Search results for "Clinical Practice"
showing 10 items of 401 documents
A Systematic Review of the Use of Social Media for Dissemination of Clinical Practice Guidelines
2021
Item does not contain fulltext CONTEXT: Clinical practice guideline (CPG) uptake does not occur spontaneously and requires active implementation, especially for long-term implementation. Social media (SoMe) with its power of rapid and global information exchange among physicians, patients, organizations, and stakeholders in the medical field can open up unprecedented opportunities for CPG dissemination. OBJECTIVE: The aim of this review was to assess the current use of SoMe in CPG dissemination across different medical specialties. EVIDENCE ACQUISITION: A systematic review (SR) of the literature was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) …
Guías actuales de práctica clínica en la diabetes mellitus tipo 2: ¿cómo aplicarlas en atención primaria?
2010
ResumenLas guías de práctica clínica deben elaborarse con una metodología sistemática basada en la mejor evidencia disponible. La elaboración de las recomendaciones debe comprender la evaluación de la calidad global de la evidencia y la graduación de la fuerza de las recomendaciones. Asimismo, hay documentos de consenso que combinan la revisión de evidencias con la opinión de expertos buscando obtener algún acuerdo en áreas de incertidumbre por ausencia de pruebas concluyentes. El debate que suscitan los nuevos tratamientos propicia la aparición de documentos en los que se recomienden sus usos, aun cuando haya pocos estudios a largo plazo acerca de su eficacia y seguridad.En el ámbito inter…
Visual–spatial training efficacy in children affected by migraine without aura: a multicenter study
2017
Francesco Precenzano,1,* Maria Ruberto,2,* Lucia Parisi,3 Margherita Salerno,4 Agata Maltese,3 Beatrice Gallai,5 Rosa Marotta,6 Serena Marianna Lavano,7 Francesco Lavano,6 Michele Roccella3 1Clinic of Child and Adolescent Neuropsychiatry, Headache Center for Children and Adolescent. Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania Luigi Vanvitelli, 2Department of Medical-Surgical and Dental Specialties, Università degli Studi della Campania Luigi Vanvitelli, Naples, 3Department of Psychological, Pedagogical and Educational Sciences, 4Sciences for Mother and Child Health Promotion, University of Palermo, Palermo, 5D…
Classification of impacted mandibular third molars on cone-beam CT images
2014
Background: Neurological involvement is a serious complication associated to the surgical removal of impacted mandibular third molars and the radiological investigation is the first mandatory step to assess the risk of a possible post-operative injury to the inferior alveolar nerve (IAN). The aim of this study was to introduce a new radiological classification that could be normally used in clinical practice to assess the relationship between an impacted third molar and mandibular canal on cone beam CT (CBCT) images. Material and Methods: CBCT images of 80 patients (133 mandibular third molars) were independently studied by three members of the surgical team to draw a classification that co…
Repetitive Transcranial Magnetic Stimulation
2019
Transcranial magnetic stimulation (TMS) represents a valuable neurophysiological technique useful for both research and clinical practice purposes [1]. TMS acts by inducing electrical fields which cause electric currents to flow in targeted cortical areas. These currents interact with the electrical activity of the brain and can depolarize cortical interneurons and/or projection neurons depending on the characteristics of the stimulation. The induced excitation can spread throughout the nervous system by the brain’s normal mechanisms of propagation of neuronal signals. In this way, TMS can also induce functional changes in areas remote to the stimulated cortical area, including both functio…
Family involvement in the intensive care unit in four Nordic countries
2021
BackgroundRelevance to clinical practice The findings from the study highlighting family involvement, high-quality communication and flexible visiting policy as central aspects of family care may inspire clinicians to identify aspects of everyday family care in their ICUs calling for further improvement.Aims and objectivesTo describe family involvement, communication practices and visiting policies in adult ICUs.DesignA cross-sectional survey.MethodA questionnaire consisting of 11 sections was developed, pilot tested and e-mailed to 196 ICUs. The participants were intensive care nurses in adult ICUs in four Nordic countries.ResultsThe survey was conducted in October to December 2019. The re…
An evaluation of the antireflux properties of sodium alginate by means of combined multichannel intraluminal impedance and pH-metry.
2005
Summary Background : Alginate-based preparations act as mechanical antireflux barrier, which can reduce both acid and non-acid reflux events and limit the proximal migration of oesophageal refluxate. Aim : To evaluate all the above features with a novel technique, multichannel electrical impedance and pH-metry. Methods : Ten reflux patients underwent stationary impedancemetry and pH-metry after eating a refluxogenic meal. They were studied 1 h in basal conditions and 1 h after taking 10 mL of Gaviscon Advance. In both sessions, measurements were obtained in right lateral and supine decubitus. Results : Alginate preparation was able to decrease significantly (P < 0.05) the number of acid ref…
Editor's Choice – European Society for Vascular Surgery (ESVS) 2021 Clinical Practice Guidelines on the Management of Venous Thrombosis
2021
European Society for Vascular Surgery (ESVS) 2021 Clinical Practice Guidelines on the Management of Venous Thrombosis
Management and treatment of triple-negative breast cancer patients from the NEMESI study: An Italian experience
2011
Abstract Aims Triple-negative breast cancers (TNBCs) lack expression of oestrogen, progesterone, and Human Epidermal Growth Factor 2 receptors. The NEMESI study described current Italian treatment practices in patients with operable, early-stage breast cancer (EBC). Patients and methods Retrospective, observational study involving 63 Italian oncology centres. Eligible patients were aged ⩾18 years with EBC (stage I–II) who had undergone surgery, received ⩾1 cycle of adjuvant chemotherapy and/or adjuvant hormonal therapy and attended an oncology centre between 1 January 2008 and 30 June 2008. This subanalysis focused on patients with TNBC. Variables evaluated included: demographic data/clinic…
Beyond the lessons learned from the COVID-19 pandemic: opportunities to optimize clinical trial implementation in oncology.
2021
Abstract The COVID-19 pandemic affected millions of people globally with lasting effects on society, patients, investigators and health institutions. Clinical trials, our best tool to improve cancer treatment for patients through testing the clinical value of a new treatment, have been affected by the pandemic. The pandemic footprint represents both a risk of compromising development of new therapies and an opportunity to elicit discussion over a portfolio of broader reforms, applicable irrespective of pandemics, in order to improve the design and implementation of clinical trials in oncology. The administrative load should be reduced, without affecting the quality of research and principle…