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Adherence to guidelines

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https://www.readbyqxmd.com/read/29471470/a-registry-for-patients-with-asplenia-hyposplenism-reduces-the-risk-of-infections-with-encapsulated-organisms
#1
Alicia Arnott, Penelope Jones, Lucinda J Franklin, Denis Spelman, Karin Leder, Allen C Cheng
Background: Overwhelming post-splenectomy infection (OPSI) is a serious complication of asplenia. Clinical guidelines recommend a number of measures to reduce the risk of OPSI, but awareness and adherence to preventative measures is generally poor. We aimed to determine whether a registry for asplenic/hyposplenic patients was associated with a reduction in the incidence of infection with encapsulated bacteria. Methods: We performed a retrospective cohort study of asplenic/hyposplenic patients in the state of Victoria, Australia who registered with Spleen Australia from 2003 - 2014...
February 17, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29470468/an-audit-of-risk-assessments-for-suicide-and-attempted-suicide-in-ed-a-retrospective-review-of-quality
#2
Wayne de Beer, Bernard DeWitt, Jules Schofield, Helen Clark, Veronique Gibbons
AIM: The primary aim of this audit was to determine the quality of psychiatric risk assessments conducted by Mental Health & Addiction Services clinicians for patients presenting to the emergency department, Waikato Hospital, Hamilton, New Zealand following an attempted suicide. METHOD: A retrospective, randomised audit of 376 files of patients who had presented to the ED over a 12-month period from 1 July 2015 to 30 June 2016 was conducted, following the standards outlined in the present New Zealand Ministry of Health Clinical Practice Guideline for Deliberate Self Harm (DSH)...
February 23, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29470253/management-of-nontuberculous-mycobacterial-pulmonary-disease
#3
Mark H Adelman, Doreen J Addrizzo-Harris
PURPOSE OF REVIEW: To highlight recent original research and specialty society guidelines regarding the diagnosis and treatment of nontuberculous mycobacterial (NTM) pulmonary disease. RECENT FINDINGS: The prevalence of NTM pulmonary disease has risen in recent years. The prevalence of individual NTM species varies geographically, although Mycobacterium avium complex (MAC) and Mycobacterium abscessus complex (MABC) remain among the most commonly encountered in many regions...
February 20, 2018: Current Opinion in Pulmonary Medicine
https://www.readbyqxmd.com/read/29469993/asthma-among-adult-patients-presenting-with-dyspnea-to-the-emergency-department-an-observational-study
#4
Win Sen Kuan, Simon Craig, Anne-Maree Kelly, Gerben Keijzers, Sharon Klim, Colin A Graham, Peter Jones, Anna Holdgate, Charles Lawoko, Said Laribi
INTRODUCTION: Shortness of breath is a common presenting symptom to the emergency department (ED) that can arise from a myriad of possible diagnoses. Asthma is one of the major causes. OBJECTIVE: To describe the demographic features, clinical characteristics, management and outcomes of adults with an emergency department (ED) diagnosis of asthma who presented to an ED in the Asia Pacific region with a principal symptom of dyspnea. METHODS: Planned sub-study of patients with an ED diagnosis of asthma identified in the Asia, Australia and New Zealand Dyspnoea in Emergency Departments (AANZDEM) study...
February 22, 2018: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/29469616/prehospital-echocardiography-during-resuscitation-impacts-treatment-in-a-physician-staffed-helicopter-emergency-medical-service-an-observational-study
#5
Rein Ketelaars, Christian Beekers, Geert-Jan Van Geffen, Gert Jan Scheffer, Nico Hoogerwerf
BACKGROUND: Patients in cardiac arrest must receive algorithm-based management such as basic life support and advanced (cardiac) life support. International guidelines dictate diagnosing and treating any factor that may have caused the arrest or may be complicating the resuscitation. Ultrasound may be of potential value in this process and can be used in a prehospital setting. The objective is to evaluate the use of prehospital ultrasound during traumatic and non-traumatic CPR and determine its impact on prehospital treatment decisions in a Dutch helicopter emergency medical service (HEMS)...
February 22, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29468526/attention-deficit-hyperactivity-disorder-pharmacotherapy-in-slovenian-adults-a-population-based-study
#6
Matej Stuhec, Igor Locatelli
Background Pharmacotherapy is the first line treatment for adult attention deficit hyperactivity disorder (ADHD) and the percentage of treated patients may indicate the quality of treatment of adult ADHD. The main aim of this study was to investigate the rates of pharmacological treatment for adult ADHD in Slovenia from 2003 to 2015. Methods The number of prescriptions per patient was obtained for three different age groups (18-24, 25-49, 50 + age group). The national consumption rates were obtained from the national database...
February 21, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29467570/reference-ranges-for-antiepileptic-drugs-revisited-a-practical-approach-to-establish-national-guidelines
#7
Arne Reimers, Jon Andsnes Berg, Margrete Larsen Burns, Eylert Brodtkorb, Svein I Johannessen, Cecilie Johannessen Landmark
Background and objective: Laboratories sometimes use different reference ranges for the same antiepileptic drug (AED), particularly for new and poorly investigated drugs. This may contribute to misunderstandings, concerns or inappropriate dose changes, which in turn may affect therapeutic effect, drug safety or treatment adherence. Therefore, the Norwegian Association of Clinical Pharmacology wished to update and harmonize the reference ranges for AEDs and establish national guidelines for Norway...
2018: Drug Design, Development and Therapy
https://www.readbyqxmd.com/read/29467136/attitudes-and-perceptions-of-health-professionals-towards-management-of-hypothyroidism-in-general-practice-a-qualitative-interview-study
#8
Rosie Dew, Kathryn King, Onyebuchi E Okosieme, Simon H Pearce, Gemma Donovan, Peter N Taylor, Janis Hickey, Colin M Dayan, Graham Leese, Salman Razvi, Scott Wilkes
OBJECTIVE: To explore the attitudes and perceptions of health professionals towards management of hypothyroidism that contributes to the suboptimal treatment of hypothyroidism in general practice. DESIGN: A qualitative interview study using semistructured interviews. PARTICIPANTS: Sixteen participants were interviewed between March and August 2016 comprising nine general practitioners (GPs), four pharmacists, two practice nurses and one nurse practitioner...
February 21, 2018: BMJ Open
https://www.readbyqxmd.com/read/29467013/description-of-complex-interventions-analysis-of-changes-in-reporting-in-randomised-trials-since-2002
#9
Bridget Candy, Victoria Vickerstaff, Louise Jones, Michael King
BACKGROUND: Inadequate description of non-pharmacological complex interventions in trial publications means that they cannot be replicated or assessed for generalisability. There are published guidelines on how to describe an intervention, such as those from the CONSORT Group. However, there have been few evaluations of whether intervention reporting is improving. METHODS: We aimed to assess whether descriptions of multicomponent, non-pharmacological interventions evaluated in randomised trials are improving...
February 22, 2018: Trials
https://www.readbyqxmd.com/read/29466983/multidrug-resistant-tuberculosis-treatment-adherence-in-migrants-a-systematic-review-and-meta-analysis
#10
Laura B Nellums, Kieran Rustage, Sally Hargreaves, Jon S Friedland
BACKGROUND: Multidrug-resistant tuberculosis (MDR-TB) is a growing concern in meeting global targets for TB control. In high-income low-TB-incidence countries, a disproportionate number of MDR-TB cases occur in migrant (foreign-born) populations, with concerns about low adherence rates in these patients compared to the host non-migrant population. Tackling MDR-TB in this context may, therefore, require unique approaches. We conducted a systematic review and meta-analysis to identify and synthesise data on MDR-TB treatment adherence in migrant patients to inform evidence-based strategies to improve care pathways and health outcomes in this group...
February 22, 2018: BMC Medicine
https://www.readbyqxmd.com/read/29465841/permanent-childhood-hearing-impairment-aetiological-evaluation-of-infants-identified-through-the-irish-newborn-hearing-screening-programme
#11
A Smith, A O'Connor, S Hennessy, P G O'Sullivan, L Gibson
The Newborn Hearing Screening Programme (NHSP) was established in Cork University Maternity Hospital (CUMH) in April 2011. Between April 2011 and July 2014, 42 infants were identified with a Permanent Childhood Hearing Impairment (PCHI). Following this diagnosis, infants underwent a paediatric assessment according to recognised guidelines with the intention of identifying the underlying aetiology of the PCHI. The aim of this study was to assess the findings of this aetiological workup via retrospective chart review...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465662/social-vulnerability-in-congenital-syphilis-case-mothers-qualitative-assessment-of-cases-in-indiana-2014-2016
#12
Dawne DiOrio, Karen Kroeger, Amara Ross
BACKGROUND: Congenital syphilis occurs when a pregnant woman with syphilis is not diagnosed or treated and the infection is passed in utero, causing severe infant morbidity and mortality. Congenital syphilis is easily prevented if women receive timely and adequate prenatal care. Cases of congenital syphilis are considered indicators of problems in the safety net. However, maternal social and behavioral factors can impede women's care, even when providers follow guidelines. METHODS: We reviewed case interviews and maternal records for 23 congenital syphilis cases reported to CDC from Indiana between 2014 and 2016...
January 4, 2018: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/29465627/a-social-network-analysis-of-hiv-treatment-partners-and-patient-viral-suppression-in-botswana
#13
Laura M Bogart, Mosepele Mosepele, Nthabiseng Phaladze, Bright Lekoko, David J Klein, Sarah MacCarthy, Harold D Green
OBJECTIVE: Many national HIV guidelines recommend that healthcare providers encourage patients to identify a treatment partner from their social network to support antiretroviral therapy adherence. The present study examined associations of patient and treatment partner characteristics with patient viral suppression in Botswana. DESIGN: 131 patients [67 (51.1%) virally suppressed, 64 (48.9%) not suppressed] and their treatment partners were recruited for cross-sectional interviews from one HIV clinic...
February 20, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/29465401/real-life-evaluation-of-the-degree-of-compliance-to-recommendations-of-anaphylaxis-guidelines-in-an-emergency-department-of-a-tertiary-hospital
#14
L V Ponce Guevara, E Laffond Yges, M T Gracia Bara, E Moreno Rodilla, F J Muñoz Bellido, M Lázaro Sastre, E M Macías Iglesias, S de Arriba Méndez, M V Campanón Toro, I Dávila Gónzalez
BACKGROUND AND OBJECTIVE: To date, few studies have evaluated the degree of compliance with recommendations of anaphylaxis guidelines in emergency departments (EDs). Objective: The objective of this study was to evaluate adherence to anaphylaxis guidelines recommendations in an ED of a tertiary hospital. METHODS: Medical records of patients that were assisted in the ED of the University Hospital of Salamanca (Spain) were reviewed. Those patients fulfilling anaphylaxis criteria proposed by the NIAID/FAAN were selected...
February 21, 2018: Journal of Investigational Allergology & Clinical Immunology
https://www.readbyqxmd.com/read/29465065/can-ecdc-pps-hai-au-data-on-antimicrobial-use-can-be-used-to-evaluate-adherence-to-national-guidelines-for-antimicrobial-treatment-of-community-acquired-pneumonia
#15
Aleksander Deptuła, Ewa Trejnowska, Grzegorz Dubiel, Maria Deptuła, Marleta Zienkiewicz, Agnieszka Żukowska, Agnieszka Misiewska-Kaczur, Tomasz Ozorowski, Piotr Księżniakiewicz, Joanna Kubiak, Waleria Hryniewicz
INTRODUCTION Point-prevalence surveys are widely described as a useful tool for evaluation of antimicrobial policy, as well as adherence to the guidelines. OBJECTIVES To evaluate if ECDC Point Prevalence Survey and Antimicrobial Use (PPS HAI&AU) data can be used for evaluation of adherence to the national guidelines (NG) for the treatment of community-acquired pneumonia (CAP) and analysis of the quality of treatment regimens. PATIENTS AND METHODS Data for 72 698 patients were collected in Poland between 2012-2015 according to the ECDC Protocol v...
February 15, 2018: Polish Archives of Internal Medicine
https://www.readbyqxmd.com/read/29463091/urinary-tract-infections-pilot-study-to-improve-guideline-adherence
#16
Maroun M Sfeir, Alexandria G Beranger
No abstract text is available yet for this article.
February 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29462973/the-nordic-prudent-diet-reduces-risk-of-cognitive-decline-in-the-swedish-older-adults-a-population-based-cohort-study
#17
Behnaz Shakersain, Debora Rizzuto, Susanna C Larsson, Gerd Faxén-Irving, Laura Fratiglioni, Wei-Li Xu
Appropriate dietary pattern for preserving cognitive function in northern Europe remains unknown. We aimed to identify a Nordic dietary pattern index associated with slower cognitive decline compared to the Mediterranean-DASH Intervention for Neurodegenerative Delay, Mediterranean Diet, Dietary Approaches to Stop Hypertension, and Baltic Sea Diet indices. A total of 2223 dementia-free adults aged ≥60 were followed for 6 years. Mini-Mental State Examination was administrated at baseline and follow-ups. Dietary intake was assessed by 98-item food frequency questionnaire, and the Nordic Prudent Dietary Pattern (NPDP) was identified...
February 17, 2018: Nutrients
https://www.readbyqxmd.com/read/29462564/practice-patterns-of-referring-physicians-in-management-of-the-dysphonic-patient
#18
Andrew J Holcomb, Chelsea S Hamill, Thomas Irwin, Kevin Sykes, James D Garnett, Shannon Kraft
Objective Dysphonia is commonly encountered by primary care physicians and general otolaryngologists. We examine practice patterns of referring physicians to a tertiary voice clinic, including adherence to evidence-based guidelines. Study Design Retrospective case series with chart review. Setting Academic tertiary care hospital. Subjects and Methods In total, 821 charts of patients with voice complaints seen at a tertiary voice clinic between January 2011 and June 2016 were reviewed. Included charts (n = 755) were reviewed for type of referring provider, prior diagnoses, and treatments employed by referring physicians...
February 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29458404/a-novel-integrated-care-concept-nicc-versus-standard-care-in-the-treatment-of-chronic-cardiovascular-diseases-protocol-for-the-randomized-controlled-trial-cardiocare-mv
#19
Christian Schmidt, Alper Öner, Miriam Mann, Katja Krockenberger, Melanie Abbondanzieri, Bernard Brandewiede, Armin Brüge, Gisela Hostenkamp, Axel Kaiser, Henriette Neumeyer, Andreas Ziegler
BACKGROUND: Cardiovascular diseases are the major cause of death globally and represent a major economic burden on health care systems. Positive effects of disease management programs have been shown for patients with heart failure (HF). Remote monitoring and telemonitoring with active intervention are beneficial in atrial fibrillation (AF) and therapy-resistant hypertension (TRH), respectively. For these patients, we have developed a novel integrated care concept (NICC) which combines telemedicine with intensive support by a care center, including a call center, an integrated care network including inpatient and outpatient care providers and guideline therapy for patients...
February 20, 2018: Trials
https://www.readbyqxmd.com/read/29457358/crt-survey-ii-a-european-society-of-cardiology-survey-of-cardiac-resynchronisation-therapy-in-11-088-patients-who-is-doing-what-to-whom-and-how
#20
Kenneth Dickstein, Camilla Normand, Angelo Auricchio, Nigussie Bogale, John G Cleland, Anselm K Gitt, Christoph Stellbrink, Stefan D Anker, Gerasimos Filippatos, Maurizio Gasparini, Gerhard Hindricks, Carina Blomström Lundqvist, Piotr Ponikowski, Frank Ruschitzka, Giovanni Luca Botto, Alan Bulava, Gabor Duray, Carsten Israel, Christophe Leclercq, Peter Margitfalvi, Óscar Cano, Chris Plummer, Nedim Umutay Sarigul, Maciej Sterlinski, Cecilia Linde
BACKGROUND: Cardiac resynchronisation therapy (CRT) reduces morbidity and mortality in appropriately selected patients with heart failure and is strongly recommended for such patients by guidelines. A European Society of Cardiology (ESC) CRT survey conducted in 2008-2009 showed considerable variation in guideline adherence and large individual, national and regional differences in patient selection, implantation practice and follow-up. Accordingly, two ESC associations, the European Heart Rhythm Association and the Heart Failure Association, designed a second prospective survey to describe contemporary clinical practice regarding CRT...
February 19, 2018: European Journal of Heart Failure
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