Search results for "Practice"
showing 10 items of 2812 documents
Sympathetic blocks for visceral cancer pain management: A systematic review and EAPC recommendations.
2015
The neurolytic blocks of sympathetic pathways, including celiac plexus block (CPB) and superior hypogastric plexus block (SHPB) , have been used for years. The aim of this review was to assess the evidence to support the performance of sympathetic blocks in cancer patients with abdominal visceral pain. Only comparison studies were included. All data from the eligible trials were analyzed using the GRADE system. Twenty-seven controlled studies were considered. CPB, regardless of the technique used, improved analgesia and/or decrease opioid consumption, and decreased opioid-induced adverse effects in comparison with a conventional analgesic treatment. In one study patients treated with superi…
New quality regulations versus established nursing home practice: a qualitative study
2012
Published version of an article from the journal: BMC Nursing. Also available from Bio Med Central:http://dx.doi.org/10.1186/1472-6955-11-7 Open Access Background Western governments have initiated reforms to improve the quality of care for nursing home residents. Most of these reforms encompass the use of regulations and national quality indicators. In the Norwegian context, these regulations comprise two pages of text that are easy to read and understand. They focus particularly on residents’ rights to plan their day-to-day life in nursing homes. However, the research literature indicates that the implementation of the new regulations, particularly if they aim to change nursing practice, …
A recommended practical approach to the management of target therapy and angiogenesis inhibitors cardiotoxicity: an opinion paper of the working grou…
2016
The US National Cancer Institute estimates that cardiotoxicity (CTX) from target therapy refers mostly to four groups of drugs: epidermal growth factor receptor 2 inhibitors, angiogenic inhibitors, directed Abelson murine leukemia viral oncogene homolog inhibitors, and proteasome inhibitors. The main cardiotoxic side-effects related to antiepidermal growth factor receptor 2 therapy are left ventricular systolic dysfunction and heart failure. Angiogenesis inhibitors are associated with hypertension, left ventricular dysfunction/heart failure, myocardial ischemia, QT prolongation, and thrombosis. Moreover, other agents may be related to CTX induced by treatment. In this study, we review the g…
Candida biofilms on implanted biomaterials: a clinically significant problem.
2006
In recent years there has been an increasing appreciation that microbial biofilms are ubiquitous, which has resulted in a number of studies on infectious diseases from a biofilm perspective. Biofilms are defined as structured microbial communities that are attached to a surface and encased in a matrix of exopolymeric material. A wide range of biomaterials used in clinical practice have been shown to support colonization and biofilm formation by Candida spp., and the increase in Candida infections in the last decades has almost paralleled the increase and widespread use of a broad range of medical implant devices, mainly in populations with impaired host defenses. Formation of Candida biofil…
Untargeted Antifungal Treatment Strategies for Invasive Candidiasis in Non-neutropenic Critically Ill Patients: Current Evidence and Insights
2017
Purpose of Review: The purpose of this study was to provide an overview and insights on important new concepts on untargeted antifungal treatment strategies, namely prophylaxis pre-emptive and empiric treatments for the management of invasive candidiasis (IC) in non-neutropenic critically ill patients. Recent Findings: Recently, clinical practice guidelines provided recommendation for the management of IC. However, results from recent trials and systematic reviews questioned the effect of untargeted antifungal treatment strategies, especially in terms of survival benefits in non-neutropenic patients, even with septic shock. Summary: Widespread use of untargeted antifungal treatment strategi…
What Is the Most Recent Evidence on the Prevention and Early Treatment of Invasive Fungal Infections in Nonneutropenic Critically Ill Patients?
2017
: Invasive fungal infections (IFIs) are associated with high morbidity and mortality in intensive care units. Candida species are the most important fungal pathogens and among the most frequent causes of infection in critically ill patients. Studies have evaluated the correlation between the onset of antifungal treatment and survival. However, definitive diagnosis of IFI is time-consuming in clinical practice. Antifungal prophylaxis and preemptive or empirical treatments are among therapeutic strategies to prevent or treat early fungal infections in selected patients. Recently, new evidence from randomized controlled trials and systematic reviews has been published. Moreover, new clinical p…
Adherence to antithrombotic therapy guidelines improves mortality among elderly patients with atrial fibrillation: insights from the REPOSI study
2016
Background: Atrial fibrillation (AF) is associated with a substantial risk of thromboembolism and mortality, significantly reduced by oral anticoagulation. Adherence to guidelines may lower the risks for both all cause and cardiovascular (CV) deaths. Methods: Our objective was to evaluate if antithrombotic prophylaxis according to the 2012 European Society of Cardiology (ESC) guidelines is associated to a lower rate of adverse outcomes. Data were obtained from REPOSI; a prospective observational study enrolling inpatients aged ≥65 years. Patients enrolled in 2012 and 2014 discharged with an AF diagnosis were analysed. Results: Among 2535 patients, 558 (22.0 %) were discharged with a diagnos…
Revista electrónica de investigación y evaluación educativa
2006
The investigation results are presented: "An investigation or research about the most relevant variables from the student’s point of view which influence the general opinion about the teacher’s performance in the Universidad Autonoma de Occidente". The problems about the influence from the students perception in evaluating their teachers is taken on from two complementary perspectives: The first constitutes the qualitative analysis which has as a support the group interviews realized in each one of the academic programs. The second involves the quantitative analysis based on multivariate statistic tools. These perspectives allow elaborating a model to establish the grade of relevance each o…
Análisis de una intervención educativa para el desarrollo de la autodeterminación en una alumna con síndrome de Down
2021
Resumen Antecedentes: uno de los mayores problemas a los que se enfrentan los jóvenes con discapacidad intelectual es su bajo nivel de autonomía. Objetivo: el objetivo de este trabajo es analizar la eficacia de una intervención basada en el uso de las tecnologías de la información y comunicación (TIC) para alcanzar mejoras en autodeterminación en una estudiante con síndrome de Down. Método: la intervención está basada en el diseño y aplicación de una página web diseñada teniendo en cuenta las necesidades específicas de la participante, su nivel de competencias, y sus intereses. Esta herramienta TIC permite a la estudiante trabajar de manera autónoma tres áreas de conocimiento distintas y ot…
Estado de la investigación sobre la colaboración en Entornos Virtuales de Aprendizaje
2019
El aprendizaje colaborativo posee una tradición teórica y práctica amplia en la educación general, como en la educación superior. No obstante, la actividad de coordinación entre personas que buscan aprender no es sencilla de gestionar. Esta complejidad aumenta cuando entre la actividad colaborativa surge un nuevo componente, la tecnología. ¿Qué se ha avanzado sobre el aprendizaje colaborativo mediado tecnológicamente? Este trabajo tiene como objetivo analizar el estado de la investigación sobre aprendizaje colaborativo en Educación Superior en los Entornos Virtuales de Aprendizaje (EVA). Para ello se realiza un análisis bibliométrico de las publicaciones indexadas de la base de datos SCOPUS…