Psychological Guidelines in Cardiac Rehabilitation and Prevention

2011 ◽  
pp. 710-724
Author(s):  
Marinella Sommaruga
Keyword(s):  
Health Outcomes ◽  
Cardiac Rehabilitation ◽  
Effective Treatment ◽  
Working Group ◽  
Process Development ◽  
Patient Characteristics ◽  
Evidence Based ◽  
Clinical Expertise ◽  
The World ◽  
Evidence Based Guidelines

A large number of evidence-based guidelines are drawn up all over the world to improve standards of healthcare and to reduce inequalities in access to effective treatment. Evidence-based practice in psychology is the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences. Despite widespread circulation and publicity of these guidelines, often they are not implemented effectively. Consequently, there is a substantial difference between evidence and practice, with best health outcomes not being achieved. The aim of this chapter is to describe and discuss the methodological process, development, and implementation of the Italian Guidelines for psychology activities in Cardiac Rehabilitation and Prevention, published in 2003 by the Working Group of Psychology of the Italian Society of Cardiac Rehabilitation and updated in the 2005 National Cardiac Rehabilitation guidelines issued by the Italian Programme for Guidelines.

scholarly journals Evidence-Based Medicine and Clinical Research: Both Are Needed, Neither Is Perfect

2018 ◽  
Vol 72 (Suppl. 3) ◽  
pp. 13-23 ◽  
Author(s):  
Hania Szajewska
Keyword(s):  
Health Outcomes ◽  
Clinical Research ◽  
Evidence Based Medicine ◽  
Health Data ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Basic Principles ◽  
The World ◽  
Pediatric Nutrition ◽  
Based Medicine

Currently, it is impossible to think of modern healthcare that ignores evidence-based medicine (EBM), a concept which relies on 3 pillars: individual clinical expertise, the values and desires of the patient, and the best available research. However, EBM is not perfect. Clinical research is also far from being perfect. This article provides an overview of the basic principles, opportunities, and controversies offered by EBM. It also summarizes current discussions on clinical research. Potential solutions to the problems of EBM and clinical research are discussed as well. If there were specific issues related to pediatric nutrition, an attempt was made to discuss the basic principles and limitations in this context. However, the conclusions are applicable to EBM and clinical research in general. In the future, considering that new ways of obtaining health data will continue to emerge, the world of EBM and clinical research is likely to change. The ultimate goal, however, will remain the same: improving health outcomes for patients.

scholarly journals Overnight in-hospital observation following tonsillectomy: retrospective study of post-operative intervention

2017 ◽  
Vol 132 (1) ◽  
pp. 46-52 ◽  
Author(s):  
S Morris ◽  
E Hassin ◽  
M Borschmann
Keyword(s):  
Patient Characteristics ◽  
University Hospital ◽  
Evidence Based ◽  
Airway Compromise ◽  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery ◽  
American Society ◽  
Evidence Based Guidelines ◽  
Critical Intervention

AbstractObjective:The safety of day-case tonsillectomy is widely documented in the literature; however, there are no evidence-based guidelines recommending patient characteristics that are incompatible with day-case tonsillectomy. This study aimed to identify which patients should be considered unsafe for day-case tonsillectomy based on the likelihood of needing critical intervention.Method:Retrospective review of 2863 tonsillectomy procedures performed at University Hospital Geelong from 1998 to 2014.Results:Of the patients, 7.81 per cent suffered a post-tonsillectomy complication and 4.15 per cent required intervention. The most serious complications, haemorrhage requiring a return to the operating theatre and airway compromise, occurred in 0.56 per cent and 0.11 per cent of patients respectively. The following patient characteristics were significantly associated with poorer outcomes: age of two years or less (p < 0.01), tonsillectomy indicated for neoplasm (p < 0.01) and quinsy (p < 0.05).Conclusion:The authors believe that all elective tonsillectomy patients should be considered for day-case surgery, with the following criteria necessitating overnight observation: age of two years or less; an indication for tonsillectomy of neoplasm or quinsy; and an American Society of Anesthesia score of more than 2.

scholarly journals Evidence-based practices of effective fire safety education programming for children

2021 ◽  
Vol 10.47389/36 (No 2) ◽  
pp. 34-41
Author(s):  
Kamarah Pooley ◽  
Sonia Nunez ◽  
Mark Whybro
Keyword(s):  
Fire Safety ◽  
Evidence Based ◽  
Safety Education ◽  
Education Programs ◽  
Evidence Based Practices ◽  
Fire Services ◽  
School Based ◽  
The World ◽  
Evidence Based Guidelines ◽  
Safety Knowledge

School-based fire safety education programs are implemented by fire services organisations around the world to improve children’s fire safety knowledge and skills. Such education is considered the single most modifiable strategy that fire services organisations can implement to reduce the risk that children will misuse fire or be harmed by fire. Despite this, there are no overarching and evidence-based guidelines for the development of new programs or the evaluation and modification of existing ones. To fill this void, a rapid evidence assessment of existing literature was conducted. Results revealed 25 evidence-based practices that held true in a variety of contexts and methodologically diverse studies. These practices inform an empirical framework that can be used to guide fire safety education programs for children.

scholarly journals Smoke-Free Air Interventions in Seven Latin American Countries: Health and Financial Impact to Inform Evidence-Based Policy Implementation

2020 ◽  
Vol 22 (12) ◽  
pp. 2149-2157 ◽  
Author(s):  
Ariel Bardach ◽  
María Belén Rodríguez ◽  
Agustín Ciapponi ◽  
Federico Augustovski ◽  
Alcaraz Andrea ◽  
...  
Keyword(s):  
Latin America ◽  
Health Outcomes ◽  
Tobacco Control ◽  
Latin American ◽  
Tobacco Smoking ◽  
World Health ◽  
Evidence Based ◽  
Free Air ◽  
The World ◽  
Latin American Countries

Abstract Introduction Disease burden due to tobacco smoking in Latin America remains very high. The objective of this study was to evaluate the potential impact of implementing smoke-free air interventions on health and cost outcomes in Argentina, Bolivia, Brazil, Chile, Colombia, Mexico, and Peru, using a mathematical model. Aims and Methods We built a probabilistic Monte Carlo microsimulation model, considering natural history, direct health system costs, and quality of life impairment associated with main tobacco-related diseases. We followed individuals in hypothetical cohorts and calculated health outcomes on an annual basis to obtain aggregated 10-year population health outcomes (deaths and events) and costs. To populate the model, we completed an overview and systematic review of the literature. Also, we calibrated the model comparing the predicted disease-specific mortality rates with those coming from local national statistics. Results With current policies, for the next 10 years, a total of 137 121 deaths and 917 210 events could be averted, adding 3.84 million years of healthy life and saving USD 9.2 billion in these seven countries. If countries fully implemented smoke-free air strategies, it would be possible to avert nearly 180 000 premature deaths and 1.2 million events, adding 5 million healthy years of life and saving USD 13.1 billion in direct healthcare. Conclusions Implementing the smoke-free air strategy would substantially reduce deaths, diseases, and health care costs attributed to smoking. Latin American countries should not delay the full implementation of this strategy. Implications Tobacco smoking is the single most preventable and premature mortality cause in the world. The Framework Convention on Tobacco Control, supported by the World Health Organization, introduced a package of evidence-based measures for tobacco control. This study adds quality evidence on the potential health effects and savings of implementing smoke-free air policies in countries representing almost 80% of the Latin America and the Caribbean population.

Oxford Handbook of Cardiac Nursing

2020 ◽  
Keyword(s):  
Cardiac Rehabilitation ◽  
Emergency Treatment ◽  
Clinical Information ◽  
Valvular Disease ◽  
Cardiac Patients ◽  
Evidence Based ◽  
Practical Advice ◽  
The Third ◽  
Book Covers ◽  
Evidence Based Guidelines

The Oxford Handbook of Cardiac Nursing is the indispensable companion for all those caring for cardiac patients. Fully revised and updated for the third edition and packed full of clinical information and practical advice, the book covers everything from assessment to cardiac rehabilitation. Each chapter has a list of pertinent evidence-based guidelines. This new edition contains the emergency treatment of stroke as well as a new section on genetics, and information on the management of valvular disease has been expanded.

Press Report: Who Criticized for Neglecting Evidence

2007 ◽  
Vol 37 (4) ◽  
pp. 783-785
Author(s):  
Maria Cheng ◽  
Jean McMahon
Keyword(s):  
World Health Organization ◽  
World Health ◽  
Evidence Based ◽  
The World ◽  
Press Report ◽  
Health Organization ◽  
Evidence Based Guidelines

A study published in The Lancet reveals that when developing “evidence-based” guidelines, the World Health Organization routinely forgets one key ingredient: evidence. The study is based on interviews with senior WHO officials and analyses of various guidelines to determine how they were produced. The authors found a distinctly non-transparent process.

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