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Diuretic management protocol to improve quality and safety in managing acute heart failure in an integrated health system: An implementation science approach.
Int J Cardiol
February 2025
Department of Cardiovascular and Metabolic Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, United States of America; Department of Cardiovascular Medicine, Heart Vascular & Thoracic Institute, Cleveland Clinic, Cleveland, OH, United States of America; Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, United States of America. Electronic address:
Background: Effective and timely decongestion in acute heart failure (AHF) coupled with careful discharge planning is critical in the successful treatment of patients hospitalized for AHF. We leveraged an implementation science framework to develop a health system-wide diuretic management protocol (DMP) based on emerging clinical evidence.
Methods: We conducted stakeholder interviews using the Integrated Promoting Action on Research Implementation in Health Services (iPARiHS) Framework.
Emergency imaging protocols for pregnant patients: a multi-institutional and multi- specialty comparison of physician education.
Emerg Radiol
December 2024
Division of Emergency Radiology, Los Angeles General Hospital, Los Angeles, CA, 90033, USA.
Article Synopsis
- Previous studies show that many healthcare providers overestimate the risks of radiation from imaging during pregnancy, leading to a reluctance to perform necessary imaging, even when it could greatly benefit patient care.
- This study aimed to assess current knowledge and confidence levels regarding imaging pregnant patients among various medical specialists through an anonymous survey, including radiologists and OB/GYN providers.
- The survey results revealed a general correct response rate of 68.5% across 18 questions, highlighting significant variability in knowledge, with some questions showing low correct response rates and most respondents feeling only "fairly" confident in their imaging decisions.
Objective: Increasing evidence over the last decade suggests that many cases of unexplained chronic cough (UCC) have a neurogenic etiology, with laryngeal hypersensitivity (LH) being identified as a key mechanism. Official guidelines since 2015 have adopted use of neuromodulators and adjuvant speech therapy as a result, but historically implementation of guidelines is slow. Our survey aimed to investigate gaps in diagnosis and management practices of otolaryngology providers in caring for patients with UCC.
View Article and Find Full Text PDFMolar incisor hypomineralization and oral health-related quality of life: a sample of 8-12-years-old children.
Clin Oral Investig
January 2024
Faculty of Dentistry, Department of Pediatric Dentistry, Hacettepe University, 06100, Altindag, Ankara, Turkey.
Objectives: The study aimed to evaluate the impact of molar incisor hypomineralization (MIH) and tooth sensitivity on the oral health in terms of the quality of life (OHRQoL). In addition, the impact of tooth maturity on tooth sensitivity was evaluated in the study.
Materials And Methods: Children aged 8-12 years with and without MIH participated in this descriptive cross-sectional study.
An atypical NLR gene confers bacterial wilt susceptibility in Arabidopsis.
Plant Commun
September 2023
LIPME, Université de Toulouse, INRAE, CNRS, Castanet-Tolosan, France. Electronic address:
Quantitative disease resistance (QDR) remains the most prevalent form of plant resistance in crop fields and wild habitats. Genome-wide association studies (GWAS) have proved to be successful in deciphering the quantitative genetic basis of complex traits such as QDR. To unravel the genetics of QDR to the devastating worldwide bacterial pathogen Ralstonia solanacearum, we performed a GWAS by challenging a highly polymorphic local mapping population of Arabidopsis thaliana with four R.
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