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Moore M T MT Water Quality and Ecology Research Unit, USDA-ARS National Sedimentation Laboratory, PO Box 1157, Oxford, MS, 38655, USA, - - 2014
Vegetated buffers of different designs are often used as edge-of-field treatment practices to remove pesticides that may be entrained in agricultural runoff. However, buffer system efficacy in pesticide runoff mitigation varies widely due to a multitude of factors including, but not limited to, pesticide chemistry, vegetation composition, and hydrology. Two ...
Lafontaine Nicole N Royal Melbourne Hospital, Parkville, - - 2014
We examined the effects of a programme to improve adherence to British Thoracic Society pleural procedure guidelines at our institution. Following a baseline audit, we performed an intervention to enhance adherence to these guidelines. We then performed a postintervention audit. At baseline, there were different levels of guideline adherence depending ...
Blakey John D JD Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, - - 2014
The past 20 years have seen two great changes in the practice of medicine: the widespread adoption of evidence-based medicine, and the increasing challenge of managing complex multimorbid patients. Both these developments have resulted in clinical rules and protocols becoming ever more abundant and increasingly critical to delivering safe and effective ...
Smith Yvonne Y Endoscopy Unit Service Manager, Croydon Health Services NHS Trust, - - 2014
This article presents the results of an audit of swab and instrument count practices in the operating department of a large hospital NHS Trust in South East England. A literature review of the subject is presented followed by the methodology used including questionnaires and observation of practice. Findings are discussed ...
Mishra Dheerendra D Department of Mathematics, Indian Institute of Technology Kharagpur, Kharagpur, 721 302, India, - - 2014
Remote user authentication is desirable for a Telecare Medicine Information System (TMIS) for the safety, security and integrity of transmitted data over the public channel. In 2013, Tan presented a biometric based remote user authentication scheme and claimed that his scheme is secure. Recently, Yan et al. demonstrated some drawbacks ...
Detko Z Z St. Mary's Hospital, Manchester, - - 2014
In 2004 we conducted a national survey of clinical guidelines in severe pre-eclampsia/eclampsia (sPET) and demonstrated that the standard of guidelines in individual maternity units was poor. NICE published guidance in this area in 2010. Our aim was to determine if the last decade has seen improvements. 229 UK maternity ...
Meropol Sharon B SB Departments of - - 2014
Evolving primary care models require methods to help practices achieve quality standards. This study assessed the effectiveness of a Practice-Tailored Facilitation Intervention for improving delivery of 3 pediatric preventive services. In this cluster-randomized trial, a practice facilitator implemented practice-tailored rapid-cycle feedback/change strategies for improving obesity screening/counseling, lead screening, and dental ...
Mold James W JW University of Oklahoma Health Sciences Center, Oklahoma City, - - 2014
PURPOSE Guideline implementation in primary care has proven difficult. Although external assistance through performance feedback, academic detailing, practice facilitation (PF), and learning collaboratives seems to help, the best combination of interventions has not been determined. METHODS In a cluster randomized trial, we compared the independent and combined effectiveness of PF ...
Ryan Rebecca R Centre for Health Communication and Participation, School of Public Health and Human Biosciences, La Trobe University, Bundoora, VIC, Australia, - - 2014
Many systematic reviews exist on interventions to improve safe and effective medicines use by consumers, but research is distributed across diseases, populations and settings. The scope and focus of such reviews also vary widely, creating challenges for decision-makers seeking to inform decisions by using the evidence on consumers' medicines use.This ...
Hoffman Lavae - - 2014
PURPOSE This prologue introduces a clinical forum entitled "Reflections on Improving Clinical Practice" and orients the reader to the scope of articles included within it. METHOD The purpose of the clinical forum is described, its lead article is introduced, and brief summaries of the 7 response articles are provided. CONCLUSIONS ...
Lindberg Sara M SM Center for Women's Health and Health Disparities Research, University of Wisconsin School of Medicine and Public Health, 310 North Midvale Boulevard, Suite 201, Madison, WI, 53705, USA, - - 2014
The purpose of this study was to test the effectiveness of an intervention to improve the consistency and accuracy of antenatal gestational weight gain counseling through introduction of a "best practice alert" into an electronic medical record (EMR) system. A best practice alert was designed and implemented in the EMR. ...
Cabilan Cara J CJ aNursing Research Centre, Mater Health Services bSchool of Nursing, Queensland University of Technology, Brisbane, Queensland, - - 2014
: The aim of this evidence-based practice (EBP) project was to promote adherence to the current best practice in monitoring and optimal replacement of peripheral intravenous device (PIVD). This EBP project took place in a 30-bed acute general surgical ward. Twenty in-patients with PIVD in situ for 4 days or ...
Siriwardena A Niroshan AN Professor of Primary and Prehospital Health Care, Community and Health Research Unit (CaHRU), Faculty of Health and Social Sciences, University of Lincoln, Brayford Pool, Lincoln LN6 7TS, UK. - - 2014
Individual practice needs to be developed to improve effectiveness, safety and patient experience. Although good systems can support better individual performance, without personal development, individual practice can be a source of error. This, the final article in our series on the science of quality improvement, describes models of competence and ...
Yasuda Masaaki M Department of Health Promotion Science, Graduate School of Human Health Science, Tokyo Metropolitan University, 1-1 Minami-Ohsawa, Hachioji, Tokyo, 192-0397, - - 2013
Perception of the fit between a person's action capabilities and relevant environmental properties (i.e., affordances) is often fine tuned gradually through experience performing a behavior. However, the immediate effect of such practice on the improvement of affordance perception is unclear. The present study was designed to examine whether a critical ...
Mikkelsen-Lopez Inez I Swiss Tropical and Public Health Institute , Basel, Switzerland ; University of Basel , Basel, - - 2014
Objective: Assess whether reform in the Tanzanian medicines delivery system from a central 'push' kit system to a decentralized 'pull' Integrated Logistics System (ILS) has improved medicines accountability. Methods: Rufiji District in Tanzania was used as a case study. Data on medicines ordered and patients seen were compiled from routine ...
Block Lauren - - 2013
Hand hygiene compliance remains suboptimal among physicians despite quality improvement efforts. We observed hand hygiene compliance among 29 medicine interns at 2 large academic institutions. Overall compliance was 75%. Although 4 interns averaged <40% compliance, 14 averaged at least 80%. Given variability observed among individuals in the same training programs, ...
Wu Yen-Hsun - - 2013
We review practice-induced changes in two variance components defined based on the uncontrolled manifold hypothesis: One of them affects task performance while the other one does not. Practice leads to a drop in the former component (higher accuracy), while the latter can drop, stay unchanged, or even increase. The last ...
Cuttell Jenny - - 2013
The aim of this study was to improve the knowledge and understanding of the evidence which encompasses extended roles and advanced practice for theatre scrub practitioners. The intention was also to develop a local policy and training strategy for advanced roles, benchmarked against professional standards (PCC 2007) and clinical practice ...
Coughlan Edward K - - 2013
Performance improvement is thought to occur through engagement in deliberate practice. Deliberate practice is predicted to be challenging, effortful, and not inherently enjoyable. Expert and intermediate level Gaelic football players executed two types of kicks during an acquisition phase and pre-, post-, and retention tests. During acquisition, participants self-selected how ...
Champion Karine - - 2013
We aimed to evaluate the impact of physicians' educational programs in the reduction of inappropriate intravenous lines in internal medicine. Fifty-six French internal medicine units were enrolled in a nationwide, prospective, blinded, randomized controlled trial. Forms describing the patients with an intravenous line and internal medicine department characteristics were filled ...
Xu Yan - - 2013
This project was designed to implement the best practice in nasogastric tube feeding of critically ill patients in a neurosurgical intensive care unit. Clinical audit software programmes of the Joanna Briggs Institute (Practical Application of Clinical Evidence System and Getting Research Into Practice) were used in this project. A baseline ...
Larson Elaine - - 2013
Whereas monitoring adherence to hand hygiene (HH) guidelines is standard practice in most acute care facilities, practice improvement has been slow. In hospitals primarily concerned with reputation, incentives to report high HH rates may create negative consequences. Practice change will require increased staff engagement and more sustainable methods to monitor ...
Donahue Katrina E - - 2013
Practice transformation is the cornerstone of the future of family medicine and health care reform, but little is known about how the process occurs. We sought to develop and test a model of the natural history of practice transformation. We developed an outcomes-based model of how a practice moves through ...
Leviton Alan - - 2013
Guidance about how to practice child neurology has been around for decades. Recently, however, clinical practice guidelines, practice parameters, and standardized clinical assessment and management plans are gaining increasing attention. This overview, written for child neurologists, addresses such issues as the following: what are clinical practice guidelines, why are they ...
Roberts James R - - 2013
Background. Control of environmental triggers (ETs) greatly improves asthma outcomes in children. Disseminating these findings to general pediatricians has not been well established. Methods. After delivering a structured and standardized presentation on ET identification and control to pediatricians, we surveyed them about knowledge and practices of ET assessment and management. ...
Cibelli Jose J Michigan State University, Cellular Reprogramming Laboratory, Department of Animal Science, B270 Anthony Hall, East Lansing, - - 2013
The field of regenerative medicine is moving toward translation to clinical practice. However, there are still knowledge gaps and safety concerns regarding stem cell-based therapies. Improving large animal models and methods for transplantation, engraftment, and imaging should help address these issues, facilitating eventual use of stem cells in the clinic.
Brocato Lori - - 2013
This article discusses the current movement by Recovery Audit Contractors to target physician practices and recommends a variety of steps providers should take to mitigate the expense and staff inconvenience of audits.
Kalra Sanjay - - 2013
The parathyroid glands are now recognized as being essential for life. Their structure and function is well delineated, and their disease and dysfunction, well characterized. Diagnosis and management of parathyroid disease has improved in the past few decades. The path of parathyroid science, however, has been far from smooth. This ...
Leisinger Klaus Michael - - 2012
More than two billion people in low- and middle-income countries (LMIC) lack adequate access to essential medicines. In this paper, we make strong public health, human rights and economic arguments for improving access to medicines in LMIC and discuss the different roles and responsibilities of key stakeholders, including national governments, ...
Palm Keith - - 2012
The Joint Theater Trauma System (JTTS) was developed with the vision that every soldier, marine, sailor, and airman injured on the battlefield would have the optimal chance for survival and maximum potential for functional recovery. In this analysis, we hypothesized that information diffusion through the JTTS, via the dissemination of ...
Rayburn William F - - 2012
Objective To identify the current supply and locations of maternal-fetal medicine (MFM) subspecialists in active practice in the United States.Study Design This observational study examined the membership roster of the American Congress of Obstetricians and Gynecologists in 2010 for those whose practice was in either general obstetrics and gynecology or ...
Legrand Susan B - - 2012
Delirium is a devastating complication of general medical and surgical populations but of particular importance in palliative medicine. It is a clinical syndrome that is often not recognized and, therefore, not treated appropriately. The presence of delirium is a predictor of increased morbidity and mortality, longer hospitalization, and more likely ...
Khoury Muin J - - 2012
The term P4 medicine is used to denote an evolving field of medicine that uses systems biology approaches and information technologies to enhance wellness rather than just treat disease. Its four components include predictive, preventive, personalized, and participatory medicine. In the current paper, it is argued that in order to ...
Ritter Timothy T Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan; Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan. Electronic address: - - 2012
Development of a self-contained audit tool for external beam radiation therapy to assess compliance with the major recommendations from professional organizations and generally accepted standards of practice. Intensity modulated radiation therapy, stereotactic body radiation therapy, stereotactic radiosurgery, and volumetric modulated arc therapy were included in this review. A physics quality ...
Dixon Anna - - 2012
To determine how levels of case finding differ between general practices in England by level of population socio-economic deprivation. Observational analysis of data from the Quality and Outcome Framework in England for 2005/06. It covered 8339 primary care practices. Reported prevalence and estimated prevalence for coronary heart disease, chronic obstructive ...
Ward-Paige C A - - 2012
Many elasmobranchs have experienced strong population declines, which have been largely attributed to the direct and indirect effects of exploitation. Recently, however, live elasmobranchs are being increasingly valued for their role in marine ecosystems, dive tourism and intrinsic worth. Thus, management plans have been implemented to slow and ultimately reverse ...
Bertoldi Andréa Dâmaso - - 2012
To evaluate medicine prices, availability and affordability in Brazil, considering the differences across three types of medicines (originator brands, generics and similar medicines) and different types of facilities (private pharmacies, public sector pharmacies and "popular pharmacies"). Data on prices and availability of 50 medicines were collected in 56 pharmacies across ...
Parra Fabiola - - 2012
Use of plant resources and ecosystems practiced by indigenous peoples of Mesoamerica commonly involves domestication of plant populations and landscapes. Our study analyzed interactions of coexisting wild and managed populations of the pitaya Stenocereus pruinosus, a columnar cactus used for its edible fruit occurring in natural forests, silviculturally managed in ...
Bagavathiannan Muthukumar V - - 2012
Feral populations of cultivated crops can pose challenges to novel trait confinement within agricultural landscapes. Simulation models can be helpful in investigating the underlying dynamics of feral populations and determining suitable management options. We developed a stage-structured matrix population model for roadside feral alfalfa populations occurring in southern Manitoba, Canada. ...
Rebulla Paolo - - 2011
Cellular therapy is a novel form of medical or surgical treatment using cells in place of or in addition to traditional chemical drugs. The preparation of cellular products - called advanced therapy medicinal products - ATMP in Europe, requires compliance with good manufacturing practices (GMP). Based on long-term experience in ...
Paton Carol - - 2011
Medication errors are a common cause of avoidable morbidity, and transfer between clinical settings is a known risk factor for such errors. Medicines reconciliation means there is no unintended discrepancy between the medication prescribed for a patient prior to admission and on admission. Our aim was to improve the quality ...
- - 2011
An interview with Stephen A. Felt, DVM, MPH, DACLAM, DACVPM, Attending Veterinarian, Assistant Professor, Department of Comparative Medicine, Associate Director, Veterinary Service Center, Director, Laboratory Animal Medicine Residency Program, Stanford University, Stanford, CA.
Abdel-Halim Rabie E - - 2011
Little is known about the state of experimentation in the field of medicine during the Medieval Islamic era. With few exceptions, most of the contemporary sources on history of medicine propagate the idea that the roots of experimental medicine in its modern form, including clinical trials and drug-potency studies, first ...
Jansen J O - - 2011
BACKGROUND: The selective non-operative management of penetrating abdominal injury is gaining increasing acceptance. In Great Britain and Ireland, the management of trauma remains the responsibility of general surgeons. This study appraises the acceptance and utilisation of selective non-operative management strategies by British and Irish general surgeons, compared with trauma surgeons ...
Nyirjesy Paul - - 2011
: To describe the use of complementary alternative medicines in women with chronic vaginitis and to evaluate epidemiologic factors associated with these treatments. : In this prospective cohort study, patients with chronic vaginitis completed a questionnaire about past diagnoses and treatments. Information regarding demographics, medical and social history, perceived mental ...
Harold Beatrice - - 2011
This article reviews the management in emergency departments of acutely unwell patients with intestinal obstruction. It describes the diagnostic tests and management required for patients with this condition, suggests that reflecting on practice can help practitioners evaluate the quality of the care they gave and presents a case study involving ...
Wang Y - - 2011
The aim of the study was to develop an improved management mode in Ämmässuo landfill (Finland) for leachate ammonium-nitrogen removal, to minimize the leachate management costs and secure compliance with the uptrend requirements of regulations for on-site leachate management. With a single sequential batch simulation reactor, the minimum C/N ratio ...
- - 2011
An interview with Gene M. Rukavina, AAS, RVT, RLATG, Training Manager, Division of Laboratory Animal Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA.
Donihi Amy C - - 2011
Objective: Hyperglycemia is often inadequately treated during hospitalization. To address this, we piloted a Targeted Glycemic Management (TGM) service with the goals of improving clinician awareness of available inpatient glycemic management protocols and improving responsiveness to and frequency of severe hyperglycemia.Methods: Patients with a blood glucose (BG) ≥300 mg/dL who ...
Macneil Rory - - 2011
Currently most biomedical labs in universities and government funded research institutions use paper lab notebooks for recording experimental data and spreadsheets for managing sample data. One consequence is that sample management and documenting experiments are viewed as separate and distinct activities, notwithstanding that samples and aliquots are an integral part ...
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