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72% (P = 0.006). Failure outcomes were associated with a baseline weight less than 50kg (OR, 8.668; 95% CI 1.679-44.756; P = 0.010), age older than 60years (OR, 9.053; 95% CI 1.606-51.027; P = 0.013), hemoptysis (OR, 8.928; 95% CI 1.048-76.923; P = 0.045), presence of cavitary diseases (OR, 10.204; 95% CI 2.032-52.631; P = 0.005), or treatment irregularity (OR, 47.619; 95% CI 5.025-500; P = 0.001).
Treatment outcomes for M/XDR-TB under the DOTS-Plus strategy in Zhejiang, China were favorable but still not ideal. Low body weight (< 50kg), old age (> 60years), severe symptoms of TB including cavitary disease, hemoptysis and irregular treatment were independent prognostic factors for failure outcomes in patients with M/XDR-TB.
60 years), severe symptoms of TB including cavitary disease, hemoptysis and irregular treatment were independent prognostic factors for failure outcomes in patients with M/XDR-TB.
The care of people with dementia is usually carried out by their family members, which can cause objective und subjective burden and raise their risk of depressiveness. Thus, the aim of this study is to identify predictors of the change in depressiveness of informal caregivers over 1 year in order to be able to derive hypotheses for interventions that promise success.
The Bavarian Dementia Survey (BayDem) is a multi-center, longitudinal study conducted at three different sites in Bavaria, Germany. Participants were people with dementia and their informal caregivers. Data was collected at baseline and after 12 months by standardized face-to-face interviews in cooperation with local players. The informal caregivers' depressiveness was assessed with the WHO-5. Ipatasertib order Data was also collected on the people with dementia's cognition (MMSE), behavioral symptoms (NPI) and comorbidities (Charlson Comorbidity Index) as well as caregivers' social inclusion (LSNS), time spent on care and care contribution (RUD). For statistical analysis, a multiple regression model was used.
The data of 166 people with dementia and their informal caregivers was analyzed. Of the latter, 46% were categorized as "likely depressed". The change in depressiveness over a year was significantly predicted by baseline depressiveness as well as an increase in the time informal caregivers spent supervising the person with dementia.
Informal caregivers of people with dementia are at high risk of depression. The time spent supervising the person with dementia has a significant impact on increasing depressiveness. This highlights the importance of support services to provide the informal caregiver with relief and possibly reduce depressiveness.
Informal caregivers of people with dementia are at high risk of depression. The time spent supervising the person with dementia has a significant impact on increasing depressiveness. This highlights the importance of support services to provide the informal caregiver with relief and possibly reduce depressiveness.
Ensuring data is of appropriate quality is essential for the secondary use of electronic health records (EHRs) in research and clinical decision support. An effective method of data quality assessment (DQA) is automating data quality rules (DQRs) to replace the time-consuming, labor-intensive manual process of creating DQRs, which is difficult to guarantee standard and comparable DQA results. This paper presents a case study of automatically creating DQRs based on openEHR archetypes in a Chinese hospital to investigate the feasibility and challenges of automating DQA for EHR data.
The clinical data repository (CDR) of the Shanxi Dayi Hospital is an archetype-based relational database. Four steps are undertaken to automatically create DQRs in this CDR database. First, the keywords and features relevant to DQA of archetypes were identified via mapping them to a well-established DQA framework, Kahn's DQA framework. Second, the templates of DQRs in correspondence with these identified keywords and features weage of the auto-created DQRs to a typical DQA task of Chinese hospitals, the CARSES. The challenges of automating DQR creation were identified, such as quality requirements based on semantic, and complex constraints of multiple elements. This research can enlighten the exploration of DQR auto-creation and contribute to the automatic DQA.
It's feasible to create DQRs automatically based on openEHR archetypes. This study evaluated the coverage of the auto-created DQRs to a typical DQA task of Chinese hospitals, the CARSES. The challenges of automating DQR creation were identified, such as quality requirements based on semantic, and complex constraints of multiple elements. This research can enlighten the exploration of DQR auto-creation and contribute to the automatic DQA.
Systematic reviews, considered the gold standard for the assessment of scientific evidence, may present conflicting findings for the same clinical issue, and such dissent may be justified by the forms of elaboration of the electronic search strategy. This paper aims to validate a search strategy to identify randomized clinical trials related to periodontitis. A gold standard reference set was developed to validate the identified clinical trials using the relative recall method. The choice of periodontitis is due to the fact that this disease has a high prevalence among chronic non-communicable diseases, is considered the second most common oral disease in the world, is associated with several health problems, such as cardiovascular diseases and diabetes, and, principally, has not been investigated sufficiently to prevent possible damages resulting from it.
A validation study was developed in MEDLINE/PubMed. In Stage 1, a methodological filter recommended by the Cochrane Collaboration to identify randomize was 1.3.
According to the proposed methodological approach, the search strategy under evaluation performed well in the identification of randomized clinical trials related to periodontitis.
According to the proposed methodological approach, the search strategy under evaluation performed well in the identification of randomized clinical trials related to periodontitis.