10,129 research outputs found
Magnetic resonance imaging of pelvic floor dysfunction - joint recommendations of the ESUR and ESGAR Pelvic Floor Working Group
No full textObjective: To develop recommendations that can be used as guidance for standardized approach regarding indications, patient preparation, sequences acquisition, interpretation and reporting of magnetic resonance imaging (MRI) for diagnosis and grading of pelvic floor dysfunction (PFD). Methods: The technique included critical literature between 1993 and 2013 and expert consensus about MRI protocols by the pelvic floor-imaging working group of the European Society of Urogenital Radiology (ESUR) and the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) from one Egyptian and seven European institutions. Data collection and analysis were achieved in 5 consecutive steps. Eighty-two items were scored to be eligible for further analysis and scaling. Agreement of at least 80 % was defined as consensus finding. Results: Consensus was reached for 88 % of 82 items. Recommended reporting template should include two main sections for measurements and grading. The pubococcygeal line (PCL) is recommended as the reference line to measure pelvic organ prolapse. The recommended grading scheme is the “Rule of three” for Pelvic Organ Prolapse (POP), while a rectocele and ARJ descent each has its specific grading system. Conclusion: This literature review and expert consensus recommendations can be used as guidance for MR imaging and reporting of PFD. Key points: • These recommendations highlight the most important prerequisites to obtain a diagnostic PFD-MRI.• Static, dynamic and evacuation sequences should be generally performed for PFD evaluation.• The recommendations were constructed through consensus among 13 radiologists from 8 institutions. © 2016 The Author(s
Data Quality and Standards
No full textThe Data Quality and Standards Working Group determined where current administrative data quality standards exist and where additional guidance are needed. The group used a hypothetical example to illustrate how improved data quality can make administrative data research better.
Chair and Lead Author: Amy O\u27Hara (Stanford University)https://repository.upenn.edu/admindata_reports/1001/thumbnail.jp
Data Sharing Governance and Management
No full textThe Data Sharing Governance and Management Working Group focused on data intermediaries that help to expand access to administrative data for a broad range of researchers. The group interviewed 11 data intermediaries and identified 9 unique functions that they serve to facilitate the data sharing process between data providers and researchers.
Chair: Ken Poole (Center for Regional and Economic Competitiveness)Lead Author: Monica King (ADRF Network)https://repository.upenn.edu/admindata_reports/1002/thumbnail.jp
Communicating about Data Privacy and Security
No full textThe working group on Communicating about Data Privacy and Security identified six core stages of the administrative data research lifecycle and developed a framework for how researchers can conduct stakeholder engagement throughout the research lifecycle.
Co-Chair and Lead Author: Kelsey Finch (Future of Privacy Forum)Co-Chair: Jules Polonetsky (Future of Privacy Forum)https://repository.upenn.edu/admindata_reports/1003/thumbnail.jp
Investing in educated British Columbians: 1995 BC colleges and institutes student outcome report
No full textReportPrepared for the Colleges and Institutes of BC by the BC Outcomes Working Grou
Investing in educated British Columbians: 1995 BC colleges and institutes student outcome report
No full textReportPrepared for the Colleges and Institutes of BC by the BC Outcomes Working Grou
Feature article on the author\u27s exeperiences working in a group home in Portland
No full textFeature article on the author\u27s exeperiences working in a group home in Portland, and her dealings with Madeleine, one of the residents
Pulse oximetry adoption and oxygen orders at paediatric admission over 7 years in Kenya: a multihospital retrospective cohort study
No full textObjectives To characterise adoption and explore specific clinical and patient factors that might influence pulse oximetry and oxygen use in low-income and middle-income countries (LMICs) over time; to highlight useful considerations for entities working on programmes to improve access to pulse oximetry and oxygen.
Design A multihospital retrospective cohort study.
Settings All admissions (n=132 737) to paediatric wards of 18 purposely selected public hospitals in Kenya that joined a Clinical Information Network (CIN) between March 2014 and December 2020.
Outcomes Pulse oximetry use and oxygen prescription on admission; we performed growth-curve modelling to investigate the association of patient factors with study outcomes over time while adjusting for hospital factors.
Results Overall, pulse oximetry was used in 48.8% (64 722/132 737) of all admission cases. Use rose on average with each month of participation in the CIN (OR: 1.11, 95% CI 1.05 to 1.18) but patterns of adoption were highly variable across hospitals suggesting important factors at hospital level influence use of pulse oximetry. Of those with pulse oximetry measurement, 7% (4510/64 722) had hypoxaemia (SpO2 <90%). Across the same period, 8.6% (11 428/132 737) had oxygen prescribed but in 87%, pulse oximetry was either not done or the hypoxaemia threshold (SpO2 <90%) was not met. Lower chest-wall indrawing and other respiratory symptoms were associated with pulse oximetry use at admission and were also associated with oxygen prescription in the absence of pulse oximetry or hypoxaemia.
Conclusion The adoption of pulse oximetry recommended in international guidelines for assessing children with severe illness has been slow and erratic, reflecting system and organisational weaknesses. Most oxygen orders at admission seem driven by clinical and situational factors other than the presence of hypoxaemia. Programmes aiming to implement pulse oximetry and oxygen systems will likely need a long-term vision to promote adoption, guideline development and adherence and continuously examine impact
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