utech 120 kt bmj

utech 120 kt bmj

Access, quality, and costs of care at physician ,

Objective To compare physician owned hospitals (POHs) with non-POHs on metrics around patient populations, quality of care, costs, and payments Design Observational study Setting Acute care hospitals in 95 hospital referral regions in the United States, 2010 Participants 2186 US acute care hospitals (219 POHs and 1967 non-POHs) Main outcome measures Proportions of patients using ,...

Endometriosis

Chronic inflammatory condition defined by endometrial stroma and glands found outside of the uterine cavity The most common sites affected are the pelvic peritoneum and ovari May present incidentally in asymptomatic patients, or more commonly in women of reproductive age who complain of chron....

Durable responses and reversible toxicity ,

Background High-dose interleukin-2 (IL-2) has been FDA-approved for over 20 years, but it is offered only at a small number of centers with expertise in its administration We analyzed the outcomes of patients receiving high-dose IL-2 in relation to the severity of toxicity to ascertain if response or survival were adversely affected Methods A retrospective analysis of the outcomes of 500 ....

Association between vitamin D supplementation ,

Aug 12, 2019· Objective To investigate whether vitamin D supplementation is associated with lower mortality in adults Design Systematic review and meta-analysis of randomised controlled trials Data sources Medline, Embase, and the Cochrane Central Register from their inception to 26 December 2018 Eligibility criteria for selecting studies Randomised controlled trials comparing vitamin D ,...

Changes in nut consumption influence long

Aug 27, 2019· Background Nut consumption has increased in the US but little evidence exists on the association between changes in nut consumption and weight change We aimed to evaluate the association between changes in total consumption of nuts and intakes of different nuts (including peanuts) and long-term weight change, in three independent cohort studi...

Changes in nut consumption influence long

Background Nut consumption has increased in the US but little evidence exists on the association between changes in nut consumption and weight change We aimed to evaluate the association between changes in total consumption of nuts and intakes of different nuts (including peanuts) and long-term weight change, in three independent cohort studi...

Polycystic kidney disease

Inherited renal cystic disease, of which autosomal-dominant polycystic kidney disease (ADPKD) is the more common form Characterized by renal cysts, extrarenal cysts, intracranial aneurysms and dolichoectasias (elongated and distended arteries), aortic root dilation and aneurysms, mitral valve pr....

Chronic use of tramadol after acute pain episode ,

May 14, 2019· Objective To determine the risk of prolonged opioid use in patients receiving tramadol compared with other short acting opioids Design Observational study of administrative claims data Setting United States commercial and Medicare Advantage insurance claims (OptumLabs Data Warehouse) January 1, 2009 through June 30, 2018 Participants Opioid-naive patients undergoing ,...

Evaluation of a patient safety ,

Background Surgical Safety Checklists (SSC) have been implemented widely across 132 countries since 2008 Yet, despite associated reductions in postoperative complications and death rates, implementation of checklists in surgery remains a challenge The aim of this study was to assess the impact of a patient safety programme over time on SSC use and incidence of clinical errors Design A ....

Systematic review of interventions targeting ,

Objectives The high rate of sickness absence from work during pregnancy is recognised as a problem, and may be higher than necessary from a health perspective The aim was to evaluate the effectiveness of interventions in healthcare settings and workplaces targeting sickness absence among pregnant women Methods Studies were eligible if they included pregnant women participating in any ....

Evidence available for patient

Objectives Patient priority setting projects (PPSPs) can reduce research agenda bias A key element of PPSPs is a review of available literature to determine if the proposed research priorities have been addressed, identify research gaps, recognise opportunities for knowledge translation (KT) and avoid duplication of research efforts...

Ischemic stroke

A leading cause of morbidity and mortality Approximately 85% of strokes are ischemic, caused by vascular occlusion A clinical emergency: timely diagnosis, triage, and intervention can improve outcome Care of patients in dedicated stroke units improves survival and function Intravenous recombi....

Evaluation of a patient safety ,

Jul 01, 2018· Background Surgical Safety Checklists (SSC) have been implemented widely across 132 countries since 2008 Yet, despite associated reductions in postoperative complications and death rates, implementation of checklists in surgery remains a challenge The aim of this study was to assess the impact of a patient safety programme over time on SSC use and incidence of clinical errors Design A ....

Longitudinal assessment of chlorpyrifos ,

Objectives Occupational exposure of organophosphorus pesticides, such as chlorpyrifos (CPF), in adolescents is of particular concern because of the potential vulnerability of the developing neurological system The objectives of this study were to examine how neurological symptoms reported over the application season vary across time, whether these effects are reversible postapplication and if ....

Effect of dose and duration of reduction in ,

Objective To examine the dose-response relation between reduction in dietary sodium and blood pressure change and to explore the impact of intervention duration Design Systematic review and meta-analysis following PRISMA guidelin Data sources Ovid MEDLINE(R), EMBASE, and Cochrane Central Register of Controlled Trials (Wiley) and reference lists of relevant articles up to 21 January 2019 ....

Crohn disease

Common presenting symptoms include chronic diarrhea, weight loss, and right lower quadrant abdominal pain mimicking acute appendicitis Diagnosis confirmed by colonoscopy with ileoscopy and tissue biopsy Specialist input is required from the time of diagnosis, as treatment regimens require frequ....

Benign paroxysmal positional vertigo

Common, often self-limited condition, but can be chronic and relapsing Diagnosis is based on a suggestive history and physical exam with a positive Dix-Hallpike maneuver or a positive supine lateral head turn Other tests are not usually required Medication is not an effective treatment option....

Comparison of different approaches to ,

Background We have previously reported, in a systematic review of 181 studies, that restriction of antibiotic use in food-producing animals is associated with a reduction in antibiotic-resistant bacterial isolat While informative, that report did not concretely specify whether different types of restriction are associated with differential effectiveness in reducing resistance We undertook ....

Benign paroxysmal positional vertigo

Common, often self-limiting condition, but can be chronic and relapsing Diagnosis is based on a suggestive history and physical examination with a positive Dix-Hallpike manoeuvre or a positive supine lateral head turn Other tests are not usually required Medication is not an effective treatmen....

Optimising paediatric afferent component ,

Objective To identify the core components of successful early warning systems for detecting and initiating action in response to clinical deterioration in paediatric inpatients Methods A hermeneutic systematic literature review informed by translational mobilisation theory and normalisation process theory was used to synthesise 82 studies of paediatric and adult early warning systems and ....

Facilitation roles and characteristics ,

Background Implementing research findings into practice is a complex process that is not well understood Facilitation has been described as a key component of getting research findings into practice The literature on facilitation as a practice innovation is growing This review aimed to identify facilitator roles and to describe characteristics of facilitation that may be associated with ....

European evidence

Evidence-based guidelines on the management of pancreatic cystic neoplasms (PCN) are lacking This guideline is a joint initiative of the European Study Group on Cystic Tumours of the Pancreas, United European Gastroenterology, European Pancreatic Club, European-African Hepato-Pancreato-Biliary Association, European Digestive Surgery, and the European Society of Gastrointestinal Endoscopy It ....

Evidence available for patient

Objectives Patient priority setting projects (PPSPs) can reduce research agenda bias A key element of PPSPs is a review of available literature to determine if the proposed research priorities have been addressed, identify research gaps, recognise opportunities for knowledge translation (KT) and avoid duplication of research efforts We conducted rapid responses for 11 patient-identified ....

Effect of four monthly oral vitamin D3 ,

Objective: To determine the effect of four monthly vitamin D supplementation on the rate of fractures in men and women aged 65 years and over living in the community Design: Randomised double blind controlled trial of 100 000 IU oral vitamin D3 (cholecalciferol) supplementation or matching placebo every four months over five years Setting and participants: 2686 people (2037 men and 649 women ....