Medicine
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Central venous catheter (CVC) placement is a challenging procedure with known iatrogenic risks. However, there are no residency program requirements to demonstrate baseline CVC procedural competency. Competency-based procedural education has been shown to decrease CVC-associated morbidity, but there has been limited literature about institution-wide efforts to ensure initial trainee competency for CVC placement. ⋯ All participating interns demonstrated simulation-based competency allowing them to place CVCs under supervised clinical care. Dangerous actions, however, were not uncommon. Simulation-based teaching and learning frameworks were a feasible method to promote patient safety through an institutional-wide verification of preliminary procedural competency.
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Meta Analysis
Efficacy and safety of electroacupuncture for urinary retention: A systematic review and meta-analysis.
Electroacupuncture (EA) is considered as an effective treatment for urinary retention (UR). ⋯ EA has significant advantages in treating UR, but the efficacy and safety are still needed to be further verified through large-sample and high-quality RCTs.
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Hyperthyroidism is increased synthesis and secretion of thyroid hormones by the thyroid gland resulting in thyrotoxicosis. The modality of therapy for hyperthyroidism includes anti-thyroid drugs, radioiodine and surgery. Anti-thyroid drugs are the only available therapy for hyperthyroid patients in developing world as radioiodine is inaccessible and surgical set up does not exist as required. ⋯ On multivariate binary logistic regression, large goiter size (AOR: 3.163, 95% CI [1.333-7.506]), severe disease (AOR: 2.275, 95% CI [1.060-4.880]), infrequent iodinated salt intake (AOR: 3.668, 95% CI [1.245-10.802]), and poor adherence to anti-thyroid drug (AOR:15.724, 95% CI [5.542-44.610]) were statistically significant with uncontrolled hyperthyroidism at 12 months of anti-thyroid drug intake. A quarter of patients with hyperthyroidism didn't achieve euthyroid state after 12 months of anti-thyroid drug use. The identified predictors for non-euthyroid state were large goiter size, severe disease, infrequent iodinated salt intake, and poor adherence to anti-thyroid drug.
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Randomized Controlled Trial
The effects of various stair-climbing exercises on functional mobility and trunk muscle activation in community-dwelling older adults: A pilot randomized controlled trial.
Stair-climbing (SC) is an essential daily life skill, and stair-climbing exercise (SCE) serves as a valuable method for promoting physical activity in older adults. This study aimed to compare the impact of SCEs with heel contact (HC) and heel off (HO) during SC on functional mobility and trunk muscle (TM) activation amplitudes in community-dwelling older adults. ⋯ Both SCE methods could improve balance and SC ability in older adults while reducing the recruitment of TMs during SC. Both SCE strategies are effective in improving functional mobility and promoting appropriate posture control during SC in older adults.
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Randomized Controlled Trial
Intervention for work-family conflict and work deviance behavior among female workers in Tourism, Museum, Art Gallery Exhibition Centers: Implications for sustainable Tourism development intervention study.
This study was motivated due to psychological exhaustion, demands, and conflict degenerating from the work environment and family responsibilities facing career female workers. These roles and expectations have posed serious dilemmas to female populations in workplaces. Leaving them untreated is risky and could lead to severe psychological disturbances. Based on these, this study investigated the effect of the occupation health model of Rational Emotive Behaviour Therapy on work-family conflict and work-deviant behavior among female workers in Tourism, Museum, Art Gallery and Exhibition Centers in Enugu State. ⋯ This suggest that occupation health model of Rational Emotive Behaviour Therapy has significant impact in reducing and changing female workers' perceptions of work-family conflict and work deviant behaviors.