...or population. I (Intervention) – intervention can be treatment, procedure, diagnostic test, and risk or prognostic factors. In this scenario the intervention will measles mumps rubella vaccine immunization. C (Comparison) –not to immunize O (Outcome)- is the effect of the intervention. For example, it is the risk that comes after certain comparison. Therefore, the outcome in the scenario is causes autism. Hence, the question that was developed using PICO process is “In the infants does immunizing with Measles Mumps Rubella (MMR) in comparison to no immunization leads to development of autism?” (Huang et al, 2006) The result of this research is based on the different database and literature reviews with search based on the immunization in infants for MMR vaccine causing autism. Among all database firstly the research was done...
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...The other reason is that this guideline is current and created by well renowned guideline researchers from “American Academy of Allergy, Asthma and Immunology, Medical Specialty Society American College of Allergy, Asthma and Immunology - Medical Specialty Society, Joint Council of Allergy, Asthma and Immunology - Medical Specialty Society”. This guideline addresses my PICOT question effectively as it is based on the management of exercise induced bronchoconstriction/ asthma and include all categories of diagnosis evaluation, management, prevention and treatment. It is completely relevant to my specialty as I work in pediatric as a RN and encounter a lot of asthmatic cases that include the children with exercise induced asthma. The methods of guideline validation are external peer review and internal peer review. The major recommendations are presented in the form of summary statements that show the strength of the recommendations. The potential benefits are in terms of appropriate evaluation and management of the individuals affected with suspected exercise-induced bronchoconstriction (in accordance with my PICOT question). Although the use of albuterol (short acting) decreases the signs and symptoms of exercise induced asthma but according to guidelines daily use of long-acting β2-agonists (LABAs) and short-acting β2-agonists (SABAs) may actually increase the severity of exercise-induced bronchoconstriction...
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...Clinically Induced Hypothermia in the Management of Severe Head Injury: A Review of the Evidence PAGE 1. Title Page 2. Acknowledgements 3. Contents 4-5. Abstract 6-7. Introduction 8-11. Methods 9. i) Inclusion & Exclusion Criteria 10. ii) Limitations of Search 11. iii) Critical Framework 12-26. Critical Review of the Data 13. i) Study Aims & Design 19. ii) Sampling & Controls 25. iii) Results 27-36. Discussion 32. i) Implications for Practice 37-41. References 42. Appendix 1) – The Four Stages of Research 43. Appendix 2) – Database Search (Hard Copy Only) 44-49. Appendix 3) – Example (1) Using the CASP Framework 50-55. Appendix 3) – Example (2) Using the CASP Framework 56. Appendix 4) – Summary of Studies (Hard Copy Only) 57. Appendix 5) – Intracranial Pressures 58. Appendix 6) – Type 1 & 2 Errors 59. Appendix 7) – The Hawthorne Effect 60. Appendix 8) – The Glasgow Outcome Score 61. Appendix 9) – The Hierarchy of Evidence ABSTRACT Medically induced hypothermia has been used as a neuro-protector to try and limit the consequences of severe brain injury for more than fifty years but it is only recently that its effectiveness has been assessed using randomised controlled trials. Under certain circumstances clinically induced hypothermia has already been proven to be beneficial by providing a degree of neuroprotection in post-cardiac arrest patients. As such it has recently...
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...Running Head: Physical Activity and Stroke Physical Activity in the Prevention and Treatment of Stroke His/her Name University Name Abstract Researchers and scientists have always favored preventive measures to avoid the conditions which result in undergoing a rigorous treatment. In this view physical activity or fitness training programs have been found having significant effects in the prevention of strokes as well as at post care stage as treatment and a measure of rehabilitation in survivors of cardiac arrests. Further, it has been noted in recently conducted studies that quite a remarkable evidences are discovered in favor of physical activity as therapeutic as well as rehabilitative in nature. Organized physical activity in the form of exercise, tailor made programs according to the needs of the patients at post care stage and fitness training exercise therapy have been found considerably helpful in rehabilitation in the survivors of stroke. In addition, further research is proposed to explore the different types of organized exercise programs according to the physical and mental conditions of survivors and as preventive measures among them. Physical Activity in the Prevention and Treatment of Stroke Cardiac arrest is a one of the growing and leading causes of death around the globe. According to available data, more than 130,000...
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...and clinical procedures and guidelines (Eccles & Mason, 2001). Before they can be made assessable to health care workers, guidelines and procedures are required to go through rigorous process of dissemination, before they can be made assessable to health care workers to be used in practice (Craig & Smith, 2007). Some of the organisations responsible for underwriting and implementation of clinical guidelines into clinical practice are: the National Institute for Health and Clinical Excellence (NICE), NHS Evidence and the Joanna Briggs Institute (JBI), the Cochrane Collaboration and the Scottish Intercollegiate Guidelines Network (SIGN), (Cohen et al, 2008). Cain (1999) described research as the analytical evaluation into and study of existing resources in order to ascertain facts and reach new conclusions. Polit...
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...Literature Review: Enlarged Tracheoesophageal Puncture after Total Laryngectomy: A Systematic Review and Meta-Analysis Name Affiliation Date ABSTRACT Objectives: Enlargement of the tracheoesophageal puncture (TEP) is a challenging complication after laryngectomy with TEP. We sought to estimate the rate of enlarged puncture, associated pneumonia rates, potential risk factors, and conservative treatments excluding complete surgical TEP closure. Methods: A systematic review was conducted (1978–2008). A summary risk estimate was calculated using a random-effects meta-analysis model. Results: Twenty-seven peer-reviewed manuscripts were included. The rate of enlarged puncture and/or leakage around the prosthesis was reported in 23 articles (range, 1% to 29%; summary risk estimate, 7.2%; 95% confidence interval [CI], 4.8% to 9.6%). Temporary removal of the prosthesis and TEP- site injections were the most commonly reported conservative treatments. Prosthetic diameter (p =.076) and timing of TEP (p = .297) were analyzed as risk factors; however, radiotherapy variables were inconsistently reported. Conclusions: The overall risk of enlarged puncture seems relatively low, but it remains a rehabilitative challenge. Future research should clearly establish risk factors for enlarged puncture and optimal conservative management. Keywords: tracheoesophageal puncture, total laryngectomy, enlarged tracheoesophageal puncture, complications, leakage Enlarged Tracheoesophageal Puncture after Total...
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...Conclusion: 17 References: 18 Introduction: Surgical Site Infection (SSI) is a common complication in surgical practice. The incidence depends on multiple factors including the type and location of surgical procedure ranging from 2%-4% in simple skin lesions (Rogues et al., 2007) to 36% in cases of reversal of stoma (Liang et al., 2013). Incidence of SSI can be kept low by simple measures such as rescheduling elective procedures in presence of infection; e.g.: Urinary Tract Infection, Respiratory Tract Infection which can seed Bacteria to surgical wounds (Ollivere et al., 2009). Prophylactic Antibiotics given prior to elective surgery remains debatable and of questionable value considering the risk of side effects, emergence of Multi-drug resistant Pathogens and Anaphylaxis, and therefore should be used according to guidelines like in patients with higher risk for developing SSI (Wright et al., 2008, Dixon et al., 2006). Also, procedures at certain body sites and those involving surgical reconstruction are better covered with prophylactic Antimicrobial agent (Rosengren and Dixon, 2010). Use of antiseptic scrub has been shown to reduce the incidence of SSI. Studies suggest that Chlorhexidine is superior to Povidone Iodine solutions in reducing Bacterial Colonization and SSI in postoperative patients (Paocharoen et al., 2009, Mimoz, 2010 and, Lee et al., 2010). Also, the use of Chlorhexidine Gluconate shower or bath for cleansing the skin by patients prior to dermatologic...
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...investigating aspirin therapy for the primary prevention of vascular disease found a significant beneficial effect of aspirin therapy on the prevention of a first MI, but no significant effects on the risk of stroke or vascular death.4 Although women were included in only 2 of these studies and accounted for only 20% of the population studied, the US Preventive Services Task Force5 and the American Heart Association6 deemed aspirin therapy effective in decreasing the incidence of coronary heart disease in adults of both sexes who are at increased risk. Subsequently, guidelines from the American Heart Association on the primary prevention of cardiovascular disease in women recommended use of low-dose aspirin therapy in women whose 10-year risk of a first coronary event exceeds 20% and consideration 306 Context Aspirin therapy reduces the risk of cardiovascular disease in adults who are at increased risk. However, it is unclear if women derive the same benefit as men. Objective To determine if the benefits and risks of aspirin treatment in the primary prevention of cardiovascular disease vary by sex. Data Sources and Study Selection MEDLINE and the Cochrane Central Register of Controlled Trials databases (1966 to March 2005), bibliographies of retrieved trials, and reports presented at major scientific meetings. Eligible...
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...nurses experienced many interruptions whilst conducting medication rounds and this review will consider ways to minimise interruptions and thus improve patient safety. Using the PICO acronym a suitable research question was formulated, ‘do interruptions during medication rounds increase the drugs administration errors made by nurses?’ A short description of the literature search is given and a summary of findings is presented in tabular form. Five original articles were selected and one chosen to critically appraise (see appendix 2). The rest of the essay will focus on reviewing the five articles. It will furthermore demonstrate the link between interruptions during drug rounds and patient and nurse safety, consider the implications of the studies for nursing practice and include the nurse’s perspective of these interruptions. Dale (2005) defines EBP as ‘the nurse making conscious judgements...
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...achievement of their children. However, this role had neither been analyzed nor systematically studied using an experimental design until the 1960’s. The evaluation of the Head Start Program in the United States (Coleman, Campbell, Hobson, McPartland, Mod, Weinfeld, & York, 1966) fostered a national focus on outcomes related to parental involvement by suggesting a substantial relationship between parental involvement in their child’s education and their child’s success in academic domains. Subsequent studies have been presented which support the findings from Coleman, et al. (Duff & Adams, 1981; Henderson, 1987; 1988). Even so, other studies have reported either mixed or no significant differences between experimental and control groups when measuring the effect of parental involvement on student achievement (Griffith, 1996; Heller, & Fantuzzo, 1993; Henry, 1974; Keith, Reimers, Ferman, Pottenbaum, & Aubrey ,1986; Ryan, 1964; Searles, Lewis & Morrow, 1982). Some of the discrepancy across studies relates to the nature of the data collection and research design. For example, some investigators have studied the relationship between parental involvement and child school success using direct observation (Arbuckle & MacKinnon, 1988), surveys, or questionnaires (Edwards & Warin, 1999). Other investigators have utilized a traditional experimental design to compare student performances across...
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...National League for Nursing Evaluation and Learning Advisory Committee (ELAC) ANNOTATED BIBLIOGRAPHY ON ASSESSMENT AND EVALUATION ELAC Members: Marilyn H. Oermann (Chair) Karen Saewert (Chair-elect) Pamela Rutar Suzanne Yarbrough Sub-committee Members: Reba Childress Dawne-Marie Dunbar Sally Erdel Barbara Haas Evelyn Hayes Debra Hurd Sheila Kyle Gayle Preheim, Chair Linda Siktberg Gale R. Woolley, Chair A comprehensive literature review was completed, reflecting best practices in assessment, evaluation, and grading in nursing. This annotated bibliography of the literature is organized into four areas: assessment and evaluation in (a) the classroom, (b) the online environment, (c) clinical practice, and (d) learning and simulation laboratories. There is a fifth section that provides references on the assessment of psychomotor learning and performance; that section is not annotated. This work was completed by members of ELAC and its subcommittees as noted above. 1 CLASSROOM ASSESSMENT Ahmad, N. (2002). Evaluation of teaching: Through eyes of students. Plano: Institutional Research Office, Collin County Community College District. This article reviews the student evaluations instruments used to evaluate learning and faculty in the classroom. The purpose of this article was to search for come standardized instruments of student evaluations. Instruments used are: Individual Developmental and Educational Assessment (IDEA), Student Assessment of...
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...JAN REVIEW PAPER Directly observed therapy and tuberculosis: how can a systematic review of qualitative research contribute to improving services? A qualitative meta-synthesis Jane Noyes1 & Jennie Popay2 Accepted for publication 29 September 2006 Jane Noyes DPhil MSc RN RSCN Professor of Nursing Research, Co-Convenor Cochrane Qualitative Research Methods Group University of Wales, Bangor, UK Jennie Popay MA Professor of Sociology and Public Health, Co-Convenor Cochrane Qualitative Research Methods Group Institute for Health Research, Lancaster University, Lancaster, UK Correspondence to Jane Noyes: e-mail: jane.noyes@bangor.ac.uk 2 1 N O Y E S J . & P O P A Y J . ( 2 0 0 7 ) Directly observed therapy and tuberculosis: how can a systematic review of qualitative research contribute to improving services? A qualitative meta-synthesis. Journal of Advanced Nursing 57(3), 227–243 doi: 10.1111/j.1365-2648.2006.04092.x Abstract Title. Directly observed therapy and tuberculosis: how can a systematic review of qualitative research contribute to improving services? A qualitative meta-synthesis Aim. This paper reports the findings from a qualitative meta-synthesis concerning people with, or at risk of, tuberculosis, service providers and policymakers and their experiences and perceptions of tuberculosis and treatment. Background. Directly observed therapy is part of a package of interventions to improve tuberculosis treatment and adherence. A Cochrane systematic review...
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...10 Qualitative Research Methods in Psychology Deborah Biggerstaff Warwick Medical School University of Warwick, Coventry UK 1. Introduction In the scientific community, and particularly in psychology and health, there has been an active and ongoing debate on the relative merits of adopting either quantitative or qualitative methods, especially when researching into human behaviour (Bowling, 2009; Oakley, 2000; Smith, 1995a, 1995b; Smith, 1998). In part, this debate formed a component of the development in the 1970s of our thinking about science. Andrew Pickering has described this movement as the “sociology of scientific knowledge” (SSK), where our scientific understanding, developing scientific ‘products’ and ‘know-how’, became identified as forming components in a wider engagement with society’s environmental and social context (Pickering, 1992, pp. 1). Since that time, the debate has continued so that today there is an increasing acceptance of the use of qualitative methods in the social sciences (Denzin & Lincoln, 2000; Morse, 1994; Punch, 2011; Robson, 2011) and health sciences (Bowling, 2009; Greenhalgh & Hurwitz, 1998; Murphy & Dingwall, 1998). The utility of qualitative methods has also been recognised in psychology. As Nollaig Frost (2011) observes, authors such as Carla Willig and Wendy Stainton Rogers consider qualitative psychology is much more accepted today and that it has moved from “the margins to the mainstream in psychology in the UK.” (Willig & Stainton...
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...How do new technologies impact on workforce organisation? Rapid review of international evidence Report developed by The Evidence Centre for Skills for Health Contents Key Themes ............................................................................................................................................ 3 Scope .................................................................................................................................................................... 3 How are teams being organised?.......................................................................................................... 7 Substituting grades and roles ............................................................................................................................... 7 Reducing staff or team size .................................................................................................................................. 8 Empowering patients............................................................................................................................................. 9 Changing the place of care ................................................................................................................................. 10 Working across organisations ............................................................................................................................. 10 Working across regional areas .........................
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...This text was adapted by The Saylor Foundation under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License without attribution as requested by the work’s original creator or licensee. Saylor URL: http://www.saylor.org/books Saylor.org 1 Preface Writing is often a challenge. If you were ever challenged to express yourself via the written word, this book is for you. Writing for Success is a text that provides instruction in steps, builds writing, reading, and critical thinking, and combines comprehensive grammar review with an introduction to paragraph writing and composition. Beginning with the sentence and its essential elements, this book addresses each concept with clear, concise, and effective examples that are immediately reinforced with exercises and opportunities to demonstrate learning. Each chapter allows students to demonstrate mastery of the principles of quality writing. With its incremental approach, this book can address a range of writing levels and abilities, helping each student prepare for the next writing or university course. Constant reinforcement is provided through examples and exercises, and the text involves students in the learning process through reading, problem solving, practicing, listening, and experiencing the writing process. Each chapter also has integrated examples that unify the discussion and form a common, easy-tounderstand basis for discussion and exploration. This will put students at ease and allow for greater...
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