Review Of Management Strategies Research Articles

An overview of heart rhythm disorders and management in myotonic dystrophy type 1.

Myotonic dystrophy type 1 (DM1) is the most common adult form of muscular dystrophy, presenting with a constellation of systemic findings secondary to a CTG triplet expansion of the noncoding region of the DMPK gene. Cardiac involvement is frequent, with conduction disease and supraventricular and ventricular arrhythmias being the most prevalent cardiac manifestations, often developing from a young age. The development of cardiac arrhythmias has been linked to increased morbidity and mortality, with sudden cardiac death well described. Strategies to mitigate risk of arrhythmic death have been developed. In this review, we outline the current knowledge on the pathophysiology of rhythm abnormalities in patients with myotonic dystrophy and summarize available knowledge on arrhythmic risk stratification. We also review management strategies from an electrophysiological perspective, attempting to underline the substantial unmet need to address residual arrhythmic risks for this population.

Aneurysm Associated with Moyamoya Angiopathy: Indian Perspective and Review of Management Strategies.

Aneurysm Associated with Moyamoya Angiopathy: Indian Perspective and Review of Management Strategies.

A review of perioperative anemia: A modifiable and not so benign risk factor.

Anemia is a commonly encountered finding either during the preoperative assessment or during the postoperative management of the patient. Anemia often gets overlooked while more emphasis is paid to cardiovascular and pulmonary evaluation. Evidence, however, suggests that the presence of anemia in the perioperative period can predispose patients to other complications. Awareness of the consequences of anemia in the perioperative period can lead to better recognition and early management of this potentially modifiable risk factor. In this review, we focus on the effects of anemia on the cardiac, pulmonary, neurologic, cognitive, and functional status outcomes of patients. We also review management strategies that could be employed, depending on the available time and resources.

Advances in the study of Acute Myocardial Infarction Complicated by Cardiac Rupture

Cardiac rupture is a catastrophic complication after acute myocardial infarction. With the widespread use of primary percutaneous coronary intervention and improved pharmacological treatment, the incidence of cardiac rupture complicating acute myocardial infarction is on the decline, but patient mortality remains high and remains a clinical problem that remains to be addressed. Cardiac rupture is classified according to the location of the rupture into ventricular free wall rupture , ventricular septal rupture and papillary muscle rupture. The aim of this review is to highlight key risk factors, clinical presentations and diagnostic findings of cardiac rupture that may contribute to the early diagnosis of mechanical complications and to review management strategies after cardiac rupture in recent years.

TripAdvisor의 효과적인 호텔 온라인 평판 관리 전략

Recently, hotel companies have been struggling with low economic growth, population decline and the oversupply of hotel markets. In particular, hotels are expected to suffer from external threats such as COVID-19. In this situation, the role of online word of mouth is becoming more important due to the influence of the Internet. While the importance of online reviews is emphasized from the perspective of hotel managers, current online review studies in the hospitality industry have been conducted primarily from the user's perspective and not many studies address online reviews from the perspective of hotel managers. Therefore, this study seeks to explore factors affecting ranking on TripAdvisor, one of the online review platforms. To present implications for the effective online review management strategy of the hotel. we attempted to explore the perspectives of hotel managers rather than the perspective of hotel customers A total of 103 hotel data were collected and the fuzzy-set Qualitative Comparative Analysis (fsQCA) was applied to analyze the data, resulting in a total of 4 types of patterns. We discovered four strategies to increase the rankings of TripAdvisor. First, in the case of a large hotel whose location is far from the airport, it is necessary to focus on the positive reviews. Second, if the latest number of reviews was not large, the manager's response was the most important regardless of the size or location of the hotel. Third, when the location of the hotel was close to the airport, manager's response was the most important. Lastly, in the case of a large hotel, it was most important to focus on the number of latest reviews. Based on the above strategy, practical implications for hotels to increase TripAdvisor's rankings were drawn and future research directions were presented.

Can Atopic Dermatitis and Allergic Contact Dermatitis Coexist?

Due to their seemingly divergent immune pathways, it previously was thought that atopic dermatitis (AD) and allergic contact dermatitis (ACD) could not occur together. However, novel research suggests that the 2 conditions may be more closely related than previously understood. Herein, we discuss the overlapping relationship between AD and ACD and review the evidence for their coexistence. We also review management strategies to consider for patients with dual diagnoses of AD and ACD.

Exploring energy-saving refrigerators through online e-commerce reviews: an augmented mining model based on machine learning methods

PurposeBased on climate issues and carbon emissions, this study aims to promote low-carbon consumption and compel consumers to actively shift to energy-saving appliances. In this big data era, online reviews in social and electronic commerce (e-commerce) websites contain valuable product information, which can facilitate firm business strategies and consumer comparison shopping. This study is designed to advance existing research on energy-saving refrigerators by incorporating machine learning models in the analysis of online reviews to provide valuable suggestions to e-commerce platform managers and manufacturers to effectively understand the psychological cognition of consumers.Design/methodology/approachThis study proposes an online e-commerce review mining and management strategy model based on “data acquisition and cleaning, data mining and analysis and strategy formation” through multiple machine learning methods, namely, Bayes networks, support vector machine (SVM), latent Dirichlet allocation (LDA) and importance–performance analysis (IPA), to help managers.FindingsBased on a case study of one of the largest e-commerce platforms in China, this study linguistically analyzes 29,216 online reviews of energy-saving refrigerators. Results indicate that the energy-saving refrigerator features that consumers are generally satisfied with are, in sequential order, logistics, function, price, outlook, after-sales service, brand, quality and space. This study also identifies ten topics with 100 keywords by analyzing 18 different refrigerator models. Finally, based on the IPA, this study allocates different priorities to the features and provides suggestions from the perspective of consumers, the government and manufacturers.Research limitations/implicationsIn terms of limitations, future research may focus on the following points. First, the topics identified in this study derive from specific points in time and reviews; thus, the topics may change with the text data. A machine learning-based online review analysis platform could be developed in the future to dynamically improve consumer satisfaction. Moreover, given that consumers' needs may change over time, e-commerce platform types and consumer characteristics, such as user profiles, can be incorporated into the model to effectively analyze trends in consumers' perceived dimensions.Originality/valueThis study fills the gap in previous research in this field, which uses small-sample data for qualitative analysis, while integrating management ideas and proposes an online e-commerce review mining and management strategy model based on machine learning methods. Moreover, this study considers how consumers' emotional and thematic preferences for products affect their purchase decision-making from the perspective of their psychological perception and linguistically analyzes online reviews of energy-saving refrigerators using the proposed mining model. Through the improved IPA model, this study provides optimizing strategies to help e-commerce platform managers and manufacturers.

Incidental discovery of azoospermia on work-up of testicular tumour: a practice changing discovery

Testicular tumours are increasing in incidence, especially in developed countries. This incidence increases specifically in the subpopulation of infertile men. This case highlights a young man incidentally diagnosed with a subcentimetric testicular lesion, who was discovered to have concomitant azoospermia. The authors review management strategies in this challenging case, as treatment options for men with infertility and concomitant testicular tumours vary from men who are fertile. Level of evidence: Not applicable for this multicentre audit.

How are people with mild cognitive impairment or subjective memory complaints managed in primary care? A systematic review.

BackgroundPrimary care is typically the first point of contact in the health care system for people raising concerns about their memory. However, there is still a lack of high-quality evidence and understanding about how primary care professionals (PCPs) currently manage people at higher risk of developing dementia.ObjectivesTo systematically review management strategies provided by PCPs to reduce cognitive decline in people with mild cognitive impairment and subjective memory complaints.MethodA systematic search for studies was conducted in December 2019 across five databases (EMBASE, Medline, PsycInfo, CINAHL and Web of Science). Methodological quality of included studies was independently assessed by two authors using the Mixed Methods Appraisal Tool.ResultsAn initial 11 719 were found, 7250 were screened and 9 studies were included in the review. Most studies were self-reported behaviour surveys. For non-pharmacological strategies, the most frequent advice PCPs provided was to increase physical activity, cognitive stimulation, diet and social stimulation. For pharmacological strategies, PCPs would most frequently not prescribe any treatment. If PCPs did prescribe, the most frequent prescriptions targeted vascular risk factors to reduce the risk of further cognitive decline.ConclusionPCPs reported that they are much more likely to provide non-pharmacological strategies than pharmacological strategies in line with guidelines on preventing the onset of dementia. However, the quality of evidence within the included studies is low and relies on subjective self-reported behaviours. Observational research is needed to provide an accurate reflection of how people with memory problems are managed in primary care.

Influence of prior reviews about a firm and its alliance partners on reviewers' feedback: evidence from the airline industry

PurposeThe purpose of this study is to explore the impact of other customer's opinion on a service firm and its alliance on the evaluation of the airline by the focal customer by integrating qualitative and quantitative user-generated content. The study also explores the relative importance of core and peripheral attributes in consumer evaluations.Design/methodology/approachA text mining and natural language processing-based approach was followed to extract insights from the qualitative part of 18,457 consumer reviews, which were later analyzed along with the quantitative information obtained from the reviews using linear regression and logistic regression methods.FindingsThe authors found that customer satisfaction and recommendation behavior is formed by own and others' opinion about the airline and alliance. The relative importance of the core and peripheral attributes depends on the psychological distance from the evaluation of the attribute.Research limitations/implicationsThe theoretical contribution and managerial implications have been discussed in detail.Practical implicationsIt helps in review management strategy, service design strategy and the alliance and partnership strategies of the airlines.Originality/valueThis is the first paper that explores the impact attribute-level evaluations found in prior reviews on the future reviews of customers. It also explores the effect of prior reviews in the context of a service business and its alliances.

Guillain-Barré Syndrome in a COVID-19 Patient: A Case Report and Review of Management Strategies.

Guillain-Barré syndrome (GBS) in an immune mediated disease that affects peripheral nerves with possible life-threatening complications. GBS has multiple subtypes including acute inflammatory demyelinating polyradiculoneuropathy (AIDP), acute motor axonal neuropathy (AMAN) and acute motor sensory axonal neuropathy (AMSAN), which can make GBS difficult to diagnose. GBS commonly presents after viral infections such as influenza virus, campylobacter jejuni, and zika virus. GBS commonly presents with a prolonged clinical course leading to increased morbidity among affected patients. It is not surprising that COVID-19 has been connected with multiple cases of GBS, which may alter the recovery course for several patients post-COVID. In this report, we present a case of 69-year-old-female who presented with progressive motor weakness and loss of sensation in her extremities after testing positive for antibodies to COVID-19 one-month prior to presentation. Her presentation and treatment of GBS in the setting of COVID-19 is an example of one of the many COVID-19 complications and sheds light on the prolonged recovery course that we may experience as clinicians in the wake of this pandemic.

Clinical Approach to Personality Change Due to Another Medical Condition.

Medical personality change (MPC) is a codable diagnosis (i.e., F07.0) that deserves consideration when a patient is inexplicably no longer "acting like him/herself." Its presentation ranges from subtle to severe and is often characterized by bafflingly poor judgment and impairment in several aspects of a person's life. Despite the global impact that MPC can have on a patient's functioning, occupation, and relationships, this condition receives far less clinical consideration than better known syndromes such as depression or anxiety and is often likely incorrectly formulated as such. This article provides a clinically focused review of MPC. We review its clinical assessment followed by a review of its subtypes, which we have categorized to reflect the behavioral correlates of known frontotemporal-subcortical circuits. These include the apathetic type (ventromedial prefrontal cortex), the labile and disinhibited types (orbitofrontal cortex), and the aggressive and paranoid types (medial temporal lobes). For each of these 3 categories, we describe the clinical presentation and review management strategies. For each category, we focus on 3 common causes for MPC-traumatic brain injury, Huntington disease, and brain tumors-which we have selected because clinical features of MPC due to these conditions generalize to many other etiologies of MPC. MPC warrants clinical attention for the range of dysfunction and distress it can cause. It also deserves further scientific study to better characterize its phenotypes, to tailor instruments for its clinical assessment, and to identify effective treatments.

Hepatolithiasis: clinical series, review and current management strategy.

Hepatolithiasis (HL) continues to be a problem due to its local and systemic complications, insufficiency in treatment modalities and high risk of recurrence. There are various surgical options available, ranging from endoscopic interventions to a small segment resection and ultimately to transplantation. In this article, patients with the diagnosis of HL and our treatment strategies were evaluated in the light of literature. The patients diagnosed with HL in our clinic between 2014-2019 were evaluated retrospectively by examining the patient files. Demographic characteristics of the patients, causes of the disease, complications and treatment options were evaluated. 17 patients were included into the study. Mean age of the patients was 64.3 years (range 32-89 years). Seven patients had previous cholecystectomies. Stenosis was found to be developed in hepaticojejunostomy (HJ) site in three patients (two had HJ due to bile duct injury and one had HJ following the Whipple procedure), and in hepaticoduodenostomy site in one patient who had the history of biliary tract injury during cholecystectomy. Two patients with HL without previous cholecystectomies had no gallbladder stones. Nine patients underwent surgery. Left hepatectomy was performed in two patients and lateral sector resection was performed in 2 patients. Two patients with anastomotic stenosis underwent HJ revision and two patients with anastomotic stenosis and one patient with stent ingrowth underwent bifurcation resection and neo-hepaticojejunostomy. Eight patients were followed-up nonoperatively with medical and endoscopic approaches. Hepatolithiasis is a serious condition that needs to be treated with a multimodal approach. Stenting and anastomotic stenosis facilitate the development of hepatolithiasis and increase the risk of its occurrence. In particular, by performing functional hepaticojejunostomy, the development of this complication will be decreased.

Impact of air quality on online restaurant review comprehensiveness

Comprehensiveness is one of the most important textual content features of online review and exhibits significant impacts on consumer’s buying decisions. This paper explores the effect of air quality on review comprehensiveness by using a large-scale daily restaurant review dataset. By applying panel data and text mining method, we report an emotion-based underlying mechanism for the link between ambient air pollution levels and review comprehensiveness. Specifically, we show that air pollution levels significantly decrease review comprehensiveness, and emotion arousal mediates the relationship. Besides, our analyses reveal that the effect of the changing natural environment on reviews is asymmetrical, such that the negative relationship between air pollution levels and emotional arousal is stronger among novice reviewers. This research extends our current understanding of air pollution’s psychological and behavioral effects on review writers and suggests the importance of integrating air quality information into online review management strategies.

A Review of Beta-Blocker Toxicity and Management Strategies

In 2017, a total of 26,431 beta-blocker exposures were reported to United States poison centers, with 21% of adult exposures attributed to patients 60 years of age and older. Beta-blockers are a major component of therapy in numerous cardiovascular diseases, which have a higher incidence in older people. Along with polypharmacy and neurocognitive decline, potentially limiting reliable medication adherence, older patients may be more sensitive to the hypotensive and bradycardic effects of beta-blockers. Additionally, because of a lack of success of traditional management methods, evidence of newer therapies such as highdose insulin euglycemia therapy and intravenous lipid emulsion has shown success in various patient cases. This review seeks to summarize the mechanisms and effects of beta-blocker toxicity and review management strategies in older people.

A Review of Beta-Blocker Toxicity and Management Strategies.

In 2017, a total of 26,431 beta-blocker exposures were reported to United States poison centers, with 21% of adult exposures attributed to patients 60 years of age and older. Beta-blockers are a major component of therapy in numerous cardiovascular diseases, which have a higher incidence in older people. Along with polypharmacy and neurocognitive decline, potentially limiting reliable medication adherence, older patients may be more sensitive to the hypotensive and bradycardic effects of beta-blockers. Additionally, because of a lack of success of traditional management methods, evidence of newer therapies such as highdose insulin euglycemia therapy and intravenous lipid emulsion has shown success in various patient cases. This review seeks to summarize the mechanisms and effects of beta-blocker toxicity and review management strategies in older people.

Investigating the influence of regulatory focus on the efficacy of online review volume versus valence

Purpose Valence and volume of online reviews are generally considered to influence sales positively. However, existing findings regarding the relative influence of these two components have been inconclusive. This paper aims to explain some of these inconsistencies by examining the moderating role of regulatory focus (both as a chronic disposition and as a situational focus induced by the product category) in the relationship between online review volume/valence and consumers purchase decisions. Design/methodology/approach Two studies were conducted. Study 1 used a 2 (Volume: high/ low) * 3 (Valence: high/medium/low) within-subject experimental design. Study 2 analyzed real-world data from Amazon.com. Logistic and panel regression analyses were used to test the research hypotheses. Findings The studies confirmed the hypothesized effect of regulatory focus on online review valence and volume effects. Specifically, Study 1 showed that online review valence was more impactful for consumers with a promotion focus than for consumers with a prevention focus. The opposite was true for online review volume effects, where consumers with a prevention focus were influenced more by volume in their decision-making compared to consumers with a promotion focus. Study 2 showed that the pattern of results we found in Study 1 also applied to situational regulatory focus induced by the product category. The effect of review volume on sales rank was stronger for prevention-oriented products, whereas the effect of valence was stronger for promotion-oriented products. Research limitations/implications In Study 1, one product category was involved in the study (Digital camera). Involving more different product categories will add reliability to the results of current research. Also, it can offer external validity to current research results. In Study 2, there was no exact measurement for sales, as Amazon.com does not share that kind of information. Instead, Sales Rank was used as a proxy variable. Future research could look into the websites that offer access to the exact sales information. Practical implications The current research findings suggest the need for companies to adapt their consumer review management strategy to the regulatory orientation of their target market and products. When a promotion-focused mindset is targeted, strategies for increasing the favorability of product reviews should be used, in contrast, tactics for increasing the quantity of reviews may be more suitable when a prevention-focused mindset is involved. Originality/value To the best of the authors' knowledge, this research is the first to investigate the interaction between regulatory focus of consumers and products and online review components.

The use of a mobile educational tool on pressure injury education for individuals living with spinal cord injury/disease: a qualitative research study

Background As many as 30–60% of individuals living with spinal cord injury/disease (SCI/D) experience at least one pressure injury (PI) in their lifetime. Best practice guidelines in SCI/D rehabilitation emphasize the importance of providing education regarding PI prevention and management for individuals living with SCI/D. Mobile educational applications can be used for PI education however there is limited research on the user-experiences of mobile educational applications about PIs for individuals living with SCI/D. Objectives The purpose of this study was to explore the experiences of individuals living with SCI/D on the use of Pressure Ulcer Target (PUT), a mobile educational app for PI prevention and management. Methods/Overview Nine participants living with SCI/D used PUT over two weeks. Individual semi-structured interviews were conducted to explore the participants’ perceptions regarding the utility, aesthetics and ease of use of PUT and suggested modifications. A conventional content analysis was used to identify themes and categories from the data. Results User-experiences with PUT fell into four themes: (1) Strengths and weakness; (2) Target population; (3) Key concepts and messages; and (4) Recommendations for improvement. Conclusions PUT serves as a review of previously acquired PI knowledge and should be introduced early in rehabilitation to motivate users to prevent PIs. Future studies exploring healthcare professionals’ perspectives of PUT are warranted. Implications for rehabilitation PUT aids individuals living with SCI/D in the community to review PI prevention and management strategies that they learned as inpatients. The use of pictures to deliver patient education regarding PI prevention and management through a mHealth app is recommended. PUT should be introduced early in rehabilitation to motivate users to prevent PIs.

Clinical nutrition for the gastroenterologist: bedside strategies for feeding the hospitalized patient.

The timing, advancement, and use of appropriate monitors determine whether the hospitalized patient experiences the full benefit of nutritional therapy. This article reviews management strategies in delivering the optimal nutrition regimen capable of improving outcomes in the hospitalized patient. Enteral nutrition should be initiated in the first 24-36 h after admission. Determination of nutritional risk helps guide the urgency with which nutritional therapy is provided and predicts the likelihood for difficulties in delivering the prescribed regimen. Feeds should be advanced slowly over 3-4 days to meet 70-80% of goal for calories (20 kcal/kg/day) and 100% for protein (2.0 gm/kg/day). Reaching protein goals early on may be more important than achieving energy goals. Patients should be monitored for hemodynamic stability, evidence of refeeding syndrome, and tolerance in the setting of gastrointestinal dysfunction. Parenteral nutrition should be utilized in select high-risk patients where the feasibility of full enteral nutrition is questioned. Timing with early initiation of enteral nutrition, avoidance of overfeeding, and step-wise advancement of feeds are required to safely realize the benefits of such therapy.

Hepatolithiasis; case series, review and current management strategy

Background: Intrahepatic biliary tract stone formation is referred to as hepatolithiasis (HL). Hepatolithiasis causes local and systemic complications and insufficient treatment Methods with increased risk of reoccurrence makes it an important health problem. Surgical interventions ranges from endoscopic attempts to small segment resection and finally to liver transplant. Here in, we evaluated the patients who are diagnosed with HL and the treatment strategies in light of the current literature. Materials and Methods: Patients who are diagnosed with HL between the years of 2014 to 2018 and the applied treatment strategies were retrospectively examined. Patient demographics, causes of disease, complications and the treatment options of the patients were evaluated. Results: Totaly 16 patients were admitted to the study. Mean age of the patients was 64.3. We determined that 7 patients had been received cholecystectomy before. Out of these 7 patients, three patients, because they had been operated for main bile duct trauma during laparoscopic cholecystectomy, had been suffered from anastomotic stenosis in which has 2 hepaticojejunostomy (HJ) stenosis and 1 hepaticoduodenostomy stenosis with metal stent. Also, HJ stenosis and then HL developed in one patient after Whipple procedure. Ultrasonography, EUS, MRCP, CT, ERCP, PTC Methods are applied for diagnostic purposes. Eight patients were operated for HL; left hepatectomy for 2 patients and lateral sector resection in one patient. HJ revised in two patients. Stenotic region including stent ingrowth and fibrotic stricture resected and neo-hepaticojejunostomy performed in 2 patients. Anastomotic resection and portojejunostomy (Kasai) performed in one patient. All of HJ were done in Roux-en-Y style. The remaining 8 patients were observed with medical and endoscopic approaches. Discussion and Conclusions: Hepatolithiasis is a serious condition that requires multimodal treatment approaches. Anastomosis stenosis and stent implementation promote hepatolithiasis formation and increase recurrence. Functional HJ procedures will especially decrease the formation of this complication.