Using a multilevel implementation strategy to facilitate the screening and treatment of tobacco use in the outpatient urology clinic: A prospective hybrid type I study

Cancer ◽  
2021 ◽  
Author(s):  
Richard S. Matulewicz ◽  
Jeffrey C. Bassett ◽  
Lorna Kwan ◽  
Scott E. Sherman ◽  
William J. McCarthy ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Implementation Strategy ◽  
Type I ◽  
Hybrid Type ◽  
Urology Clinic

scholarly journals Biosynthesis of Dictyostelium discoideum differentiation-inducing factor by a hybrid type I fatty acid–type III polyketide synthase

2006 ◽  
Vol 2 (9) ◽  
pp. 494-502 ◽  
Author(s):  
Michael B Austin ◽  
Tamao Saito ◽  
Marianne E Bowman ◽  
Stephen Haydock ◽  
Atsushi Kato ◽  
...  
Keyword(s):  
Fatty Acid ◽  
Dictyostelium Discoideum ◽  
Polyketide Synthase ◽  
Type I ◽  
Type Iii Polyketide Synthase ◽  
Type Iii ◽  
Hybrid Type ◽  
Acid Type ◽  
Fatty Acid Type

Coronary and arch hybrid surgery in a patient with infrarenal aortic occlusion

2018 ◽  
Vol 26 (2) ◽  
pp. 148-150 ◽  
Author(s):  
Teng Kiat Koh ◽  
Jocelyn Zi Lin Ting ◽  
Bernard Wee ◽  
Rustem Khamitov ◽  
Kristine Teoh ◽  
...  
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Type I ◽  
Hybrid Surgery ◽  
Ventricular Ejection Fraction ◽  
Hybrid Type ◽  
Triple Vessel Disease ◽  
Arch Aneurysm

A 65-year-old gentleman with claudication underwent contrast-enhanced computed tomography. The scan showed occlusion of the infrarenal abdominal aorta and a 6.0 × 3.7 cm saccular zone-3 arch aneurysm. The left ventricular ejection fraction was 35% and a coronary angiogram revealed triple-vessel disease. In view of the patient’s high risk with EuroSCORE II 20.34%, coronary artery surgery was combined with hybrid type I arch aneurysm repair. An endovascular stent was delivered in an antegrade manner. Open heart surgery and a hybrid type I arch intervention can be performed simultaneously through a midline sternotomy approach.

scholarly journals Effect of fertility health awareness strategies on fertility knowledge and childbearing in young married couples (FertStart): study protocol for an effectiveness-implementation hybrid type I multicentre three-arm parallel group open-label randomised clinical trial

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e051710
Author(s):  
Sze Ling Chan ◽  
Julian Thumboo ◽  
Jacky Boivin ◽  
Seyed Ehsan Saffari ◽  
Shanqing Yin ◽  
...  
Keyword(s):  
Semen Analysis ◽  
Randomised Trial ◽  
Married Couples ◽  
Control Group ◽  
Type I ◽  
Age At First Birth ◽  
Fertility Awareness ◽  
Hybrid Type ◽  
Study Results ◽  
Post Randomisation

IntroductionBirth rates have been declining in many advanced societies including Singapore. We designed two interventions with vastly different resource requirements, which include fertility education, personalised fertility information and a behavioural change component targeting modifiable psychological constructs to modify fertility awareness and childbearing intentions. We aim to evaluate the effect of these two interventions on knowledge, attitudes and practice around childbearing compared with a control group among young married couples in Singapore and understand the implementation factors in the setting of an effectiveness-implementation hybrid type 1 three-arm randomised trial.Methods and analysisWe will randomise 1200 young married couples to no intervention (control), Fertility Health Screening group (FHS) or Fertility Awareness Tools (FAT) in a 7:5:5 ratio. Couples in FHS will undergo an anti-Mullerian hormone test and semen analysis, a doctor’s consultation to explain the results and standardised reproductive counselling by a trained nurse. Couples in FAT will watch a standardised video, complete an adapted fertility status awareness (FertiSTAT) tool and receive an educational brochure. The attitudes, fertility knowledge and efforts to achieve pregnancy of all couples will be assessed at baseline and 6 months post-randomisation. Birth statistics will be tracked using administrative records at 2 and 3 years. The primary outcome is the change in the woman’s self-reported intended age at first birth between baseline and 6 months post-randomisation. In addition, implementation outcomes and cost-effectiveness of the two interventions will be assessed.Ethics and disseminationThis study has been reviewed and approved by the Centralized Institutional Review Board of SingHealth (2019/2095). Study results will be reported to the study funder and there are plans to disseminate them in scientific conferences and publications, where authorship will be determined by the International Committee of Medical Journal Editors guidelines.Trial registration numberNCT04647136; ClinicalTrails.gov Identifier.

Introduction of a tobacco-screening initiative for those at risk for bladder cancer in a high volume urology clinic.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 4540-4540
Author(s):  
Jeffrey C. Bassett ◽  
John L. Gore ◽  
William J. McCarthy ◽  
Christopher Morrison ◽  
Lorna Kwan ◽  
...  
Keyword(s):  
Bladder Cancer ◽  
Tobacco Use ◽  
Nurse Practitioners ◽  
High Volume ◽  
High Yield ◽  
Facilitators And Barriers ◽  
Never Smokers ◽  
Attending Physician ◽  
Attending Physicians ◽  
Urology Clinic

4540 Background: Tobacco use is causal or contributory in 50% of bladder cancer diagnoses. Continued use after diagnosis may negatively impact recurrence, progression, and mortality. Despite its relevance, tobacco screening was infrequently occurring in a regional urology clinic. We hypothesized that the clinic was fertile ground for a tobacco-screening initiative given the number of referrals for bladder cancer, hematuria, and other tobacco-related urologic conditions. Methods: An EMR-based tobacco-screening prompt was designed using the same informatics architecture and clinical reporting system used in primary care. The prompt was introduced for all new patient encounters beginning January 2010. We prospectively collected the proportion of patients asked about tobacco use, advised to quit, and assisted with smoking cessation. Results: For the two years ending December 2011, 4,617 patients were seen in urologic consultation; 31% (n = 1,444) were referred for tobacco-related urologic diagnoses, 36% (n = 518) of whom were referred for bladder cancer or hematuria. The tobacco-screening prompt was used 57% (n = 2,626) of the time. Attending physicians utilized the template in 17% of their encounters, resident physicians in 71%, and nurse practitioners in 97% (p < 0.001). 49% (n = 255) of those referred for bladder cancer or hematuria were screened for tobacco use. Active smokers comprised 21% (n = 558) of screened patients. Relative to former and never smokers, active smokers were more likely referred for bladder cancer or hematuria (p = 0.005). 40% (n = 225) of active smokers desired to quit. Those counseled by an attending physician were more likely ready to quit and trended toward a more intensive cessation program (p = 0.004 and p = 0.07, respectively). Conclusions: Our data suggest that urology clinics may be important sites for tobacco-screening initiatives, particularly for those with tobacco-related urologic diagnoses. Screening patients referred for bladder cancer or hematuria is likely high yield due to the increased proportion of active smokers. Given the disparate utilization of the prompt, identification of provider-level facilitators and barriers to tobacco screening is worthy of study.

Complex Acid-Base Disorders in Subacute Necrotizing Encephalomyelopathy (Leigh's Syndrome)

PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 278-281
Author(s):  
Gladys H. Hirschman ◽  
James C. M. Chan
Keyword(s):  
Metabolic Acidosis ◽  
Clinical Data ◽  
Renal Tubular Acidosis ◽  
Respiratory Alkalosis ◽  
Type I ◽  
Type Ii ◽  
Acid Base ◽  
Hybrid Type ◽  
Leigh’S Syndrome ◽  
Renal Tubular

This report describes a case of subacute necrotizing encephalomyelopathy (Leigh's syndrome) in a 7-month-old boy. The clinical data suggest an association with a disorder of renal tubular acidification, characterized by both (proximal) type II and (distal) type I renal tubular acidosis (hybrid type). Concomitantly, the initial uncompensated metabolic acidosis evolved into a mixed metabolic acidosis and respiratory alkalosis-features of this syndrome not previously reported.

Bayesian inference using product of spacings function for Progressive hybrid Type-I censoring scheme

Statistics ◽  
2017 ◽  
Vol 52 (2) ◽  
pp. 345-363 ◽  
Author(s):  
Suparna Basu ◽  
Sanjay K. Singh ◽  
Umesh Singh
Keyword(s):  
Bayesian Inference ◽  
Type I ◽  
Type I Censoring ◽  
Hybrid Type ◽  
Censoring Scheme
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