Neila-Montero, Mercedes Alvarez, Marta F Riesco, Cristina Soriano-Úbeda, Rafael Montes-Garrido, Cristina Palacin-Martinez, Paulino de Paz, Luis Anel, Luis Anel-Lopez
Accurate assessment of ram sperm quality is crucial to optimizing assisted reproductive technologies in sheep. However, semen preservation can induce sperm due to osmotic, biochemical, and thermal stress. Stabilizing sperm with a suitable cooling rate and adaptation period to the extender could mitigate these effects for a more reliable evaluation. This study aimed to determine: (1) the best time to assess ram sperm quality, and (2) the factor responsible for the altered state of ram sperm during the first hours of liquid storage...
March 16, 2024: Veterinary Sciences
https://read.qxmd.com/read/38535489/pragmatic-approach-to-in-situ-simulation-to-identify-latent-safety-threats-before-moving-to-a-newly-built-icu
#4
JOURNAL ARTICLE
Aarti Sarwal, Nicholas A Morris, Janet Crumpler, Terri Gordon, Ian Saunders, James E Johnson, Jeff E Carter
OBJECTIVES: Transitions to new care environments may have unexpected consequences that threaten patient safety. We undertook a quality improvement project using in situ simulation to learn the new patient care environment and expose latent safety threats before transitioning patients to a newly built adult ICU. DESIGN: Descriptive review of a patient safety initiative. SETTING: A newly built 24-bed neurocritical care unit at a tertiary care academic medical center...
March 27, 2024: Critical Care Medicine
https://read.qxmd.com/read/38534939/-177-lu-psma-617-in-metastatic-castration-resistant-prostate-cancer-a-review-of-the-evidence-and-implications-for-canadian-clinical-practice
#5
REVIEW
Kim N Chi, Steven M Yip, Glenn Bauman, Stephan Probst, Urban Emmenegger, Christian K Kollmannsberger, Patrick Martineau, Tamim Niazi, Frédéric Pouliot, Ricardo Rendon, Sebastien J Hotte, David T Laidley, Fred Saad
Prostate-specific membrane antigen (PSMA) is highly expressed in prostate cancer and a therapeutic target. Lutetium-177 (177 Lu)-PSMA-617 is the first radioligand therapy to be approved in Canada for use in patients with metastatic castration-resistant prostate cancer (mCRPC). As this treatment represents a new therapeutic class, guidance regarding how to integrate it into clinical practice is needed. This article aims to review the evidence from prospective phase 2 and 3 clinical trials and meta-analyses of observational studies on the use of 177 Lu-PSMA-617 in prostate cancer and discuss how Canadian clinicians might best apply these data in practice...
March 7, 2024: Current Oncology
https://read.qxmd.com/read/38534871/a-novel-artificial-electric-field-algorithm-for-solving-global-optimization-and-real-world-engineering-problems
#6
JOURNAL ARTICLE
Abdelazim G Hussien, Adrian Pop, Sumit Kumar, Fatma A Hashim, Gang Hu
The Artificial Electric Field Algorithm (AEFA) stands out as a physics-inspired metaheuristic, drawing inspiration from Coulomb's law and electrostatic force; however, while AEFA has demonstrated efficacy, it can face challenges such as convergence issues and suboptimal solutions, especially in high-dimensional problems. To overcome these challenges, this paper introduces a modified version of AEFA, named mAEFA, which leverages the capabilities of Lévy flights, simulated annealing, and the Adaptive s -best Mutation and Natural Survivor Method (NSM) mechanisms...
March 19, 2024: Biomimetics
https://read.qxmd.com/read/38534673/bacterial-infections-in-intensive-care-units-epidemiological-and-microbiological-aspects
#7
REVIEW
Maddalena Calvo, Stefania Stefani, Giuseppe Migliorisi
Intensive care units constitute a critical setting for the management of infections. The patients' fragilities and spread of multidrug-resistant microorganisms lead to relevant difficulties in the patients' care. Recent epidemiological surveys documented the Gram-negative bacteria supremacy among intensive care unit (ICU) infection aetiologies, accounting for numerous multidrug-resistant isolates. Regarding this specific setting, clinical microbiology support holds a crucial role in the definition of diagnostic algorithms...
March 5, 2024: Antibiotics
https://read.qxmd.com/read/38534511/emerging-trends-in-magnetic-resonance-fingerprinting-for-quantitative-biomedical-imaging-applications-a-review
#8
REVIEW
Anmol Monga, Dilbag Singh, Hector L de Moura, Xiaoxia Zhang, Marcelo V W Zibetti, Ravinder R Regatte
Magnetic resonance imaging (MRI) stands as a vital medical imaging technique, renowned for its ability to offer high-resolution images of the human body with remarkable soft-tissue contrast. This enables healthcare professionals to gain valuable insights into various aspects of the human body, including morphology, structural integrity, and physiological processes. Quantitative imaging provides compositional measurements of the human body, but, currently, either it takes a long scan time or is limited to low spatial resolutions...
February 28, 2024: Bioengineering
https://read.qxmd.com/read/38533839/dysphagia-therapy-in-adults-with-a-tracheostomy-a-scoping-review-protocol
#9
JOURNAL ARTICLE
Waiza Kadri, Rhiannon Halfpenny, Breege Whiten, Siofra Mulkerrin, Christina Smith
BACKGROUND: Swallowing impairment (dysphagia) and tracheostomy coexist. Research in this area has often provided an overview of dysphagia management as a whole, but there is limited information pertaining to specific dysphagia therapy in the tracheostomy population. The aim of this scoping review is to provide a detailed exploration of the literature with regard to dysphagia therapeutic interventions in adults with a tracheostomy. The scoping review will describe current evidence and thus facilitate future discussions to guide clinical practice...
March 27, 2024: International Journal of Language & Communication Disorders
https://read.qxmd.com/read/38533701/best-emergency-preparedness-practices-for-livestock-farmers
#10
JOURNAL ARTICLE
Sarah Hipps
The American cowboy or cowgirl is someone who possesses a unique set of skills that allows them to contribute to the agricultural economy. From feeding animals to land management to business negotiations, these individuals do so much to support the American family by helping to get food on the table across the country, and even beyond in foreign lands on occasion. Therefore, it is important that these livestock farmers know what they can do in the event of an emergency. Yet, many people in the agriculture industry do not know what the best practices are for securing their livelihoods from emergencies...
2024: Journal of Emergency Management: JEM
https://read.qxmd.com/read/38533695/factors-influencing-nurses-use-of-sedation-interruptions-in-a-critical-care-unit-a-descriptive-qualitative-study
#11
JOURNAL ARTICLE
Nicole D Graham, Ian D Graham, Brandi Vanderspank-Wright, Letitia Nadalin Penno, Dean A Fergusson, Janet E Squires
INTRODUCTION AND AIMS: This study examined critical care nurses', physicians', and allied health professionals' perceptions of factors that support, inhibit, or limit the use of sedation interruption (SI) to improve the use of this integral component of care for mechanically ventilated patients. METHOD: We conducted a theory-based, descriptive qualitative study using semi-structured interviews with critical care registered nurses, respiratory therapists, a pharmacist, and a physician in a hospital in Ontario, Canada...
March 28, 2024: JBI evidence implementation
https://read.qxmd.com/read/38533458/translating-knowledge-on-placebo-and-nocebo-effects-into-clinical-practice
#12
JOURNAL ARTICLE
Elif Buse Caliskan, Ulrike Bingel, Angelika Kunkel
INTRODUCTION: Positive and negative treatment expectations are powerful modulators of health and treatment outcomes. A substantial part of treatment success is due to contextual factors modulating patient's expectations towards a treatment. Consequently, treatment expectations should be a target of therapeutic interventions themselves. OBJECTIVES: This article highlights the neurobiological underpinnings of treatment expectations as well as strategies to modulate contextual factors to optimize treatment outcomes in daily clinical settings...
April 2024: Pain Reports
https://read.qxmd.com/read/38533390/a-patient-centered-documentation-skills-curriculum-for-preclerkship-medical-students-in-an-open-notes-era
#13
JOURNAL ARTICLE
Kathleen Eng, Katherine Johnston, Ivo Cerda, Kushal Kadakia, Alison Mosier-Mills, Anita Vanka
INTRODUCTION: New legislation allows patients (with permitted exceptions) to read their clinical notes, leading to both benefits and ethical dilemmas. Medical students need a robust curriculum to learn documentation skills within this challenging context. We aimed to teach note-writing skills through a patient-centered lens with special consideration for the impact on patients and providers. We developed this session for first-year medical students within their foundational clinical skills course to place bias-free language at the forefront of how they learn to construct a medical note...
2024: MedEdPORTAL Publications
https://read.qxmd.com/read/38533195/navigating-one-health-in-research-for-development-reflections-on-the-design-and-implementation-of-the-cgiar-initiative-on-one-health
#14
JOURNAL ARTICLE
Steven Lam, Vivian Hoffmann, Bernard Bett, Eric M Fèvre, Arshnee Moodley, Chadag Vishnumurthy Mohan, Javier Meteo-Sagasta, Hung Nguyen-Viet
Adopting One Health approaches is key for addressing interconnected health challenges. Yet, how to best put One Health into practice in research-for-development initiatives aiming to 'deliver impacts' remains unclear. Drawing on the CGIAR Initiative on One Health - a global initiative to address zoonotic diseases, antimicrobial resistance, and food and water safety - we reflect on challenges during program conception and implementation, prompting us to suggest improvements in multisectoral collaboration, coordination, and communication...
June 2024: One Health
https://read.qxmd.com/read/38533163/rehabilitation-techniques-before-and-after-total-knee-arthroplasty-for-a-better-quality-of-life
#15
REVIEW
Sushmita Dutta, Ratnakar Ambade, Dhanashree Wankhade, Palak Agrawal
The most important gold standard treatment following advanced knee osteoarthritis is total knee arthroplasty. Following surgery of total knee replacement, the majority of patients report decreased pain and successful long-term results, but recovery is unpredictable, and most patients continue to exhibit muscle weakness in their lower limbs and functional limitations in comparison to similarly aged control individuals. The goal of this review article was to systematically review different articles containing controlled and randomized studies to find out the effectiveness of outpatient care postoperatively on short- and long-term functional recovery...
February 2024: Curēus
https://read.qxmd.com/read/38533015/multilayer-perceptron-and-support-vector-regression-models-for-feline-parturition-date-prediction
#16
JOURNAL ARTICLE
Thanida Sananmuang, Kanchanarat Mankong, Kaj Chokeshaiusaha
A crucial challenge in feline obstetric care is the accurate prediction of the parturition date during late pregnancy. The classic simple linear regression (SLR) model, which employed the fetal biparietal diameter (BPD) as the single input feature, was frequently applied for such prediction with limited accuracy. Since Multilayer Perceptron (MLP) and Support Vector Regression (SVR) are now two of the most potent scientific regression models, this study, for the first time, introduced such models as the new promising tools for feline parturition date prediction...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38532943/left-atrial-appendage-occlusion-british-cardiovascular-intervention-society-and-british-heart-rhythm-society-position-statement
#17
REVIEW
Tim R Betts, Patrick A Calvert, Lee N Graham, Gerald J Clesham, Ashan Gunarathne, Brian Clapp, Dhiraj Gupta, Jan Kovac, James D Newton, David Hildick-Smith
Percutaneous left atrial appendage occlusion aims to reduce the risk of stroke in patients with AF, particularly those who are not good candidates for systemic anticoagulation. The procedure has been studied in large international randomised trials and registries and was approved by the National Institute for Health and Care Excellence in 2014 and by NHS England in 2018. This position statement summarises the evidence for left atrial appendage occlusion and presents the current indications. The options and consensus on best practice for pre-procedure planning, undertaking a safe and effective implant and appropriate post-procedure management and follow-up are described...
2024: Interventional Cardiology
https://read.qxmd.com/read/38532718/advances-in-hand-therapy-best-practice-in-conservative-management-of-proximal-phalangeal-fractures-in-children
#18
JOURNAL ARTICLE
Rebecca Kilty, Sarah Baxter, Marnee J McKay, Claire E Hiller
BACKGROUND: Proximal phalangeal fractures are one of the most commonly treated hand injuries in children. Conservative management of these fractures is often to splint for 5 weeks post injury, despite children presenting as clinically healed at 3 weeks post injury. Therefore, we investigated the effect of splinting for only 3 weeks in children who present with clinically healed proximal phalangeal fractures at 3 weeks compared with usual care. METHODS: Participants (n=80, aged 10...
March 27, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38532697/identifying-the-best-candidate-for-primary-tumor-resection-in-patients-with-advanced-osteosarcoma
#19
JOURNAL ARTICLE
Zhengjiang Li, Xingyao Yang, Shuxing Xing
OBJECTIVES: Not all patients with stage III and IV osteosarcoma who undergo surgery to remove the primary tumor will benefit from surgery; therefore, we developed a nomogram model to test the hypothesis that only a subset of patients will benefit from surgery. METHODS: 412 patients were screened from the Surveillance, Epidemiology and End Results (SEER) database. Subsequently, 1:1 propensity score matching (PSM) was used to screen and balance confounders. We first made the hypothesis that patients who underwent the procedure would benefit more...
2024: Cancer Control: Journal of the Moffitt Cancer Center
https://read.qxmd.com/read/38532668/-embracing-the-era-of-artificial-intelligence-innovation-and-preparation-in-nursing-education
#20
JOURNAL ARTICLE
Su-Fen Cheng
Rapid recent advances in information technology have opened the door for artificial intelligence (AI)-related technologies to be applied extensively across many industries. The Ministry of Education has emphasized the importance of cultivating advanced-level professionals in diverse fields, particularly in smart machinery, the Asia-Silicon Valley sector, green energy technology, biotechnology, national defense, new agricultural, and circular economy industries, to enhance innovation and promote industrial competitiveness (Kuo, 2019)...
April 2024: Hu Li za Zhi the Journal of Nursing
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