Search results for "Guidelines."

Patient Specific Instrumentation for Total Knee Arthroplasty: a Literature Review

2014

During the past decade, total knee arthroplasty (TKA) has been markedly increased. Recently, patient-specific custom cutting guides have been commercially introduced in order to achieve an accurate component alignment during TKA. In fact, these cutting blocks are specific to a patient’s knee anatomy and should help the surgeons to perform bone cuts, reducing the complexity of conventional alignment and sizing tools. Nevertheless, there are critical arguments against patient-specific cutting guides for routine use, such as poor evidence and higher costs. Additionally, there are still no mild and long-term results available that describe the clinical outcomes following patient-specific instru…

The challenge of using the rheumatoid arthritis diagnostic criteria in clinical practice.

2015

The new 2010 ACR/EULAR (American College of Rheumatology/European League Against Rheumatism) criteria of Rheumatoid Arthritis recently published, have been released to classify and identify patients with early RA who could benefit from early therapy. They recommend anti-citrullinated protein antibody (ACPA) testing as an alternative criterion to Rheumatoid Factor (RF) and ACPA that were introduced together with the other classic criteria in a scoring system. We previously criticized these new criteria because of unavailable specificity and sensibility in the first paper, and the use of ACPA as dichotomous criterion (presence/absent) and alternatives to rheumatoid factor. Our previous work p…

Differences between current clinical guidelines for screening, diagnosis and management of non-alcoholic fatty liver disease and real-world practice:…

2021

International audience; INTRODUCTION: Nonalcoholic fatty liver disease (NAFLD) is the most common liver disease and is associated with obesity and metabolic comorbidities. Liver steatosis can progress to nonalcoholic steatohepatitis (NASH) exhibiting a relevant risk of fibrosis and ultimately liver failure. To date, no approved treatment for NASH to reduce its clinical and humanistic burden has been developed. AREAS COVERED: We undertook a literature review to identify English language, national and international clinical guidelines for NAFLD regarding diagnosis, assessment and management, and determined their points of agreement and difference. Additionally, we investigated published liter…

Biodiverse green roofs in Mediterranean climate. Input and lessons learned from Germany and Switzerland

In the realm of the doctoral program in technologies for sustainability and land restoration, this thesis deepens sustainable and ecological solutions for Mediterranean environment after the German tradition and the Swiss school of green roofs for biodiversity. Specific aims were to: (1) assess the effectiveness of the existing green roofs norms in supporting biodiversity; (2) review methodologies and approaches for the implementation of biodiverse green roofs but also their application for ecological design; (3) identify habitat templates in the Mediterranean ecoregion replicable on green roofs; and (4) investigate the long term vegetation development of unmanaged green roofs in order to g…

Clinical justification of dental radiology in adult patients: A review of the literature

2007

Although the radiological doses used by dentists are low individually, patients are often exposured to many repeat dental radiographic examinations. The ‘routine’ use of dental radiography, such as screening of all patients using dental panoramic radiography (DPRs) or a random decision to take a dental radiograph, will inevitable lead to unnecessary patient exposure. The use of Radiographic Referral Criteria has now become a legal requirement for all practitioners following the adoption of European Legislation. All exposures to x-rays should be clinically justified and each exposure should be expected to give the patient a positive net benefit. Recently the European Commission has published…

Opetussuunnitelman mallin jäsennys: sisältö ja pedagogiikka kokonaisuuden rakentajina

2009

Kvalitatiivisen tutkimukseni tehtävänä on kirjoitetun opetussuunnitelman mallin jäsentäminen oppiainesisältöjen ja pedagogisten piirteiden näkökulmista. Tutkimukseni tarkoituksena on hahmottaa suomalaisen perusopetuksen opetussuunnitelman ilmentämiä sisällön ja pedagogiikan muotoja ja pyrkiä niitä analysoimalla rakentamaan kokonaiskuvaa opetussuunnitelman rakenteesta ja sen kehittämismahdollisuuksista nykyisten ja tulevaisuudessa yhä merkityksellisemmiksi arvioitujen tiedollisten ja pedagogisten intressien suunnassa. Tarkastelen kirjoitettua opetussuunnitelmaa osana opetuksen ohjausjärjestelmää, jolloin sillä on opettajan toimintaa ohjaava hallinnollisjuridinen, tiedollinen ja pedagoginen l…

Spunti critici sull’aggiornamento della normativa europea in tema di qualità dell’aria

2022

This paper aims at presenting an argument in favour of the need for a prompt update of the European legislation on air quality, by taking its cue from the current situation in Italy. The paper starts by providing a definition of outdoor air pollution and by referring to the most influential Italian scientific studies on the main health risks connected. The perspective then shifts to the analysis of the relevant legislation at both European and national level in an attempt to systematically recompose the complex framework of plans and regulations adopted for the containment and prevention of outdoor pollution. In this framework, the analysis of the three infringement procedures opened agains…

A Systematic Review of International Clinical Guidelines for Rehabilitation of People With Neurological Conditions: What Recommendations Are Made for…

2019

Background: Upper limb impairment is a common problem for people with neurological disabilities, affecting activity, performance, quality of life, and independence. Accurate, timely assessments are required for effective rehabilitation, and development of novel interventions. International consensus on upper limb assessment is needed to make research findings more meaningful, provide a benchmark for quality in clinical practice, more cost-effective neurorehabilitation and improved outcomes for neurological patients undergoing rehabilitation.Aim: To conduct a systematic review, as part of the output of a European COST Action, to identify what recommendations are made for upper limb assessmen…

Lifestyle and Empowerment Techniques in Survivorship of Gynaecologic Oncology (LETSGO study): A study protocol for a multicentre longitudinal interve…

2021

IntroductionThe number of gynaecological cancer survivors is increasing and there is a need for a more sustainable model of follow-up care. Today’s follow-up model is time-consuming and patients have reported unmet needs regarding information about their cancer and strategies for managing the consequences of treatment. The main aim of this study is to assess health-related empowerment—in terms of patient education, psychosocial support, and promotion of physical activity—in a new follow-up model by comparing it to standard follow-up in a quasi-randomised study involving intervention hospitals and control hospitals.Methods and analysisAt the intervention hospitals, patients will be stratifie…

Towards a New System for the Assessment of the Quality in Care Pathways: An Overview of Systematic Reviews.

2020

Clinical or care pathways are developed by a multidisciplinary team of healthcare practitioners, based on clinical evidence, and standardized processes. The evaluation of their framework/content quality is unclear. The aim of this study was to describe which tools and domains are able to critically evaluate the quality of clinical/care pathways. An overview of systematic reviews was conducted, according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses, using Medline, Embase, Science Citation Index, PsychInfo, CINAHL, and Cochrane Library, from 2015 to 2020, and with snowballing methods. The quality of the reviews was assessed with Assessment the Methodology of Systemati…