Search results for "centers"

showing 10 items of 173 documents

Weaning Premature Infants from Nasal Continuous Positive Airway Pressure - Current Practice and Scientific Evidence.

2017

Abstract Objective In the past decade, a number of trials have been conducted to determine the optimal strategy of weaning premature infants from nasal continuous airway pressure (nCPAP). However, a paucity of information exists on how weaning is actually performed in clinical routine. Aim of this study was to investigate the current practice of weaning premature infants from nCPAP in Germany. Methods An online survey was performed in German tertiary care neonatal units. Results All 160 German tertiary care units were contacted. Replies were retrieved from 85/160 (53%) units, of which 83/160 (52%) completed the questionnaire. 66/83 (80%) respondents indicated to wean without the use of form…

MalePediatricsmedicine.medical_specialtymedicine.medical_treatmentInfant Premature DiseasesTertiary careDecision Support TechniquesTertiary Care Centers03 medical and health sciences0302 clinical medicineRisk Factors030225 pediatricsGermanySurveys and QuestionnairesmedicineWeaningHumans030212 general & internal medicineContinuous positive airway pressureContinuous Positive Airway Pressurebusiness.industryInfant NewbornClinical routineClinical trialTreatment OutcomeCurrent practicePediatrics Perinatology and Child HealthFemaleHigh flowbusinessAirwayVentilator WeaningKlinische Padiatrie
researchProduct

Supracoronary ascending aortic replacement in patients with acute aortic dissection type A: What happens to the aortic root in the long run?

2013

ObjectiveOur objective was to determine long-term outcome predictors for patients with acute aortic dissection type A (AADA) and aortic root involvement.MethodsFrom 2001 through 2009, 119 of 152 patients operated on for AADA at a tertiary medical center underwent supracoronary ascending aortic replacement (52 women; mean age, 61 ± 15 years). Those with at least 1-year follow-up (n = 97) were retrospectively assessed for preoperative aortic root disease. Follow-up data were assessed for evidence of new-onset aortic root disease by computed tomography and echocardiography, and for reoperation for aortic root disease.ResultsMedian follow-up was 33.8 months (range, 0-112 months). Twenty-six (27…

MaleReoperationPulmonary and Respiratory Medicinemedicine.medical_specialtyTime FactorsAortic rootAortic Valve InsufficiencyComputed tomographyKaplan-Meier EstimateDissection (medical)Independent predictorAortographySeverity of Illness IndexNew onsetTertiary Care CentersBlood Vessel Prosthesis ImplantationPredictive Value of TestsRisk FactorsInternal medicineOdds RatiomedicineHumansIn patientAgedRetrospective StudiesUltrasonographyAortic dissectionmedicine.diagnostic_testbusiness.industryMean ageMiddle AgedSinus of Valsalvamedicine.diseaseAortic AneurysmSurgeryAortic DissectionLogistic ModelsTreatment OutcomeAcute DiseaseMultivariate Analysiscardiovascular systemCardiologyFemaleSurgeryTomography X-Ray ComputedCardiology and Cardiovascular MedicinebusinessDilatation PathologicThe Journal of Thoracic and Cardiovascular Surgery
researchProduct

Parental Perceptions of the Use of Coercive Measures on Children with Developmental Disabilities

2016

Background Children with developmental disabilities who exhibit challenging behaviour are potentially subject to the use of coercive interventions. The aim of the study was to investigate the prevalence of the use of coercive measures by authorities, according to parents’ reports. Materials and Methods A postal survey was distributed, as a total population study, to 946 Finnish parents of children with developmental disabilities, between the ages of 5 and 15, and who were entitled to the highest disability allowance. Results Of the respondents, 54 (22%) answered ‘yes’ when asked whether their child had been subjected to coercive procedures by authorities. The parents had seldom approved the…

MaleRestraint Physical030506 rehabilitationAdolescentChallenging behaviourCoercionDevelopmental DisabilitiesPersons with Mental DisabilitiesPsychological interventionAllowance (money)restrictive interventionsEducationDevelopmental psychology03 medical and health sciencesIntervention (counseling)Surveys and QuestionnairesIntellectual disabilityDevelopmental and Educational PsychologymedicineSanctionsHumansta516Parental perceptionParent-Child RelationsChildFinlandProblem Behaviorchildren with disabilities4. Education05 social sciences050301 educationparentsChild Day Care Centers16. Peace & justicemedicine.diseasevanhemmatChild PreschoolFemalePerception0305 other medical scienceSeclusionPsychology0503 educationClinical psychologyJournal of Applied Research in Intellectual Disabilities
researchProduct

Audiologic profile of infants at risk: experience of a Western Sicily tertiary care centre.

2012

Objective: To identify the incidence of sensorineural hearing loss (SNHL) on infant at risk and to classify the degree and type of hearing loss describing the main causes associated in Western Sicily. To compare single TEOAE and combined TEOAE/ABR techniques studying the referral rate, the false-positive and false-negative rates through concordance test (κ coefficient), sensitivity (TPR) and specificity (TNR) for each protocol. Methods: From January 2010 to June 2011, 412 infants at risk, ranging from 4 to 20 weeks of life, transferred to Audiology Department of Palermo from the births centers of Western Sicily, underwent to audiological assessment with TEOAE, tympanometry and ABR. The foll…

MaleRiskPediatricsmedicine.medical_specialtyHearing lossHearing Loss SensorineuralAuditory neuropathySensitivity and SpecificityNeonatal screeningInfant at riskAuditory neuropathySensorineural hearing lossTertiary Care CentersNeonatal ScreeningPregnancyRisk FactorsIntensive careotorhinolaryngologic diseasesEvoked Potentials Auditory Brain StemMedicineHumansRisk factorFamily historyPregnancy Complications InfectiousSicilymedicine.diagnostic_testbusiness.industryInfant NewbornInfantGeneral MedicineAudiologymedicine.diseaseAudiometry Evoked ResponseLow birth weightOtorhinolaryngologyPediatrics Perinatology and Child HealthSensorineural hearing lossFemaleAudiometrymedicine.symptombusinessInternational journal of pediatric otorhinolaryngology
researchProduct

Spectrum of mutations of the LPL gene identified in Italy in patients with severe hypertriglyceridemia.

2015

Background: Monogenic hypertriglyceridemia (HTG) may result from mutations in some genes which impair the intravascular lipolysis of triglyceride (TG)-rich lipoproteins mediated by the enzyme Lipoprotein lipase (LPL). Mutations in the LPL gene are the most frequent cause of monogenic HTG (familial chylomicronemia) with recessive transmission. Methods: The LPL gene was resequenced in 149 patients with severe HTG (TG>10mmol/L) and 106 patients with moderate HTG (TG>4.5 and <10mmol/L) referred to tertiary Lipid Clinics in Italy. Results: In the group of severe HTG, 26 patients (17.4%) were homozygotes, 9 patients (6%) were compound heterozygotes and 15 patients (10%) were simple heter…

MaleSettore MED/09 - Medicina InternaDNA Mutational AnalysisFamilial chylomicronemia; Gene variants; Lipoprotein lipase; Pancreatitis; Primary hypertriglyceridemiaCompound heterozygositymedicine.disease_causeSeverity of Illness IndexPrimary hypertriglyceridemiaTertiary Care Centerschemistry.chemical_compoundGene FrequencyFamilial chylomicronemia; Gene variants; Lipoprotein lipase; Pancreatitis; Primary hypertriglyceridemia; Cardiology and Cardiovascular MedicineChildLipoprotein lipaseMutationHomozygoteMiddle AgedPhenotypeItalyChild PreschoolFemaleHyperlipoproteinemia Type ICardiology and Cardiovascular MedicineFamilial chylomicronemiaAdultmedicine.medical_specialtyGene variantHeterozygoteAdolescentBiologyGene variantsYoung AdultInternal medicinemedicineLipolysisHumansGenetic Predisposition to DiseaseTriglyceridesAgedPancreatitiTriglycerideHypertriglyceridemiaInfantHeterozygote advantageLipoprotein lipasemedicine.diseaseLipoprotein LipaseEndocrinologychemistryPancreatitisMutationPancreatitisBiomarkersAtherosclerosis
researchProduct

Orthokeratinized odontogenic cysts: a Spanish tertiary care centre study based on HPV DNA detection

2018

Abstract Background The role of human papillomavirus (HPV) in orthokeratinized odontogenic cysts (OOCs) has rarely been studied. The objective is to describe the clinicopathological findings in a series of OOCs from a Spanish population that were investigated in relation to the possible presence of HPV. Methods A clinicopathological retrospective analysis followed by a molecular analysis of 28 high- and low-risk HPV genotypes was performed in OOC samples of patients seen during the last 15-years in a Spanish tertiary care center. Results Of 115 odontogenic cysts with keratinization, 16 cases of OOCs were confirmed and evaluated. OOCs occurred predominantly in the mandible of males (mean age…

MaleTertiary careCohort StudiesTertiary Care Centers0302 clinical medicineRecurrenceMedicinePapillomaviridaeBiopsy Needlevirus diseasesMiddle AgedImmunohistochemistryfemale genital diseases and pregnancy complicationsOdontogenicMolecular analysisHPV DNA detectionCell Transformation Neoplastic030220 oncology & carcinogenesisCarcinoma Squamous CellOral and maxillofacial surgeryMouth NeoplasmsAdultmedicine.medical_specialtyHPVAdolescentlcsh:Specialties of internal medicineDents MalaltiesRisk AssessmentYoung Adult03 medical and health scienceslcsh:RC581-951HumansMandibular DiseasesNeoplastic transformationGeneral DentistryRetrospective Studiesbusiness.industryOrthokeratinized odontogenic cystResearch030206 dentistryHigh- and low-riskDermatologyOtorhinolaryngologyOtorhinolaryngologySpainDNA ViralOdontogenic CystsEtiologyNeurology (clinical)HPV High- and low-risk Orthokeratinized odontogenic cyst RecurrencebusinessFollow-Up StudiesHead & Face Medicine
researchProduct

Piecing the puzzle together: case studies of international research in health-promoting sports clubs.

2015

This paper seeks to review the current international health-promoting sports club (HPSC) research, drawing together findings based on case studies from various countries to illustrate the status of HPSCs. In addition, future challenges for HPSC research and implementation are considered. The review includes six case studies from five countries. In summary, there are two major research themes in this area, namely ‘research into HPSC activity’ and ‘research into HPSC networks’. The first theme investigates the extent to which sports clubs and/or national sports organisations invest in health promotion (HP) – both in policy and practice. The latter theme is driven by an intention to widen the…

Malemedicine.medical_specialtyInternationalitySports scienceHealth PromotionFitness Centers03 medical and health sciences0302 clinical medicinePolitical sciencemedicineHumans030212 general & internal medicineInternational research030505 public healthScope (project management)business.industryPublic healthResearchPublic Health Environmental and Occupational HealthHealth services researchPublic relationsHealth promotionFemaleClubHealth Services Research0305 other medical sciencebusinessTheme (narrative)SportsGlobal health promotion
researchProduct

iScore for predicting institutional care after ischemic stroke: a population-based study.

2015

Background We assessed whether the iScore could predict the need for poststroke institutional care. Methods Patients with acute ischemic stroke living in Dijon, France, were recorded between 2006 and 2011, using a population-based stroke registry. The iScore was calculated for each patient. A logistic regression model was used to assess the performance of the iScore for predicting the need for placement in a care institution. The discrimination and calibration of the model were assessed using the c statistic and the Hosmer–Lemeshow goodness-of-fit test, respectively. Results Of the 1199 patients recorded, 124 were excluded because of early death and 95 because of missing for variables inclu…

Malemedicine.medical_specialtyPopulationLogistic regressionRehabilitation CentersRisk AssessmentPatient Care PlanningBrain IschemiaDecision Support TechniquesInterquartile rangePredictive Value of TestsRisk FactorsEpidemiologyMedicineHumansRegistrieseducationStrokeStatisticAgedAged 80 and overeducation.field_of_studyFramingham Risk Scorebusiness.industryRehabilitationMiddle Agedmedicine.diseasePrognosisConfidence intervalPatient DischargeNursing HomesStrokeLogistic ModelsEmergency medicinePhysical therapySurgeryFemaleNeurology (clinical)FranceCardiology and Cardiovascular MedicinebusinessJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
researchProduct

Perception of clinical educational environment by student of physiotherapy based on the Postgraduate Hospital Educational Environment Measurement Que…

2019

Purpose: It aimed at describing the perception of the clinical educational environment by physiotherapy students based on the Postgraduate Hospital Educational Environment Measurement Questionnaire in Chile.Methods: The clinical education environment was evaluated according to the Postgraduate Hospital Educational Environment Measure (PHEEM) by 192 students originally enrolled in the fifth year of the physiotherapy career at 3 different headquarters of the academic institution: Santiago, Viña del Mar, and Concepcion Campus (Metropolitan, Valparaiso, and Bio Bio region, respectively), from March to October 2018. The Cronbach’s α was applied to measure the reliability of the instrument and th…

Malemedicine.medical_specialtyStudents Health Occupations020205 medical informaticsmedia_common.quotation_subjectlcsh:Medicine02 engineering and technologyEducationAcademic institution03 medical and health sciences0302 clinical medicineProfessional educationCronbach's alphaPerceptionInternshipSurveys and Questionnaires0202 electrical engineering electronic engineering information engineeringmedicineHumans030212 general & internal medicineChilePhysical Therapy Modalitiesmedia_commonlcsh:LC8-6691Academic Medical Centerslcsh:Special aspects of educationlcsh:RProfessional developmentInternship and ResidencyReproducibility of ResultsMetropolitan areaGeneral Health ProfessionsPhysical therapyHidden curriculumFemaleClinical CompetenceCurriculumEducational MeasurementPsychologyEducational environmentRespiratory careResearch ArticleStudent perceptionJournal of Educational Evaluation for Health Professions
researchProduct

Prognostic factors in a large multi-institutional series of papillary renal cell carcinoma.

2011

OBJECTIVES To investigate cancer-related outcomes and prognostic factors of papillary renal cell carcinoma (pRCC) in a large multicentre data set. Oncological outcome and prognostic factors of pRCC have been limitedly evaluated in comparison with the most common RCC subtype, clear cell RCC. PATIENTS AND METHODS From a multicentre retrospective database, including 5463 patients who were surgically treated for RCC at 16 Italian academic centres between 1995 and 2007, 577 patients with pRCC were identified. Univariable and multivariable Cox regression models were performed to identify prognostic factors predictive of recurrence-free survival (RFS) and cancer-specific survival (CSS) after surge…

Malerenal cell carcinomaTime FactorsPapillary renal cell carcinoma; Prognostic factorsPrognosiFEATURESkidney cancer; papillaryrenal cell carcinoma; papillary adenocarcinoma; prognostic factorspapillary renal cell carcinomaNephrectomyCLASSIFICATIONFollow-Up Studiecancer-specific survivalpapillaryRisk FactorsRetrospective StudieCause of DeathPrevalenceHumansrecurrence-free survivalprognostic factorCarcinoma Renal CellTYPE-1Proportional Hazards ModelsRetrospective StudiesNeoplasm StagingAcademic Medical Centerspapillary adenocarcinomaRisk Factorkidney cancerKidney Neoplasmprognostic factorsMiddle AgedPrognosisTUMORSKidney NeoplasmsHISTOLOGIC SUBTYPESPrognostic factors in a large multi-institutional series of papillary renal cell carcinoma.Survival RateAcademic Medical CenterItalySURVIVALProportional Hazards ModelFemaleprognostic factors; papillary renal cell carcinoma; recurrence-free survival; cancer-specific survivalFollow-Up StudiesHuman
researchProduct