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Diagnostic efficacy of aldosterone-to-renin ratio to screen primary aldosteronism in hypertension: a systemic review and meta-analysis.
Ther Adv Endocrinol Metab
December 2024
Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital Yunlin Branch, No. 579, Sec. 2, Yunlin Road, Douliu City, Yunlin 640, Taiwan.
Background: The aldosterone-to-renin ratio (ARR) is commonly used for screening primary aldosteronism (PA) in patients with difficult-to-control hypertension. Various thresholds have been proposed for the confirmatory tests, leading to inconsistency in the results.
Objectives: This study aimed to elucidate the performance of ARR screening in hypertensive patients.
Navigating 'deterioration in mental state' - from recognition to response in general hospitals to satisfy 'National Standards': a discussion paper.
Contemp Nurse
December 2024
Mental Health Liaison Nursing, Prince of Wales Hospital, Sydney, Australia.
Background: The Australian Commission on Safety and Quality in Health Care 'National Standards' require general hospitals to have systems for clinicians to recognise and respond to patients' deteriorating mental state. The lack of an evidence-based operational definition and clear guidance challenges this requirement.
Objective: To review governance mechanisms and assessment processes for deteriorating mental state in a metropolitan general hospital and propose an organisational framework.
Development and user-oriented visualization of health care composite indicators at district level: territorial health profiles.
Epidemiol Prev
December 2024
Epidemiology Unit, Agency for Health Protection of the Metropolitan City of Milan, Milan (Italy).
Background: after the recent reform of territorial healthcare, districts have been designated within the Lombardy Regional Health System to coordinate and deliver territorial care. This entails the need of readily available information to measure the quality of provided healthcare, identify critical areas for improvement, monitor the balance between demand and supply of healthcare services.
Objectives: to present the development of a dynamic evaluation system of processes and outcomes resulting from the integration of territorial and hospital care, based on a set of composite indicators, called 'health profiles', and their visualization and release through a dedicated web platform.
Microlearning Reduces Unnecessary Antibiotic Provision for Open Hand Injuries.
Cureus
December 2024
Plastic and Reconstructive Surgery, Mater Misericordiae University Hospital, Dublin, IRL.
Article Synopsis
- * This quality improvement project sought to boost adherence to antibiotic guidelines for open hand injury referrals through a microlearning approach, including an infographic and a short video.
- * Results showed a significant decrease in inappropriate antibiotic use, with non-indicated prescriptions dropping from 50% to 14.3% after implementing the educational materials.
Evaluation of an HIV-related Education Intervention Scale-up: A Hybrid Type 3 Effectiveness-implementation Study in the Dominican Republic.
AIDS Behav
November 2024
College of Nursing, University of Colorado, Anschutz Medical Campus, Education 2 North, 13120 E 19th Ave, Aurora, CO, 80045 303.724.8281, USA.
We developed an infographic intervention to augment HIV-related education in the Dominican Republic (DR), which demonstrated preliminary success in pilot studies. We then partnered with the United States Agency for International Development's (USAID) HIV Services and Systems Strengthening program in the DR to scale up the intervention. We used a two-tier Training-of-Trainer (TOT) method to teach intervention administration.
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