What does current evidence advocate as best practice in skin care for the healthy term infant?

2014 ◽  
Vol 2 (10) ◽  
pp. 542-550
Author(s):  
Nichola Forsyth
Keyword(s):  
Best Practice ◽  
Term Infant ◽  
Skin Care ◽  
Current Evidence ◽  
Healthy Term Infant

scholarly journals Facilitating discharge from hospital of the healthy term infant

2018 ◽  
Vol 23 (8) ◽  
pp. 515-522 ◽  
Author(s):  
Brigitte Lemyre ◽  
Ann L Jefferies ◽  
Pat O’Flaherty
Keyword(s):  
Term Infant ◽  
Healthy Term Infant ◽  
Discharge From Hospital

An Eye on Vision: 20 Questions About Vision Screening and Eye Health

2018 ◽  
Vol 33 (2) ◽  
pp. 87-92 ◽  
Author(s):  
P. Kay Nottingham Chaplin ◽  
Kira Baldonado ◽  
Geoffrey E. Bradford ◽  
Susan Cotter ◽  
Bruce Moore
Keyword(s):  
Best Practice ◽  
School Nurse ◽  
Current Evidence ◽  
Evidence Based ◽  
Vision Screening ◽  
National Guidelines ◽  
Muscle Imbalance ◽  
The Past ◽  
Eye Health ◽  
Growing Body

Current evidence-based and best practice vision screening and eye health approaches, tools, and procedures are the result of revised national guidelines in the past 3 years and advances in research during the last 16 years. To help the busy school nurse with little time to keep up with changes in children’s vision practices and a growing body of literature, the National Center for Children’s Vision and Eye Health at Prevent Blindness is providing answers to 20 questions received most often from the field. Question topics are: (1) arranging the screening environment, (2) occluders to cover the eyes during vision screening, (3) optotype-based screening at distance, (4) optotype-based screening at near, (5) instrument-based screening, (6) muscle imbalance screening, (7) referrals, and (8) vision screening certification.

Current Evidence of Best Practice in School Bullying Interventions for OTs

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512515317p1
Author(s):  
Gabrielle Caguete ◽  
Whitney Ogechi Ihezue ◽  
J. Rita Park ◽  
Janet Njelesani
Keyword(s):  
Best Practice ◽  
School Bullying ◽  
Current Evidence ◽  
Bullying Interventions

Ultrasound Devices to Treat Chronic Wounds: The Current Level of Evidence

2020 ◽  
Vol 19 (4) ◽  
pp. 341-349
Author(s):  
Georgios Kotronis ◽  
Prashanth R. J. Vas
Keyword(s):  
Health Care ◽  
Best Practice ◽  
Chronic Wounds ◽  
Wound Care ◽  
Low Frequency ◽  
Current Level ◽  
Current Evidence ◽  
Level Of Evidence ◽  
Considerable Morbidity ◽  
Significant Health

Chronic wounds cause considerable morbidity and utilize significant health care resources. In addition to addressing wound etiology and treating infection, regular debridement is a key component of wound care with a proven ability to accelerate healing. In this regard, a significant innovation in wound care has been the development of ultrasound debridement technology. The purpose of this review is to evaluate the current evidence behind the technology with an emphasis on noncontact low-frequency (NCLF) ultrasound. A number of studies, especially those evaluating NCLF technology, have demonstrated the potential of ultrasound debridement to effectively remove devitalized tissue, control bioburden, alleviate pain, and expedite healing. However, most of the studies are underpowered, involve heterogeneous ulcer types, and demonstrate significant methodological limitations making comparison between studies difficult; there is a paucity of data on cost-effectiveness. Future clinical trials on ultrasound debridement technology must address the design issues prevalent in current studies, and report on clinically relevant endpoints before adoption into best-practice algorithms can be recommended.

An Eye on Vision: Five Questions About Vision Screening and Eye Health—Part 3

2018 ◽  
Vol 33 (5) ◽  
pp. 279-283 ◽  
Author(s):  
P. Kay Nottingham Chaplin ◽  
Kira Baldonado ◽  
Susan Cotter ◽  
Bruce Moore ◽  
Geoffrey E. Bradford
Keyword(s):  
Best Practice ◽  
Current Evidence ◽  
Evidence Based ◽  
Vision Screening ◽  
National Guidelines ◽  
Screening Guidelines ◽  
The Past ◽  
Eye Health ◽  
Referral Criteria ◽  
Growing Body

Current evidence-based and best practice vision screening and eye health approaches, tools, and procedures are the result of revised national guidelines in the past 3 years and advances in research during the past 18 years. To help the busy school nurse with little time to keep up with changes in children’s vision practices and a growing body of literature, the National Center for Children’s Vision and Eye Health at Prevent Blindness is providing answers to five questions that are often received from the field. Topical areas are: (1) instrument-based screening for children ages 6 years and older, (2) stereoacuity screening and Random Dot E, (3) binocular distance visual acuity screening, (4) a 2-line difference between the eyes as part of referral criteria, and (5) state vision screening guidelines excluding evidence-based tools.

Tubo-ovarian abscess: Exploring optimal treatment options based on current evidence

2020 ◽  
pp. 228402652096064
Author(s):  
Fani Gkrozou ◽  
Orestis Tsonis ◽  
Aggelos Daniilidis ◽  
I Navrozoglou ◽  
Minas Paschopoulos
Keyword(s):  
Risk Factors ◽  
Best Practice ◽  
Treatment Options ◽  
White Blood Cells ◽  
Laparoscopic Approach ◽  
Pelvic Mass ◽  
Pelvic Abscess ◽  
Current Evidence ◽  
Optimal Approach ◽  
Ovarian Abscess

Purpose: Tubo-ovarian abscess (TOA) and pelvic abscess are characterized by an inflammatory pelvic mass. In the majority of cases, this condition involves the ovaries, the fallopian tubes and/or any other adjacent tissue. TOA is considered a severe complication of PID and can cause severe sepsis. The main risk factors for women’s health are the size of the abscess, the initial amount of white blood cells (WBC), patients’ age as well as, any co-existing comorbidities. Methods: This study provides a review of the current literature regarding the management of TOA and the different criteria used in order to establish the optimal therapeutic approach or to predict outcome by individualizing cases. Four major search engines, MEDLINE, Google Scholar, PubMed and EMBASE, up to February 2020 were explored, focusing in epidemiology and risk factors, pathogenesis, diagnosis and treatment. Results: Our review suggests that there are no clear guidelines for best practice, in case of TOA, but it appears that intravenous antibiotics combined with interventional radiology have good results for TOA <5 cm. When TOA is >5 cm, laparoscopic approach is indicated. Further studies are needed in order to evaluate the best treatment for women with TOA. Conclusions: More prospective studies on large-series of patients are in need, in order to determine a clear pathway and to suggest specific criteria, which can guide clinicians to choose optimal approach in a timely manner.

scholarly journals Efficacy and efficiency of a new therapeutic approach based on activity-oriented proprioceptive antiedema therapy (TAPA) for edema reduction and improved occupational performance in the rehabilitation of breast cancer-related arm lymphedema in women: a controlled, randomized clinical trial

BMC Cancer ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
María Nieves Muñoz-Alcaraz ◽  
Luis Ángel Pérula-de-Torres ◽  
Jesús Serrano-Merino ◽  
Antonio José Jiménez-Vílchez ◽  
María Victoria Olmo-Carmona ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Group Intervention ◽  
Skin Care ◽  
Stage I ◽  
Current Evidence ◽  
Link Type ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Arm Lymphedema

Abstract Background Breast cancer (BC) is a major public health issue. More than one out of five women treated for breast cancer will develop lymphedema in an upper extremity. Current evidence advocates transdisciplinary oncological rehabilitation. Therefore, research in this area is necessary since limited consensus having been reached with regard to the basic essential components of this rehabilitation. Consensus has, however, been reached on the use of decongestive lymphedema therapy (DLT), but due to a lack of tests, the necessary dosages are unknown and its level is moderately strong. This study attempts to verify both the efficacy of activity-oriented proprioceptive antiedema therapy (TAPA), as compared to conventional treatments such as DLT or Complex Physical Therapy (CPT), as well as its efficiency in terms of cost-effectiveness, for patients affected by breast cancer-related arm lymphedema. Methods Controlled, randomized clinical trial with dual stratification, two parallel arms, longitudinal and single blind. 64 women with breast cancer-related arm lymphedema will take part in the study. The experimental group intervention will be the same for stage I and II, and will consist of neuro-dynamic exercises oriented to the activity, proprioceptive neuromuscular facilitation activities and proprioceptive anti-edema bandaging. The control group intervention, depending on the stage, will consist of preventive measures, skin care and exercise-prescribed training in the lymphedema workshop as well as compression garments (Stage I) or conservative Complex Decongestive Therapy treatment (skin care, multi-layer bandaging, manual lymphatic drainage and massage therapy) (Stage II). Results Sociodemographic and clinical variables will be collected for the measurement of edema volume and ADL performance. Statistical analysis will be performed on intent to treat. Discussion It has been recommended that patient training be added to DLT, as well as a re-designing of patient lifestyles and the promotion of health-related aspects. In addition, clinical trials should be undertaken to assess neural mobilization techniques and proprioceptive neuromuscular facilitation should be included in the therapy. Cohesive bandaging will also be performed as an early form of pressotherapy. The proposed study combines all of these aspects in order to increased comfort and promote the participation of individuals with lymphedema in everyday situations. Limitations The authors have proposed the assessment of the experimental treatment for stages I and II. One possible limitation is the lack of awareness of whether or not this treatment would be effective for other stages as well as the concern for proper hand cleansing during use of bandages, given the current COVID-19 pandemic situation. Trial registration This trial was registered in ClinicalTrials.gov (NCT03762044). Date of registration: 23 November 2018. Prospectively Registered.

scholarly journals Nutrition in the neurocritical care unit

2015 ◽  
Vol 02 (02) ◽  
pp. 88-96 ◽  
Author(s):  
Swagata Tripathy
Keyword(s):  
Intensive Care ◽  
Best Practice ◽  
Disease Process ◽  
The Body ◽  
Screening Tests ◽  
Current Evidence ◽  
Critically Ill Patient ◽  
Cord Injury ◽  
Reparative Process ◽  
Special Patient Population

AbstractThe aim of intensive care is to support the physiology of the body till the treatment or the reparative process of the body kicks in to the rescue. Maintaining an adequate nutrition during this period is of vital importance to counteract the catabolic effect of the critical disease process. The guidelines for nutritional care in the neuro intensive care unit (ICU) are sparse. This article collates the current evidence and best practice recommendations as applicable to the critically ill patient in the neuro ICU. The use of screening tests to identify patients at a risk of malnutrition and related complications is presently recommended for all patients with an emphasis on early initiation of caloric support. Over-aggressive feeding in an attempt to revert the catabolic effects of critical illness have not proven beneficial, just as the attempts to improve patient outcomes by altering the routes of nutrition administration. Special patient population such as traumatic brain injury, stroke, subarachnoid haemorrhage or spinal cord injury may have varying nutritional requirements; individualised approach in the neurocritical ICU with the help of the intensivist, nutritionist and pharmacology team may be of benefit.

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