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Benedict M Devereaux Andrew C F Taylor Eugene Athan David J Wallis Robyn R Brown Sue M Greig Fiona K Bailey Karen Vickery Elizabeth Wardle Dianne M Jones 《Journal of gastroenterology and hepatology》2019,34(12):2086-2089
Concern has been raised regarding the use of simethicone, a de‐foaming agent, during endoscopic procedures. Following reports of simethicone residue in endoscope channels despite high level disinfection, an endoscope manufacturer recommended that it not be used due to concerns of biofilm formation and a possible increased risk of microorganism transmission. However, a detailed mucosal assessment is essential in performing high‐standard endoscopic procedures. This is impaired by bubbles within the gastrointestinal lumen. The Gastroenterological Society of Australia's Infection Control in Endoscopy Guidelines (ICEG) Committee conducted a literature search utilizing the MEDLINE database. Further references were sourced from published paper bibliographies. Following a review of the available evidence, and drawing on extensive clinical experience, the multidisciplinary ICEG committee considered the risks and benefits of simethicone use in formulating four recommendations. Published reports have documented residual liquid or crystalline simethicone in endoscope channels after high level disinfection. There are no data confirming that simethicone can be cleared from channels by brushing. Multiple series report benefits of simethicone use during gastroscopy and colonoscopy in improving mucosal assessment, adenoma detection rate, and reducing procedure time. There are no published reports of adverse events related specifically to the use of simethicone, delivered either orally or via any endoscope channel. An assessment of the risks and benefits supports the continued use of simethicone during endoscopic procedures. Strict adherence to instrument reprocessing protocols is essential. 相似文献
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Kaplan Lewis Moheet Asma M. Livesay Sarah L. Provencio J. Javier Suarez Jose I. Bader Mary Kay Bailey Heatherlee Chang Cherylee W. J. 《Neurocritical care》2020,32(2):369-372
Neurocritical Care - The Neurocritical Care Society and the Society of Critical Care Medicine have worked together to create a perspective regarding the Standards of Neurologic Critical Care Units... 相似文献
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ABSTRACT In an effort to understand how different types of food cues in food ads are automatically encouraging unhealthy eating behaviors, the current study examined how the presence of actual food consumption behaviors (use cues) and presence of multiple individuals indorsing food products (social cues) in fast food ads would influence individual attentional and behavioral responses. A use cue (2) x social cue (2) x repetition (3) fully within-subjects factorial design experiment with young adults (N = 164) was conducted. Findings demonstrated that participants paid greater attention to the fast food ads which contained multiple people (group cue) eating the advertised food products (use cue) when compared to other types of fast food ads. In addition, participants also self-reported greater social support and purchase intention when seeing use and group cues in ads. Understanding how these cues function in food advertising to encourage unhealthy eating may help health practitioners and individuals create more helpful intervention strategies. Further, applying these marketing tactics to ads for food products that are healthier (i.e., less energy dense and more nutrient dense) may help to maximize healthy food palatability, thereby increasing motivation for viewers to make autonomous decisions about eating healthier. 相似文献
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The National DMEFP Conference Team which consists of the following authors Charlene M. Dewey Teri L. Turner Linda Perkowski Jean Bailey Larry D. Gruppen 《Medical teacher》2016,38(2):141-149
Medical education fellowship programs (MEFPs) are a form of faculty development contributing to an organization’s educational mission and participants’ career development. Building an MEFP requires a systematic design, implementation, and evaluation approach which aligns institutional and individual faculty goals. Implementing an MEFP requires a team of committed individuals who provide expertise, guidance, and mentoring. Qualified MEFP directors should utilize instructional methods that promote individual and institutional short and long term growth. Directors must balance the use of traditional design, implementation, and evaluation methodologies with advancing trends that may support or threaten the acceptability and sustainability of the program. Drawing on the expertise of 28 MEFP directors, we provide twelve tips as a guide to those implementing, sustaining, and/or growing a successful MEFP whose value is demonstrated by its impacts on participants, learners, patients, teaching faculty, institutions, the greater medical education community, and the population’s health. 相似文献