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  • 1
    In: European Respiratory Journal, European Respiratory Society (ERS), Vol. 57, No. 2 ( 2021-02), p. 2000414-
    Abstract: While the performance of the emPHasis-10 (e10) score has been evaluated against limited patient characteristics within the United Kingdom, there is an unmet need for exploring the performance of the e10 score among pulmonary arterial hypertension (PAH) patients in the United States. Methods Using the Pulmonary Hypertension Association Registry, we evaluated relationships between the e10 score and demographic, functional, haemodynamic and additional clinical characteristics at baseline and over time. Furthermore, we derived a minimally important difference (MID) estimate for the e10 score. Results We analysed data from 565 PAH (75% female) adults aged mean± sd 55.6±16.0 years. At baseline, the e10 score had notable correlation with factors expected to impact quality of life in the general population, including age, education level, income, smoking status and body mass index. Clinically important parameters including 6-min walk distance and B-type natriuretic peptide (BNP)/N-terminal proBNP were also significantly associated with e10 score at baseline and over time. We generated a MID estimate for the e10 score of −6.0 points (range −5.0–−7.6 points). Conclusions The e10 score was associated with demographic and clinical patient characteristics, suggesting that health-related quality of life in PAH is influenced by both social factors and indicators of disease severity. Future studies are needed to demonstrate the impact of the e10 score on clinical decision-making and its potential utility for assessing clinically important interventions.
    Type of Medium: Online Resource
    ISSN: 0903-1936 , 1399-3003
    Language: English
    Publisher: European Respiratory Society (ERS)
    Publication Date: 2021
    detail.hit.zdb_id: 2834928-3
    detail.hit.zdb_id: 1499101-9
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 2004
    In:  Foot & Ankle International Vol. 25, No. 2 ( 2004-02), p. 73-78
    In: Foot & Ankle International, SAGE Publications, Vol. 25, No. 2 ( 2004-02), p. 73-78
    Abstract: The plaster-based total contact cast (TCC) is effective at reducing high plantar pressures associated with foot ulceration in the patient with diabetes. However, the weight and the lengthy drying time which require nonweightbearing create an inconvenience for the patient. Fiberglass has been commonly used as a substitute for plaster due to the quicker drying time, although little is known about the effects of fiberglass on plantar pressures. The purpose of the study was to compare a plaster-based TCC (PB-TCC) and an all-fiberglass TCC (AF-TCC) using selected plantar pressure parameters for commonly ulcerated regions of the foot. Using a repeated measures design, 10 healthy subjects consented to walk, for four consecutive trials, along a 25-m corridor while wearing a running shoe, PB-TCC, and AF-TCC. For each of the footwear conditions, parameters of peak pressure, pressure–time integral, and contact time for the forefoot, lateral midfoot, and heel regions were recorded using the Pedar™ system of plantar pressure measurement. Both the PB-TCC and AF-TCC produced similar peak plantar pressures that were significantly lower ( p = .001) than the running shoe. Pressure–time integrals were similar for all footwear conditions and contact time was not altered with footwear type. In summary, the AF-TCC appears to be an effective alternative to the PB-TCC for plantar pressure reduction in the management of neuropathic foot ulceration.
    Type of Medium: Online Resource
    ISSN: 1071-1007 , 1944-7876
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2004
    detail.hit.zdb_id: 2129503-7
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  • 3
    Online Resource
    Online Resource
    SLACK, Inc. ; 2001
    In:  Journal of Gerontological Nursing Vol. 27, No. 1 ( 2001-01), p. 15-20
    In: Journal of Gerontological Nursing, SLACK, Inc., Vol. 27, No. 1 ( 2001-01), p. 15-20
    Abstract: ABSTRACT This project examined the accuracy of chronic wound assessments made using an interactive, video telecommunications system (Teledoc™ 5000, NEC America, Inc., Irving, TX) by comparing a nurse expert's in-person wound assessments with wound assessments made from taped Tefedoc sessions. Wound assessments determined the absence or presence of nine wound characteristics instrumental in guiding treatment (e.g., tunneling, undermining, granulation tissue, necrotic tissue, epithelial tissue, purulent exudate, erythema, edema, induration). A sample of 13 paired wound observations was analyzed. The accuracy of the Teledoc technology was examined by calculating the amount of agreement between the inperson assessments and the taped Teledoc assessments for each of the nine characteristics. Agreement for eight of the nine wound characteristic exceeded 75%, suggesting this telehealth medium does not alter wound assessment data, which are essential in guiding treatment decisions. In addition to connecting the remotely based nurse with nursing expertise to improve patient care, telehealth technology seemed to increase the remotely-based nurses' knowledge of wound assessment and treatment as well.
    Type of Medium: Online Resource
    ISSN: 0098-9134 , 1938-243X
    Language: English
    Publisher: SLACK, Inc.
    Publication Date: 2001
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  • 4
    Online Resource
    Online Resource
    SLACK, Inc. ; 2001
    In:  Journal of Gerontological Nursing Vol. 27, No. 1 ( 2001-01), p. 28-33
    In: Journal of Gerontological Nursing, SLACK, Inc., Vol. 27, No. 1 ( 2001-01), p. 28-33
    Abstract: Measurement of Satisfaction for Patients and Providers ABSTRACT Consumer and provider satisfaction is key to the continued use and expansion of telehealth technology. This pilot study compared satisfaction of providers and patients with wound consultations done in person with those done via real-time interactive video technology. Eleven telehealth consultations with a nurse expert were immediately followed by an in-person consultation with a second nurse expert. Satisfaction questionnaires were administered to patients, referring nurses, and the consultant nurse expert following both the in-person consultation and the telehealth consultation. The referring nurses (100%) were satisfied with both the telehealth and inperson consultations, noting the ability to provide better care for their patients. The patients (55%) were "very satisfied" with the telehealth consultations versus 40% satisfied with the in-person consultations. Difficulty in hearing for the patients was equal in both groups, which resulted in changes in the consultation process. The patients' difficuity in seeing the telehealth consultant was addressed through larger screens and strategic positioning to provide easier viewing for the patient and providers. The telehealth nurse consultant was satisfied overall but had some difficulty communicating. This pilot study helped provide useful information for both the telehealth and inperson consultations.
    Type of Medium: Online Resource
    ISSN: 0098-9134 , 1938-243X
    Language: English
    Publisher: SLACK, Inc.
    Publication Date: 2001
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  • 5
    In: Plastic Surgical Nursing, Ovid Technologies (Wolters Kluwer Health), Vol. 15, No. 1 ( 1995-21), p. 8-20
    Type of Medium: Online Resource
    ISSN: 0741-5206
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 1995
    detail.hit.zdb_id: 2183728-4
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  • 6
    Online Resource
    Online Resource
    AACN Publishing ; 2013
    In:  Critical Care Nurse Vol. 33, No. 3 ( 2013-06-01), p. 53-67
    In: Critical Care Nurse, AACN Publishing, Vol. 33, No. 3 ( 2013-06-01), p. 53-67
    Abstract: Clinicians are confused by conflicting guidelines about the use of head-of-bed elevation to prevent aspiration and pressure ulcers in critically ill patients. Research-based information in support of guidelines for head-of-bed elevation to prevent either condition is limited. However, positioning of the head of the bed has been studied more extensively for the prevention of aspiration than for the prevention of pressure ulcers, especially in critically ill patients. More research on pressure ulcers has been conducted in healthy persons or residents of nursing homes than in critically ill patients. Thus, the optimal elevation for the head of the bed to balance the risks for aspiration and pressure ulcers in critically ill patients who are receiving mechanical ventilation and tube feedings is unknown. Currently available information provides some indications of how to position patients; however, randomized controlled trials where both outcomes are evaluated simultaneously at various head-of-bed positions are needed.
    Type of Medium: Online Resource
    ISSN: 0279-5442 , 1940-8250
    Language: English
    Publisher: AACN Publishing
    Publication Date: 2013
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  • 7
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2004
    In:  The Journal of Bone and Joint Surgery-American Volume Vol. 86, No. 12 ( 2004-12), p. 2714-2719
    In: The Journal of Bone and Joint Surgery-American Volume, Ovid Technologies (Wolters Kluwer Health), Vol. 86, No. 12 ( 2004-12), p. 2714-2719
    Type of Medium: Online Resource
    ISSN: 0021-9355
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2004
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  • 8
    Online Resource
    Online Resource
    SAGE Publications ; 2009
    In:  Biological Research For Nursing Vol. 11, No. 2 ( 2009-10), p. 119-128
    In: Biological Research For Nursing, SAGE Publications, Vol. 11, No. 2 ( 2009-10), p. 119-128
    Abstract: Aims. One proposed method to diagnose diabetic foot ulcers (DFUs) for infection is clinical examination. Twelve different signs of infection have been reported. The purpose of this study was to examine diagnostic validity of each individual clinical sign, a combination of signs recommended by the Infectious Disease Society of America (IDSA), and a composite predictor based on all signs of localized wound infection in identifying DFU infection, among a sample of DFUs. Methods. A cross-sectional research design was used. Sixty-four individuals with DFUs were recruited from a Department of Veterans Affairs Medical Center and an academic-affiliated hospital. Each DFU was independently assessed by 2 research team members using the clinical signs and symptoms checklist. Tissue specimens were then obtained via wound biopsy and quantitatively processed. Ulcers with more than 10 6 organisms per gram of tissue were defined as having high microbial load. Individual signs and the IDSA combination were assessed for validity by calculating sensitivity, specificity, and concordance probability. The composite predictor was analyzed using c-index and receiver operating curves. Results. Twenty-five (39%) of the DFUs had high microbial loads. No individual sign was a significant predictor of high microbial load. The IDSA combination was not a significant predictor either. The c-index of the composite predictor was .645 with a 95% confidence interval of .559-.732. Conclusions. Individual signs of infection do not perform well nor does the IDSA combination of signs. However, a composite predictor based on all signs provides a moderate level of discrimination, suggesting clinical use. Larger sample sizes and alternate reference standards are recommended.
    Type of Medium: Online Resource
    ISSN: 1099-8004 , 1552-4175
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2009
    detail.hit.zdb_id: 2070503-7
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  • 9
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2008
    In:  Techniques in Orthopaedics Vol. 23, No. 3 ( 2008-09), p. 213-221
    In: Techniques in Orthopaedics, Ovid Technologies (Wolters Kluwer Health), Vol. 23, No. 3 ( 2008-09), p. 213-221
    Type of Medium: Online Resource
    ISSN: 0885-9698
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2008
    detail.hit.zdb_id: 2055188-5
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  • 10
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 1986
    In:  Nursing Research Vol. 36, No. 2 ( 1986-03), p. 98???100-
    In: Nursing Research, Ovid Technologies (Wolters Kluwer Health), Vol. 36, No. 2 ( 1986-03), p. 98???100-
    Type of Medium: Online Resource
    ISSN: 0029-6562
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 1986
    detail.hit.zdb_id: 1480527-3
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