Search results for "Evidence"
showing 10 items of 1050 documents
Can we prevent incontinence?: ICI-RS 2011
2012
Aims A review of the current state of research with regard to prevention of incontinence. Methods The search was limited to English language publications on the topic of incontinence prevention. Results Incontinence is associated with a range of risk factors, most of which are modifiable. Lifestyle changes with behavioral modifications that can prevent urinary incontinence (UI) need to be adopted from an early phase of life. Pregnancy per se for the woman, independent of labor and delivery practice, is a risk factor for UI. The influence of estrogen is still under discussion as to its direct influence to UI. For both men and women, there is a correlation between pelvic-floor related surgery…
On the relation between present and future tense in Lithuanian: Preliminary considerations in the domain of non-deictic tense use
2021
The article examines non-deictic uses of present and future tense in Lithuanian. Narrative use, in which reference intervals match with singular events, is distinguished from suspended propositions characterized by lack of such reference intervals (habitual, dispositional and circumstantial modal, and conditional meanings). Present tense is frequently involved in both usage domains, while the future is rare in narrative use, but overlaps with present tense in certain types of suspended propositions. Moreover, its temporal-deictic use is inherently associated with suspended propositions and “linked” to them via epistemic implicatures. This, in contrast to the present, makes the future more l…
Can Integrated Care Help in Meeting the Challenges Posed on Our Health Care Systems by COVID-19? Some Preliminary Lessons Learned from the European V…
2020
The COVID-19 pandemic puts health and care systems under pressure globally. This current paper highlights challenges arising in the care for older and vulnerable populations in this context and reflects upon possible perspectives for different systems making use of nested integrated care approaches adapted during the work of the EU-funded project VIGOUR ("Evidence based Guidance to Scale-up Integrated Care in Europe", funded by the European Union's Health Programme 2014-2020 under Grant Agreement Number 826640).
An exploration of self-awareness among shy adolescents
2009
The aim of this article is to explore the concept of self-awareness related to adolescents with shyness as an emotional and behavioural problem at school. In its extreme form shyness can be seen as an emotional and behavioural problem that interferes with an individual’s potential for growth, learning and overall well-being. Self-awareness is a rather ambiguous term, and psychological, philosophical and neuro-scientific literature discuss the term from different angles that are relevant for this group of adolescents. During interviews and observations in school, 15 adolescents presented their experiences and challenges. Their narratives are the foundation for a discussion related to self-a…
Overcoming barriers to evidence-based patient blood management: a restricted review
2020
Abstract Background Blood transfusions are associated with a range of adverse patient outcomes, including coagulopathy, immunomodulation and haemolysis, which increase the risk of morbidity and mortality. Consideration of these risks and potential benefits are necessary when deciding to transfuse. Patient blood management (PBM) guidelines exist to assist in clinical decision-making, but they are underutilised. Exploration of barriers to the implementation and utilisation of the PBM guidelines is required. This study aimed to identify common barriers and implementation strategies used to implement PBM guidelines, with a comparison against current expert opinion. Methods A restricted review a…
Real-world evidence from a European cohort study of patients with treatment resistant depression:Healthcare resource utilization
2022
Journal of affective disorders 298, Part A 442-450 (2022). doi:10.1016/j.jad.2021.11.004 special issue: "Special Issue on Corona Virus / Edited by Allan Young, Ron Acierno, Xiang Yang Zhang"
Characterizing mortality effects of particulate matter size fractions in the two capital cities of the Canary Islands
2010
Most of the studies differentiating the effect of size-classified particulate matter (PM) exposure have been carried out in cities where the average levels of fine particles (PM2.5) were higher than those of coarse particles (PM10-2.5). These studies have suggested that PM2.5 is associated with daily mortality, but there is only limited evidence that PM10-2.5 is independently associated with mortality. The citizens of the Canary Islands are exposed to PM which is highly influenced by mineral dust because of the islands' proximity to the Western Coast of Morocco. This offers an excellent opportunity to analyze in detail the short-term association between PM size fractions and total, respirat…
Update on tricuspid regurgitation
2014
Although commonly detected by transthoracic echocardiography, tricuspid regurgitation (TR) has been somehow neglected, and recent data have emerged on the need for careful examination of the tricuspid valve. Functional or secondary TR is the most frequent etiology of tricuspid valve pathology in western countries and is related to tricuspid annular dilation and leaflet tethering. The prognostic role of TR associated with organic left-sided valvular heart disease is well known. However, the value of functional TR in outcome stratification of patients with advanced left ventricular dysfunction is less clear. Surgical tricuspid repair has been avoided for years, because of the misconception th…
Fascist Unionization and the Professionalization of Midwives in Italy: A Sicilian Case Study
1994
In the 19th century, Italian midwives (then called levatrice) began to organize in an attempt to resist encroachments being made on their practice by obstetricians. Licensed midwives formed professional societies, organized national congresses, and published journals. By the fascist period (1922–43), with the foundation of the first national state-sanctioned union and the institution of an obligatory professional register (Albo), midwifery achieved the status of a recognized profession. The professionalizing practices of midwives, however, combined with a new state interest in their activities and a broader role for the medical profession in defining the proper place of midwives, held Itali…
High Rate of Studies with Level 1 and 2 Evidence among the 100 Most Cited Articles in Lumbar Spinal Stenosis.
2021
Abstract Background To date, no study has used bibliometric analysis to review the most influential articles in lumbar spinal stenosis. The objective of this study was to identify and analyze the characteristics and the level of evidence of the 100 most cited articles on lumbar spinal stenosis Methods The Thomson Reuters Web of Science was accessed to find the 100 most cited articles on lumbar spinal stenosis. For each article, we recorded the number and density of citations, authors, country, journals and years, department, level of evidence, type of study, and if it was part of any multicenter studies. Results Until January 2017, the 100 most cited articles accumulated 11,136 citations (a…