1
40
2
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/0272989x9501500206" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/0272989x9501500206</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
138-142
Issue
2
Volume
15
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
OPTIMAL INTERVAL FOR TRIPLE-LUMEN CATHETER CHANGES - A DECISION-ANALYSIS
Publisher
An entity responsible for making the resource available
Medical Decision Making
Date
A point or period of time associated with an event in the lifecycle of the resource
1995
1995-04
Subject
The topic of the resource
200; analysis; catheter-related infection; central venous catheterization; complications; consecutive patients; decision; Health Care Sciences & Services; hyperalimentation; infectious; intensive-care-unit; maintenance; Medical Informatics; risk-factors; sepsis; single-lumen; total parenteral-nutrition; triple-lumen catheter
Creator
An entity primarily responsible for making the resource
Ritchey N P; Caccamo L P; Carter K J; Castro F; Erickson B A; Johnson W; Kessler E; Ruiz C A
Description
An account of the resource
A survey of 53 university and community hospitals revealed that 73% of the institutions had no standard policy for the replacement of triple-lumen catheters (TLCs). Since the maintenance of a TLC in place for a prolonged period may lead to infectious complications, it appeared warranted that standards of management be developed. A decision-tree model was constructed for evaluating the optimal time for changing a TLC that would minimize infection. Cost estimates and health effects at three-, five-, and ten-day change intervals were considered for catheter insertion and complications resulting from such insertion. The results suggested that prophylactic catheter changes should occur no later than every five days, provided that there are no signs of infection. However, sensitivity analysis of several variables suggested that individual institutions should establish policy timing changes based upon careful interpretation of their own data. A model was developed to assist in determining the optimal time to change a TLC based upon such data.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/0272989x9501500206" target="_blank" rel="noreferrer noopener">10.1177/0272989x9501500206</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
1995
200
analysis
Caccamo L P
Carter K J
Castro F
catheter-related infection
central venous catheterization
complications
consecutive patients
decision
Erickson B A
Health Care Sciences & Services
hyperalimentation
Infectious
intensive-care-unit
Johnson W
Journal Article
Kessler E
maintenance
Medical Decision Making
Medical Informatics
risk-factors
Ritchey N P
Ruiz C A
sepsis
single-lumen
total parenteral-nutrition
triple-lumen catheter
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1055/s-0039-1688776" target="_blank" rel="noreferrer noopener">http://doi.org/10.1055/s-0039-1688776</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
e244-e250
Issue
3
Volume
9
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Addressing Decision Making in Progesterone Treatment for History of Preterm Delivery
Publisher
An entity responsible for making the resource available
AJP reports
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-07
Subject
The topic of the resource
17-OHP; decision; preterm birth; progesterone; qualitative
Creator
An entity primarily responsible for making the resource
Zuponcic Jacqueline; Cottrell Connie; Lavin Justin; Facchini Wendy; Li Marissa
Description
An account of the resource
Introduction The United States ranks 27th among nations worldwide for infant mortality with a rate of 6.1 deaths per 1,000 live births. The majority of perinatal morbidity and mortality is related to preterm birth, defined as delivery prior to 37 weeks' gestation. Among the risk factors for preterm birth is prior preterm birth, which is associated with a 1.5- to 2.0-fold increase in risk. At the present time, there is only one Food and Drug Administration approved treatment for the prevention of preterm birth among women with a history of prior spontaneous premature delivery, intramuscular 17-α-hydroxyprogesterone caproate (17-OHP), administered once weekly from 20 to 36 weeks' gestation. However, many eligible pregnant patients decline this therapy. Methods This was a prospective, cohort study involving patients who were identified as candidates for 17-OHP treatment at their first obstetric visit and asked to complete a short survey regarding their history of preterm birth. Those patients who consented to a follow-up phone call were asked to participate in a focus group discussion regarding their experience with progesterone and the health care system. Results During the 1-year study period, 55 progesterone candidates were identified, 43 accepted treatment, 7 refused, and 5 either initiated prenatal care too late to receive injections or did not follow-up. Those who accepted treatment appeared to cope better with treatment side effects, and/or had traumatic emotional reactions regarding their prior premature birth outcomes. Women who declined treatment often cited pain with injection, had fatalistic beliefs regarding their care, and/or had personal concerns related to full-term pregnancy. Discussion Maternal health care providers should always discuss the implications of prematurity at the time of the index premature delivery and again at the first prenatal visit of the subsequent pregnancy. Providers need to be prepared to employ various techniques for patient counseling and education. Small changes in office practice, like having fewer care providers involved in patient care or providing distractions for children, may make the difference between a patient who is open or closed to treatment options.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1055/s-0039-1688776" target="_blank" rel="noreferrer noopener">10.1055/s-0039-1688776</a>
17-OHP
2019
AJP reports
Cottrell Connie
decision
Facchini Wendy
Lavin Justin
Li Marissa
NEOMED Student Publications
Preterm birth
progesterone
Qualitative
September 2019 Update
Zuponcic Jacqueline