International Group Releases New OCD Treatment Standards

This article describes the rationale for methodology of comprehensive assessment of drug consumption in real clinical practice. The proposed methodology includes three stages: 1) epidemiological monitoring – disease epidemiology assessment; assessment of the role of factors leading to the disease; 2) pharmacoepidemiological monitoring – assessment of pharmacotherapy in real clinical practice; clinical efficacy analysis of drugs; cost-effectiveness analysis; 3) long-term clinical and economical evaluation of various treatment options. Comprehensive assessment of drug consumption should result in optimal pharmacotherapy regimens, decrease of the drug load, increasing of the therapy effectiveness and cost reduction. The scheme of comprehensive assessment of drug consumption is universal and can be used for clinical guidelines development, treatment standards, for the optimal formation of drugs lists at the federal level. Separate stages and sub-steps of an integrated assessment also can be used at the territorial and local levels, medical institution, to optimize pharmacotherapy.

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Reading Roman Declamation

10.1093/oso/9780198746010.001.0001 ◽

2020 ◽

Keyword(s):

Roman History ◽

Dark Side ◽

Latin Literature ◽

Sociocultural Context ◽

International Group ◽

Seneca The Elder ◽

First Time ◽

Literary Phenomenon

Situated at the crossroads of rhetoric and fiction, the genre of declamatio offers its practitioners the freedom to experiment with new forms of discourse. This volume places the literariness of Roman declamation into the spotlight by showcasing its theoretical influences, stylistic devices, and generic conventions as related by Seneca the Elder, the author of the Controversiae and Suasoriae, which jointly make up the largest surviving collection of declamatory speeches from antiquity. In so doing, it draws attention to the complexity of these texts, and maps out, for the first time, the sociocultural context for their composition, delivery, and reception. The volume’s chapters have been authored by an international group of leading scholars in Latin literature and rhetoric, and explore not only the historical roles of individual declaimers but also the physical and linguistic techniques upon which they collectively drew. In addition, the ‘dark side of declamation’ is illuminated by contributions on the competitiveness of the arena and the manipulative potential of declamatory skill. In keeping with the volume’s overall treatment of declamation as a literary phenomenon, a section has also been dedicated to intertextuality. This comprehensive, innovative, and up-to-date treatment provides thought-provoking analyses of Roman declamation, and therefore constitutes an essential volume for both students and scholars in the fields of Latin literature, Republican Roman history, and rhetoric.

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Variability in grading of ductal carcinoma in situ among an international group of pathologists

The Journal of Pathology Clinical Research ◽

10.1002/cjp2.201 ◽

2021 ◽

Vol 7 (3) ◽

pp. 233-242

Author(s):

Maartje Seijen ◽

Katarzyna Jóźwiak ◽

Sarah E Pinder ◽

Allison Hall ◽

Savitri Krishnamurthy ◽

...

Keyword(s):

Ductal Carcinoma In Situ ◽

Carcinoma In Situ ◽

Ductal Carcinoma ◽

International Group

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Overview: The international group for indigenous health measurement and COVID-19

Statistical Journal of the IAOS ◽

10.3233/sji-210793 ◽

2021 ◽

pp. 1-6

Author(s):

Michele Connolly ◽

Kalinda Griffiths ◽

John Waldon ◽

Malcolm King ◽

Alexandra King ◽

...

Keyword(s):

New Zealand ◽

Total Population ◽

Indigenous Health ◽

Health Data ◽

Indigenous Populations ◽

Health Measurement ◽

Country Group ◽

International Group ◽

The Us ◽

The Impact

The International Group for Indigenous Health Measurement (IGIHM) is a 4-country group established to promote improvements in the collection, analysis, interpretation and dissemination of Indigenous health data, including the impact of COVID-19. This overview provides data on cases and deaths for the total population as well as the Indigenous populations of each country. Brief summaries of the impact are provided for Canada and New Zealand. The Overview is followed by. separate articles with more detailed discussion of the COVID-19 experience in Australia and the US.

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The Milan System, from Its Introduction to Its Current Adoption in the Diagnosis of Salivary Gland Cytology

Journal of Molecular Pathology ◽

10.3390/jmp2020012 ◽

2021 ◽

Vol 2 (2) ◽

pp. 114-122

Author(s):

Esther Diana Rossi

Keyword(s):

Salivary Gland ◽

Daily Practice ◽

Needle Aspiration ◽

Classification Systems ◽

Diagnostic Categories ◽

International Group ◽

The Everyday ◽

Neoplastic Process ◽

Risk Of Malignancy ◽

Well Differentiated

Salivary gland masses are often encountered in the everyday practice of cytopathology. It is commonly known that the cytologic interpretation of these lesions can pose diagnostic problems due to overlapping cytomorphologic features. Fine needle aspiration (FNA) of salivary lesions shows good to excellent sensitivity and specificity in differentiating a neoplastic from a non-neoplastic process and in diagnosing common tumors such as pleomorphic adenoma. However, its value is limited in diagnosing specific neoplastic entities especially those with well-differentiated morphology. In light of this gap, an international group of pathologists has proposed a management-oriented, tiered classification for reporting salivary gland FNA specimens, “The Milan System for Reporting Salivary Gland Cytopathology (MSRSGC)”. Similar to other classification systems, the MSRSGC scheme comprises six diagnostic categories, which were linked with a specific risk of malignancy (ROM) and management. In this review article, the author evaluated the published literature on FNA in diagnosing salivary gland lesions with the adoption of the Milan system since its introduction in the daily practice of salivary cytopathology.

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Survey of perceptions and attitudes of an international group of veterinarians regarding antibiotic use and resistance on dairy cattle farms

Preventive Veterinary Medicine ◽

10.1016/j.prevetmed.2020.105253 ◽

2021 ◽

Vol 188 ◽

pp. 105253

Author(s):

Sebastian G. Llanos-Soto ◽

Neil Vezeau ◽

Michelle Wemette ◽

Ece Bulut ◽

Amelia Greiner Safi ◽

...

Keyword(s):

Dairy Cattle ◽

Antibiotic Use ◽

International Group ◽

Perceptions And Attitudes ◽

Cattle Farms

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Quality of care for people with multimorbidity: a focus group study with patients and their relatives

BMJ Open ◽

10.1136/bmjopen-2020-047025 ◽

2021 ◽

Vol 11 (6) ◽

pp. e047025

Author(s):

Nadine Janis Pohontsch ◽

Josefine Schulze ◽

Charlotte Hoeflich ◽

Katharina Glassen ◽

Amanda Breckner ◽

...

Keyword(s):

Quality Of Care ◽

Focus Groups ◽

Healthcare System ◽

Qualitative Content Analysis ◽

Coordinated Care ◽

Treatment Standards ◽

Focus Group Study ◽

Treatment Regimens ◽

Quality Aspects

BackgroundPrevalence of people with multimorbidity rises. Multimorbidity constitutes a challenge to the healthcare system, and treatment of patients with multimorbidity is prone to high-quality variations. Currently, no set of quality indicators (QIs) exists to assess quality of care, let alone incorporating the patient perspective. We therefore aim to identify aspects of quality of care relevant to the patients’ perspective and match them to a literature-based set of QIs.MethodsWe conducted eight focus groups with patients with multimorbidity and three focus groups with patients’ relatives using a semistructured guide. Data were analysed using Kuckartz’s qualitative content analysis. We derived deductive categories from the literature, added inductive categories (new quality aspects) and translated them into QI.ResultsWe created four new QIs based on the quality aspects relevant to patients/relatives. Two QIs (patient education/self-management, regular updates of medication plans) were consented by an expert panel, while two others were not (periodical check-ups, general practitioner-coordinated care). Half of the literature-based QIs, for example, assessment of biopsychosocial support needs, were supported by participants’ accounts, while more technical domains regarding assessment and treatment regimens were not addressed in the focus groups.ConclusionWe show that focus groups with patients and relatives adding relevant aspects in QI development should be incorporated by default in QI development processes and constitute a reasonable addition to traditional QI development. Our QI set constitutes a framework for assessing the quality of care in the German healthcare system. It will facilitate implementation of treatment standards and increase the use of existing guidelines, hereby helping to reduce overuse, underuse and misuse of healthcare resources in the treatment of patients with multimorbidity.Trial registration numberGerman clinical trials registry (DRKS00015718), Pre-Results.

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603. Evaluating the Effects of Centers for Medicare & Medicaid Services Sepsis Core Measure in a Community Hospital

Open Forum Infectious Diseases ◽

10.1093/ofid/ofaa439.797 ◽

2020 ◽

Vol 7 (Supplement_1) ◽

pp. S364-S364

Author(s):

So Kim ◽

Peter Ty

Keyword(s):

Length Of Stay ◽

Improve Patient Care ◽

Prescribing Patterns ◽

Hospital Length Of Stay ◽

Antibiotic Prescribing ◽

Antibiotic Administration ◽

Negative Consequences ◽

Treatment Standards ◽

Core Measure ◽

Core Measures

Abstract Background Sepsis is the leading cause of morbidity and mortality in hospitals, accounting for 30% of deaths in the emergency department. In 2001, Rivers et al. found that early goal-directed therapy (EGDT) led to significant mortality benefits, which ultimately prompted United States Centers for Medicare and Medicaid Services (CMS) to mandate EGDT in hospitals through its implementation of sepsis core measures. CMS core measures are intended to facilitate the broad implementation of evidence-based treatment standards, and while voluntary, non-compliance is associated with negative consequences to both quality and financial metrics for participating hospitals. However, while quality measures are implemented to ultimately improve patient care, its effects on the healthcare system can also include negative unanticipated consequences. This study seeks to characterize the effect of the CMS sepsis core measure on sepsis identification, antimicrobial utilization, and nd specific prescribing patterns. Methods This is a retrospective cohort review of 175 randomly selected patients greater than and equal to 18 years of age with admitting diagnosis of sepsis, severe sepsis, and septic shock from January 2013 to December 2018. Medical charts were reviewed for relevant data. Results Comparing ED antibiotic prescribing patterns between pre-and post-Sepsis CMS Core Measures, there was no statistical difference in total antibiotics usage and the initiation of broad antibiotics. There was a decreased time to the first antibiotic, an increase in receiving Normal Saline boluses post-Sepsis CMS Core Measures. Conclusion 1. No significant changes were seen in ED antibiotic prescribing behaviors with regard to volume and spectrum 2. ED time to antibiotic administration was significantly faster after the implementation of CMS Core Measures. Also, there was a significant positive shift in time to fluid bolus, fluid selection, and fluid volume 3. Significantly decreased ICU length of stay after implementation of CMS Core Measures possibly associated with above behavior changes 4. No outcomes benefits (mortality, hospital length of stay) realized after implementation of CMS Core Measures Disclosures All Authors: No reported disclosures

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