Base de dados : MEDLINE
Pesquisa : E07.278 [Categoria DeCS]
Referências encontradas : 749 [refinar]
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[PMID]:28193299
[Au] Autor:Waller B; Larsen-Reindorf R; Duah M; Opoku-Buabeng J; Edwards BM; Brown D; Moyer J; Prince M; Basura GJ
[Ad] Endereço:Department of Otolaryngology/Head and Neck Surgery,University of Michigan,Ann Arbor,USA.
[Ti] Título:Otolaryngology outreach to Komfo Anokye Teaching Hospital: a medical and educational partnership.
[So] Source:J Laryngol Otol;131(7):608-613, 2017 Jul.
[Is] ISSN:1748-5460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Medical and educational partnerships between high- and low-resourced countries provide opportunities to have a long-term meaningful impact on medical training and healthcare delivery. METHODS: An otolaryngology partnership between Komfo Anokye Teaching Hospital in Kumasi, Ghana, and the University of Michigan Department of Otolaryngology/Head and Neck Surgery has been undertaken to enhance healthcare delivery at both institutions. RESULTS: A temporal bone dissection laboratory, with the equipment to perform dedicated otological surgery, and academic platforms for clinical and medical education and residency training have been established. CONCLUSION: This article describes the details of this partnership in otological surgery and hearing health, with an emphasis on creating in-country surgical simulation, training on newly acquired medical equipment and planning regarding the formulation of objectified metrics to gauge progress going forward.
[Mh] Termos MeSH primário: Países em Desenvolvimento
Hospitais de Ensino/organização & administração
Cooperação Internacional
Internato e Residência/organização & administração
Otolaringologia/educação
[Mh] Termos MeSH secundário: Assistência à Saúde/organização & administração
Equipamentos Médicos Duráveis
Gana
Hospitais Universitários
Seres Humanos
Michigan
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170215
[St] Status:MEDLINE
[do] DOI:10.1017/S0022215117000330


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[PMID]:28159376
[Au] Autor:Aleksova N; Chih S
[Ad] Endereço:Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute, Ottawa, Ontario, Canada. Electronic address: naleksova@ottawaheart.ca.
[Ti] Título:The Role of Durable Left Ventricular Assist Devices in Advanced Heart Failure: Would My Patient Benefit?
[So] Source:Can J Cardiol;33(4):540-543, 2017 Apr.
[Is] ISSN:1916-7075
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Mechanical circulatory support improves survival and quality of life in selected patients with advanced heart failure. The Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) clinical profile (profiles 1-7) is a classification system of patients with American Heart Association stage D and New York Heart Association functional class IIIb-IV heart failure. Most left ventricular assist devices (LVADs) are implanted in patients dependent on inotropes (INTERMACS 3) or whose condition is deteriorating with inotropic support (INTERMACS 2). Clinical features associated with increased LVAD perioperative mortality include advanced age, significant renal or hepatic dysfunction, and right ventricular failure. We review the benefits and commonly encountered problems with durable LVADs to assist clinicians in identifying appropriate candidates for device implantation.
[Mh] Termos MeSH primário: Equipamentos Médicos Duráveis
Insuficiência Cardíaca/cirurgia
Coração Auxiliar
Sistema de Registros
[Mh] Termos MeSH secundário: Desenho de Equipamento
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170205
[St] Status:MEDLINE


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[PMID]:28914227
[Au] Autor:Kun S; Placencia G; Ward SD; Keens T
[Ad] Endereço:Children's Hospital Los Angeles, California, USA.
[Ti] Título:A System Analysis of Delay in Outpatient Respiratory Equipment Delivery.
[So] Source:Care Manag J;17(4):161-169, 2016 Dec 01.
[Is] ISSN:1521-0987
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To systematically assess barriers delaying home respiratory equipment requisition and to evaluate for temporal correlation between delays and emergency room or hospitalization episodes. BACKGROUND: Initiation of home respiratory treatments is delayed because of delays in delivery of durable medical equipment (DME). This study assesses root causes of such delays from a system perspective. We also describe clinical consequences by measuring emergency room visits and hospitalization days for temporal correlations. METHODS: We conducted a retrospective review of DME ordering records from April 2011 to March of 2012. SETTINGS: Outpatient DME records in Pediatric Pulmonary Division. RESULTS: Of 164 available orders studied, deliveries were made as followed: 31 (19%) within 24 hr: 18 (59%) oxygen orders and 10 (32%) nebulizer orders 50 (30%) within 1 week: 25 (50%) nebulizer orders and 10 (20%) oxygen orders Delays: 45 (27%) delivered > 1 month: Bilevel positive airway pressure (BPAP) = 16 (36%) Oxygen = 12 (26%) Cough assist device = 7 (16%) Nebulizer = 5 (11%) Miscellaneous devices = 5 (11%) Analysis of barriers includes (a) type of insurance, (b) human error, (c) communication barrier, (d) deficit in training or knowledge, (e) no clear policy, (f) differences in clinical policy/ standard, (g) no DME benefit, (h) no clinical justification, and (i) error in communication/record keeping. Six patients with 7 emergency department (ED) visits and 4 inpatient admissions, totaling 24 hospital days, were temporally associated with delays in delivery of equipment over 30 days. CONCLUSION: One half of commonly used DMEs were delivered within the first week. One quarter of more expensive required more steps for approval. Twenty-nine ED/hospital days with respiratory morbidities were temporally associated with delays.
[Mh] Termos MeSH primário: Equipamentos Médicos Duráveis
Acesso aos Serviços de Saúde
Serviços de Assistência Domiciliar
Nebulizadores e Vaporizadores
Pacientes Ambulatoriais
Oxigenoterapia/instrumentação
Análise de Sistemas
[Mh] Termos MeSH secundário: Criança
Seres Humanos
Estudos Retrospectivos
Fatores de Tempo
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170916
[St] Status:MEDLINE
[do] DOI:10.1891/1521-0987.17.4.161


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[PMID]:28269551
[Au] Autor:Hao Dong; Matthews PM; Guo Y
[Ti] Título:A new soft material based in-the-ear EEG recording technique.
[So] Source:Conf Proc IEEE Eng Med Biol Soc;2016:5709-5712, 2016 08.
[Is] ISSN:1557-170X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Long-term electroencephalogram (EEG) is important for seizure detection, sleep monitoring and etc. In-the- ear EEG device makes such recording robust to noise and privacy protected (invisible to other people). However, the state-of-art techniques suffer from various drawbacks such as customization for specific users, manufacturing difficulties and short life cycle. To address these issues, we proposed silvered glass silicone based in-the-ear electrode which can be manufactured using conventional compression moulding. The material and in-the-ear EEG are evaluated separately, showing that the proposed method is durable, low-cost and easy-to-make.
[Mh] Termos MeSH primário: Equipamentos Médicos Duráveis
Meato Acústico Externo
Eletroencefalografia/instrumentação
Desenho de Equipamento
Conforto do Paciente
[Mh] Termos MeSH secundário: Eletrodos/economia
Eletroencefalografia/economia
Vidro
Seres Humanos
Silicones
Prata
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Silicones); 3M4G523W1G (Silver)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171127
[Lr] Data última revisão:
171127
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE
[do] DOI:10.1109/EMBC.2016.7592023


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[PMID]:28248072
[Au] Autor:Raduege TJ; Thomson Reuters Accelus
[Ti] Título:Benefits and Services.
[So] Source:Issue Brief Health Policy Track Serv;2016:1-56, 2016 Dec 27.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Benefícios do Seguro
Medicaid/organização & administração
[Mh] Termos MeSH secundário: Orçamentos
Centers for Medicare and Medicaid Services (U.S.)
Criança
Serviços de Saúde da Criança
Serviços de Saúde Comunitária
Equipamentos Médicos Duráveis
Governo Federal
Feminino
Infecções por HIV
Reforma dos Serviços de Saúde/legislação & jurisprudência
Serviços de Assistência Domiciliar
Seres Humanos
Seguro Odontológico
Seguro de Serviços Farmacêuticos
Assistência de Longa Duração
Saúde Materna
Serviços de Saúde Mental
Terapia Ocupacional
Saúde Bucal
Modalidades de Fisioterapia
Podiatria
Serviços de Saúde Reprodutiva
Governo Estadual
Telemedicina
Abandono do Uso de Tabaco
Transporte de Pacientes
Estados Unidos
Vacinação
Serviços de Saúde da Mulher
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170317
[Lr] Data última revisão:
170317
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170302
[St] Status:MEDLINE


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[PMID]:27905888
[Au] Autor:Centers for Medicare & Medicaid Services (CMS), HHS
[Ti] Título:Medicare Program; End-Stage Renal Disease Prospective Payment System, Coverage and Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program Bid Surety Bonds, State Licensure and Appeals Process for Breach of Contract Actions, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program and Fee Schedule Adjustments, Access to Care Issues for Durable Medical Equipment; and the Comprehensive End-Stage Renal Disease Care Model. Final rule.
[So] Source:Fed Regist;81(214):77834-969, 2016 Nov 04.
[Is] ISSN:0097-6326
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This rule updates and makes revisions to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2017. It also finalizes policies for coverage and payment for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury. This rule also sets forth requirements for the ESRD Quality Incentive Program, including the inclusion of new quality measures beginning with payment year (PY) 2020 and provides updates to programmatic policies for the PY 2018 and PY 2019 ESRD QIP. This rule also implements statutory requirements for bid surety bonds and state licensure for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). This rule also expands suppliers' appeal rights in the event of a breach of contract action taken by CMS, by revising the appeals regulation to extend the appeals process to all types of actions taken by CMS for a supplier's breach of contract, rather than limit an appeal for the termination of a competitive bidding contract. The rule also finalizes changes to the methodologies for adjusting fee schedule amounts for DMEPOS using information from CBPs and for submitting bids and establishing single payment amounts under the CBPs for certain groupings of similar items with different features to address price inversions. Final changes also are made to the method for establishing bid limits for items under the DMEPOS CBPs. In addition, this rule summarizes comments on the impacts of coordinating Medicare and Medicaid Durable Medical Equipment for dually eligible beneficiaries. Finally, this rule also summarizes comments received in response to a request for information related to the Comprehensive ESRD Care Model and future payment models affecting renal care.
[Mh] Termos MeSH primário: Lesão Renal Aguda/economia
Cobertura do Seguro/economia
Cobertura do Seguro/legislação & jurisprudência
Falência Renal Crônica/economia
Medicare/economia
Medicare/legislação & jurisprudência
Sistema de Pagamento Prospectivo/legislação & jurisprudência
Reembolso de Incentivo/economia
Reembolso de Incentivo/legislação & jurisprudência
Diálise Renal/economia
[Mh] Termos MeSH secundário: Lesão Renal Aguda/terapia
Proposta de Concorrência/economia
Proposta de Concorrência/legislação & jurisprudência
Equipamentos Médicos Duráveis/economia
Tabela de Remuneração de Serviços/economia
Tabela de Remuneração de Serviços/legislação & jurisprudência
Acesso aos Serviços de Saúde/economia
Acesso aos Serviços de Saúde/legislação & jurisprudência
Seres Humanos
Falência Renal Crônica/terapia
Aparelhos Ortopédicos/economia
Próteses e Implantes/economia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161217
[Lr] Data última revisão:
161217
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:161203
[St] Status:MEDLINE


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[PMID]:27809581
[Au] Autor:Pellett C
[Ad] Endereço:Queen's Nurse The Queen's Nursing Institute.
[Ti] Título:Discharge planning: best practice in transitions of care.
[So] Source:Br J Community Nurs;21(11):542-548, 2016 Nov 02.
[Is] ISSN:1462-4753
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This article provides an overview of a project undertaken by the Queen's Nursing Institute (QNI) and funded by The Department of Health, to identify the barriers and challenges that prevent effective discharge from hospital to home. Unnecessary delays in discharging patients from hospital to home is an ongoing problem and for older people this can lead to worse health outcomes, which can increase their long-term care needs. Findings from the project illustrates that while there are challenges in achieving excellent practice in the transfer of a patient's care from hospital to home, there is a significant willingness and commitment from nurses based both in the community and hospital to improve the patient experience. Key recommendations are cited in the article that will enhance an improved discharge experience for patients, carers and their families.
[Mh] Termos MeSH primário: Enfermagem em Saúde Comunitária
Alta do Paciente/normas
Transferência de Pacientes/normas
Guias de Prática Clínica como Assunto
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Equipamentos Médicos Duráveis
Grupos Focais
Seres Humanos
Enfermeiras e Enfermeiros
Pesquisa Qualitativa
Encaminhamento e Consulta
Serviço Social
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170214
[Lr] Data última revisão:
170214
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161105
[St] Status:MEDLINE


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[PMID]:27689600
[Au] Autor:Buntat Y; Saud MS; Mokhtar M; Kamin Y; Feh LS
[Ad] Endereço:Department of Technical and Engineering Education, Universiti Teknologi Malaysia, Skudai Johor, Malaysia.
[Ti] Título:Important skills for biomedical services: The perspectives of Malaysian employers and employees.
[So] Source:Work;55(2):481-487, 2016 Oct 17.
[Is] ISSN:1875-9270
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Increase in the occurrence of existing diseases, continual emergence of new or exotic diseases and re-emergence of old diseases have placed increasing demands on biomedical services in Malaysia. Biomedical technicians play an important role in operating biomedical instruments. However, there are no clear specifications about characteristics and traits for these semi-professional employees. Employers in a few studies claimed that biomedical graduates are not ready to enter and face challenges in the job market. OBJECTIVE: Therefore, the purpose of this study is to identify technical and generic skills for a biomedical technician from the perspectives of the biomedical technicians and their employers. METHODS: A quantitative survey design was employed whereby data were obtained through the administration of an instrument developed by the researchers. The sample consisted of 20 hospital managers and 186 biomedical technicians who are currently working in Malaysian government hospitals. RESULTS: The findings show that there are no difference in the perceptions of hospital managers and biomedical technicians regarding technical and non-technical skills. CONCLUSIONS: These findings resulted in a checklist which can be used for institutions to produce future biomedical technician graduates in order to meet job demands. However, future research is needed to validate the findings and explore the variables in depth.
[Mh] Termos MeSH primário: Equipamentos Médicos Duráveis
Administração Hospitalar
Seleção de Pessoal/normas
Competência Profissional
[Mh] Termos MeSH secundário: Comunicação
Comportamento Cooperativo
Equipamentos e Provisões Hospitalares
Seres Humanos
Liderança
Aprendizagem
Manutenção
Malásia
Resolução de Problemas
Profissionalismo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161001
[St] Status:MEDLINE


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[PMID]:27661023
[Au] Autor:Zhang H; Wang X; Deng W; Wang S; Ge J; Toft E
[Ad] Endereço:aDepartment of Health Science and Technology, Faculty of Medicine, Aalborg University, Niels, Denmark bShanghai Institute of Cardiovascular Diseases, Zhongshan Hospital cKey Laboratory of Public Health Safety, Ministry of Education, School of Public Health, Fudan University, Shanghai dInstitute of Chemistry, Chinese Academy of Sciences, Beijing, China eBiomedical Research Center, College of Medicine, Qatar University, Shareh AIJamiaa, Doha, Qatar.
[Ti] Título:Randomized clinical trial comparing abluminal biodegradable polymer sirolimus-eluting stents with durable polymer sirolimus-eluting stents: Nine months angiographic and 5-year clinical outcomes.
[So] Source:Medicine (Baltimore);95(38):e4820, 2016 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The biodegradable polymer drug-eluting stents (DES) were developed to improve vascular healing. However, further data and longer-term follow-up are needed to confirm safety and efficacy of these stents. This randomized clinical trial aimed to compare safety and efficacy of 2 sirolimus-eluting stents (SES): Cordimax-a novel abluminal biodegradable polymer SES and Cypher Select-a durable polymer SES, at 9 months angiographic and 5-year clinical follow-up. METHODS: We randomized 402 patients with coronary artery disease to percutaneous coronary intervention with Cordimax (n = 202) or Cypher select (n = 200). Angiographic follow-up was performed at 9 months after the index procedure and clinical follow-up annually up to 5 years. The primary endpoint was angiographic in-stent late luminal loss (LLL). Secondary endpoints included angiographic restenosis rate, target vessel revascularization (TVR), and major adverse cardiac events (MACEs; defined as cardiac death, myocardial infarction, or TVR) at 5-year follow-up. RESULTS: Cordimax was noninferior to Cypher select for in-stent LLL (0.25 ±â€Š0.47 vs 0.18 ±â€Š0.49 mm; P = 0.587) and in-stent mean diameter stenosis (22.19 ±â€Š12.21% vs 19.89 ±â€Š10.79%; P = 0.064) at 9 months angiographic follow-up. The MACE rates were not different at 1 year (5.9% vs 4.0%, P = 0.376); however, MACE rates from 2 to 5 years were lower in the Cordimax group (6.8% vs 13.1%; P = 0.039). CONCLUSION: Abluminal biodegradable polymer SES is noninferior to durable polymer SES at 9-month angiographic and 1-year clinical follow-up. However, MACE rates from 2 to 5 years were less in the abluminal biodegradable polymer group.
[Mh] Termos MeSH primário: Angiografia Coronária/estatística & dados numéricos
Doença da Artéria Coronariana/cirurgia
Stents Farmacológicos
Intervenção Coronária Percutânea/instrumentação
Complicações Pós-Operatórias/etiologia
[Mh] Termos MeSH secundário: Implantes Absorvíveis
Idoso
Reestenose Coronária/epidemiologia
Reestenose Coronária/etiologia
Equipamentos Médicos Duráveis
Feminino
Seguimentos
Seres Humanos
Imunossupressores/administração & dosagem
Masculino
Meia-Idade
Intervenção Coronária Percutânea/efeitos adversos
Polímeros
Complicações Pós-Operatórias/epidemiologia
Desenho de Prótese
Sirolimo/administração & dosagem
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Immunosuppressive Agents); 0 (Polymers); W36ZG6FT64 (Sirolimus)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170224
[Lr] Data última revisão:
170224
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160924
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000004820


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[PMID]:27275884
[Au] Autor:Kleebauer A
[Ti] Título:Effective, safe and affordable - the nurse's dream shopping list.
[So] Source:Nurs Stand;30(40):12-3, 2016 Jun 01.
[Is] ISSN:2047-9018
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A team of nurses is being charged with the task of assessing equipment for cost and clinical effectiveness in a bid to improve NHS procurement.
[Mh] Termos MeSH primário: Segurança de Equipamentos/normas
Papel do Profissional de Enfermagem
Resultado do Tratamento
[Mh] Termos MeSH secundário: Equipamentos Médicos Duráveis/normas
Desenho de Equipamento/normas
Segurança de Equipamentos/enfermagem
Seres Humanos
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160609
[St] Status:MEDLINE
[do] DOI:10.7748/ns.30.40.12.s14



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