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'Don't say "fis" say "fish" ', 'I said "fis"': Ethical Considerations in Therapy to Change Child Speech.

BACKGROUND: Historically, assessment of child speech has focused on transcription and analysis of speech sound production with no exploration of the child's own perception of his or her speech. This article explores the possibility that whilst children with speech 'difficulties' may be aware that 'talking to people' is problematic, they may not be aware that the reason for their communication difficulty is that their speech is unclear. Similarly, in a therapy context, the child's own appreciation of the purpose and progress of therapy has not been explored. Given the current concern for child

Health Literacy, Social Support, and Kidney-Specific Quality of Life Among Hemodialysis Patients in Saudi Arabia: Implications for Nurse Managers Organizing Patient and Family Education.

INTRODUCTION: Limited health literacy and strong family involvement are both common among hemodialysis patients in Saudi Arabia, yet how each relates to kidney-specific quality of life (KDCS), and what this implies for how dialysis units organize patient and family education, has not been examined. Decisions about education protocols, staff competencies, materials, timing, family inclusion, and quality monitoring are made by unit nurse managers, who currently lack local evidence to guide them. AIM: To examine the associations of health literacy and perceived social support with KDCS among hem

One dose per day compared to multiple doses per day of gentamicin for treatment of suspected or proven sepsis in neonates.

BACKGROUND: Gentamicin is widely used in the treatment of suspected or proven neonatal sepsis. Animal studies and systematic reviews from trials in older children and adults suggest that a one dose per day regimen is superior to a multiple doses per day regimen. Pharmacokinetic studies and retrospective audits in neonatal population also favour once a day administration of gentamicin. However, there is no consensus regarding the dose interval regimen in the neonatal population. OBJECTIVES: To compare the efficacy and safety of one dose per day compared to multiple doses per day of gentamicin

Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards.

BACKGROUND: Early warning systems (EWS) and rapid response systems (RRS) have been implemented internationally in acute hospitals to facilitate early recognition, referral and response to patient deterioration as a solution to address suboptimal ward-based care. EWS and RRS facilitate healthcare decision-making using checklists and provide structure to organisational practices through governance and clinical audit. However, it is unclear whether these systems improve patient outcomes. This is the first update of a previously published (2007) Cochrane Review. OBJECTIVES: To determine the effec…

Care bundles for improving outcomes in patients with COVID-19 or related conditions in intensive care - a rapid scoping review.

BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the strain of coronavirus that causes coronavirus disease 2019 (COVID-19) can cause serious illness in some people resulting in admission to intensive care units (ICU) and frequently, ventilatory support for acute respiratory failure. Evaluating ICU care, and what is effective in improving outcomes for these patients is critical. Care bundles, a small set of evidence-based interventions, delivered together consistently, may improve patient outcomes. To identify the extent of the available evidence on the use of care bund

International guidelines for groin hernia management.

INTRODUCTION: Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair. They have been endorsed by all five continental hernia societies, the International Endo Hernia Society and the Euro

Umbilical cord pH, blood gases, and lactate at birth: normal values, interpretation, and clinical utility.

Normal birth is a eustress reaction, a beneficial hedonic stress with extremely high catecholamines that protects us from intrauterine hypoxia and assists in the rapid shift to extrauterine life. Occasionally the cellular O2 requirement becomes critical and an O2 deficit in blood (hypoxemia) may evolve to a tissue deficit (hypoxia) and finally a risk of organ damage (asphyxia). An increase in H+ concentration is reflected in a decrease in pH, which together with increased base deficit is a proxy for the level of fetal O2 deficit. Base deficit (or its negative value, base excess) was introduced

NTP Toxicology and Carcinogenesis Studies of Propylene (CAS No. 115-07-1) in F344/N Rats and B6C3F1 Mice (Inhalation Studies).

Propylene is used as a starting material in the production of polypropylene plastics and various other chemicals, including acrylonitrile, isopropyl alcohol, propylene oxide, butyraldehyde, cumene, dodecane, nonene, and allyl chloride. The major derivatives are polypropylene (25%), acrylonitrile (15%), isopropyl alcohol (10%), and propylene oxide (10%). It is also a valuable feed-stock chemical for the production of gasoline. Other miscellaneous applications include use as a starting material for polymerization reactions to form vinyl chloride copolymers and low-molecular-weight homopolymers t

A randomised controlled trial and economic evaluation of direct versus indirect and individual versus group modes of speech and language therapy for children with primary language impairment.

OBJECTIVES: To compare language outcomes following direct individual therapy [speech and language therapist (SLT) working individually with a child], indirect individual therapy [speech and language therapy assistant (SLTA) working individually with a child], direct group therapy (SLT working with a small group of children) and indirect group therapy (SLTA working with a small group of children) for primary school-age children with persistent primary receptive and/or expressive language impairment relative to a comparison group receiving current models and levels of SLT service. DESIGN: The t

Насильственные сексуальные похитители, потребление порнографии и совместные нарушения среди студентов колледжей.

Проблемное использование порнографии (ППП) и другие виды сексуального поведения, связанные с навязчивым поведением, связаны с многочисленными психосоциальными последствиями, причем мужчины чаще, чем женщины. Однако меньше известно о частотности и взаимосвязи между PUP, CSB, депрессией и проблемами употребления алкоголя, особенно среди студентов колледжей, которые могут поддерживать такое поведение более высокими темпами. Цель этого исследования состояла в том, чтобы определить взаимосвязь между совместными ЦСУ, ППУ, проблемами с потреблением алкоголя и депрессией по признаку пола (77 процентов

Irish Endocrine Society 44th Annual Meeting.

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Alcohol Misuse in Older Women: A Scoping Review of Correlates, Consequences, Treatment, and Prevention.

BackgroundAlcohol use and alcohol use disorder (AUD) among older women (defined as age 50 and over) have increased substantially in recent years. Compared to men and younger women, older women negotiate biopsychosocial transitions that put them at greater risk of alcohol-related health conditions as they age and are less reliably screened and treated for heavy alcohol use and AUD.ObjectivesThis scoping review represents a critical evaluation of research methodology and findings since 2004 on biopsychosocial correlates and consequences of alcohol misuse (i.e., heavy alcohol use, defined as four

Характеристики использования веществ среди лиц с проблематичным использованием порнографии: обзор сферы охвата.

Потребление порнографии является весьма распространенным явлением в развитых странах, при этом исследования показывают, что 70% мужчин и женщин 40% За последний год порнография рассматривалась женщинами. Использование психоактивных веществ у лиц с проблематичным использованием порнографии (ППУ) является областью, заслуживающей дальнейшего изучения в связи с возможностью его совокупного негативного воздействия, включая риск наркомании и потенциальное негативное воздействие на психическое и эмоциональное здоровье. В настоящем аналитическом обзоре рассматриваются модели потребления веществ и связ

Immediate improvement in patient care: Auditing adherence to the British Society for Haematology guidelines on screening and management of the long-term consequences of multiple myeloma and treatment.

Advances in myeloma have resulted in improved prognosis for patients. However complications of the disease and treatment, pose a risk of specific long-term consequences. An audit tool was adapted to assess adherence to the British Society for Haematology guidelines for screening and management of long-term myeloma consequences. Thereafter a screening checklist was developed to prompt the implementation of guideline recommendations, followed by a re-audit evaluating the effectiveness of the checklist. Good baseline practice was identified relating to vaccinations, herpes prophylaxis, dental ass

Совпадение в полном тексте источника
… As this was a clinical audit of medical records, ethical approval did not need to be sought. Compliance was recognised where the standard had been met, or in the case where there was a documented reason for the omission. Results from the baseline audit are outlined in Table 2 . …

The 48th Annual Meeting of the European Society for Blood and Marrow Transplantation: Nurses Group - Poster Sessions (NP001 - NP054).

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Совпадение в полном тексте источника
… Conclusions : The introduction of the clinical audit, side-by-side with nursing staff, allowed the nurses to review clinical practice in the absence of “judgment”, since they felt unconstrained and showed great willingness to share. … The application of clinical audit integrated with nurses expert in HSCT and cellular therapies, proved to be an effective way to learn from mistakes, and a valuable tool for comparison between colleagues and professional growth. …

Audit of a Novel Nurse-Led Program for Nonantibiotic Management of Acute Uncomplicated Diverticulitis.

BACKGROUND: Nonantibiotic outpatient treatment of acute uncomplicated diverticulitis is safe; however, uptake remains low. OBJECTIVE: To assess the success of nonantibiotic management of uncomplicated diverticulitis through a nurse-led outpatient program. DESIGN: Retrospective audit from June 2022 to March 2024. SETTINGS: Nurse-led outpatient program for nonantibiotic management of acute uncomplicated diverticulitis at a university-affiliated hospital. PATIENTS: Immunocompetent adults with CT-proven acute uncomplicated diverticulitis and C-reactive protein <150 mg/L. Eligible patients not

Prospective multi-centre evaluation of guideline-based artificial intelligence to streamline multidisciplinary tumour board.

INTRODUCTION: Multidisciplinary tumour board (MTB) or tumour board (TB) is the "gold standard" for providing oncological patients' diagnosis and treatment. Often, MTBs are time-intensive, capacity-constrained, and absent or inconsistent in many routine hospitals. Despite that, in MTB, a few experienced specialists in the oncological field, sometimes the final decision is mistaken (4-47%), the necessity of treatment plan changing (12-64%), etc. Using artificial intelligence (AI) for cancer patients' treatment is a modern approach, but the main idea of our investigation should be to possibly rep

Textbook Outcomes of Minimally Invasive Total Mesorectal Excision: A Composite Tool to Assess and Compare Outcomes for Benchmarking.

BACKGROUND: Textbook outcome is an integrated measure including both clinical and oncological outcomes. Within minimally invasive rectal cancer surgery, whether the achievement of textbook outcome translates into improved oncological outcomes is not studied. OBJECTIVE: To evaluate textbook outcome and its associated factors for patients undergoing minimally invasive total mesorectal excision. DESIGN: Single-center retrospective study. SETTINGS: The study was conducted at a high-volume tertiary referral cancer center in India. PATIENTS: All patients receiving elective laparoscopic or roboti

The use of bisphosphonates in the management of bone involvement from solid tumours and haematological malignancies - a European survey.

Bone metastases in patients with solid tumours (ST) and bone lesions in patients with haematological malignancies (HM) are common. Associated skeletal-related events (SREs) cause severe pain, reduced quality of life and place a burden on health care resources. Bone-targeted agents can reduce the risk of SREs. We evaluated the management of bone metastasis/lesions in five European countries (France, Germany, Italy, Spain and the UK) by an observational chart audit. In total, 881 physicians completed brief questionnaires on 17 193 patients during the observation period, and detailed questionnair

Factors That Predict Persistent Smoking of Cancer Survivors.

We conducted this cross-sectional study to elucidate factors that predict persistent smoking of the Korean cancer survivors. The subjects were 130 adult (≥19 yr old) cancer survivors who were smokers at the diagnosis of cancer and have participated in the Korean National Health and Nutrition Examination Surveys conducted from 2007 to 2011. We categorized them into the persistent smokers and the quitters, according to change in smoking status between the time of cancer diagnosis and the time of the survey. Factors associated with persistent smoking were evaluated using the multiple logistic reg