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Maintaining Nursing Care Quality—Clinical Care Guidelines for Cystic Fibrosis: Outpatient and Inpatient

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Case Reports in Clinical Medicine 2016年第10期5卷 358-362页

作者： Melanie koeller Cornelia Meyer Fachklinik Satteldüne für kinder und Jugendliche Nebel/Amrum Germany College of Medicine University of Tübingen Tübingen Germany

The Care Committee of the Mukoviszidose e.V., headed by Cornelia Meyer, has drawn up a completely revised version of the German Guidelines to Care in Cystic Fibrosis. It addresses all nursing staff concerning children, adolescents or adults with cystic fibrosis (CF) either in an inpatient and outpatient setting or in rehab clinics. The guidelines evolve along with the increased life expectancy of cystic fibrosis patients and improved quality of life which is described by CF patients and can be observed by the therapeutic CF team. For example, the treatment of secondary diseases like CFDR (CF related diabetes) which comes along with an increased life expectancy has been added over the years. It is essential that within such a complex disease pattern, professional experience of care staff who worked in specialized CF care centers (50+ patients per year) for many years has to be transferred to other nursing stuff or beginners. This is especially important in the context of the heterogeneous characteristics of this disease. Often it can be seen that the quality of the care for CF patients depends on the know-how and professional experience of the interdisciplinary CF therapists team. Moreover, it depends on the knowledge which the patient has gathered by himself by experience or learning. And, of course, it depends also on the knowledge of the relatives especially parents or partner respectively.

关键词： Cystic Fibrosis Clinical Nursing Guidelines

THE INFLUENCE OF MAGNESIUM ON OCULAR HEMODYNAMICS AND VISUAL FUNCTION IN GLAUCOMA PATIENTS

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国际眼科杂志 2003年第1期3卷 55-56页

作者： k.A.Mollenhauer L.E.Pillunat A.G.Boehm M.F.Mueller A.U.koeller Department of Ophthalmology University Eye Hospital GermanyDepartment of Ophthalmology University Eye Hospital GermanyDepartment of Ophthalmology University Eye Hospital GermanyDepartment of Ophthalmology University Eye Hospital GermanyDepartment of Ophthalmology University Eye Hospital Germany

Background: Systemic high dose application of magnesium leads to relaxation of vasospasm in small vessels. In normal pressure glaucoma patients vasospasm might be one of the major patho-genetic factors. Some investigations report on a neuroprotective action of oral magnesium. Aim of the present study was to examine the effect of oral magnesium on ocular blood flow and

关键词：镁剂青光眼眼内血流动力学视机能

Chronic Diseases of Childhood and the International Classification of Functioning, Disability, and Health: A Systematic Review

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Health 2022年第7期14卷 751-765页

作者： Daniela koeller Rodrigues Vieira Carla Trevisan M. Ribeiro Roseane de Lima Ribeiro Lara Carolina Januário Cabral Center for Assistive Technology and Health Products National Institute for Women Children and Adolescents Fernandes Figueira Oswaldo Cruz Foundation (IFF-Fiocruz) Rio de Janeiro Brazil

The increase in chronic diseases in childhood highlights the need for a biopsychosocial approach to deal with the complexity of these health conditions. The International Classification of Functioning, Disability, and Health (ICF) results from the need to implement new explanatory evaluative and therapeutic models. Thus, the present systematic review aims to identify published studies on the use of the ICF in chronic childhood diseases. As a secondary objective, to map the themes that have already been studied in the area to support the discussion on the expansion of the use of this classification in health services. The systematic review followed the PRISMA protocol, and the model was the PICO acronym, where Population was children and adolescents with chronic diseases, Intervention/Exposure was evaluation based on ICF concepts, Comparator was any tool, instrument, or intervention, and outcome was direct or indirect use of the ICF. We selected eight articles, five of which used the ICF as a conceptual tool and three as a classification system, divided into the following themes: quality of life, evaluation of patients (without using coding) and mapping the inclusion of the activity’s results and participation in clinical trials. Thus, use of the ICF in clinical practice is still incipient, although it has been recommended in guidelines. Further studies are necessary to expand the number of contributions by the ICF and to develop the necessary approaches for understanding the classification’s use.

关键词： Chronic Diseases International Classification of Functioning Disability and Health Child Adolescent Disabled Children

Healthcare Overuse： A Literature Review and Taxonomy Proposal

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Journal of Health Science 2016年第2期4卷 83-92页

作者： Eva koeller Colleen Barclay Tina L. Velasquez Russell Harris Melissa R. Partin Elisheva R. Danan Nancy Greer Timothy J. Wilt Center for Chronic Disease Outcomes Research and the Minneapolis Vii High Value Care Initiative Minneapolis VA Health Care System Minneapolis MN 55417 USA Sheps Center for Health Services Research University of North Carolina at Chapel Hill Chapel Hill NC 27599 USA Department of Medicine Section of General Internal Medicine University of Minnesota Minneapolis MN 55417 USA

Healthcare overuse is the provision of care in which the benefits do not justify the harms and/or costs. Overuse literature is poorly categorized thus impeding research, practice, and policy to reduce overuse and improve healthcare quality. We developed an overuse taxonomy and searched for and reviewed the healthcare overuse literature in an attempt to better understand and categorize research on overuse practice and patterns. We found that more than two-thirds of articles were observational （70%）, the most prevalent purpose of overuse was treatment/secondary prevention （69%）, the most common type of overuse was overtreatment （73 %）, drivers of and methods to reduce overuse were each discussed in about 40% of abstracts, and the most frequently mentioned clinical area was pharmacy. A high volume of overuse literature exists. However, the majority of overuse research is observational, descriptive, and focuses on overtreatment and overprescribing rather than methods to reduce overuse. Some overuse is not labelled as such. Our taxonomy adequately organized the existing literature and identified areas where additional research efforts are most needed. A common taxonomy, such as ours, could help researchers categorize their work, assist clinicians and policymakers in identifying and implementing findings, and guide future research to improve healthcare quality.

关键词： Healthcare overuse overtreatment overuse healthcare utilization.

THE EFFECT OF DIFFERENT TOPICAL BETABLOCkERS ON OCULAR HEMODY- NAMICS AND OPTIC NERVE HEAD BLOOD FLOW IN GLAUCOMA PATIENTS

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国际眼科杂志 2003年第1期3卷 27-27页

作者： A.G.Boehm A.U.koeller M.F.Mueller k.A.Mollenhauer L.E.Pillunat Department of Ophthalmology University of Dres-den GermanyDepartment of Ophthalmology University of Dres-den GermanyDepartment of Ophthalmology University of Dres-den GermanyDepartment of Ophthalmology University of Dres-den GermanyDepartment of Ophthalmology University of Dres-den Germany

Purpose: The aim of the study is to evaluate the influence of different betablockers on ocular hemodynamics and optic nerve head blood flow in glaucoma patients. Methods: 30 patients (12 male, 18 female) with primary open-angle glaucoma between 39 and 74 years of age were treated for 4 weeks each with betax-olol (BX), metipranolol 0.3% (ML) and timolol 0.5% (TL) in a randomized, double masked, crossover design. At baseline in-

关键词：青光眼患者 β阻滞剂眼内血流动力学视神经乳头血流影响