Describe how an overemphasis
on clinical outcomes as a measure of clinical supervision efficacy carries unnecessary risks.
Not exact matches
However, they weren't
clinical enough and although they can certainly feel hard done by based
on the replays of the incident involving the England international, there is little to change the
outcome as they'll have to learn from the experience and improve.
Moreover, robust evidence
on the cost effectiveness of birth in alternative settings is a priority,
as was highlighted by the recent National Institute for Health and
Clinical Excellence (NICE) clinical guidance on intrapartum care.11 The Birthplace in England research programme was designed to fill gaps in research evidence about the processes and outcomes associated with different settings for birth in the NHS in
Clinical Excellence (NICE)
clinical guidance on intrapartum care.11 The Birthplace in England research programme was designed to fill gaps in research evidence about the processes and outcomes associated with different settings for birth in the NHS in
clinical guidance
on intrapartum care.11 The Birthplace in England research programme was designed to fill gaps in research evidence about the processes and
outcomes associated with different settings for birth in the NHS in England.
Low family income during the early childhood has been linked to comparatively less secure attachment, 4 higher levels of negative moods and inattention, 5
as well
as lower levels of prosocial behaviour in children.2 The link between low family income and young children's problem behaviour has been replicated across several datasets with different
outcome measures, including parental reports of externalizing and internalizing behaviours,1 - 3, 7 -9,11-12 teacher reports of preschool behavioural problems, 10 and assessments of children based
on clinical diagnostic interviews.7
Let me point to 10 things that I sketched out this morning: too much money spent
on administration and bureaucracy and not enough
on front - line patient care; too little patient - centric information to inform decision making; too little innovation; too little
clinical input into decision making; too much inertia and hostility to reform,
as we have seen today; too much process - driven target culture distorting
clinical decision making; falling productivity; poor
outcomes across a range of
clinical indicators; too often, weak commissioning of servicing; and widening health inequalities in the past 10 years, in addition to the scandals that occurred in Staffordshire and Kent.
In 22 percent of cases, the additional
clinical information found in the EHR was rated
as «possibly» having a clinically significant impact
on the interpretation of the head CT. «This study exemplifies the power of EHR's and their potential impact
on patient care and positive
outcomes.
Besides working at IBM's Thomas J. Watson Research Center in Yorktown Heights, New York, Meyer heads something called the DREAM challenges, contests that ask teams of computer scientists to solve outstanding biomedical problems, such
as predicting the
outcome of prostate cancer treatment based
on clinical variables or detecting breast cancer from mammogram data.
Since L - arginine can be given to women
as a simple, safe, and inexpensive food supplement, (in peanuts, for example) in pregnancy, Dr. Kain and Dr. McDonald are now planning human
clinical trials to assess its impact
on human birth
outcomes.
In a new study, a hospital surveillance program focusing
on reducing the risks of sepsis, known
as the two - stage
Clinical Decision Support (CDS) system, was found to reduce the risk of adverse
outcomes, such
as death and hospice discharge for sepsis patients, by 30 % over the course of one year.
However, in analyses that accounted for important patient characteristics such
as age, sex, comorbidities, and the reason for hospitalization, the quality of care of the discharging hospital and SNF facility characteristics,
outcomes did not vary meaningfully across SNFs that differed in staffing ratings or their performance
on clinical measures related to pain or delirium.
«This is the first national study to identify specific regions of the United States where residents may be at an increased risk for poor
clinical outcomes — including misdiagnoses and late detection —
as a result of limited access to specialized gynecologic cancer care,» says David Shalowitz, MD, a fellow in the division of Gynecologic Oncology at the Perelman School of Medicine at the University of Pennsylvania, and lead author
on the study.
The study is investigator led and has therefore focused
on clinical need, targeting patients with progressive multiple sclerosis in whom most disability is incurred... The study also reports a predominant effect
on neurodegenerative rather than inflammatory
outcomes, suggesting a novel mechanism of action that might be suitable
as combination treatment with immunomodulatory treatments... Further phase 3 studies to measure the effect of simvastatin
on sustained disability, particularly in patients with non-relapsing secondary progressive and primary progressive multiple sclerosis, are clearly needed, but this trial represents a promising point from which to develop trials of progressive disease.»
However, the authors stress that «further
clinical investigations will be essential to establish the optimal dose, duration and safety, and whether vitamin D2 or D3 have different effects
on mortality risk, since the available trials are based
on elderly populations in general (an age group with high competing risk of death often due to multiple co-existing disease conditions) and they do not typically include cause - specific deaths
as the primary
outcomes.»
Even worse, a hallmark of Leishmania biology happens to be its capacity to adapt to a variety of unpredictable fluctuations inside its human host, notably pharmacological interventions, with important consequences
on disease
outcome as demonstrated by the emergence of drug resistant
clinical isolates.
«Given the continued high prevalence of multivitamin use in the US, it remains critical for us to understand its role
on nutritional status and other long - term health
outcomes through
clinical trials such
as PHS II and other new research initiatives.»
Up until now, efforts in generating a vaccine against TB have been mainly focused
on T cells (cells from the adaptive arm of our immune response with memory capacity), with very disappointing
outcomes in both pre-
clinical as well
as clinical trials.
The studies rigorously assessed the
clinical impact of omega - 3 fish oil treatment
on outcomes such
as heart attacks, strokes, atrial fibrillation (a heart rhythm disorder) and others.
«Many
clinical trials in pulmonary hypertension also use the catheter test
as an
outcome measure, but it could provide a significant advantage to be able to replace it with a less invasive MRI scan,
as our model also provides more detailed information
on physical changes to the heart itself.»
Through regional networks in the U.S. like the Pediatric Neuromuscular
Clinical Research (PNCR) Network and Project Cure, and international organizations such as the International Coordinating Committee (ICC) and TREAT - NMD, the SMA community has collaborated effectively on recruiting patients, establishing standards of care, standardizing outcome measures, and supporting multi-site clinical efforts, such as the Biomarkers for SMA (BforSMA) and the PNCR Network Natural History
Clinical Research (PNCR) Network and Project Cure, and international organizations such
as the International Coordinating Committee (ICC) and TREAT - NMD, the SMA community has collaborated effectively
on recruiting patients, establishing standards of care, standardizing
outcome measures, and supporting multi-site
clinical efforts, such as the Biomarkers for SMA (BforSMA) and the PNCR Network Natural History
clinical efforts, such
as the Biomarkers for SMA (BforSMA) and the PNCR Network Natural History studies.
Potential cardioprotection was based
on generally supportive data
on lipid levels in intermediate
outcome clinical trials, trials in nonhuman primates, and a large body of observational studies suggesting a 40 % to 50 % reduction in risk among users of either estrogen alone or, less frequently, combined estrogen and progestin.2 - 5 Hip fracture was designated
as a secondary
outcome, supported by observational data
as well
as clinical trials showing benefit for bone mineral density.6, 7 Invasive breast cancer was designated
as a primary adverse
outcome based
on observational data.3, 8 Additional
clinical outcomes chosen
as secondary
outcomes that may plausibly be affected by hormone therapy include other cardiovascular diseases; endometrial, colorectal, and other cancers; and other fractures.3, 6,9
Principal emphasis is placed
on clinical trials, but epidemiologic
outcomes and other research may be supported
as well.
Our physicians and scientists are working
on a number of initiatives, including collecting blood and bone marrow from patients to better understand the causes of bone marrow failure syndromes and MDS; exploring possible genetic factors that guide medical care; collecting blood and bone marrow to identify specific proteins that are faulty and how these defects relate to
clinical complications and
outcomes; and
clinical trials to improve stem cell transplants for disorders such
as dyskeratosis congenita.
These risks and uncertainties include, among others, those relating to our ability to obtain sufficient financing to continue
as a going concern, the
outcome of the review of the continued listing of our common stock
on The Nasdaq Stock Market, our ability to develop and market diagnostic products, the level of third party reimbursement for our products, risks related to preclinical and
clinical development of pharmaceutical products, including the identification of compounds and the completion of
clinical trials, our ability to form collaborative relationships, the effect of government regulation and the regulatory approval processes, market acceptance, our ability to obtain and protect intellectual property rights for our products, dependence
on collaborative relationships, the effect of competitive products, industry trends and other risks identified in deCODE's filings with the Securities and Exchange Commission, including, without limitation, the risk factors identified in our most recent Annual Report
on Form 10 - K and any updates to those risk factors filed from time to time in our Quarterly Reports
on Form 10 - Q or Current Reports
on Form 8 - K.
Quiz Ref IDLiterature has shown that female physicians may be more likely to adhere to
clinical guidelines,1 - 3 provide preventive care more often,4 - 11 use more patient - centered communication,12 - 15 perform
as well or better
on standardized examinations, 16 and provide more psychosocial counseling to their patients than do their male peers.14 Although studies suggest differences in practice patterns and process measures of quality between male and female physicians, these studies have not examined patient
outcomes, what we arguably care about the most.
Her research interests are focused
on clinical outcomes and health care processes for patients with chronic diseases such
as hypertension and diabetes.
Currently and in the near future, resources such
as the Kaiser Permanente Research Program
on Genes, Environment and Health; the UK Biobank; the VA Million Veteran Program; and others are making available genetic data linked to comprehensive EHR - based
clinical outcomes and traits
on over a million people.
Her laboratory also uses mouse models to study other neurogenetic diseases, such
as schizophrenia and ALS, with a focus
on genes that affect the course of disease and
clinical outcomes.
As for Mercola and his marketing, I think that if his
clinical outcomes supported the idea that everyone should be
on a raw, vegan diet, he would simply sell blenders, dehydrators, ceramic knives and advertise for CSA's and import the best of the best superfoods like David Wolfe and others, and convince ranchers to raise livestock for the purpose of selling high quality manure and ecofriendly - harvested seaweeds so we can all grow our own food in healthy soil.
In fact, some have shown benefits, such
as a 2010 study
on menopausal women, who were administered soy isoflavones for two years, which concluded that «soy and soy isoflavones may provide a mild benefit to hot flashes, lipids, and bone health for some menopausal women» (
Clinical outcomes of a 2 - y soy isoflavone supplementation in menopausal women Am J Clin Nutr February 2011 93: 356 - 367)
The study investigated the effect of dietary fat (classified
as total, saturated, monounsaturated, polyunsaturated, omega 6, omega 3 and trans)
on a range of preclinical and
clinical outcomes in women having IVF.
Recent attempts
on extensive trials of cancer vaccines, using viral structures or substructures against several cancers such
as cervices, prostate, lung, pancreatic and skin also failed to produce the overall protective
clinical outcomes
I firmly believe if he was to spend some time with us, or indeed, any claimant
clinical negligence practice, going through some of the cases we deal with; taking a proper look at the investigation that is often necessary; taking
on board the hurdles we have to overcome in order to bring a successful action and was briefed
on the defendants» behaviour, that he would gain an understanding of the negligence encountered by patients, the tactics employed by defendants and
on a more positive note, witness the direct changes to NHS procedures and improved
outcomes as a result of litigation.
Team collaboration launch of Target Now Registry aimed to act
as a robust information catalyst, advancing precision medicine in oncology through the broad - based acquisition and sharing of valuable molecular,
clinical and
outcomes data, while collaborating
on a national level in a secure, community - based environment.
Licensed Vocational Nurse (LVN)-- Duties & Responsibilities Provide support to other staff and coordinate all care efforts while acting
as primary point of contact to patients Perform frequent patient evaluations, including initial and
on - going examinations, monitoring and tracking of vital signs, executing various minor procedures, and both administering and tracking medication use per physician orders for an extensive variety of conditions Alert physicians to any change in condition and raise concerns when necessary through accurate communication Communicate effectively with other medical staff, family members and interested parties to facilitate the efficient treatment of patients
as well
as ensure the timely information flow Collaborate in the development of treatment plans, providing guidance from point of admission through discharge while utilizing initial and
on - going assessments to provide correct medical direction Deliver emotional and informational support to patient, their families, and other interested parties, helping them understand conditions, treatments and potential
outcomes Develop and maintain competencies and knowledge of medical techniques, information, conditions, treatments, medications, and potential interactions, participating actively in all continuing education opportunities Utilize and employ knowledge from
clinical rotations in MedSurgical, Telemetry, GI, Emergency Room, Post-Partum, Nursery, Internal Medicine, Occupational Medicine, Family Practice and Urgent Care settings Adhere strictly to local, state, and federal health - related laws in the administration of care, the operation and utilization of all medical equipment and procedures, and treatment of patients Address patient and doctor queries, resolving them in an expedited manner
We report
on the development of the evidence base by examining the ACE survey scores in relationship to the established
clinical measures of
clinical severity, global function, and problem severity collected routinely for children and adolescents referred and accepted for treatment.29, 30 Systemwide implementation of the ACE survey,
as a first step, positions CAAMHPP to become an evidence - based, trauma - informed service organization, because ACE survey scores necessarily must relate to
clinical outcomes in order to evaluate the effect of trauma - focused interventions in
clinical practice.
However, the focus of the research seems to be
on «what to do» and «how to do»
clinical practice issues such
as client - selection strategies (level of risk or need), therapeutic approaches (such
as cognitive - behavioural) and
outcome prediction.
Careful preparation and implementation
as well
as regular supervision seem to be critical success factors for blended interventions, 72 and
as some studies
on online interventions show, more experience with a given treatment can result in better
outcomes.73 Third, even though
clinical interviews were conducted to assess participants» psychopathological status, other properties of our sample restrict generalisability.
Therapeutic alliance
as a predictor of
outcome and retention in the National Institute
on Drug Abuse Collaborative Cocaine Treatment Study: Journal of Consulting and
Clinical Psychology Vol 69 (1) Feb 2001, 119 - 124.
Low family income during the early childhood has been linked to comparatively less secure attachment, 4 higher levels of negative moods and inattention, 5
as well
as lower levels of prosocial behaviour in children.2 The link between low family income and young children's problem behaviour has been replicated across several datasets with different
outcome measures, including parental reports of externalizing and internalizing behaviours,1 - 3, 7 -9,11-12 teacher reports of preschool behavioural problems, 10 and assessments of children based
on clinical diagnostic interviews.7
Summary: (To include comparison groups,
outcomes, measures, notable limitations) This study focused
on adolescents and their families who completed a course of Multidimensional Family Therapy (MDFT)
as part of a controlled
clinical trial.
Technical assistance in the form of
clinical consultation, BSFT measures for assessing
outcomes, and organizational considerations can be obtained
on an
as - needed basis.
Summary: (To include comparison groups,
outcomes, measures, notable limitations) A one - year follow - up was conducted
on patients who received amitriptyline hydrochloride and / or Interpersonal Psychotherapy (IPT), each alone and in combination,
as part of a four - month
clinical trial.
An important element of any interdisciplinary collaboration
on clinical, financial, and / or financial
outcomes (target indicator 3.4 b; AAMFT, 2018) is to have team members who are willing to serve
as both experts and learners.
Additional research is needed to address the distinction between
clinical and non-
clinical populations
on specific
outcomes and to further explore the role of mental health
outcomes as related to romantic relationship quality and breakups.
Since in
clinical practice the popularity of mindfulness - based interventions for ADHD is rising, future studies should focus
on gathering empirically sound evidence for the efficacy and effectiveness of mindfulness - based interventions, preferably including ratings of independent observers
as outcomes.
This landmark document challenges a purely
clinical focus
on treating individual impairments by depicting the
outcomes of disability
as a function of both individual and contextual factors.
The following data describes treatment
outcome maintenance results from a randomized
clinical trial investigating the impact of a cognitive behavioral intervention Primary and Secondary Control Enhancement Therapy - Physical Illness (PASCET - PI)
as compared to treatment
as usual (TAU)
on youths with inflammatory bowel disease (IBD).