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BACKGROUND The introduction of a new information retrieval system for the use of health service staff at a large tertiary referral hospital provided an excellent opportunity for nurses to make greater use of evidence to inform their practice. However, the extent to which nurses were able to access the resource was unknown. AIM The aim of the study was to(More)
The purpose of this literature review is to explore the potential relationship between ethnicity and obesity, and obesity-related risks, with a particular emphasis on disparities between Asian and Pacific Islander populations. We conducted a comprehensive search of available medical literature related to the rise of obesity in the United States, factors(More)
The authors examined the relationship between low health literacy (LHL), limited English proficiency (LEP), and meeting current U.S. Preventive Service Task Force colorectal cancer (CRC) screening guidelines for Asians and Whites in California. For 1,478 Asian and 14,410 White respondents 50-75 years of age in the 2007 California Health Interview Survey,(More)
OBJECTIVE To develop and validate an instrument measuring attitudes toward older persons and caring for older patients. DESIGN Cross-sectional and longitudinal studies. SETTING An academic medical center. PARTICIPANTS Initial Study: 121 primary care residents (n = 96), fellows (n = 14), and faculty (n = 11) participated in instrument development in(More)
BACKGROUND The diffusion of comprehensive geriatric assessment services has been rather limited in North America partly because of reimbursement and organizational constraints. OBJECTIVE To evaluate the impact of a comprehensive geriatric assessment intervention for frail older patients that is started before hospital discharge and is continued at home.(More)
INTRODUCTION Patients with head injuries frequently have abnormal coagulation studies. Monitoring intracranial pressure (ICP) in head injured patients is common practice, but no best practice guidelines exist for coagulation parameters for ICP monitor placement. PURPOSE To test the hypothesis that hemorrhagic complication rates from ICP monitor placement(More)
Background: At postgraduate level evidence based medicine (EBM) is currently taught through tutor based lectures. Computer based sessions fit around doctors' workloads, and standardise the quality of educational provision. There have been no randomized controlled trials comparing computer based sessions with traditional lectures at postgraduate level within(More)
BACKGROUND In the past three decades, there has been a significant clinical shift in the performance of resuscitative thoracotomy (RT), from a nearly obligatory procedure before declaring any trauma patient deceased to a more selective application of RT. We have sought to formulate an evidence-based guideline for the current indications for RT after injury(More)
The management of patients with hemodynamic instability from pelvic fracture is challenging and controversial. Mortality rates have ranged from 18% to 40% in reported series and death within the first 24 hours of injury was most often a result of acute blood loss. Significant decreases in mortality rates have been shown with adoption of algorithms for(More)
HYPOTHESIS The level of cervical spinal cord injury (CSCI) can be used to predict the need for a cardiovascular intervention. DESIGN Retrospective review. Data included level of spinal cord injury, Injury Severity Score, lowest heart rate, and systolic blood pressure in the first 24 hours and intensive care unit course. The level of CSCI was divided into(More)