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Δευτέρα 20 Νοεμβρίου 2017

Development of guidelines for giving community presentations about eating disorders: a Delphi study

Abstract

Background

Concerns exist around how to talk about eating disorders (EDs) due to evidence that suggests discussing ED symptoms and behaviours may cause or worsen symptoms in vulnerable people. Using expert consensus, we developed a set of guidelines for giving safe community presentations about EDs.

Methods

Participants with professional ED expertise, and people with lived experience of an ED, were recruited for a Delphi study. N = 26 panel members rated 367 statements for both a) inclusion in guidelines, and b) their potential to be helpful (increase knowledge, reduce stigma) or harmful (increase stigma, cause/worsen ED symptoms). After each round of the study, statements were classified as endorsed, re-rate, or not endorsed.

Results

208 statements were endorsed by the panel over three rounds. 13 statements were strongly endorsed in the first round, with both people with lived experience and professionals agreeing it is important for presentations to include information on etiology of EDs and to promote help-seeking. Several statements had a high level of disagreement between those with lived experience and professionals, including the idea that presentations should suggest dieting is likely to result in weight gain.

Discussion

The experts were able to develop consensus on a wide range of issues. Panel members, particularly people with lived experience, were sensitive to aspects of presentations that may be harmful to an audience. The guidelines fill an important gap in the literature and provide guidance to those educating the public about EDs; they should, however, be further evaluated to test their efficacy.



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Scholar : Decannulation - νέα αποτελέσματα

Medical management of the supported patient

P Nair, CS Hayward, P Forrest - Mechanical Circulatory and Respiratory Support, 2017
The medical management of extracorporeal membrane oxygenation (ECMO), ventricular assist
device (VAD), and total artificial heart (TAH) patients is complex and.
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P131 Weaning outcomes from tracheostomy ventilation in an acute respiratory care unit (arcu): a three-year experience

S Sufyan, MN Khan, M Thirumaran, SP Meghjee… - 2017
… OSA. No patients died in hospital. Eight (67%) patients were discharged without
any ventilatory support after decannulation, Two (17%) required overnight ventilation
and were discharged with tracheostomy ventilation. One …
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Complications of mechanical circulatory and respiratory support

AJC Burrell, RF Salamonsen, DA Murphy - Mechanical Circulatory and Respiratory …, 2017
Despite the benefits of mechanical circulatory and respiratory support (MCS), patients undergoing
extracorporeal membrane oxygenation (ECMO) and the implantatio.
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Direct True Lumen Cannulation ("Samurai" Cannulation) for Acute Stanford Type A Aortic Dissection

T Kitamura, M Nie, T Horai, K Miyaji - The Annals of Thoracic Surgery, 2017
… the ascending aortic wall [3], and it is therefore not suitable if there is a full- or near-circumferential
dissection (Fig 3). During left ventricular apical cannulation [4], positioning the heart can cause
hemodynamic deterioration, and bleeding complications after decannulation can be …
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P129 Implementing target range oxygen in critical care (trocc); a baseline survey and pilot study

BR O'Driscoll, T Fudge, J Cardell, H Millar, PM Dark - 2017
… OSA. No patients died in hospital. Eight (67%) patients were discharged without
any ventilatory support after decannulation, Two (17%) required overnight ventilation
and were discharged with tracheostomy ventilation. One …
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Comparison of long‐term outcomes between pull‐through resection and mandibular lip‐split surgery for T4a tongue/floor of mouth cancers

SJ Cheng, HH Ko, JJ Lee, SH Kok - Head & Neck, 2017
… was within 1 hour in 91% (53/58) of cases, opposing to 23% (8/35) for tumor resection via the
mandibular lip-split and the difference was statistically significant (P < .001; Table 2). Nevertheless,
the length of hospital stay, timing of tracheostomy decannulation, and duration for …
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Cannula design

SD Gregory, J Zwischenberger, D Wang, S Liao… - Mechanical Circulatory and …, 2017
The anatomical interaction between mechanical circulatory or respiratory support and the
patient is achieved by specially designed tubes called cannulae. Despit.
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Mechanical Circulatory Support for High-Risk Pulmonary Embolism

M Elder, N Blank, A Shemesh, M Pahuja, A Kaki… - Interventional Cardiology …, 2018
Skip to Main Content …
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Optimizing the patient and timing of the introduction of mechanical circulatory and extracorporeal respiratory support

K Shekar, N Obonyo, JF Fraser - Mechanical Circulatory and Respiratory Support, 2017
Evolution of extracorporeal and implantable cardiorespiratory mechanical assist devices has
added a new dimension to the management of patients with acute refra.
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Surgical implantation

SF Marasco, C McDonald, DC McGiffin - Mechanical Circulatory and Respiratory …, 2017
Surgical implantation of a left ventricular assist device typically occurs via sternotomy and
requires cardiopulmonary bypass support. Currently available devic.
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Scholar : intitle:laryngeal - new results

P110 Feasibility of continuous laryngoscopy during provocation in the assessment of inducible laryngeal obstruction

J Selby, P Cullinan, J Feary, G Scadding, B Fitzgerald… - 2017
Introduction Inducible laryngeal obstruction (ILO) is typically provoked by a range of stimuli,
including perfumes and exercise, and characterised by transient throat tightness, dyspnoea
and stridor. Central to the diagnosis of ILO is paradoxical adduction of laryngeal structures
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Clinical Impact of External Laryngeal Manipulation During Laryngoscopy on Tracheal Intubation Success in Critically Ill Children

T Kojima, EK Laverriere, EB Owen… - Pediatric Critical Care …, 2017
Objectives: External laryngeal manipulation is a commonly used maneuver to improve
visualization of the glottis during tracheal intubation in children. However, the effectiveness
to improve tracheal intubation attempt success rate in the nonanesthesia setting is not clear.
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P145 Medical co-morbidities in patients referred for specialist assessment of inducible laryngeal obstruction and dysfunctional breathing

J Haines, R Daly, SJ Fowler - 2017
Introduction As part of our tertiary multi-disciplinary complex breathlessness service we run
a weekly 'one-stop assessment day'for new referrals. Referral requests include assessment
of refractory breathlessness felt due to inducible laryngeal obstruction (ILO) and/or
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P109 Utility of a multidimensional upper airway visual analogue scale to characterise laryngeal dysfunction

J Selby, F Gillies, E Bailey, JH Hull - 2017
Introduction Laryngeal hypersensitivity is now recognised as underpinning many features of
laryngeal dysfunction, such as chronic refractory cough (CRC), inducible laryngeal
obstruction (ILO) and globus sensation (Hull et al., 2016). Many respiratory patients present
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P23 Patient-reported onset factors in inducible laryngeal obstruction

C Slinger, R Slinger, A Vyas - 2017
Introduction and Objectives Inducible Laryngeal Obstruction (Ilo) is poorly understood, in
terms of aetiology and onset by patients and clinicians. Patients presenting to our Tertiary
Airways service commonly seek an understanding of the causes and triggers of their Ilo
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P22 Inducible laryngeal obstructions causing breathing problems: a study classifying patients' laryngoscopic presentations according to the ers/els/accp 2013 …

C Slinger, J Blakemore, R Slinger, A Vyas - 2017
Introduction and Objectives An international task force proposed the term 'Inducible
Laryngeal Obstruction'(Ilo) to describe a group of conditions which, in the literature, has over
40 descriptive terms, including, vocal cord dysfunction (VCD). The resultant nomenclature
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Anatomical Variations of Recurrent Laryngeal Nerve (Rin) as Seen in Thyroid Surgery

MA SAJID, M MAQBOOL, M ANWAR, Y MUHAMMAD… - Annals of King Edward …, 2017
Abstract This is a prospective study of 50 consecutive cases in which Recurrent Laryngeal
Nerve (RLN) was explored during various operations on thyroid gland. Ninety percent of the
patients were female. Their age ranged from 17 to 60 years with the average age of 38.5
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[HTML] Predicting the optimal minimal cuff volume of the laryngeal mask airway from physical examination parameters

GE Bae, HW Shin, HH Lim, BJ Ju, YK Jang - Anesthesia and Pain Medicine, 2017
Background: Head and neck anatomy affects the laryngeal mask airway (LMA) cuff volume.
The purpose of this study was to identify physical parameters that can be standardized to
predict LMA cuff volume and measure the optimal and minimal LMA cuff volume in adults.
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[PDF] High expression of c‑Met and EGFR is associated with poor survival of patients with glottic laryngeal squamous cell carcinoma

M Jiang, H Zhang, H Xiao, Z Zhang, D Que, J Luo, J Li… - Oncology Letters
Abstract The present study was undertaken to explore the association between the
expression of hepatocyte growth factor receptor (c‑Met) and epidermal growth factor
receptor (EGFR) with clinicopathological factors and survival status, to obtain prognostic
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MicroRNA‐26a inhibits proliferation and tumorigenesis via targeting CKS2 in laryngeal squamous cell carcinoma

Z Wu, B Lu, X Li, W Miao, J Li, Y Shi, W Yu - Clinical and Experimental Pharmacology and …
Abstract Laryngeal squamous cell carcinoma (LSCC) is one of the most common head and
neck cancer, with high mortality and incidence. MicroRNA-26a (miR-26a) is involved in the
development and progression of several tumors. However, the roles of miR-26a and its
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