Search results for "Practice Patterns"

showing 10 items of 132 documents

Japanese Radiation Research Society

2017

Computed tomography (CT) is an essential tool in modern medicine and is frequently used to diagnose a wide range of conditions, particularly in industrial countries, such as Japan and Germany. However, markedly higher doses of ionizing radiation are delivered during CT imaging than during conventional X-ray examinations. To assess pediatric CT practice patterns, data from three university hospital databases (two in Japan and one in Germany) were analyzed. Anonymized data for patients aged 0 to 14 years who had undergone CT examinations between 2008 and 2010 were extracted. To assess CT practice, an interdisciplinary classification scheme for CT indications, which incorporated the most commo…

MaleIonizing radiationmedicine.medical_specialtyModern medicineAdolescentHealth Toxicology and Mutagenesischildren ; computed tomography ; ionizing radiation ; practice pattern ; international comparisonComputed tomographyClassification schemePediatric ct030218 nuclear medicine & medical imagingHospitals UniversityGerman03 medical and health sciences0302 clinical medicineJapanPractice patternGermanyRegular PapermedicineHumansRadiology Nuclear Medicine and imagingPractice Patterns Physicians'ChildChildrenComputed tomographyInternational comparisonRadiationmedicine.diagnostic_testbusiness.industryInfant NewbornInfantUniversity hospitallanguage.human_languageChild Preschool030220 oncology & carcinogenesislanguageFemaleRadiologyTomographyCt imagingTomography X-Ray ComputedbusinessJournal of Radiation Research
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Current status of laparoscopy for acute abdomen in Italy: a critical appraisal of 2012 clinical guidelines from two consecutive nationwide surveys wi…

2017

Background: Several authors have demonstrated the safety and feasibility of laparoscopy in selected cases of abdominal emergencies. The aim of the study was to analyse the current Italian practice on the use of laparoscopy in abdominal emergencies and to evaluate the impact of the 2012 national guidelines on the daily surgical activity. Methods: Two surveys (42 closed-ended questions) on the use of laparoscopy in acute abdomen were conducted nationwide with an online questionnaire, respectively, before (2010) and after (2014) the national guidelines publication. Data from two surveys were compared using Chi-square or Fisher’s exact test, and data were considered significant when p < 0.05…

MaleLaparoscopic surgeryClinical auditmedicine.medical_specialtymedicine.medical_treatmentAbdominal emergencies; Acute abdomen; Clinical audit; Emergency laparoscopy guidelines; Laparoscopic acute care surgery; Laparoscopic surgery; Laparoscopy; Laparoscopy acute abdomen; National survey; Nationwide survey on laparoscopyComputer-assisted web interviewing030230 surgeryLaparoscopic surgeryNOClinical auditAcute abdomen03 medical and health sciences0302 clinical medicinemedicineHumansPractice Patterns Physicians'LaparoscopyAbdomen AcuteLaparoscopy acute abdomenNational surveymedicine.diagnostic_testbusiness.industryAbdominal emergencies; Acute abdomen; Clinical audit; Emergency laparoscopy guidelines; Laparoscopic acute care surgery; Laparoscopic surgery; Laparoscopy; Laparoscopy acute abdomen; National survey; Nationwide survey on laparoscopy; SurgeryGeneral surgeryAbdominal emergenciesmedicine.diseaseLaparoscopic surgery Abdominal emergencies Acute abdomen Laparoscopy National survey Nationwide survey on laparoscopy Emergency laparoscopy guidelines Clinical audit Laparoscopy acute abdomen Laparoscopic acute care surgeryCritical appraisalItalyAcute abdomenEmergency laparoscopy guidelineEmergency laparoscopy guidelinesHealth Care SurveysPractice Guidelines as TopicCholecystitisAbdominal emergencieLaparoscopic acute care surgeryFemale030211 gastroenterology & hepatologyLaparoscopySurgeryGuideline AdherenceEmergenciesmedicine.symptomNationwide survey on laparoscopybusinessAbdominal surgery
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Impact of recommendations on the initial therapy of Parkinson’s disease: A population-based study in France

2011

International audience; Levodopa induces long-term motor complications in Parkinson's disease (PD). Therapeutic strategies that prevent motor complications are needed. Our aim was to evaluate the impact of recommendations of a French consensus conference published in 2000 on initial PD therapy. We identified 308 PD patients as part of a population-based study performed within the Mutualité Sociale Agricole in five French districts (2007). Neurologists confirmed PD diagnosis. We compared initial therapy in 102 patients treated before 12/31/2000 to that of 206 patients treated afterwards. Initial treatment was in agreement with the recommendations if dopamine agonists were used in patients <6…

MaleParkinson's diseaseEpidemiologyConsensus Development Conferences as TopicParkinson's diseaseMESH: Antiparkinson AgentsDiseaseAntiparkinson AgentsLevodopa0302 clinical medicineMESH: Practice Guidelines as TopicEpidemiology030212 general & internal medicinePractice Patterns Physicians'Initial therapyMESH: Dopamine AgonistsMESH: AgedMESH: Levodopaeducation.field_of_studyMESH: Middle AgedConsensus conferenceParkinson DiseaseMiddle Aged3. Good healthNeurologyDopamine AgonistsPractice Guidelines as TopicMESH: Guideline AdherenceFemaleFranceGuideline Adherencemedicine.drugmedicine.medical_specialtyLevodopaPopulationGuidelines03 medical and health sciencesInternal medicineMedical practicemedicineHumansMESH: Physician's Practice PatternseducationAgedMESH: HumansMESH: Consensus Development Conferences as Topicbusiness.industrymedicine.diseaseMESH: MaleMESH: FrancePopulation based study[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologiePhysical therapy[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologieNeurology (clinical)Geriatrics and GerontologybusinessMESH: FemaleMESH: Parkinson Disease030217 neurology & neurosurgeryParkinsonism &amp; Related Disorders
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Assessment of antibiotic prescribing in Latvian general practitioners.

2013

Abstract Background Though general antibiotic consumption data is available, information on the actual patterns of prescribing antibiotics locally is difficult to obtain. An easy to use methodology was designed to assess ambulatory management of infections by Latvian general practitioners (GPs). Methods GPs were asked to record data in a patient data collection form for every patient that received antibiotics. Study period – (7 days) one week in November, 2008. Data recorded included the following details: an antibiotic, the prescribed dose, dosing interval, route of administration combined with the demographic factors of the patient and clinical diagnosis based on a pre-defined list. Resul…

MalePediatricsAntibioticsGeneral PracticeClarithromycinSurveys and QuestionnairesGeneral practitionersAmbulatory CareMedicinePractice Patterns Physicians'SinusitisChildTreatment of infectionAged 80 and overlcsh:R5-920PharyngitisMiddle AgedPharyngitisAnti-Bacterial AgentsChild PreschoolAmbulatoryUrinary Tract InfectionsAntibiotic useBronchitisFemalemedicine.symptomlcsh:Medicine (General)Family Practicemedicine.drugResearch ArticleAdultmedicine.medical_specialtyAdolescentmedicine.drug_classAmoxicillin-Potassium Clavulanate CombinationDrug PrescriptionsYoung AdultAmbulatory careClarithromycinHumansSinusitisBronchitisAgedbusiness.industryAmoxicillinInfantPneumoniaAmoxicillinmedicine.diseaseLatviabusinessBMC family practice
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Multicentric Italian survey on daily practice for autoimmune pancreatitis: Clinical data, diagnosis, treatment, and evolution toward pancreatic insuf…

2020

BACKGROUND: Autoimmune pancreatitis (AIP) is a rare, and relatively new, form of chronic pancreatitis. The management of AIP can vary considerably among different centres in daily clinical practice. OBJECTIVES: The aim of this study is to present a picture of epidemiological, clinical characteristics, outcomes, and the real-life practice in terms of management in several academic and non-academic centres in Italy. METHODS: Data on the clinical presentation, diagnostic work-up, treatments, frequency of relapses, and long-term outcomes were retrospectively collected in a cohort of AIP patients diagnosed at 14 centres in Italy. RESULTS: One hundred and six patients were classified as type 1 AI…

MalePediatricsBiopsyAftercareAzathioprineFeces0302 clinical medicineRecurrencePrednisoneSecondary PreventionPractice Patterns Physicians'Autoimmune pancreatitisEndoscopic retrograde cholangiopancreatographyPancreatic Elastasemedicine.diagnostic_testGastroenterologyfood and beveragesMiddle AgedJaundiceItalyOncology030220 oncology & carcinogenesisFemale030211 gastroenterology & hepatologyRituximabGuideline Adherencesteroid trialmedicine.symptomRituximabImmunosuppressive Agentsmedicine.drugmedicine.medical_specialtyfine needle aspiration/biopsyNausea03 medical and health sciencesmedicineHumansGlucocorticoidsPancreasRetrospective StudiesAutoimmune pancreatitisbusiness.industryEndoscopyOriginal Articlespancreatic insufficiencymedicine.diseaseendoscopic ultrasoundPancreatitisbusinessFollow-Up StudiesUnited European Gastroenterology Journal
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Epidemiology, practice of ventilation and outcome for patients at increased risk of postoperative pulmonary complications:LAS VEGAS - An observationa…

2017

BACKGROUND Limited information exists about the epidemiology and outcome of surgical patients at increased risk of postoperative pulmonary complications (PPCs), and how intraoperative ventilation was managed in these patients. OBJECTIVES To determine the incidence of surgical patients at increased risk of PPCs, and to compare the intraoperative ventilation management and postoperative outcomes with patients at low risk of PPCs. DESIGN This was a prospective international 1-week observational study using the ‘Assess Respiratory Risk in Surgical Patients in Catalonia risk score’ (ARISCAT score) for PPC for risk stratification. PATIENTS AND SETTING Adult patients requiring intraoperative venti…

MalePediatricsInternationalityRESPIRATORY-DISTRESS-SYNDROME0302 clinical medicinePostoperative Complications030202 anesthesiologyRisk FactorsEpidemiologyABDOMINAL-SURGERY80 and overMedicine and Health SciencesGeneral anaesthesiaAnesthesiaEND-EXPIRATORY-PRESSUREBERLIN DEFINITION030212 general & internal medicineProspective StudiesProspective cohort studyLungAged 80 and overFramingham Risk ScoreIncidence (epidemiology)RespirationMiddle AgedTreatment OutcomeArtificialFemalePRACTICE PATTERNSHumanmedicine.medical_specialtymechanical ventilation ; prospective observational study ; Intensive careAnesthesia GeneralNONCARDIOTHORACIC SURGERYNOAged; Aged 80 and over; Anesthesia General; Cross-Sectional Studies; Female; Humans; Intraoperative Care; Lung; Male; Middle Aged; Postoperative Complications; Prospective Studies; Respiration Disorders; Respiration Artificial; Risk Factors; Tidal Volume; Treatment Outcome; Internationality; Anesthesiology and Pain MedicineACUTE LUNG INJURY03 medical and health sciencesGENERAL-ANESTHESIAInternal medicinemedicineJournal ArticleTidal VolumeHumansMED/41 - ANESTESIOLOGIAGeneralAgedCross-Sectional StudieIntraoperative Carebusiness.industryRisk FactorRespiration DisorderRespiration DisordersRespiration ArtificialConfidence intervalPROTECTIVE MECHANICAL VENTILATIONProspective StudieAnesthesiology and Pain MedicineCross-Sectional StudiesRelative riskMAJOR NONCARDIAC SURGERYPostoperative ComplicationbusinessAbdominal surgery
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Survey on treatments for primary headaches in 13 specialized juvenile Headache Centers: The first multicenter Italian study

2017

Abstract Aim The purpose of this retrospective multicenter study was to evaluate the use and the self-perceived efficacy and tolerability of pharmacological and non-pharmacological treatments in children and adolescents with primary headaches. Methods Study of a cohort of children and adolescents diagnosed with primary headache, consecutively referred to 13 juvenile Italian Headache Centers. An ad hoc questionnaire was used for clinical data collection. Results Among 706 patients with primary headaches included in the study, 637 cases with a single type of headache (migraine 76% – with and without aura in 10% and 67% respectively; tension-type headache 24%) were selected (mean age at clinic…

MalePediatricsmedicine.medical_specialtyAdolescentMigraine DisordersAdolescents; Children; Migraine; Primary headaches; Tension-type headache; Treatment; Pediatrics Perinatology and Child Health; Neurology (clinical)Tension-typeTriptansPizotifenPediatrics03 medical and health sciences0302 clinical medicinechildrenPrimary headacheBehavior TherapySurveys and QuestionnairesmedicineAcupunctureHumansAmitriptylinemigraine030212 general & internal medicineadolescentsPractice Patterns Physicians'ChildFlunarizineRetrospective Studiestreatmentbusiness.industryAnti-Inflammatory Agents Non-SteroidalGeneral Medicineadolescents; children; migraine; primary headaches; tension-type headache; treatmentPerinatology and Child Healthmedicine.diseasetension-type headacheMigraineTolerabilityItalyPediatrics Perinatology and Child HealthCohortAnticonvulsantsFemaleprimary headachesNeurology (clinical)businessheadache030217 neurology & neurosurgeryPrimary headaches; Migraine; Tension-type; headache; Treatment; Children; Adolescentsmedicine.drug
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IPOD Study: Management of Acute Left Colonic Diverticulitis in Italian Surgical Departments.

2017

Background: In recent years, the emergency management of acute left colonic diverticulitis (ALCD) has evolved dramatically despite lack of strong evidence. As a consequence, management strategies are frequently guided by surgeon’s personal preference, rather than by scientific evidence. The primary aim of IPOD study (Italian Prospective Observational Diverticulitis study) is to describe both the diagnostic and treatment profiles of patients with ALCD in the Italian surgical departments. Methods: IPOD study is a prospective observational study performed during a 6-month period (from April 1 2015 to September 1 2015) and including 89 Italian surgical departments. All consecutive patients with…

MalePercutaneousmedicine.medical_treatmentPractice Patterns030230 surgerySurgery DepartmentDiverticulitis Colonic0302 clinical medicineInterquartile rangeMedicineDiseaseProspective StudiesPractice Patterns Physicians'Prospective cohort studyColectomyColectomyPeritoniticlinical trialDiverticulitisMiddle Agedclinical practiceAnti-Bacterial AgentsItalyCardiothoracic surgery030220 oncology & carcinogenesisDrainageFemaleDiverticulitis; Disease; Colonic diverticulosisHumanColonic diverticulosismedicine.medical_specialtyAged; Anti-Bacterial Agents; Diverticulitis Colonic; Drainage; Female; Humans; Italy; Length of Stay; Male; Middle Aged; Peritonitis; Prospective Studies; Surgery Department Hospital; Colectomy; Practice Patterns Physicians'Settore MED/12 - GASTROENTEROLOGIAPeritonitisNO03 medical and health sciencesHospitalColonicAnti-Bacterial AgentHumansDiverticulitisAgedPhysicians'surgery; clinical practice; clinical trialbusiness.industryVascular surgeryLength of Staymedicine.diseaseSurgeryProspective StudieSurgerybusinessSurgery Department HospitalAbdominal surgery
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Non-readmission decisions in the intensive care unit under French rules: A nationwide survey of practices.

2018

International audience; Purpose: We investigated, using a multicentre survey of practices in France, the practices of ICU physicians concerning the decision not to readmit to the ICU, in light of current legislation.Materials and methods: Multicentre survey of practices among French ICU physicians via electronic questionnaire in January 2016. Questions related to respondents’ practices regarding re-admission of patients to the ICU and how these decisions were made. Criteria were evaluated by the health care professionals as regards importance for non-readmission.Results: In total, 167 physicians agreed to participate, of whom 165 (99%) actually returned a completed questionnaire from 58 ICU…

MaleQuestionnairesMedical DoctorsHealth Care Providerslcsh:MedicineSocial SciencesNationwide surveyGeographical locationslaw.invention0302 clinical medicineCognitionlawSurveys and QuestionnairesHealth careMedicine and Health SciencesMedicinePsychology030212 general & internal medicineMedical PersonnelPractice Patterns Physicians'lcsh:ScienceMultidisciplinary[SDV.MHEP] Life Sciences [q-bio]/Human health and pathologyPalliative CareMiddle AgedTime optimalIntensive care unitHospitals3. Good healthEuropeIntensive Care UnitsProfessionsResearch DesignFemaleFranceResearch ArticleAdultmedicine.medical_specialtyCritical CareClinical Decision-MakingDecision MakingMEDLINELegislationResearch and Analysis MethodsPatient Readmission03 medical and health sciencesGeneral PractitionersPhysiciansHumansFamilyEuropean UnionSurvey Researchbusiness.industrylcsh:RCognitive PsychologyBiology and Life Sciences030208 emergency & critical care medicineHealth CareMulticenter study[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologieHealth Care FacilitiesFamily medicinePeople and PlacesCognitive Sciencelcsh:Q[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologiePopulation GroupingsPatient ParticipationbusinessHealthcare providers[SDV.MHEP]Life Sciences [q-bio]/Human health and pathologyNeurosciencePloS one
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European Registry on Helicobacter pylori management (Hp-EuReg): patterns and trends in first-line empirical eradication prescription and outcomes of …

2020

ObjectiveThe best approach for Helicobacter pylori management remains unclear. An audit process is essential to ensure clinical practice is aligned with best standards of care.DesignInternational multicentre prospective non-interventional registry starting in 2013 aimed to evaluate the decisions and outcomes in H. pylori management by European gastroenterologists. Patients were registered in an e-CRF by AEG-REDCap. Variables included demographics, previous eradication attempts, prescribed treatment, adverse events and outcomes. Data monitoring was performed to ensure data quality. Time-trend and geographical analyses were performed.Results30 394 patients from 27 European countries were eval…

MaleRegistrieProton Pump InhibitorPractice Patterns0302 clinical medicineClarithromycinProspective StudiesRegistriesPractice Patterns Physicians'[SDV.MHEP] Life Sciences [q-bio]/Human health and pathologybiologyGastroenterologyMiddle AgedAnti-Bacterial Agents3. Good healthEurope030220 oncology & carcinogenesisCombination030211 gastroenterology & hepatologyDrug Therapy CombinationFemalemedicine.drugHumanAdultmedicine.medical_specialtyTRIPLE THERAPY ; QUADRUPLE THERAPY ; CONSENSUS ; INFECTION ; METAANALYSIS ; CLARITHROMYCIN ; GUIDELINES ; RESISTANCE ; ARTICLESettore MED/12 - GASTROENTEROLOGIAFirst lineHelicobacter Infections03 medical and health sciencesDrug TherapyInternal medicineAnti-Bacterial AgentmedicineHumansMedical prescriptionAdverse effectAgedPhysicians'Helicobacter pyloribusiness.industryhelicobacter pylori - treatmentProton Pump InhibitorsAmoxicillinHelicobacter pyloribiology.organism_classificationMetronidazoleProspective StudieConcomitanthelicobacter pyloribusinessHelicobacter Infection[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
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