Search results for " setting"
showing 10 items of 215 documents
Water and Sodium in Heart Failure: A Spotlight on Congestion.
2014
Despite all available therapies, the rates of hospitalization and death from heart failure (HF) remain unacceptably high. The most common reasons for hospital admission are symptoms related to congestion. During hospitalization, most patients respond well to standard therapy and are discharged with significantly improved symptoms. Post-discharge, many patients receive diligent and frequent follow-up. However, rehospitalization rates remain high. One potential explanation is a persistent failure by clinicians to adequately manage congestion in the outpatient setting. The failure to successfully manage these patients post-discharge may represent an unmet need to improve the way congestion is …
External evaluation of population pharmacokinetic models of vancomycin in neonates: the transferability of published models to different clinical set…
2013
Vancomycin is one of the most evaluated antibiotics in neonates using modeling and simulation approaches. However no clear consensus on optimal dosing has been achieved. The objective of the present study was to perform an external evaluation of published models, in order to test their predictive performances in an independent dataset and to identify the possible study-related factors influencing the transferability of pharmacokinetic models to different clinical settings. Published neonatal vancomycin pharmacokinetic models were screened from the literature. The predictive performance of 6 models was evaluated using an independent dataset (112 concentrations from 78 neonates). The evaluati…
Potential Diagnostic Properties of Chest Ultrasound in Thoracic Tuberculosis-A Systematic Review.
2018
Background: Chest ultrasound (CUS) has been shown to be a sensitive and specific imaging modality for pneumothorax, pneumonia, and pleural effusions. However, the role of chest ultrasound in the diagnosis of thoracic tuberculosis (TB) is uncertain. We performed a systematic search in the medical literature to better define the potential role and value of chest ultrasound in diagnosing thoracic tuberculosis. Aim: To describe existing literature with regard to the diagnostic value of chest ultrasound in thoracic tuberculosis. Methods: MEDLINE, EMBASE, and Scopus databases were searched for relevant articles. We included studies that used chest ultrasound for the diagnosis or management of any…
Kidney Disease Management in the Hospital Setting: A Focus on Inappropriate Drug Prescriptions in Older Patients
2021
Aging with multimorbidity and polytherapy are the most significant factors that could led to inappropriate prescribing of contraindicated medications in patients with chronic kidney disease (CKD). The aim of this study was to evaluate the prescriptions of contraindicated drugs in older adults in CKD and to identify their associated factors in a hospital context. An observational retrospective study was carried out considering all patients ≥65 years with at least one serum creatinine value recorded into the REPOSI register into 2010–2016 period. The estimated glomerular filtration rate (eGFR) was applied to identify CKD. A descriptive analysis was performed to compare demographic and clinica…
A Positive Technology System for the Promotion of Well-Being: From the Lab to the Hospital Setting
2016
There is growing evidence of the effectiveness of Positive Psychology Interventions (PPIs) to enhance subjective and psychological well-being in different populations, and the Information and Communication Technologies (ICTs) are becoming into a key help to increase the efficiency of this type of interventions. Recently, the use of technology to foster well-being and personal growth has been named as Positive Technology. The aim of this paper is to describe and to present data about a positive technology example (EARTH of Well-being system) and to examine its usefulness in different populations and settings. Data of four studies are presented: two with non-clinical population (university st…
Delirium: From the Operating Room to the ICU
2020
Delirium is a transitory and reversible syndrome which is potentially avoidable; nevertheless represents the most common acute encephalic dysfunction in critically ill patients. Despite this population being daily treated by anesthesiologists in the operating rooms and by critical care physicians in the Intensive care unit, delirium remains an underdiagnosed condition that is associated with a significative increase in morbidity and mortality. Furthermore, it is associated with higher costs and length of stay.
Directly Observed Physical Activity and Fundamental Motor Skills in Four-Year-Old Children in Day Care
2016
Physical activity (PA), its location, social interactions and fundamental motor skills (FMS) were investigated in four-year-old Finnish children in day care. Six skills in the stability, locomotor and manipulative domains were assessed in 53 children (24 boys, 29 girls, normal anthropometry) with the APM-Inventory manual for assessing children’s perceptual and FMS and Total Motor Scores (TMS; 0–6 points) calculated. PA intensity, location, group composition and activity type − sitting, squatting, kneeling − were directly observed with a modified version of the Observational System for Recording Physical Activity in Children – Preschool Version (OSRAC – P) during three consecutive days in 14…
Exploring the practical framework of a multicultural music therapy group for children with emotional and behavioral needs in an after-school setting
2016
Research shows that music therapy is effective in addressing therapeutic goals for groups of children with emotional and behavioral needs. However, most of the current research focuses on behavioral approaches to music therapy with children, and lacks in-depth explanations of practical frameworks surrounding the process (i.e., organizing, planning and implementing a group) for non-directive children’s music therapy groups focused on emotional and behavioral needs in the school setting. The following case study explores the practical framework surrounding a multicultural music therapy group for children with emotional and behavioral needs at an elementary school in Jyväskylä, Finland. The ma…
Perceived goal setting practices across a competitive season
2019
Goal setting is an effective and frequently used tool for performance enhancement in sports. However, in the previous studies, the focus has been on goal effectiveness among individual male athletes and at one point in time. Therefore, the purpose of this longitudinal study was to examine goal setting practices in women’s sport teams across a competitive season from players’ individual and team perspectives. A total of 146 female players representing 24 teams in ice hockey, ringette, or floorball completed three online surveys. Surveys focused on setting outcome, process, and performance goals, as well as evaluating the follow-through of setting goals and actually reaching these goals acro…
Zadovoljavanje osnovnih psiholoških potreba i autonomna motivacija u kontekstu škole: testiranje aditivne, sinergističke i hipoteze ravnoteže
2018
The present study examined the influence of the three basic psychological needs on autonomous motivation in educational settings in the light of additive, synergistic, and balance hypotheses. Participants were 679 high school students (Mage = 16.16, 49.3% girls). The findings supported the additive hypothesis: all three needs had unique effects on autonomous motivation. The synergistic hypothesis was only partially supported: one two-way interaction between autonomy and competence had effect on autonomous motivation. A high level of satisfaction of the need for autonomy led to autonomous motivation regardless of satisfaction of the need for competence. However, competence was positively rel…