Arch Intern Med
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Multicenter Study
Blood urea nitrogen in the early assessment of acute pancreatitis: an international validation study.
Objective assessment of acute pancreatitis (AP) is critical to help guide resuscitation efforts. Herein we (1) validate serial blood urea nitrogen (BUN) measurement for early prediction of mortality and (2) develop an objective BUN-based approach to early assessment in AP. ⋯ We have confirmed the accuracy of BUN measurement for early prediction of mortality in AP and developed an algorithm that may assist physicians in their early resuscitation efforts.
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Randomized Controlled Trial
Effect of music-based multitask training on gait, balance, and fall risk in elderly people: a randomized controlled trial.
Falls occur mainly while walking or performing concurrent tasks. We determined whether a music-based multitask exercise program improves gait and balance and reduces fall risk in elderly individuals. ⋯ In community-dwelling older people at increased risk of falling, a 6-month music-based multitask exercise program improved gait under dual-task condition, improved balance, and reduced both the rate of falls and the risk of falling. Trial Registration clinicaltrials.gov Identifier: NCT01107288.
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Randomized Controlled Trial
Patient education to prevent falls among older hospital inpatients: a randomized controlled trial.
Falls are a common adverse event during hospitalization of older adults, and few interventions have been shown to prevent them. ⋯ Multimedia patient education with trained health professional follow-up reduced falls among patients with intact cognitive function admitted to a range of hospital wards. Trial Registration anzctr.org.au Identifier: ACTRN12608000015347.
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The aim of this study was to determine the appropriateness of antibiotic initiation, selection, and duration of therapy among patients in nursing homes with results of a urinalysis showing urinary tract infection. ⋯ Opportunities exist to improve provider practice related to the appropriate treatment of urinary tract infections in the nursing home.