... of the disease process, the patient and their family, and the sur-geon We need to make sure that all work together to both inform and empower the patient, while we the surgeons are merely the ... group at the University of Virginia: in addition to the lat-eral release of the external oblique, the rectus fas-cia is fl ipped into the midline using the linea alba as the fulcrum to extend the ... is the best option available Timing of the procedure depends on the operative evaluation, the physiological condition pre-of the patient, and the anatomical condition pre-of the tissues The
Ngày tải lên: 20/01/2020, 21:01
... speed There is confl icting evidence as to whether hor-mones involved in the hypothalamic–pituitary– adrenal stress response play a part in these processes These hormones, and those involved in the ... traffi c control on the ground Although surgeons have a team with them in every operation, they themselves make the most important decisions; they are in charge of carrying out the procedures Once ... 3 ] For the most basic surgeries per-formed around the world, when experts are asked to describe them, there are differences in their accounts In contrast, there are no differences in the description
Ngày tải lên: 22/01/2020, 04:44
evaluating and enhancing three dimensional printing service providers for rapid prototyping using the dematel based network process and vikor
... control the RP process And the process of computer-aided manufacturing is integrated together with the RP Therefore, the RP, a really automated process, needs the least or no human intervenes The process ... column sum of the𝑗th column of matrix Then, 𝑐𝑗is the sum of the influences that factor𝑖 is receiving from the other factors Furthermore, when𝑖 = 𝑗 (i.e., the sum of the row sum and the column sum)(𝑟𝑖+ ... by the modified Delphi may impact the others, the structure of the HMCDM problem will be derived using the DEMATEL The weights being associated with each criterion will be derived by using the
Ngày tải lên: 02/11/2022, 09:29
The implementation of the evidence based decision makingprinciple at loopline 5in bosch long thanh factory
... materialsThe product quality management process starts from checking the quality of the pipes, then checking the quality of the semi-components at the stages of Slitting, Rolling until the product ... of receiving the order from the shift leader, the LOG will transfer the coil to the tube line placed on the rack.Perform a visual inspection of the coil as prescribed Then sign the coil delivery ... table, then check the outer and inner sides of the Loopset, then the staff put the Loopset under the magnifying glass and conduct a visual inspection Finally, these Loopsets will be placed on the
Ngày tải lên: 01/03/2024, 08:44
Being Born Under Adverse Economic Conditions Leads to a Higher Cardiovascular Mortality Rate Later in Life: Evidence Based on Individuals Born at Different Stages of the Business Cycle pdf
... light on these by studying the importance of thetiming of the macro fluctuations around the year of birth and by interacting theeffects with regional indicators and the degree of urbanization.The ... birth.Their data are from the Netherlands and contain the social class of the parents(2001) studies Swedish birth cohorts from 1897–1938 and examines whether thefraction of newborns whose father ... across age and cohort intervals in the twin data to the corresponding intervals in the general population, and they conclude thatamong adults the patterns are usually the same Wienke et al (2001) replicatethis
Ngày tải lên: 17/03/2014, 08:20
báo cáo khoa học: " Part II, Provider perspectives: should patients be activated to request evidence-based medicine? a qualitative study of the VA project to implement diuretics (VAPID)" potx
... disease They have a rash on their elbow and a little ringing in their ear and they’ll often consume time just unloading their frustrations If, on the other hand, there was an incentive for them ... have the same objectives, align our priorities, then I think we’ll reach them Um, the problem often times is that there’s another issue, a distracter issue that the patients want to talk about They ... And uh, every time they go to the hospi-tal, their blood pressure is high They put them on a bunch of blood pressure medications They come out and they fall down I cannot use the guideline for
Ngày tải lên: 10/08/2014, 10:22
báo cáo khoa học: "Rationality versus reality: the challenges of evidence-based decision making for health policy makers" ppt
... aspects of the policy information and process the information differently than if the objective is to determine whether the policy fulfills the election mandates of the governing party In other words, ... objec-tives such as evidence-informed or evidence-based decisions, there must be a clear understanding of how individual cognitive processing influences the decision-making process [62] Given the extremely ... presents a theoretical decision-processing frame-work that supports the focal thesis: during the health pol-icy process, decision makers are subjectively influenced by the manner in which they cognitively
Ngày tải lên: 10/08/2014, 10:22
The role of organizational research in implementing evidence-based practice: QUERI Series pot
... large part, on the following: • The conceptual model and organizational theory (or theories) underlying the research [15]; • The nature of what is known and/or being hypothesized about the organizational ... fostering the inte-gration and evaluation of health care organizational fac-tors into the planning and study of the implementation of evidence-based practice within the context of the six-step ... culling and summarizing the organizational measures they included and the methods used to apply them to different imple-mentation research efforts We describe these applications in the context of a
Ngày tải lên: 11/08/2014, 05:21
Báo cáo y học: "A social marketing approach to implementing evidence-based practice in VHA QUERI: the TIDES depression collaborative care model" docx
... enhance the time they spend with their spouses, children, and grandchildren The next step is providing skill sets and resources that enable the individual to make the behavior change These might ... level, a survey could ask clinicians if they remember receiving the TIDES marketing materials, whether they felt the materials were compelling, and whether they are referring patients to TIDES depression ... Nevertheless, it is challenging to independ-ently evaluate the contribution of the TIDES marketing effort to the overall effectiveness of the TIDES national dissemination effort, for which the
Ngày tải lên: 11/08/2014, 05:21
Báo cáo y học: " Evidence-based practice implementation: The impact of public versus private sector organization type on organizational support, provider attitudes, and adoption of evidence-based practice" doc
... increasing the adoption of EBPs In the following sections, we describe the theoretical underpinnings of the model to be tested in the current study Provider attitudes toward EBP There is increasing evidence ... support for evidence-based practice and atti-tudes toward evidence-based practice, effect of organiza-tional support for evidence-based practice on provider attitudes toward evidence-based practice, ... organizational support for evidence-based practice and attitudes toward evidence-based prac-tice, and effect of provider attitudes toward evi-dence-based practice on provider use of evidence-based practice
Ngày tải lên: 11/08/2014, 05:21
Báo cáo y học: "Part II, Provider perspectives: should patients be activated to request evidence-based medicine? a qualitative study of the VA project to implement diuretics (VAPID)" ppsx
... disease They have a rash on their elbow and a little ringing in their ear and they’ll often consume time just unloading their frustrations If, on the other hand, there was an incentive for them ... have the same objectives, align our priorities, then I think we’ll reach them Um, the problem often times is that there’s another issue, a distracter issue that the patients want to talk about They ... And uh, every time they go to the hospi-tal, their blood pressure is high They put them on a bunch of blood pressure medications They come out and they fall down I cannot use the guideline for
Ngày tải lên: 11/08/2014, 05:21
evidence-based imaging improving the quality of imaging in patient care
... the sensitivity and the specificity of the imaging test The third step is to incorporate the physician into the evaluation of the imaging intervention by evaluating the effect of the use of the ... other Using the bull’s-eye analogy, the larger the sample size, the less the random error and the larger the chance of hitting the center of the target (Fig. 2.1) Systematic error, on the other ... quantification of the strength of the evidence, and then continues with detailed examination of the supporting evidence At the end of the chapter, the reader will find the take-home tables and imaging...
Ngày tải lên: 30/05/2014, 23:55
Tài liệu THE EVIDENCE-BASED PRACTICE pdf
... of their evidence- based programs for consideration, and in another years, in 2002, Sinnissippi was the recipient of the Codman Award The protocols and suggestions for implementing evidence- based ... applicants for the award is either in applying evidence- based treatments or collecting evidence on their own treatment protocols to determine their effectiveness These agencies, as well as other treatment ... practice, we review the history of evidence- based treatment and discuss the reasons why evidence- based practice has come to the forefront at this time EARLY BEGINNINGS Evidence- based treatment had...
Ngày tải lên: 15/02/2014, 02:20
Evidence-Based Imaging pdf
... defining the sensitivity and the specificity of the imaging test The third step is to incorporate the physician into the evaluation of the imaging intervention Chapter Principles of Evidence- Based Imaging ... each other Using the bull’s-eye analogy, the larger the sample size, the less the random error and the larger the chance of hitting the center of the target (Fig 2.1) Systematic error, on the other ... quantification of the strength of the evidence, and then continues with detailed examination of the supporting evidence At the end of the chapter, the reader will find the takehome tables and imaging case...
Ngày tải lên: 05/03/2014, 11:21
THE VALUES BASED SAFETY PROCESS potx
... new process Companies have called their safety improvement efforts the employee safety process (ESP), the safe acts process, the positive safety process, the continuous incident prevention process, ... protective equipment At the end of the year, however, these employees all get the same safety award In fact, the likelihood of getting the award is roughly the same as the likelihood of getting ... positive feedback The overuse of punishment has several further disadvantages, whether in the home, the schools, or the workplace Among these, punishment * * * * * * must be either severe or highly...
Ngày tải lên: 05/07/2014, 02:20
Evidence-Based Imaging - part 1 docx
... defining the sensitivity and the specificity of the imaging test The third step is to incorporate the physician into the evaluation of the imaging intervention Chapter Principles of Evidence- Based Imaging ... each other Using the bull’s-eye analogy, the larger the sample size, the less the random error and the larger the chance of hitting the center of the target (Fig 2.1) Systematic error, on the other ... quantification of the strength of the evidence, and then continues with detailed examination of the supporting evidence At the end of the chapter, the reader will find the takehome tables and imaging case...
Ngày tải lên: 11/08/2014, 01:22
Evidence-Based Imaging - part 3 doc
... cancer There is no strong evidence to suggest that the addition of other diagnostic tests, such as MRS, perfusion MR, PET, or SPECT, improves either the cost-effectiveness or the outcome in the ... alternatives The improvement must be attainable outside the investigational settings With the exception of the first criterion, the reviewers concluded that the available evidence on 1H MRS in the evaluation ... angle the probe left and right to image the two sides of the gland independently With the probe imaging in the sagittal plane, the midsagittal view should be accompanied by views produced with the...
Ngày tải lên: 11/08/2014, 01:22
Evidence-Based Imaging - part 4 pps
... seizures and by the cost of the exam The cost for an MRI of the brain in the U.S is between $1200 and $2000 (16) Therefore, the CT and MRI workup expenses of new-onset seizures in the U.S is between ... Summary of Evidence: Magnetic resonance imaging is the neuroimaging study of choice in the workup of first unprovoked seizures (moderate evidence) Neuroimaging is positive in 3% to 38% of cases The probability ... patients Goals The main goal of the neuroimaging in seizures and epilepsy is to rule out focal lesions that could threaten the patient’s life Neuroimaging also allows the identification of the structural...
Ngày tải lên: 11/08/2014, 01:22
Evidence-Based Imaging - part 5 doc
... Undergo Imaging in the Acute Setting? Summary of Evidence: The need for acute imaging is generally based on the severity of injury It is agreed that severe TBI (based on GCS score) indicates the ... Immediate Treatment/Surgery? Summary of Evidence: Computed tomography is the mainstay of imaging in the acute period The majority of evidence relates to the use of CT for detecting injuries that ... (moderate evidence) , such as the splenium of the corpus callosum (52,53) There has been insufficient evidence regarding the sensitivity of multivoxel magnetic resonance spectroscopic imaging (MRSI),...
Ngày tải lên: 11/08/2014, 01:22
Evidence-Based Imaging - part 6 docx
... specificity)) Similarly, the LR for a negative test is ((1 - sensitivity)/specificity) The larger the LR, the better the test is for ruling-in a diagnosis; conversely, the smaller the LR, the better it is ... dependent on the selected reference standard Studies incorporating CT as the reference Chapter 17 Imaging of the Spine in Victims of Trauma Figure 17.1 Evidence- based decision tree for imaging of the ... the MR imaging to rapid MR In a decision model created for a hypothetical cohort of primary care patients referred to exclude cancer as the etiology of their back pain, they also found that there...
Ngày tải lên: 11/08/2014, 01:22