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101.
Lessons Learned about Implementing Research Evidence into Clinical Practice 总被引:2,自引:1,他引:2
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Hildi Hagedorn PhD Mary Hogan PhD RN Jeffrey L. Smith PhD Candidate Candice Bowman PhD RN Geoffrey M. Curran PhD Donna Espadas BA Barbara Kimmel MS MSc Laura Kochevar PhD Marcia W. Legro PhD Anne E. Sales PhD MSN 《Journal of general internal medicine》2006,21(S2):S21-S24
The mission of the Veterans Health Administration's (VHA) quality enhancement research initiative (QUERI) is to enhance the quality of VHA health care by implementing clinical research findings into routine care. This paper presents lessons that QUERI investigators have learned through their initial attempts to pursue the QUERI mission. The lessons in this paper represent those that were common across multiple QUERI projects and were mutually agreed on as having substantial impact on the success of implementation. While the lessons are consistent with commonly recognized ingredients of successful implementation efforts, the examples highlight the fact that, even with a thorough knowledge of the literature and thoughtful planning, unexpected circumstances arise during implementation efforts that require flexibility and adaptability. The findings stress the importance of utilizing formative evaluation techniques to identify barriers to successful implementation and strategies to address these barriers. 相似文献
102.
Marcia D. Lind MS Charles R. Goodlett PhD James R. West PhD 《Alcoholism, clinical and experimental research》1988,12(3):433-439
Ethanol was administered chronically to adult rats in a liquid diet for 14 days preceding and for 5, 7, 8, 9, or 10 days following the unilateral destruction of the entorhinal cortex. Control groups received a diet of lab chow and water and were sacrificed at comparable survival times. An additional experimental group was given ethanol until 9 days after the lesion, then switched to lab chow and water and sacrificed 1 day later. Coronal sections through the dorsal hippocampal formation were stained and analyzed histochemically for the localization of acetylcholinesterase (AChE). Quantitative measurements of the histochemical patterns in the molecular layer of the dentate gyrus were obtained. Ethanol exposure inhibited the withdrawal of the acetylcholinesterase-stained septohippocampal fibers and limited the typical lesion-induced expansion of the pale-staining commissural/associational zone in the molecular layer of the denervated dentate gyrus. However, abstinence from ethanol for just 24 h released the inhibitory effect on the acetylcholinesterase-staining fibers, resulting in a significant expansion of the commissural/associational zone. 相似文献
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Camila P. Almeida Camila O. Silveira Enio F. Ferreira Marcia C. Ferreira Gabriella G. Oliveira Emerson S. Veloso Felipe H.S. Silva Santuza S. Coelho Leonardo M. Moraes Fernando M. Reis Helen L. Del Puerto 《Acta histochemica》2021,123(2):151670
Apoptosis regulation in luteinized granulosa cells (LGC) during assisted reproduction procedures is still controversial. Caspase-3 is a major apoptosis mediator encoded by CASP3 and formed through cleavage of its precursor pro-caspase-3. The aim of this study was to investigate the expression patterns of pro-caspase-3 (mRNA and protein) and cleaved caspase-3 in human LGC. Thirty-five women undergoing controlled ovarian stimulation for in vitro fertilization were prospectively enrolled in the study. LGC were isolated from follicular fluid during oocyte pickup and evaluated by immunocytochemistry for pro-caspase-3 and cleaved caspase-3, and by real-time PCR for CASP3 mRNA expression. We found a positive staining of pro-caspase-3 in 77 % of the LGC (95 % confidence interval [CI] 60%–84%), whereas cleaved caspase-3 was found in only 4% of the cells (95 % CI 3%–6%). The abundance of cells expressing pro-caspase-3 was independent from CASP3 mRNA levels (r = 0.24, p = 0.255) and did not correlate with the amount of cleaved caspase-3 (r = -0.24, p = 0.186). Multivariable logistic regression showed that pro-caspase-3 positivity was not influenced by clinical characteristics such as age, cause or length of infertility, antral follicle count or hormonal drugs used to induce ovulation. These findings suggest that pro-caspase-3 is constitutively expressed in LGC, allowing quick cleavage into active caspase-3 and apoptosis triggering whenever needed in the course of gonadotropin-induced follicular development. 相似文献
105.
Machado Felipe Paiva Khoury Rayana Duarte Toia Cassia Cestari Flores Orozco Esteban Isai de Oliveira Felipe Eduardo de Oliveira Luciane Dias da Rosa Cardoso Flávia Goulart Valera Marcia Carneiro 《Clinical oral investigations》2020,24(9):3169-3179
Clinical Oral Investigations - To compare the microbial load and composition and to determine the lipopolysaccharides (LPS) and lipoteichoic acid (LTA) concentrations found in primary apical... 相似文献
106.
Maritza Del Carmen Quezada‐Conde Patricia de Lourdes Alvarez‐Velasco Edisson Fernando Lopez Marco Vinicio Medina Renata Pereira de Samuel Marques Marcia Turolla Wanderley E. Michel-Crosato Claudio Mendes Pannuti Antonio Carlos Frias Daniela Prcida Raggio Fausto Medeiros Mendes 《Dental traumatology》2020,36(5):510-517
107.
Healy CM Munoz FM Rench MA Halasa NB Edwards KM Baker CJ 《The Journal of infectious diseases》2004,190(2):335-340
BACKGROUND: Passively acquired maternal antibodies protect infants from many pathogens. With increasing reports of infant pertussis, we evaluated pertussis antibodies in maternal-infant paired sera from 1999-2000. METHODS: Antibodies to pertussis toxin (PT), filamentous hemagglutinin (FHA), and fimbrial proteins (FIM) were measured by validated IgG-specific enzyme-linked immunosorbant assay (ELISA) in 64 maternal-umbilical cord serum pairs and in 61 of 64 infant sera. Geometric mean concentrations (GMCs) of pertussis antibodies and cord : maternal GMC ratios were calculated. RESULTS: Mean maternal age and gestation were 29.7 years (range, 19-42) and 39.3 weeks (range, 35.6-40.9), and 81% of mothers were white. GMCs of maternal antibodies at delivery (ELISA units/mL) were 2.4 for PT, 6.9 for FHA, and 13 for FIM. Cord GMCs were 169%, 178%, and 157% of maternal delivery values for PT, FHA, and FIM, respectively, demonstrating active placental transfer (P<.001). Pertussis-specific IgG values for each antigen decayed to below the threshold of detection by age 2 months. CONCLUSIONS: Despite efficient placental transfer, low maternal pertussis antibody levels and their rapid decay in infant sera leave infants with little humoral protection against pertussis. These data support the rationale for maternal or neonatal immunization, with acellular pertussis vaccines, to prevent life-threatening pertussis in early infancy. 相似文献
108.
Seth Woodruff Guillaume Feugère Paula Abreu Joseph Heissler Marcia T. Ruiz Frank Jen 《Journal of thrombosis and thrombolysis》2016,42(4):494-504
Venous thromboembolism (VTE) is a common and serious complication in patients with cancer; treatment guidelines recommend extended therapy of ≥6 months with low-molecular-weight heparin (LMWH) for treatment and prevention of recurrent VTE (rVTE) in this population. This post hoc analysis used data from the CLOT study—a phase III, randomized, open-label, controlled study (N = 676)—to compare the efficacy and safety of dalteparin, a LMWH, versus vitamin K antagonist (VKA) for prevention of rVTE in patients with cancer and renal impairment (creatinine clearance <60 ml/min). Overall, 162/676 (24 %) patients had renal impairment at baseline. Patients received subcutaneous dalteparin 200 IU/kg once daily during month 1, followed by 150 IU/kg once daily for months 2–6; or VKA once daily for 6 months, with initial overlapping subcutaneous dalteparin 200 IU/kg once daily for ≥5 days until international normalized ratio was 2.0–3.0 for 2 consecutive days. Endpoints included the rates of rVTE (primary) and bleeding events. Overall, fewer dalteparin-treated patients (2/74 [2.7 %]) experienced ≥1 adjudicated symptomatic rVTE compared with VKA-treated patients (15/88 [17.0 %]; hazard ratio = 0.15 [95 % confidence interval 0.03–0.65]; p = 0.01). Bleeding event rates for both treatments were similar (p = 0.47). In summary, compared with VKA, dalteparin significantly reduced risk of rVTE in patients with cancer and renal impairment (p = 0.01) while exhibiting a comparable safety profile. This analysis supports dosing patients with renal impairment in accordance with patients with normal renal function; however, anti-Xa monitoring could be considered to further support safety in selected patients, particularly those with very severe renal impairment. 相似文献
109.
Andrew E. Blum Srividya Venkitachalam Durgadevi Ravillah Aruna K. Chelluboyina Ann Marie Kieber-Emmons Lakshmeswari Ravi Adam Kresak Apoorva K. Chandar Sanford D. Markowitz Marcia I. Canto Jean S. Wang Nicholas J. Shaheen Yan Guo Yu Shyr Joseph E. Willis Amitabh Chak Vinay Varadan Kishore Guda 《Gastroenterology》2019,156(6):1761-1774
110.
Marcia F. da Silva Alexandre Y. Saito Valnice J. Peres Antonio C. Oliveira Alejandro M. Katzin 《Antimicrobial agents and chemotherapy》2015,59(8):5084-5087
Previous studies have shown that fosmidomycin, risedronate, and nerolidol exert antimalarial activity in vitro. We included squalestatin, an inhibitor of the isoprenoid metabolism in Erwinia uredovora, and found that combinations of compounds which act on different targets of the plasmodial isoprenoid pathway possess important supra-additivity effects. 相似文献