排序方式: 共有43条查询结果,搜索用时 31 毫秒
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Lubomski Michal Tan Ai Huey Lim Shen-Yang Holmes Andrew J. Davis Ryan L. Sue Carolyn M. 《Journal of neurology》2020,267(9):2507-2523
Journal of Neurology - Recently, there has been a surge in awareness of the gastrointestinal microbiome (GM) and its role in health and disease. Of particular note is an association between the GM... 相似文献
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Defining and measuring patient safety 总被引:2,自引:0,他引:2
Pronovost PJ Thompson DA Holzmueller CG Lubomski LH Morlock LL 《Critical Care Clinics》2005,21(1):1-19, vii
Despite the growing demand for improved safety in health care, debate remains regarding the magnitude of the problem and the degree to which harm is preventable. To a great extent, this debate stems from variation in the definition and methods for measuring safety, its "shadow" error, and the degree of preventability. This article reviews the definition of safety and error, discusses approaches to measuring safety, and provides a framework for investigating incidents that unveils how the systems under which care is delivered may contribute to adverse incidents. 相似文献
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Effect of technique on intraocular pressure after combined cataract and glaucoma surgery: An evidence-based review 总被引:3,自引:0,他引:3
Jampel HD Friedman DS Lubomski LH Kempen JH Quigley H Congdon N Levkovitch-Verbin H Robinson KA Bass EB 《Ophthalmology》2002,109(12):48-24; quiz 2225, 2231
TOPIC: To analyze the literature pertaining to the techniques used in combined cataract and glaucoma surgery, including the technique of cataract extraction, the timing of the surgery (staged procedure versus combined procedure), the anatomic location of the operation, and the use of antifibrosis agents. CLINICAL RELEVANCE: Cataract and glaucoma are both common conditions and are often present in the same patient. There is no agreement concerning the optimal surgical management of these disorders when they coexist. METHODS/LITERATURE REVIEWED: Electronic searches of English language articles published since 1964 were conducted in Pub MED and CENTRAL, the Cochrane Collaboration's database. These were augmented by a hand search of six ophthalmology journals and the reference lists of a sample of studies included in the literature review. Evidence grades (A, strong; B, moderate; C, weak; I, insufficient) were assigned to the evidence that involved a direct comparison of alternative techniques. RESULTS: The preponderance of evidence from the literature suggests a small (2-4 mmHg) benefit from the use of mitomycin-C (MMC), but not 5-fluorouracil (5-FU), in combined cataract and glaucoma surgery (evidence grade B). Two-site surgery provides slightly lower (1-3 mmHg) intraocular pressure (IOP) than one-site surgery (evidence grade C), and IOP is lowered more (1-3 mmHg) by phacoemulsification than by nuclear expression in combined procedures (evidence grade C). There is insufficient evidence to conclude either that staged or combined procedures give better results or that alternative glaucoma procedures are superior to trabeculectomy in combined procedures. CONCLUSIONS: In the literature on surgical techniques and adjuvants used in the management of coexisting cataract and glaucoma, the strongest evidence of efficacy exists for using MMC, separating the incisions for cataract and glaucoma surgery, and removing the nucleus by phacoemulsification. 相似文献
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Measure accurately,Act rapidly,and Partner with patients: An intuitive and practical three‐part framework to guide efforts to improve hypertension control 下载免费PDF全文
Romsai T. Boonyasai MD MPH Michael K. Rakotz MD Lisa H. Lubomski PhD Donna M. Daniel PhD Jill A. Marsteller PhD MPP Kathryn S. Taylor RN MPH Lisa A. Cooper MD MPH Omar Hasan MBBS MPH MS Matthew K. Wynia MD MPH 《Journal of clinical hypertension (Greenwich, Conn.)》2017,19(7):684-694
Hypertension is the leading cause of cardiovascular disease in the United States and worldwide. It also provides a useful model for team‐based chronic disease management. This article describes the M.A.P. checklists: a framework to help practice teams summarize best practices for providing coordinated, evidence‐based care to patients with hypertension. Consisting of three domains—Measure Accurately; Act Rapidly; and Partner With Patients, Families, and Communities—the checklists were developed by a team of clinicians, hypertension experts, and quality improvement experts through a multistep process that combined literature review, iterative feedback from a panel of internationally recognized experts, and pilot testing among a convenience sample of primary care practices in two states. In contrast to many guidelines, the M.A.P. checklists specifically target practice teams, instead of individual clinicians, and are designed to be brief, cognitively easy to consume and recall, and accessible to healthcare workers from a range of professional backgrounds. 相似文献
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Friedman DS Bass EB Lubomski LH Fleisher LA Kempen JH Magaziner J Sprintz M Robinson K Schein OD 《Ophthalmology》2001,108(3):519-529
OBJECTIVE: To synthesize the findings of the randomized trials of regional anesthesia management strategies for cataract surgery. DESIGN: Literature review and analysis. METHOD: The authors performed a systematic search of the literature to identify all articles pertaining to regional anesthesia during cataract surgery on adults. One investigator abstracted the content of each article onto a custom-designed form. A second investigator corroborated the findings. The evidence supporting the anesthesia approaches was graded by consensus as good, fair, poor, or insufficient. MAIN OUTCOME MEASURES: Evidence supporting the effectiveness of different forms of regional anesthesia. RESULTS: There was good evidence that retrobulbar and peribulbar blocks provide equivalent akinesia and pain control during cataract surgery. Additionally, sub-Tenon's blocks were at least as effective as retrobulbar and peribulbar blocks. There was good evidence that retrobulbar block provides better pain control during surgery than topical anesthesia, and there was fair evidence that peribulbar block provides better pain control than topical anesthesia. CONCLUSIONS: This synthesis of the literature demonstrates that currently used approaches to anesthesia management provide adequate pain control for successful cataract surgery, but there is some variation in the effectiveness of the most commonly used techniques. Data are needed on patient preferences to determine the optimal strategies for anesthesia management during cataract surgery. 相似文献
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