This user’s guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or costeffectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care.

Registries for Evaluating Patient Outcomes: A User's Guide

We attached a video system and data recorder to a northern elephant seal to track its three-dimensional movements and observe propulsive strokes of the hind flippers. During 6 h of recording, the seal made 20 dives and spent 90% of the time submerged. Average dive duration, maximum depth and swimming speed were 14.9 min±6.1 S.D., 289 m±117 S.D. and 1.1 m s −1 ±0.12 S.D., respectively. The distance swum during a dive averaged 925 m±339 S.D., and the average descent and ascent angles were 41°±18 S.D. and 50°±21 S.D., respectively. Dive paths were remarkably straight suggesting that the seal was navigating while submerged. We identified three modes of swimming based on the interval between propulsive strokes: continuous stroking; stroke-and-glide swimming; and prolonged gliding. The seal used continuous stroking from the surface to a mean depth of 20 m followed by stroke-and-glide swimming. Prolonged gliding started at a mean depth of 60 m and continued to the bottom of dives. For dives to depths of 300 m or more, 75% of the descent time was spent in prolonged gliding and 10% in stroke-and-glide swimming, amounting to 5.9–9.6 min of passive descent per dive. Average swimming speed varied little with swimming mode and was not a good indicator of propulsive effort. It appears that the seal can use prolonged gliding to reduce the cost of transport and increase dive duration. Energetically efficient locomotion may help explain the long and deep dives that routinely exceed the theoretical aerobic dive limit in this species.

Three-dimensional movements and swimming activity of a northern elephant seal.

https://opus.lib.uts.edu.au/bitstream/10453/15657/1/2010004714.pdf

Women's experiences of group antenatal care in Australia--the CenteringPregnancy Pilot Study.

Sleep and quality of life in clinical medicine / , Sleep and quality of life in clinical medicine / , کتابخانه دیجیتال جندی شاپور اهواز

https://www.mayoclinicproceedings.org/article/S0025-6196(11)60532-6/pdf

Sleep and quality of life in clinical medicine

Women tend to repeat reproductive outcomes, with past history of an adverse outcome being associated with an approximate two-fold increase in subsequent risk. These observations support the need for statistical designs and analyses that address this clustering. Failure to do so may mask effects, result in inaccurate variance estimators, produce biased or inefficient estimates of exposure effects. We review and evaluate basic analytic approaches for analysing reproductive outcomes, including ignoring reproductive history, treating it as a covariate or avoiding the clustering problem by analysing only one pregnancy per woman, and contrast these to more modern approaches such as generalized estimating equations with robust standard errors and mixed models with various correlation structures. We illustrate the issues by analysing a sample from the Collaborative Perinatal Project dataset, demonstrating how the statistical model impacts summary statistics and inferences when assessing etiologic determinants of ...

Analysis of repeated pregnancy outcomes

Obsterics and gynecology

Graduate medical education

Sleep disorders center

Ronald McDonald House

EBS REQUESTS: Please check each EBS role(s) below that will be needed for this position. The Unit Administrator will need to complete an ARMS form for each role. The ARMS form can be accessed at: https://aissecuritycontact.ais.msu.edu/arms/index-ebs.html To view the EBS Enterprise ARM Index for detailed information regarding the roles listed below, go to: https://aissecuritycontact.ais.msu.edu/arms/index-ebs.html

The College of Osteopathic Medicine

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