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  1. Article ; Online: Multiple mail reminders to increase adherence to influenza vaccination

    Camila Julio / Ángela Ortigoza

    Medwave, Vol 20, Iss 06, Pp e7962-e

    2020  Volume 7962

    Abstract: INTRODUCTION Different interventions have been proposed to reinforce the use of the influenza vaccine. The use of reminders, whether through letters, phone calls, pamphlets or technological applications, among others, has stood out among those aimed at ... ...

    Abstract INTRODUCTION Different interventions have been proposed to reinforce the use of the influenza vaccine. The use of reminders, whether through letters, phone calls, pamphlets or technological applications, among others, has stood out among those aimed at increasing ad-herence to treatment. However, its effectiveness is not clear. In this summary, which is part of a series of reminder evaluations, we assess the use of multiple mail reminders. METHODS We conducted a search in Epistemonikos, the largest database of systematic health reviews, which is maintained by screening multiple sources of information, including MEDLINE, EMBASE, Cochrane, among others. We extracted the data from the identified reviews, analyzed the data from the primary studies, performed a meta-analysis and prepared a summary table of the results using the GRADE method. RESULTS AND CONCLUSIONS We identified eight systematic reviews including 35 primary studies, of which four analyze the use of more than one letter as a reminder. We conclude that the use of multiple mail reminders probably increase adherence to influenza vaccination in patients over 60; while it may make little or no difference in children under 6 years, but the certainty of the evidence is low.
    Keywords vaccines ; reminder systems ; primary health care ; epistemonikos ; grade ; Medicine ; R ; Medicine (General) ; R5-920
    Language English
    Publishing date 2020-07-01T00:00:00Z
    Publisher Medwave Estudios Limitada
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Ginkgo biloba for the treatment of tinnitus

    Felipe Kramer / Ángela Ortigoza

    Medwave, Vol 18, Iss 06, Pp e7294-e

    2018  Volume 7294

    Abstract: Resumen INTRODUCCIÓN Se han propuesto múltiples tratamientos para el manejo del tinnitus, sin embargo, ninguno de ellos ha logrado establecerse como claramente efectivo. Dentro de las alternativas se ha planteado la utilización de Ginkgo biloba. MÉTODOS ... ...

    Abstract Resumen INTRODUCCIÓN Se han propuesto múltiples tratamientos para el manejo del tinnitus, sin embargo, ninguno de ellos ha logrado establecerse como claramente efectivo. Dentro de las alternativas se ha planteado la utilización de Ginkgo biloba. MÉTODOS Para responder esta pregunta utilizamos Epistemonikos, la mayor base de datos de revisiones sistemáticas en salud, la cual es mantenida mediante búsquedas en múltiples fuentes de información, incluyendo MEDLINE, EMBASE, Cochrane, entre otras. Extrajimos los datos desde las revisiones identificadas, reanalizamos los datos de los estudios primarios y preparamos una tabla de resumen de los resultados utilizando el método GRADE. RESULTADOS Y CONCLUSIONES Identificamos tres revisiones sistemáticas que en conjunto incluyeron cuatro estudios primarios, todos correspondientes a ensayos aleatorizados. Concluimos que el uso de Ginkgo Biloba probablemente no disminuye la severidad del tinnitus. Además, no disminuye la intensidad del tinnitus ni mejora la calidad de vida de los pacientes.
    Keywords Ginkgo biloba ; tinnitus ; Epistemonikos ; GRADE ; Medicine ; R ; Medicine (General) ; R5-920
    Language English
    Publishing date 2018-10-01T00:00:00Z
    Publisher Medwave Estudios Limitada
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Reminder sent by mail to increase adherence to influenza vaccination

    Nicole Silva / Camila Julio / Ángela Ortigoza

    Medwave, Vol 20, Iss 25, Pp e7746-e

    2020  Volume 7746

    Abstract: INTRODUCTION Different interventions have been proposed to improve influenza vaccine coverage. The use of reminders, through letters, phone calls, pamphlets or technological applications, among others, has stood out among the different alternatives to ... ...

    Abstract INTRODUCTION Different interventions have been proposed to improve influenza vaccine coverage. The use of reminders, through letters, phone calls, pamphlets or technological applications, among others, has stood out among the different alternatives to increase adherence to vaccination. However, its effectiveness is not clear. In this summary, the first of a series of evaluation of reminders will address the use of a reminder sent by mail. METHODS We searched in Epistemonikos, the largest database of systematic reviews in health, which is maintained by screening multiple information sources, including MEDLINE, EMBASE, Cochrane, among others. We extracted data from the identified reviews, analyzed the data from the primary studies, performed a meta-analysis and prepared a summary table of the results using the GRADE method. RESULTS AND CONCLUSIONS We identified eight systematic reviews that included 35 primary studies, of which 32 correspond to randomized trials. We concluded that a reminder sent by mail, probably increase adherence to influenza vaccination in all age groups (adult population, over 60 an under 18)
    Keywords vaccines ; reminder systems ; primary health care ; epistemonikos ; grade ; Medicine ; R ; Medicine (General) ; R5-920
    Language English
    Publishing date 2020-06-01T00:00:00Z
    Publisher Medwave Estudios Limitada
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Is the exercise effective for the prevention of upper respiratory tract infections?

    Matías Rocco / Gonzalo Bravo-Soto / Angela Ortigoza

    Medwave, Vol 18, Iss 04, Pp e7225-e

    2018  Volume 7225

    Abstract: Resumen INTRODUCCIÓN Las infecciones respiratorias altas son una de las principales causas de consulta médica en el mundo. Dado que no hay tratamiento específico, la prevención es fundamental. Se ha postulado que el ejercicio tendría un rol preventivo, ... ...

    Abstract Resumen INTRODUCCIÓN Las infecciones respiratorias altas son una de las principales causas de consulta médica en el mundo. Dado que no hay tratamiento específico, la prevención es fundamental. Se ha postulado que el ejercicio tendría un rol preventivo, pero su real efectividad sigue siendo motivo de controversia. MÉTODOS Para responder a esta pregunta, utilizamos Epistemonikos, la mayor base de datos de revisiones sistemáticas en salud, la cual es mantenida mediante búsquedas en múltiples fuentes de información, incluyendo MEDLINE, EMBASE, Cochrane, entre otras. Extrajimos los datos desde las revisiones identificadas, reanalizamos los datos de los estudios primarios, realizamos un metanálisis y preparamos tablas de resumen de los resultados utilizando el método GRADE. RESULTADOS Y CONCLUSIONES Identificamos cuatro revisiones sistemáticas, que en conjunto incluyeron 14 estudios primarios, de los cuales seis corresponden a ensayos aleatorizados. Concluimos que aún no está claro si el ejercicio físico de moderada intensidad previene o no las infecciones respiratorias altas, porque la certeza de la evidencia existente es muy baja.
    Keywords Medicine ; R ; Medicine (General) ; R5-920
    Language English
    Publishing date 2018-08-01T00:00:00Z
    Publisher Medwave Estudios Limitada
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: What are the effects of vitamin C on the duration and severity of the common cold?

    Sebastián Quidel / Evelyn Gómez / Gonzalo Bravo-Soto / Ángela Ortigoza

    Medwave, Vol 18, Iss 06, Pp e7260-e

    2018  Volume 7260

    Abstract: Resumen INTRODUCCIÓN El resfrío común causa una gran morbilidad en todo el mundo y no se cuenta con agentes terapéuticos eficaces contra éste. Existe la creencia de que ingerir vitamina C durante un episodio de resfrío ayuda a disminuir la duración y ... ...

    Abstract Resumen INTRODUCCIÓN El resfrío común causa una gran morbilidad en todo el mundo y no se cuenta con agentes terapéuticos eficaces contra éste. Existe la creencia de que ingerir vitamina C durante un episodio de resfrío ayuda a disminuir la duración y severidad de los síntomas, sin embargo existe controversia respecto a esta afirmación. MÉTODOS Para responder esta pregunta utilizamos Epistemonikos, la mayor base de datos de revisiones sistemáticas en salud, la cual es mantenida mediante búsquedas en múltiples fuentes de información, incluyendo MEDLINE, EMBASE, Cochrane, entre otras. Extrajimos los datos desde las revisiones identificadas, reanalizamos los datos de los estudios primarios, realizamos un metanálisis y preparamos una tabla de resumen de los resultados utilizando el método GRADE. RESULTADOS Y CONCLUSIONES Identificamos cuatro revisiones sistemáticas que en conjunto incluyeron ocho estudios primarios, de los cuales siete son ensayos aleatorizados. Concluimos que la vitamina C tiene un impacto mínimo o nulo en la duración del resfrío y en los días en casa o sin trabajar.
    Keywords Vitamin C ; common cold ; Epistemonikos ; GRADE ; Medicine ; R ; Medicine (General) ; R5-920
    Language English
    Publishing date 2018-10-01T00:00:00Z
    Publisher Medwave Estudios Limitada
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Does vitamin C prevent the common cold?

    Evelyn Gómez / Sebastián Quide / Gonzalo Bravo-Soto / Ángela Ortigoza

    Medwave, Vol 18, Iss 04, Pp e7236-e

    2018  Volume 7236

    Abstract: Resumen INTRODUCCIÓN El resfrío común es una enfermedad muy frecuente. Existe la creencia que el consumo de vitamina C previene su aparición, pero la real eficacia de esta medida es controvertida. MÉTODOS Para responder esta pregunta utilizamos ... ...

    Abstract Resumen INTRODUCCIÓN El resfrío común es una enfermedad muy frecuente. Existe la creencia que el consumo de vitamina C previene su aparición, pero la real eficacia de esta medida es controvertida. MÉTODOS Para responder esta pregunta utilizamos Epistemonikos, la mayor base de datos de revisiones sistemáticas en salud, la cual es mantenida mediante búsquedas en múltiples fuentes de información, incluyendo MEDLINE, EMBASE, Cochrane, entre otras. Extrajimos los datos desde las revisiones identificadas, reanalizamos los datos de los estudios primarios, realizamos un metanálisis y preparamos una tabla de resumen de los resultados utilizando el método GRADE. RESULTADOS Y CONCLUSIONES Identificamos ocho revisiones sistemáticas que en conjunto incluyen 45 estudios primarios, de los cuales 31 corresponden a ensayos aleatorizados. Concluimos que el consumo de vitamina C no previene la aparición del resfrío común.
    Keywords Medicine ; R ; Medicine (General) ; R5-920
    Language English
    Publishing date 2018-09-01T00:00:00Z
    Publisher Medwave Estudios Limitada
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Assessing Primary Care Blood Pressure Documentation for Hypertension Management During the COVID-19 Pandemic by Patient and Provider Groups.

    Senthinathan, Arrani / Thompson, Wade / Gomes, Zoya / Kiflen, Michel / Bonilla, Angela Ortigoza / Stephenson, Ellen / Butt, Debra / O'Neill, Braden / Udell, Jacob A / Tu, Karen

    CJC open

    2023  Volume 5, Issue 12, Page(s) 916–924

    Abstract: Background: Primary care electronic medical record (EMR) data can be used to identify, manage, and screen hypertension cases. However, this approach relies on completeness and accessibility of documented blood pressure (BP) values. With the large switch ...

    Abstract Background: Primary care electronic medical record (EMR) data can be used to identify, manage, and screen hypertension cases. However, this approach relies on completeness and accessibility of documented blood pressure (BP) values. With the large switch to virtual care due to the COVID-19 pandemic, we assessed BP documentation in primary care EMRs during the pandemic, across patient and physician groups.
    Methods: Hypertension-related visits were identified during the pre-pandemic (January 2017 to February 2020) and pandemic (March 2020 to December 2021) periods from a primary care EMR database in Ontario, Canada. Clustered logistic regression models were used to analyze the relationship of physician and patient characteristics with an outcome variable of documented BP. A chart review of 3200 hypertension visits without a BP recorded in structured data fields was conducted to determine if BP was recorded in progress notes.
    Results: Pre-pandemic, 75.7% of hypertension-related visits (113,966 of 150,511) had a BP recorded in structured documentation, but this significantly decreased to 36.4% (26,660 of 73,239) during the pandemic (odds ratio [OR] = 0.18, 95% confidence interval [CI]: 0.18-0.19). For virtual visits, 14.3% (6357 of 44,572) had a documented BP, vs 74.0% (20,056 of 27,089) for in-person visits. Chart review found that 55.9% of hypertension visits had no associated BP in structured documentation, but did have a BP recorded in the progress note. Male providers, compared to female providers, were less likely to record BPs pre-pandemic (OR = 0.45, 95% CI: 0.32-0.63) and during the pandemic, for both virtual visits (OR = 0.48, 95% CI: 0.32-0.71) and in-person visits (OR = 0.46, 95% CI: 0.33-0.64).
    Conclusions: BP documented in primary care EMRs declined during the pandemic, most likely due to high rates of virtual visits impacting hypertension detection and management.
    Language English
    Publishing date 2023-09-15
    Publishing country United States
    Document type Journal Article
    ISSN 2589-790X
    ISSN (online) 2589-790X
    DOI 10.1016/j.cjco.2023.09.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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