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111.
Brian E. Dixon Jamie Pina Hadi Kharrazi Fardad Gharghabi Janise Richards 《Online Journal of Public Health Informatics》2015,7(2)
Objective: To categorize and describe the public health informatics (PHI) and
global health informatics (GHI) literature between 2012 and 2014.Methods: We conducted a semi-systematic review of articles published between
January 2012 and September 2014 where information and communications
technologies (ICT) was a primary subject of the study or a main component of the
study methodology. Additional inclusion and exclusion criteria were used to
filter PHI and GHI articles from the larger biomedical informatics domain.
Articles were identified using MEDLINE as well as personal bibliographies from
members of the American Medical Informatics Association PHI and GHI working
groups.Results: A total of 85 PHI articles and 282 GHI articles were identified. While
systems in PHI continue to support surveillance activities, we identified a
shift towards support for prevention, environmental health, and public health
care services. Furthermore, articles from the U.S. reveal a shift towards PHI
applications at state and local levels. GHI articles focused on telemedicine,
mHealth and eHealth applications. The development of adequate
infrastructure to support ICT remains a challenge, although we identified a
small but growing set of articles that measure the impact of ICT on clinical
outcomes.Discussion: There is evidence of growth with respect to both implementation of
information systems within the public health enterprise as well as a widening of
scope within each informatics discipline. Yet the articles also illuminate the
need for more primary research studies on what works and what does not as both
searches yielded small numbers of primary, empirical articles.Conclusion: While the body of knowledge around PHI and GHI continues to mature,
additional studies of higher quality are needed to generate the robust evidence
base needed to support continued investment in ICT by governmental health
agencies. 相似文献
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Koh Ming-Yi Toh Keith Zhi-Xian Ho Jamie Sin-Ying Yeo Leonard Leong-Litt Ho Andrew Fu-Wah Sia Ching-Hui Tan Benjamin Yong-Qiang 《Journal of thrombosis and thrombolysis》2022,54(2):339-349
Journal of Thrombosis and Thrombolysis - Patients with Moyamoya disease (MMD) can present with ischaemic or haemorrhagic stroke. There is no good evidence for treatment strategies in MMD-associated... 相似文献
116.
Philip Moons Koen Luyckx Corina Thomet Werner Budts Junko Enomoto Maayke A. Sluman Chun-Wei Lu Jamie L. Jackson Paul Khairy Stephen C. Cook Shanthi Chidambarathanu Luis Alday Katrine Eriksen Mikael Dellborg Malin Berghammer Bengt Johansson Andrew S. Mackie Samuel Menahem Adrienne H. Kovacs 《The Canadian journal of cardiology》2021,37(2):215-223
BackgroundWe compared physical functioning, mental health, and quality of life (QoL) of patients with different subtypes of congenital heart disease (CHD) in a large international sample and investigated the role of functional class in explaining the variance in outcomes across heart defects.MethodsIn the cross-sectional Assessment of Patterns of Patient-Reported Outcome in Adults with Congenital Heart Disease-International Study (APPROACH-IS), we enrolled 4028 adult patients with CHD from 15 countries. Diagnostic groups with at least 50 patients were included in these analyses, yielding a sample of 3538 patients (median age: 32 years; 52% women). Physical functioning, mental health, and QoL were measured with the SF-12 health status survey, Hospital Anxiety and Depression Scale (HADS), linear analog scale (LAS) and Satisfaction with Life Scale, respectively. Functional class was assessed using the patient-reported New York Heart Association (NYHA) class. Multivariable general linear mixed models were applied to assess the relationship between the type of CHD and patient-reported outcomes, adjusted for patient characteristics, and with country as random effect.ResultsPatients with coarctation of the aorta and those with isolated aortic valve disease reported the best physical functioning, mental health, and QoL. Patients with cyanotic heart disease or Eisenmenger syndrome had worst outcomes. The differences were statistically significant, above and beyond other patient characteristics. However, the explained variances were small (0.6% to 4.1%) and decreased further when functional status was added to the models (0.4% to 0.9%).ConclusionsSome types of CHD predict worse patient-reported outcomes. However, it appears that it is the functional status associated with the heart defect rather than the heart defect itself that shapes the outcomes. 相似文献
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Lauren L. O'Mahoney PhD Patrick J. Highton PhD Laura Kudlek MSc Jessica Morgan BA Rosie Lynch BA Ella Schofield BMBCh Nayanika Sreejith BA Ajay Kapur BMBCh Afolarin Otunla BA Sven Kerneis BMBCh Olivia James BA Karen Rees PhD Ffion Curtis PhD Kamlesh Khunti FMedSci Jamie Hartmann-Boyce DPhil 《Diabetes, obesity & metabolism》2022,24(9):1850-1860
119.
Hey JC 《Clinics in Geriatric Medicine》2003,19(1):139-155
Lung cancer is one of the most common causes of death in elderly patients in the United States. Treatment advances have improved survival in selected patients. The available treatments carry the risk of morbidity and mortality but the benefit in most patients far outweighs the risks, given the dismal prognosis of untreated disease. Elderly patients with lung cancer need careful attention during pretreatment assessment. Advanced age alone, however, should not contraindicate aggressive treatment. In the high-risk groups it is important to involve a team of physicians including surgeons, radiation oncologists, medical oncologists, and pulmonologists, who are familiar with current treatment options and their risks. 相似文献
120.