Recommendations For Use Research Articles

Recommendations for Use of p16/Ki67 Dual Stain for Management of Individuals Testing Positive for Human Papillomavirus: Erratum.

Recommendations for Use of p16/Ki67 Dual Stain for Management of Individuals Testing Positive for Human Papillomavirus: Erratum.

Consensus recommendations for use of long-acting antiretroviral medications in the treatment and prevention of HIV-1: Endorsed by the American Academy of HIV Medicine, American College of Clinical Pharmacy, Canadian HIV and Viral Hepatitis Pharmacists Network, European AIDS Clinical Society, and Society of Infectious Diseases Pharmacists.

Five long-acting (LA) antiretrovirals (ARVs) are currently available in a limited number of countries worldwide for HIV-1 prevention or treatment-cabotegravir, rilpivirine, lenacapavir, ibalizumab, and dapivirine. Implementing use of LA ARVs into routine clinical practice requires significant changes to the current framework of HIV-1 prevention, treatment, and service provision. Given the novelty, complexity, and interdisciplinary requirements needed to safely and optimally utilize LA ARVs, consensus recommendations on the use of LA ARVs will assist clinicians in optimizing use of these agents. The purpose of these recommendations is to provide guidance for the clinical use of LA ARVs for HIV-1 treatment and prevention. In addition, future areas of research are also identified and discussed.

Consensus recommendations for use of long-acting antiretroviral medications in the treatment and prevention ofHIV-1: Endorsed by the American Academy of HIV Medicine, American College of Clinical Pharmacy, Canadian HIV and Viral Hepatitis Pharmacists Network, European AIDS Clinical Society, and Society of Infectious Diseases Pharmacists: An executive summary.

Five long-acting (LA) antiretrovirals (ARVs) are currently available in a limited number of countries worldwide for HIV-1 prevention or treatment - cabotegravir, rilpivirine, lenacapavir, ibalizumab, and dapivirine. Implementing use of LA ARVs in routine clinical practice requires significant changes to the current framework of HIV-1 prevention, treatment, and service provision. Given the novelty, complexity, and interdisciplinary requirements of safe and optimal use of LA ARVs, consensus recommendations on the use of LA ARVs will assist clinicians in optimizing use of these agents. The purpose of these recommendations is to provide guidance for the clinical use of LA ARVs for HIV-1 treatment and prevention. In addition, future areas of research are identified and discussed.

Zalunfiban: A Review of Current Knowledge and Future Applications of an Innovative Antiplatelet Agent.

Zalunfiban is a novel glycoprotein IIb/IIIa inhibitor currently being tested for its use in the prehospital setting for antiplatelet effect in patients with ST-elevation myocardial infarction. It has shown to be safe and effective in both phase 1 and phase 2 trials and is under investigation in phase 3 trials. In this review, we discuss zalunfiban in detail, including its mechanism of action, adverse effects, current recommendations for use, and ongoing trials.

Articulation work for supporting the values of students attending class via telepresence robots

Robotic Telepresence (TR) is a promising medium for providing classroom access for students who are unable to attend classes in-person. While existing research has focused on TR’s usability, adoption, and embodiment, there is a need for research focusing on how TR supports key user values — like identity, privacy, and courtesy — in educational contexts. To bridge this gap, we engaged 22 university students in a field study using Beam telepresence robots, which enabled us to discern the key manifestations of these three values in classroom human–robot interactions. We also identified articulation work improvised by remote students to maintain these values. Based on our findings, we propose recommendations for use that can support these values and offer design recommendations for future telepresence robots. Our insights offer valuable guidance to educational institutions intending to integrate telepresence robots, as well as to their designers.

Characteristics and quality of clinical practice guidelines for diabetic kidney disease: a systematic review.

To assess the quality of Clinical practice guidelines (CPGs) in the context of diabetic kidney disease (DKD) and determine whether any factors affect the quality. We searched eight databases along with five international and national organizations to develop or archive guidelines from their inception to July 2023, with an additional search of medlive.cn. And the authoritative organizations related to nephrology. CPGs and consensus statements created using direct differential diagnosis or therapy for DKD were included without language restrictions. Their quality was evaluated by four reviewers using the Appraisal of Guidelines for Research and Evaluation Ⅱ (AGREE Ⅱ) instrument. Along with the item and domain scores, the guideline was also allocated an overall quality score, which ranged from 1 (lowest possible quality) to 7 (highest possible quality). Moreover, an overall recommendation for use was also assigned ("recommended", "recommended with modifications" or "not recommended"). A total of 16 CPGs were included, of which 14 were from Asia and the remaining two from Europe. These two CPGs were updated in the third version. Six CPGs were recommended for use because their primary domains scored in the medium or high category. Furthermore, five CPGs were recommended with modifications as the stakeholder involvement, applicability, and editorial independence domains were evaluated as low categories. In all domains, the lowest average score was for rigour of development (33%), followed by application (36%), and stakeholder involvement (51%). The highest average score was for scope and purpose (79%), followed by clarity of presentation (75%). None of the CPGs considered the patient's viewpoint, and six of 16 CPGs did not use any grading system to translate the evidence into recommendations. Additionally, only three of 16 CPGs shared search strategy, and eight of 16 CPGs did not declare a funding source. According to the AGREE II evaluation, more than one in four CPGs for DKD had poor methodological quality. Enhanced efforts are needed to advance the rigour of development, application, and editorial independence of DKD guideline panels for most guidelines. Stakeholders, CPG developers, and CPG users should consider methodological quality while choosing CPGs, and interpret and implement their issued suggestions.

Knowledge and confidence gaps in differentiating PARP inhibitors among community oncology providers.

e21002 Background: Data and professional recommendations regarding the use of Poly(ADP-ribose) polymerase inhibitors (PARPis) for patients with ovarian cancer have evolved rapidly, challenging providers who manage patients with ovarian cancer (OC). Coupling confidence-based learning with continuing education (CE) is a proven tool to address such challenges towards enhanced patient care. Methods: A confidence-based continuing education (CE) activity was developed to address the evolving landscape of PARPi use in patients with OC. Pre-, intra-, and post-test assessment was used to quantify baseline parameters as well as the impact of education on knowledge and behaviors. The CME activity was available for credit from October 31, 2022 to October 30, 2023. Results: In total, 354 community oncology physicians or advanced practice providers (APPs) who see an average of 6 patients with OC per month completed the education. Baseline knowledge and confidence was low on topics related to strategies for molecular testing (29% correct) as well as the use of PARPis (27% correct). Moreover, on average, only 3% of those who answered correctly were confident in their response, highlighting a lack of confidence even in those who were correct. These knowledge and confidence gaps translated to only 24% of providers who use appropriate testing to determine BRCA1/2 and HRD status and only 16% feeling comfortable in differentiating PARPis. Additionally, while providers showed slight preference for olaparib in patients with homologous recombination deficiency (HRD) and niraparib in patients without HRD, on average 30% of providers were unsure of which agent to use in each clinical context. Overall, at baseline only 24% of providers reported individualizing the use of PARPis based on patient and tumor characteristics. Post-learning, there was a 46% increase in knowledge, and while the percentage of those who were confident and correct increased 21%, 76% remained unconfident. Still, these gains in knowledge and confidence resulted in two-thirds of providers making practice improvements in their use of PARPis, which resulted in improvements in patient health. Conclusions: The rapid evolution of the PARPi therapeutic landscape has caused gaps in knowledge, confidence, and behaviors. Ongoing and rapidly developed CE is a critical tool to address these challenges as data and recommendations for use continue to evolve rapidly.[Table: see text]

УПРАВЛЕНИЕ ЗАКУПОЧНОЙ ДЕЯТЕЛЬНОСТЬЮ В НОВЫХ РЕГИОНАХ РОССИИ

In 2022, the sphere of public procurement was replenished with new entities - customers of the Donetsk and Lugansk People's Republics, Kherson and Zaporozhye Regions, which became part of the Russian Federation. For obvious reasons, procurement regulation at the initial stage was established for them in a simplified manner. The paper analyzes the regulatory framework of procurement management in new regions of Russia, highlighting problematic issues arising for these customers from the change in the basis of legal regulation of the procurement of goods, works, services for state and municipal needs of these regions. It is noted that new Russian regions were able to achieve high results in terms of procurement volumes already in 2023. The scientific novelty of the work lies in the fact that for the first time in Russian science, the legal regulation of procurement in new regions of the Russian Federation, which became part of it in 2022, was studied and analyzed. The purpose of the paper is to analyze law enforcement practice and develop recommendations for use in procurement activities by customers in new territories, as well as when training specialists in the field of procurement for these regions. The work uses general scientific research methods: comparison, analysis, and the method of expert assessments.

Measures of Suicidal Thoughts and Behaviors in Children and Adolescents: A Systematic Review and Recommendations for Use in Clinical and Research Settings.

Empirically supported measures of suicidal thoughts and behaviors (STBs) are needed to serve as reference outcomes for suicide risk screening tools and to monitor severity and treatment progress in children and adolescents with STBs. The present paper systematically reviewed existing measures of STBs in youth and studies evaluating their psychometric properties and clinical utility. Measures were then evaluated on reliability, validity, and clinical utility. Sixteen articles (20 independent samples) were found with psychometric data with youth samples for eight measures. Interview-based measures were found to have the strongest psychometric support and clinical utility. Significant limitations exist for all self-report measures due to inherent characteristics of these measures that cannot be remedied through additional psychometric study. There is an urgent need for the development and validation of new self-report measures of STBs, particularly for preadolescent children, sexual and gender minority youth, and racial/ethnic minority youth.

Combined Endo-Laparoscopic Surgery (CELS) for the management of complex colorectal lesions

Detection of colon polyps is common and is expected in 20–30 % of screening colonoscopies. As the number of colonoscopies performed increases, the detection of advanced and difficult to resect polyps will also rise. These polyps tend to be larger, greater than 2 cm, have flat morphology, and are in difficult anatomic locations behind haustral folds or at sharp flexures of the colon. Advanced endoscopic techniques such as endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are useful to remove these polyps. However, many polyps remain unresectable with these techniques. Combined endoscopic laparoscopic surgery (CELS) has shown to be an effective technique to facilitate safe removal of complex polyps. CELS encompasses a variety of techniques including laparoscopic assisted ESD/EMR and laparo-endoscopic full thickness excisions (FLEX). Success rate of CELS ranges from 70 to 100 %, with less than 5 % conversion to colectomy. Perioperative outcomes boast shorter hospital length of stay, with low rates of serious post-op complications when compared to colectomy. Malignancy rate after CELS in appropriately selected patients is low, ranging from 1.6 %-10 % of cases. Polyp recurrence rate after CELS is also low, usually less than 10 %. Use of CELS for early-stage cancers remains controversial but maybe adequate in appropriately selected patients. Further evaluation and long-term studies are needed to study its efficacy in cases of known cancer. The purpose of this review is to provide recommendations for use of CELS techniques, appropriate indications, describe technical tips, and review potential future applications.

Growth Hormone Therapy in a Child with Fetal Alcohol Syndrome: Personal Experience with Literature Review

Introduction: Fetal alcohol syndrome (FAS) is associated with a positive maternal history of drinking during pregnancy and the presence of characteristic dysmorphic features due to alcohol teratogenic effect. No evidence is yet available regarding the use of growth hormone (GH) for children with FAS for whom GH deficiency has not been confirmed. Case Presentation: We have highlighted an improvement in auxological parameters of a child with FAS and normal GH stimulation tests, using a GH dosage similar to that used in idiopathic GH deficit, without side effects. Conclusion: GH therapy in children with FAS may lead to an improvement in growth rate and an increase in final height, although, this condition is not included in the specific recommendations for use of GH. Prolonged follow-up and prospective studies are needed to evaluate long-term efficacy and monitor any possible onset of side effects.

Plastic Wound Protector vs Surgical Gauze for Surgical Site Infection Reduction in Open GI Surgery

Surgical site infections (SSIs) are prevalent hospital-acquired infections with significant patient impacts and global health care burdens. The World Health Organization recommends using wound protector devices in abdominal surgery as a preventive measure to lower the risk of SSIs despite limited evidence. To examine the efficacy of a dual-ring, plastic wound protector in lowering the SSI rate in open gastrointestinal (GI) surgery irrespective of intra-abdominal contamination levels. This multicenter, patient-blinded, parallel-arm randomized clinical trial was conducted from August 2017 to October 2022 at 13 hospitals in an academic setting. Patients undergoing open abdominal bowel surgery (eg, for bowel perforation) were eligible for inclusion. Patients were randomized 1:1 to a dual-ring, plastic wound protector to protect the incision site of the abdominal wall (experimental group) or a conventional surgical gauze (control group). The primary end point was the rate of SSI within 30 days of open GI surgery. A total of 458 patients were randomized; after 1 was excluded from the control group, 457 were included in the intention-to-treat analysis (mean [SD] age, 58.4 [12.1] years; 256 [56.0%] male; 341 [74.6%] with a clean-contaminated wound): 229 in the wound protector group and 228 in the surgical gauze group. The overall SSI rate in the intention-to-treat analysis was 15.7% (72 of 458 patients). The SSI rate for the wound protector was 10.9% (25 of 229 patients) compared with 20.5% (47 of 229 patients) with surgical gauze. The wound protector significantly reduced the risk of SSI, with a relative risk reduction (RRR) of 46.81% (95% CI, 16.64%-66.06%). The wound protector significantly decreased the SSI rate for clean-contaminated wounds (RRR, 43.75%; 95% CI, 3.75%-67.13%), particularly for superficial SSIs (RRR, 42.50%; 95% CI, 7.16%-64.39%). Length of hospital stay was similar in both groups (mean [SD], 15.2 [10.5] vs 15.3 [10.2] days), as were the overall postoperative complication rates (20.1% vs 18.8%). This randomized clinical trial found a significant reduction in SSI rates when a plastic wound protector was used during open GI surgery compared with surgical gaze, supporting the World Health Organization recommendation for use of wound protector devices in abdominal surgery. ClinicalTrials.gov Identifier: NCT03170843.

Using Speculative Design to Understand Preferred Futures for the Design and Use of Tracking Data in U.S. College Sport Teams

US college sports teams are increasingly adopting personal data technologies, such as wearable sensors, with a goal of improving individual and team performance as well as individual safety. These tools can also reinforce the power that coaches hold over student-athletes and compromise student-athletes' needs for privacy and agency. To investigate preferred, and anti-preferred, approaches for navigating this complex sociotechnical challenge, we used a speculative design approach in which student athletes and technology design students developed three videos that portray tensions between student-athletes and coaches around the use of sports tracking technologies. We then shared these videos with 15 participants including student-athletes, coaches, and designers. Drawing on the perspectives of student-athletes, team staff, and designers embedded in the videos and expressed in reaction to the videos, we describe preferences for boundaries on tracking and sharing, how tracking data represent athletes, and for data practices. We also propose design requirements and recommendations for use to better align tracking technologies with these preferences.

Review of rolling contact fatigue life calculation for oscillating bearings and application-dependent recommendations for use

Abstract. In contrast to the multitude of models in the literature for the calculation of rolling contact fatigue in rotating bearings, literature on oscillating bearings is sparse. This work summarizes the available literature on rolling contact fatigue in oscillating bearings. Publications which present various theoretical models are summarized and discussed. A number of errors and misunderstandings are highlighted, information gaps are filled, and common threads between publications are established. Recommendations are given for using the various models for any oscillating bearing in any industrial application. The applicability of these approaches to pitch and yaw bearings of wind turbines is discussed in detail.

Main Poisonous and Allergenic Plant Species in Sicilian Gardens and Parks: Applications and Recommendations for Use.

This study identified the most common poisonous and allergenic plants occurring in Sicilian gardens and parks. Based on a survey conducted at 100 sites, a list was drawn up that reports the main biological and toxicological characteristics and ornamental uses of these plants. A total of 137 taxa were recorded, of which 108 were poisonous and 32 were allergenic. The most represented families were the Solanaceae, Moraceae, Apocynaceae and Fabaceae. The most represented geographical contingents were the European and the Mediterranean. A large number of toxic and allergenic plants recorded in Sicilian parks and gardens cause gastrointestinal disorders, 21 of which are deadly poisonous. Based on the results, actions for the management of existing gardens and the construction of new ones are discussed. The importance of environmental education for the population starting from school age is stressed. These recommendations aim to preserve cultivated biodiversity and, at the same time, protect human and pet health.

Utilization of Vein Grafts in Coronary Artery Bypass Grafting: Reasons and Outcomes in a Bilateral Mammary Artery First Center

Objectives. Despite guideline recommendations for use of bilateral internal mammary artery (BIMA) in coronary artery bypass grafting (CABG), a large proportion of patients still receive saphenous vein grafts (SVG). We herein aimed to identify reasons for SVG use at a center with a BIMA utilization rate between 60 and 70% and compare outcomes of patients undergoing CABG with either BIMA or left internal mammary artery (LIMA) plus SVG. Methods. Between 2013 and 2022, 4145 consecutive patients underwent isolated CABG at our center. Of those, 2067 patients received BIMA (group 1) and 1206 patients received LIMA/SVG (group 2). A propensity score-matched analysis was performed to adjust for baseline differences. Results. Group 2 presented with higher age, more female patients, and more patients with acute coronary syndrome including NSTEMI/STEMI with more urgent/emergency CABG. In unadjusted analysis group 2 presented adverse 30-day outcomes compared to group 1 with a higher mortality (18/2067, 0.9% vs. 34/1206, 2.8%; p<0.001), higher rate of re-revascularization (52/2067, 2.5% vs. 50/1206, 4.1%; p<0.001), more stroke (20/2067; 1.0% vs. 33/1206, 2.7%; p<0.001), and more postoperative renal failure (17/2067, 0.8% vs. 27/1206, 2.2%; p=0.001). After adjustment for baseline characteristics, 30-day outcomes were comparable. Conclusions. After adjustment for baseline characteristics no differences in outcomes were found between groups suggesting a safe applicability of BIMA even in patients with acute coronary syndrome undergoing urgent/emergency CABG. Reasons for SVG use were higher age, female gender, and acute coronary syndrome with urgent/emergency CABG. Outcomes of both groups were excellent with low rates of primary endpoints.

A Preliminary Study of Current Online Retailing in Telangana 2024

The main objective of this study is to analyze online system in Telangana and advantages and disadvantages towards consumer behavior. To this end, through a proposal applied to shopping centers, this study considers values and lifestyles as major factors that influence behaviors and intentions. The partial least squares (PLS) approach is used to evaluate the model. A multi-group analysis is conducted to compare consumers who buy goods online with those who do so at shopping centers. The results obtained show a link between the use of technology and its advantages and disadvantages. The relationships between values and behavior as well as between behavior and future intent are stronger among online consumers than the effects of lifestyles on behavior. We consider relevant theoretical and empirical perspectives and offer critical recommendations of use to shopping Centre managers, movie theatres, and intermediaries of this sector.

An Evaluation of Correlations for Predicting the Heat Transfer Coefficient during the Condensation of Saturated and Superheated Vapors Inside Channels

Condensation heat transfer is involved in many industrial applications. Therefore, it is important to know the relative accuracy of the available methods for predicting heat transfer. Condensation can occur with saturated as well as superheated vapors. Predictive methods for both conditions were evaluated using a wide range of data. Twelve well-known correlations for the condensation of saturated vapor, including the most recent ones, were compared with data for 51 pure fluids and mixtures from 132 sources in horizontal and vertical channels of many shapes. Channel hydraulic diameters were 0.08–49 mm, the mass flux was 1.1–1400 kg/m2s, and the reduced pressure range was 0.0006–0.949. The fluids included water, CO2, ammonia, hydrocarbons, halocarbon refrigerants, various chemicals, and heat transfer fluids. The best predictive technique was identified. The three most commonly used models for heat transfer during the condensation of superheated vapors were studied. They were first compared with test data using measured saturated condensation and forced convection heat transfer coefficients to select the best model. The selected model was then compared with test data using various correlations for heat transfer coefficients needed in the model. The best correlations to use in the model were identified. The results of this research are presented, as are recommendations for use in design.

Changes in Spirometry Interpretative Strategies: Implications for Classifying COPD and Predicting Exacerbations

Recent guidelines for spirometry interpretation recommend both race-neutral reference equations and use of z score thresholds to define severity of airflow obstruction. How does the transition from race-specific to race-neutral equations impact severity classifications for patients with COPD when using %predicted vsz score thresholds, and do changes in severity correspond to clinical risk? This retrospective cohort study included Black and White patients with COPD and available spirometry from the Johns Hopkins Health System. Global Lung Function Initiative (GLI) 2012 (race-specific) equations and GLI Global (race-neutral) equations were used to determine FEV1 %predicted and z score values. Patients were classified as having mild, moderate, or severe disease according to %predicted or z score thresholds. Associations between a change in severity classification from race-specific to race-neutral with COPD exacerbations and all-cause hospitalizations were evaluated using logistic regression. This cohort included 13,324 patients, of whom 9,232 patients (69.3%) were White (mean age, 65.7 years) and 4,092 patients (30.7%) were Black (mean age, 61.1 years). More Black than White patients showed a change in severity classification between approaches when using %predicted thresholds (20.2%vs6.1%; P< .001), but not with z score thresholds (12.6%vs12.3%; P= .68). An increased severity classification with a race-neutral approach was associated with increased risk of exacerbation when using z score thresholds (OR, 2.34; 95%CI, 1.51-3.63), but not when using %predicted thresholds (OR, 1.08; 95%CI, 0.61-1.93). A decreased severity classification with a race-neutral approach was associated with lower risk of exacerbation with both %predicted (OR, 0.49; 95%CI, 0.28-0.87) and z score (OR 0.67; 95%CI, 0.50-0.90) thresholds. The proportions of Black and White individuals reclassified were similar with z score thresholds, and changes in severity corresponded to clinical risk with z scores. These results support recent recommendations for use of race-neutral equations and z score thresholds for spirometry interpretation.

The evaluation study for social cognition measures in Japan: Psychometric properties, relationships with social function, and recommendations

AimPatients with schizophrenia can have significant subjective difficulties in social cognition, but few undergo testing or treatment for social cognition. The Social Cognition Psychometric Evaluation (SCOPE) study recommends six social cognitive measures; however, the reliability and validity of these measures in different cultural and linguistic areas has not been adequately examined. We examined the psychometric properties of nine social cognitive measures and the relationship to social function, with the aim of determining the level of recommendation for social cognitive measures in clinical practice in Japan. MethodsFor our test battery, an expert panel previously selected nine measures: the Bell Lysaker Emotion Recognition Task (BLERT); Facial Emotion Selection Test (FEST); Hinting Task (Hinting); Metaphor and Sarcasm Scenario Test (MSST); Intentionality Bias Task (IBT); Ambiguous Intentions and Hostility Questionnaire (AIHQ); Social Attribution Task-Multiple Choice (SAT-MC); SAT-MCII; and Biological Motion (BM) task. In total, 121 outpatients with schizophrenia and 70 healthy controls were included in the analysis, and the results were provided to an expert panel to determine the recommendations for each measure. The quantitative psychological indices of each measure were evaluated for practicality, tolerability, test-retest reliability, correlation with social function, and the incremental validity of social function. ResultsHinting and FEST received the highest recommendations for use in screening, severity assessment, and longitudinal assessment, followed by BLERT, MSST AIHQ, SAT-MC, and SAT-MCII, with IBT and BM receiving the lowest recommendations. ConclusionThis study provides a uniform assessment tool that can be used in future international clinical trials for social cognitive impairment.