scholarly journals Long-term Effects of an Evidence-based Guideline for Emergency Management of Pediatric Syncope

2020 ◽  
Vol 5 (6) ◽  
pp. e361
Author(s):  
Kristen H. Shanahan ◽  
Michael C. Monuteaux ◽  
Dalton Brunson ◽  
Sabrina E. Guse ◽  
Mark E. Alexander ◽  
...  
Keyword(s):  
Emergency Management ◽  
Evidence Based ◽  
Long Term Effects ◽  
Evidence Based Guideline

Multidisciplinary conference to standardize survivorship care.

2018 ◽  
Vol 36 (7_suppl) ◽  
pp. 17-17
Author(s):  
Beth Rudge ◽  
Megan Lanigan ◽  
Theresa M. Lee ◽  
Lisa Torp ◽  
Kit Yu Lu
Keyword(s):  
Breast Cancer ◽  
Clinical Experience ◽  
Nurse Practitioners ◽  
Side Effect ◽  
Genetic Counselor ◽  
Evidence Based ◽  
Survivorship Care ◽  
Long Term Effects ◽  
Multidisciplinary Conference

17 Background: Survivors of breast cancer can face a multitude of long term and late effects after completing active treatment. Recommendations for side effect management can vary widely based on professional society guidelines, a provider’s clinical experience, and patient preference. When providing survivorship care in a multidisciplinary institution, maintaining consistent recommendations between providers and disciplines can be a daunting challenge. A cohesive approach is extremely important for a satisfying patient-clinician relationship and for patient safety. Our objective is to create standardized management of breast cancer survivorship issues. Methods: A quarterly Survivorship Multidisciplinary Conference (SMC) was initiated for case review and education on side effect management. The multidisciplinary group included medical and radiation oncologists, surgeons, nurse practitioners, nurse navigators, dieticians, physical therapists, social workers, spiritual care, and a genetic counselor. We used an evidence-based approach, including ASCO and NCCN guidelines as well as published peer-reviewed recommendations to create a treatment consensus for side effect management. Clinicians attending SMC were surveyed regarding their approach to late and long term effects of breast cancer pre- and post-SMC and their overall satisfaction with the conference. Results: Prior to involvement in SMC, most providers based their treatment of side effects on their own professional society’s guidelines and their personal clinical experience. After implementing SMC, 60% of providers reported a change in their practice and there was a 37.5% reported increase in the use of ASCO and NCCN survivorship guidelines across disciplines. 94% of providers reported the SMC is effective in providing evidence based guidelines. Providers also reported a high level of satisfaction and that SMC provided opportunity for a more collaborative multidisciplinary approach. Conclusions: Survivorship Multidisciplinary Conference brings multiple specialties together for review of evidence-based approaches to survivorship care, increasing consistency in management of survivors' late and long term effects after completing breast cancer treatment.

scholarly journals Development of a GIS platform for Multi-Disciplinary Community Databases to enable Earthquake Resilience and Research

2020 ◽  
Author(s):  
Ilan Noy ◽  
Emily Lambie ◽  
Hayden Rickard ◽  
Sally Owen
Keyword(s):  
Emergency Management ◽  
Urban Areas ◽  
Evidence Based ◽  
Research Projects ◽  
Data Standards ◽  
Flexible Approach ◽  
Earthquake Resilience ◽  
Event Based ◽  
Gis Platform

This poster describes the initial steps and benefits in the creation of a GIS platform that will enable the hosting, sharing, and linking of spatial, geotechnical, structural, social, and economic datasets. This will enable interested parties to pursue multi-disciplinary research projects that aim to solve what are inherently complex and multi-faceted problems. A span of datasets will be linked to existing multi-storey buildings and integrated into an easy-to-use GIS platform that will have a range of purposes, including: (1) providing the best scientific knowledge spanning numerous disciplines to inform earthquake resilience research; (2) allowing different organisations, including local councils and iwis to make evidence based decisions regarding event-based planning and emergency management and (3) fostering engagement and sharing of data between separate research communities across different disciplines. Urban areas of Dunedin and Palmerston North are currently being used as repeatable case studies to test the feasibility and relationships required to enable the GIS platform’s capabilities. Researchers are being involved in a collaborative, multi-disciplinary, and flexible approach to ensure the GIS platform can benefit a wide array of groups and individuals. Building in flexibility to extend the GIS platform nationwide to construct a national, multi-disciplinary building database using consistent data standards is a primary, long-term goal for the project.

Oxford Textbook of Pediatric Pain

2021 ◽  
Keyword(s):  
Early Life ◽  
Complementary Therapy ◽  
Children And Youth ◽  
Evidence Based ◽  
Pediatric Pain ◽  
Long Term Effects ◽  
Comprehensive Understanding ◽  
Case Examples ◽  
Practice Gap

Our understanding of how pain in early life differs to that in maturity is continuing to increase and develop, using a mixture of approaches from basic science, clinical science, and implementation science. The new edition of the Oxford Textbook of Pediatric Pain brings together an international team of experts to provide an authoritative and comprehensive textbook on all aspects of pain in infants, children, and youth. Divided into nine sections, the textbook analyses pain as a multifactorial problem to give the reader a comprehensive understanding of this challenging subject. Evidence-based chapters look in depth at topics ranging from the long-term effects of the pain in children, to complementary therapy in paediatric pain. The text addresses the knowledge-to-practice gap through individual and organizational implementation, and facilitation strategies. Case examples and perspective boxes are provided to aid learning and illustrate the application of knowledge.

Stroke: Prevention, Diagnosis, and Management

2014 ◽  
pp. 941-950
Author(s):  
Galen V. Henderson
Keyword(s):  
Ischemic Stroke ◽  
Primary Prevention ◽  
High Risk ◽  
Secondary Prevention ◽  
Emergency Management ◽  
Stroke Prevention ◽  
Evidence Based ◽  
Functional Impairments ◽  
Diagnosis And Management ◽  
Evidence Based Guideline

Primary prevention of stroke, which remains a major healthcare problem and a leading cause of functional impairments, is particularly important because >70% of strokes are first events. As discussed in the evidence-based guideline-supported sections that follow, high-risk or stroke-prone individuals can now be identified and targeted for specific interventions for primary prevention and some information regarding secondary prevention treatments and emergency management of ischemic stroke.

scholarly journals Development of a GIS platform for Multi-Disciplinary Community Databases to enable Earthquake Resilience and Research

2020 ◽  
Author(s):  
Ilan Noy ◽  
Emily Lambie ◽  
Hayden Rickard ◽  
Sally Owen
Keyword(s):  
Emergency Management ◽  
Urban Areas ◽  
Evidence Based ◽  
Research Projects ◽  
Data Standards ◽  
Flexible Approach ◽  
Earthquake Resilience ◽  
Event Based ◽  
Gis Platform

This poster describes the initial steps and benefits in the creation of a GIS platform that will enable the hosting, sharing, and linking of spatial, geotechnical, structural, social, and economic datasets. This will enable interested parties to pursue multi-disciplinary research projects that aim to solve what are inherently complex and multi-faceted problems. A span of datasets will be linked to existing multi-storey buildings and integrated into an easy-to-use GIS platform that will have a range of purposes, including: (1) providing the best scientific knowledge spanning numerous disciplines to inform earthquake resilience research; (2) allowing different organisations, including local councils and iwis to make evidence based decisions regarding event-based planning and emergency management and (3) fostering engagement and sharing of data between separate research communities across different disciplines. Urban areas of Dunedin and Palmerston North are currently being used as repeatable case studies to test the feasibility and relationships required to enable the GIS platform’s capabilities. Researchers are being involved in a collaborative, multi-disciplinary, and flexible approach to ensure the GIS platform can benefit a wide array of groups and individuals. Building in flexibility to extend the GIS platform nationwide to construct a national, multi-disciplinary building database using consistent data standards is a primary, long-term goal for the project.

Oxford Textbook of Paediatric Pain

2013 ◽  
Keyword(s):  
Pain Management ◽  
Pain Control ◽  
Complementary Therapies ◽  
Children And Youth ◽  
Evidence Based ◽  
Long Term Effects ◽  
Comprehensive Understanding ◽  
Case Examples ◽  
Sociodemographic Differences

The Oxford Textbook of Paediatric Pain brings together an international team of experts to provide an authoritative and comprehensive textbook on all aspects of pain in infants, children and youth. Divided into nine sections, this resource analyses pain as a multifactorial problem and gives the reader a comprehensive understanding of this challenging subject. Topics covered include the biological, social, and psychological basis of pain, pain in specific populations, pain measurement, pharmacology, psychosocial and physical interventions, complementary therapies, education, and ethics of pain control in youths, children, and infants. Evidence-based chapters look in depth at areas ranging from the long-term effects of the pain in children, to sociodemographic differences in paediatric pain management. Case examples and online materials including scales, worksheets, and videos are provided to aid learning and illustrate the application of knowledge.

From heart to muscle: Pathophysiological mechanisms underlying long-term physical sequelae from SARS-CoV-2 infection

2022 ◽  
Author(s):  
Corinna Serviente ◽  
Stephen T Decker ◽  
Gwenael Layec
Keyword(s):  
Disease Risk ◽  
Relevant Literature ◽  
Significant Proportion ◽  
Evidence Based ◽  
Healthy Individuals ◽  
Long Term Effects ◽  
Biological Mechanisms ◽  
Cardiac Damage ◽  
Peripheral Vasculature

The long-term sequelae of the coronavirus disease 2019 (COVID-19) are multifaceted and, besides the lungs, impact other organs and tissues, even in cases of mild infection. Along with commonly reported symptoms such as fatigue and dyspnea, a significant proportion of those with prior COVID-19 infection also exhibit signs of cardiac damage, muscle weakness, and ultimately, poor exercise tolerance. This review provides an overview of evidence indicating cardiac impairments and persistent endothelial dysfunction in the peripheral vasculature of those previously infected with COVID-19, irrespective of the severity of the acute phase of illness. Additionally, VO2peak appears to be lower in convalescent patients, which may stem, in part, from alterations in O2 transport such as impaired diffusional O2conductance. Together, the persistent multi-organ dysfunction induced by COVID-19 may set previously healthy individuals on a trajectory towards frailty and disease. Given the large proportion of individuals recovering from COVID-19, it is critically important to better understand the physical sequelae of COVID-19, the underlying biological mechanisms contributing to these outcomes, and the long-term effects on future disease risk. This review highlights relevant literature on the pathophysiology post-COVID-19 infection, gaps in the literature, and emphasizes the need for the development of evidence-based rehabilitation guidelines.

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