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1

Dhanani, J. A., A. G. Barnett, J. Lipman, and M. C. Reade. "Strategies to Reduce Inappropriate Laboratory Blood Test Orders in Intensive Care Are Effective and Safe: A Before-And-After Quality Improvement Study." Anaesthesia and Intensive Care 46, no. 3 (2018): 313–20. http://dx.doi.org/10.1177/0310057x1804600309.

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Unnecessary pathology tests performed in intensive care units (ICU) might lead to increased costs of care and potential patient harm due to unnecessary phlebotomy. We hypothesised that a multimodal intervention program could result in a safe and effective reduction in the pathology tests ordered in our ICU. We conducted a single-centre pre- and post-study using multimodal interventions to address commonly ordered routine tests. The study was performed during the same six month period (August to February) over three years: 2012 to 2013 (pre-intervention), 2013 to 2014 (intervention) and 2014 to
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Yosmaoğlu, Hayri Baran, James Selfe, Emel Sonmezer, et al. "Targeted Treatment Protocol in Patellofemoral Pain: Does Treatment Designed According to Subgroups Improve Clinical Outcomes in Patients Unresponsive to Multimodal Treatment?" Sports Health: A Multidisciplinary Approach 12, no. 2 (2019): 170–80. http://dx.doi.org/10.1177/1941738119883272.

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Background: Targeted intervention for subgroups is a promising approach for the management of patellofemoral pain. Hypothesis: Treatment designed according to subgroups will improve clinical outcomes in patients unresponsive to multimodal treatment. Study Design: Prospective crossover intervention. Level of Evidence: Level 3. Methods: Patients with patellofemoral pain (PFP; n = 61; mean age, 27 ± 9 years) were enrolled. Patients with PFP received standard multimodal treatment 3 times a week for 6 weeks. Patients not responding to multimodal treatment were then classified into 1 of 3 subgroups
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Rajib, Dutta. "Multimodal treatment strategies in Huntington’s disease." Journal of Neuroscience and Neurological Disorders 5, no. 2 (2021): 072–82. http://dx.doi.org/10.29328/journal.jnnd.1001054.

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Huntington’s disease (HD) is an incurable neurodegenerative disease that causes involuntary movements, emotional lability, and cognitive dysfunction. HD symptoms usually develop between ages 30 and 50, but can appear as early as 2 or as late as 80 years. Currently no neuroprotective and neurorestorative interventions are available. Early multimodal intervention in HD is only possible if the genetic diagnosis is made early. Early intervention in HD is only possible if genetic diagnosis is made at the disease onset or when mild symptoms manifest. Growing evidence and understanding of HD pathomec
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Naito, Tateaki, Taro Okayama, Takashi Aoyama, et al. "Progress in multimodal intervention for cancer cachexia." Annals of Oncology 28 (October 2017): ix40. http://dx.doi.org/10.1093/annonc/mdx587.001.

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Litrownik, Daniel, Elizabeth A. Gilliam, Peter M. Wayne, et al. "Development of a Novel Intervention (Mindful Steps) to Promote Long-Term Walking Behavior in Chronic Cardiopulmonary Disease: Protocol for a Randomized Controlled Trial." JMIR Research Protocols 10, no. 4 (2021): e27826. http://dx.doi.org/10.2196/27826.

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Background Despite current rehabilitation programs, long-term engagement in physical activity remains a significant challenge for patients with chronic obstructive pulmonary disease (COPD) and heart failure (HF). Novel strategies to promote physical activity in these populations are greatly needed. Emerging literature on the benefits of both mind–body interventions and web-based interventions provide the rationale for the development of the Mindful Steps intervention for increasing walking behavior. Objective This study aims to develop a novel multimodal mind–body exercise intervention through
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Ma, Kai, Xiuxiu Wu, Yongquan Chen, and Hui Yuan. "Effect of multimodal intervention on postoperative nausea and vomiting in patients undergoing gynecological laparoscopy." Journal of International Medical Research 47, no. 5 (2019): 2026–33. http://dx.doi.org/10.1177/0300060519835700.

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Objective Postoperative nausea and vomiting (PONV) is a common complication in patients undergoing gynecological laparoscopic surgery, and achieving good results is difficult with a single antiemetic method. This study investigated whether multimodal intervention can reduce PONV in patients undergoing gynecological laparoscopic surgery. Methods A total of 153 patients who underwent gynecological laparoscopic surgery were randomized into the control group and multimodal group. Patients in the multimodal group received dexmedetomidine 1 µg/kg intravenously 15 minutes before induction of anesthes
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Li, Fuzhong, Peter Harmer, Elizabeth Eckstrom, et al. "Cost-Effectiveness of a Therapeutic Tai Ji Quan Fall Prevention Intervention for Older Adults at High Risk of Falling." Journals of Gerontology: Series A 74, no. 9 (2019): 1504–10. http://dx.doi.org/10.1093/gerona/glz008.

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AbstractBackgroundData on the cost-effectiveness of proven fall prevention exercise interventions are limited. We aimed to establish the cost-effectiveness of Tai Ji Quan: Moving for Better Balance (TJQMBB) compared with a conventional exercise intervention for older adults at high risk of falling.MethodsWe conducted a trial-based cost-effectiveness analysis involving 670 older adults who had a history of falling or impaired mobility. Participants received one of three interventions—TJQMBB, multimodal exercise, or stretching exercise (control)—each of which was implemented twice weekly for 24
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Burgener, Sandy C., Sara Marsh-Yant, and Katie Kosanda Nega. "A Combined, Multimodal Intervention for Individuals with Dementia." Research in Gerontological Nursing 4, no. 1 (2010): 64–75. http://dx.doi.org/10.3928/19404921-20100504-01.

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Dayal, Rajeev, Joshua Bernheim, Daniel G. Clair, et al. "Multimodal Percutaneous Intervention for Critical Venous Occlusive Disease." Annals of Vascular Surgery 19, no. 2 (2005): 235–40. http://dx.doi.org/10.1007/s10016-004-0167-6.

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Weinger, Matthew B., Jason M. Slagle, Audrey H. Kuntz, et al. "A Multimodal Intervention Improves Postanesthesia Care Unit Handovers." Survey of Anesthesiology 60, no. 2 (2016): 83. http://dx.doi.org/10.1097/01.sa.0000480639.60535.78.

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King, Amie M., Julie A. Hengst, and Laura S. DeThorne. "Severe Speech Sound Disorders: An Integrated Multimodal Intervention." Language, Speech, and Hearing Services in Schools 44, no. 2 (2013): 195–210. http://dx.doi.org/10.1044/0161-1461(2012/12-0023).

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Cobb, Nathan K., and Josée Poirier. "Effectiveness of a Multimodal Online Well-Being Intervention." American Journal of Preventive Medicine 46, no. 1 (2014): 41–48. http://dx.doi.org/10.1016/j.amepre.2013.08.018.

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Weinger, Matthew B., Jason M. Slagle, Audrey H. Kuntz, et al. "A Multimodal Intervention Improves Postanesthesia Care Unit Handovers." Anesthesia & Analgesia 121, no. 4 (2015): 957–71. http://dx.doi.org/10.1213/ane.0000000000000670.

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Hegaard, Hanne K., Hanne KjAErgaard, Lars F. MØller, Henrik Wachmann, and Bent Ottesen. "Multimodal intervention raises smoking cessation rate during pregnancy." Acta Obstetricia et Gynecologica Scandinavica 82, no. 9 (2003): 813–19. http://dx.doi.org/10.1034/j.1600-0412.2003.00221.x.

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Vanessa, Tobert, Allen James, and Edmond Evan. "THUR 264 Multimodal intervention to improve lumbar puncture." Journal of Neurology, Neurosurgery & Psychiatry 89, no. 10 (2018): A38.2—A38. http://dx.doi.org/10.1136/jnnp-2018-abn.133.

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IntroductionLumbar puncture (LP) is a routine procedure performed for diagnostic and therapeutic indications for more than 120 years.1 For as long, post-dural puncture headache (PDPH) has been a complication that can be persistent and severe.2 Finer gauge needles and ‘atraumatic’ needle designs3 significantly reduce the incidence of PDPH.4–6MethodsA multimodal intervention consisting of teaching session on atraumatic needle usage, simulation training with 25G Sprotte needles, and electronic LP proforma was introduced in October 2017.Records for all patients having LP in the Neurology day-case
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Bell, Phaedra, Natasha Boissier, Kristine Yaffe, and Brian Lawlor. "P3-505: MULTIMODAL INTERGENERATIONAL SOCIAL CONTACT INTERVENTION (MISCI)." Alzheimer's & Dementia 14, no. 7S_Part_24 (2006): P1315. http://dx.doi.org/10.1016/j.jalz.2018.06.1870.

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Bauminger, Nirit. "Brief Report: Group Social-Multimodal Intervention for HFASD." Journal of Autism and Developmental Disorders 37, no. 8 (2006): 1605–15. http://dx.doi.org/10.1007/s10803-006-0246-3.

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Oreskovic, Nicolas M., Jonathan P. Winickoff, James M. Perrin, Alyssa I. Robinson, and Elizabeth Goodman. "A Multimodal Counseling-Based Adolescent Physical Activity Intervention." Journal of Adolescent Health 59, no. 3 (2016): 332–37. http://dx.doi.org/10.1016/j.jadohealth.2016.03.012.

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Bennell, Kim L., Thorlene Egerton, Yong-Hao Pua, J. Haxby Abbott, Kevin Sims, and Rachelle Buchbinder. "Building the Rationale and Structure for a Complex Physical Therapy Intervention Within the Context of a Clinical Trial: A Multimodal Individualized Treatment for Patients With Hip Osteoarthritis." Physical Therapy 91, no. 10 (2011): 1525–41. http://dx.doi.org/10.2522/ptj.20100430.

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Evaluating the efficacy of complex interventions such as multimodal, impairment-based physical therapy treatments in randomized controlled trials is essential to inform practice and compare relative benefits of available treatment options. Studies of physical therapy interventions using highly standardized intervention protocols, although methodologically rigorous, do not necessarily reflect “real-world” clinical practice, and in many cases results have been disappointing. Development of a complex intervention that includes multiple treatment modalities and individualized treatment technique s
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Chalfont, Garuth, Christine Milligan, and Jane Simpson. "A mixed methods systematic review of multimodal non-pharmacological interventions to improve cognition for people with dementia." Dementia 19, no. 4 (2018): 1086–130. http://dx.doi.org/10.1177/1471301218795289.

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Objective Multimodal non-pharmacological interventions have been argued to have the potential to complement current pharmacological approaches to improving quality of life for people living with dementia. The aim of this review was to identify, synthesise and appraise the evidence for the effectiveness of multimodal non-pharmacological interventions for improving cognitive function specifically. Method After a comprehensive search strategy including grey literature, 26 studies were reviewed. The inclusion criteria concerned adults with a primary diagnosis of dementia. Studies used two or more
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Bouchet, Flavien, Vincent Le Moing, Delphine Dirand, et al. "Effectiveness and Acceptance of Multimodal Antibiotic Stewardship Program: Considering Progressive Implementation and Complementary Strategies." Antibiotics 9, no. 12 (2020): 848. http://dx.doi.org/10.3390/antibiotics9120848.

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Multiple modes of interventions are available when implementing an antibiotic stewardship program (ASP), however, their complementarity has not yet been assessed. In a 938-bed hospital, we sequentially implemented four combined modes of interventions over one year, centralized by one infectious diseases specialist (IDS): (1) on-request infectious diseases specialist consulting service (IDSCS), (2) participation in intensive care unit meetings, (3) IDS intervention triggered by microbiological laboratory meetings, and (4) IDS intervention triggered by pharmacist alert. We assessed the complemen
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Scott, Lena Catherine, Jody Langdon, Diana Botnaru, and Tamerah N. Hunt. "Evaluating Knowledge Attainment and Retention of a Multimodal Approach to Concussion Education in Collegiate Athletes." Athletic Training Education Journal 16, no. 3 (2021): 198–207. http://dx.doi.org/10.4085/1947-380x-20-119.

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Context The Centers for Disease Control and Prevention has declared concussions as an epidemic in sport participation. To provide a safer environment, state legislation and athletic governing bodies have mandated concussion education as a part of concussion management strategies throughout secondary and postsecondary levels. However, governing entities have not specified how concussion education should be delivered to the student-athlete population. Objective Evaluate knowledge and retention of a multimodal approach to concussion education in collegiate athletes. Design Sequential explanatory
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Weed, Roger O., and Ana M. Hernandez. "Multimodal Rehabilitation Counseling." Journal of Applied Rehabilitation Counseling 21, no. 4 (1990): 27–30. http://dx.doi.org/10.1891/0047-2220.21.4.27.

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In an effort to broaden his therapeutic approach, Arnold Lazarus developed multimodal therapy to provide a range of systematic intervention strategies for meeting the multiple level needs of clients seeking help. This article describes Dr. Lazarus's technically eclectic, behavior-based therapy, known as BASIC I.D., and its applications in rehabilitation. The BASIC I.D. process encompasses individual areas of behavior, affect, sensation, imagery, cognition, interpersonal relationships, and drugs/biology. As such, it is seen as a national addition to comprehensive rehabilitation efforts that mus
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van Dijk, Manon D., Sanne A. Mulder, Vicki Erasmus, et al. "A multimodal regional intervention strategy framed as friendly competition to improve hand hygiene compliance." Infection Control & Hospital Epidemiology 40, no. 2 (2019): 187–93. http://dx.doi.org/10.1017/ice.2018.261.

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AbstractObjectiveTo investigate the effects of friendly competition on hand hygiene compliance as part of a multimodal intervention program.DesignProspective observational study in which the primary outcome was hand hygiene compliance. Differences were analyzed using the Pearson χ2 test. Odds ratios (ORs) with 95% confidence interval were calculated using multilevel logistic regression.SettingObservations were performed in 9 public hospitals and 1 rehabilitation center in Rotterdam, Netherlands.ParticipantsFrom 2014 to 2016, at 5 time points (at 6-month intervals) in 120 hospital wards, 20,286
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Bergen, L. K., H. Amtsbiller, and J. Anhøj. "Improving hand hygiene after implementing a multimodal intervention programme." Journal of Patient Safety & Infection Control 3, no. 2 (2015): 102. http://dx.doi.org/10.1016/j.jpsic.2015.10.160.

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Ahonen, Timo, Arja Luotoniemi, Katri Nokelainen, Anne Savelius, and Sirkka Tasola. "Multimodal intervention in children with attention‐deficit hyperactivity disorder." European Journal of Special Needs Education 9, no. 2 (1994): 168–81. http://dx.doi.org/10.1080/0885625940090205.

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Reddy, Linda A., and Arnold P. Goldstein. "Aggression Replacement Training: A Multimodal Intervention for Aggressive Adolescents." Residential Treatment for Children & Youth 18, no. 3 (2001): 47–62. http://dx.doi.org/10.1300/j007v18n03_05.

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Sudhakar Russell, Paul Swamidhas, Sushila Edward Raj, and Jacob Kochukaleekal John. "MULTIMODAL INTERVENTION FOR SELECTIVE MUTISM IN MENTALLY RETARDED CHILDREN." Journal of the American Academy of Child & Adolescent Psychiatry 37, no. 9 (1998): 903–4. http://dx.doi.org/10.1097/00004583-199809000-00008.

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Howell, Emily, Tracy Butler, and David Reinking. "Integrating Multimodal Arguments Into High School Writing Instruction." Journal of Literacy Research 49, no. 2 (2017): 181–209. http://dx.doi.org/10.1177/1086296x17700456.

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We conducted a formative experiment investigating how an intervention that engaged students in constructing multimodal arguments could be integrated into high school English instruction to improve students’ argumentative writing. The intervention entailed three essential components: (a) construction of arguments defined as claims, evidence, and warrants; (b) digital tools that enabled the construction of multimodal arguments; and (c) a process approach to writing. The intervention was implemented for 11 weeks in high school English classrooms. Data included classroom observations; interviews w
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Avancini, Alice, Ilaria Trestini, Daniela Tregnago, et al. "Multidisciplinary lifestyle intervention to manage pancreatic cancer-related cachexia: a case report." Future Science OA 7, no. 2 (2021): FSO659. http://dx.doi.org/10.2144/fsoa-2020-0165.

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Pancreatic cancer remains an aggressive disease, with a poor prognosis and a high risk of incurring into cachexia. Supportive care, such as exercise, nutritional and psychological support, may be effective in reducing functional loss, psychological distress and improving nutritional status. We report the effect of 12 weeks of multimodal lifestyle intervention in a 55-year-old female, diagnosed with unresectable body/tail pancreatic cancer and metastasis in the liver, bone, lymph node and lung, to counteract cachexia. The multimodal program resulted safe and feasible. Over 12 weeks, considerabl
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Fishman, Sarah, Julie Vanderklish, Don S. Dizon, et al. "A multimodal intervention to enhance sexual function and quality of life (QOL) in hematopoietic stem cell transplant (HCT) survivors." Journal of Clinical Oncology 35, no. 15_suppl (2017): 10013. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.10013.

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10013 Background: Although sexual dysfunction is a common long-term complication in allogeneic HCT survivors, interventions to address sexual dysfunction are lacking. Methods: We conducted a pilot study to assess the feasibility and preliminary efficacy of a multimodal sexual dysfunction intervention to improve sexual function in allogeneic HCT survivors. Transplant clinicians systematically screened all HCT survivors ≥ 3 months post-HCT for sexual dysfunction causing distress using the NCCN Survivorship Guidelines. Those who screened positive attended monthly intervention visits with trained
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El-Jawahri, Areej, Sarah Fishman, Julie Vanderklish, Lara Traeger, Don S. Dizon, and Jennifer S. Temel. "A multimodal intervention to enhance sexual function and quality of life (QOL) in hematopoietic stem cell transplant (HCT) survivors." Journal of Clinical Oncology 35, no. 31_suppl (2017): 191. http://dx.doi.org/10.1200/jco.2017.35.31_suppl.191.

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191 Background: Although sexual dysfunction is a common long-term complication in allogeneic HCT survivors, interventions to address sexual dysfunction are lacking. Methods: We conducted a pilot study to assess the feasibility and preliminary efficacy of a multimodal sexual dysfunction intervention to improve sexual function in allogeneic HCT survivors. Transplant clinicians systematically screened all HCT survivors ≥ 3 months post-HCT for sexual dysfunction causing distress using the NCCN Survivorship Guidelines. Those who screened positive attended monthly intervention visits with trained st
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Ohito, Esther O. "“Blackness is not just a single definition”: multimodal composition as an exercise for surfacing and scaffolding student theorizing in a Black Studies classroom." English Teaching: Practice & Critique 20, no. 2 (2021): 227–44. http://dx.doi.org/10.1108/etpc-05-2020-0047.

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Purpose This study aims to investigate multimodal composition as an exercise or tool for teaching students theory building. To illustrate, an analysis of artifacts comprising a student’s multimodal composition, which was created in response to a multipart literacy assignment on theorizing Blackness, is analyzed. Design/methodology/approach Afrocentricity served as both theoretical moor and research methodology. Qualitative case study, focusing on the case of an individual student, was the research method used. Findings Multimodal composition was an effective exercise for surfacing the multidim
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Wang, Yen-Hsiang, Chieh-Shou Su, Keng-Hao Chang, Chi-Jen Went, Wen-Lieng Lee, and Chih-Hung Lai. "Percutaneous intervention to correct central venous port catheter malposition." Perfusion 33, no. 5 (2017): 404–6. http://dx.doi.org/10.1177/0267659117747376.

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The use of central venous port access is increasing due to the requirements of multimodal intravenous therapy.1 However, catheter malposition in smaller veins can lead to vein thrombosis, phlebitis and pain. Herein, we report our experience with the use of percutaneous interventions to correct migrated port catheter malposition. Minimally invasive percutaneous interventional correction of malposition could be an alternative to extraction and re-implantation of malpositioned port catheters.
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Martín-Madrazo, Carmen, Sonia Soto-Díaz, Asuncion Cañada-Dorado, et al. "Cluster Randomized Trial to Evaluate the Effect of a Multimodal Hand Hygiene Improvement Strategy in Primary Care." Infection Control & Hospital Epidemiology 33, no. 7 (2012): 681–88. http://dx.doi.org/10.1086/666343.

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Objective.To evaluate the effectiveness of a multimodal intervention in primary care health professionals for improved compliance with hand hygiene practice, based on the World Health Organization's 5 Moments for Health Hygiene.Design.Cluster randomized trial, parallel 2-group study (intervention and control).Setting.Primary healthcare centers in Madrid, Spain.Participants.Eleven healthcare centers with 198 healthcare workers (general practitioners, nurses, pediatricians, auxiliary nurses, midwives, odontostomatologists, and dental hygienists).Methods.The multimodal hand hygiene improvement st
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Baby, Christy, James Chacko, and Krishnakumar K. "A MULTIMODAL INTERVENTION IN AMAVATA (RHEUMATOID ARTHRITIS): A CASE STUDY." International Journal of Research in Ayurveda & Pharmacy 7, no. 5 (2016): 71–77. http://dx.doi.org/10.7897/2277-4343.075223.

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Samples, Julie, Jennifer Runkle, Nargess Shadbeh, et al. "Worker Protection Rights and Indigenous Farmworker Participation in Multimodal Intervention." Journal of Agromedicine 19, no. 2 (2014): 238–39. http://dx.doi.org/10.1080/1059924x.2014.892455.

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Cevasco-Trotter, Andrea M., Ellyn L. Hamm, Xin Yang, and Jason Parton. "Multimodal Neurological Enhancement Intervention for Self-regulation in Premature Infants." Advances in Neonatal Care 19, no. 4 (2019): E3—E11. http://dx.doi.org/10.1097/anc.0000000000000595.

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Ballard, Elizabeth D., and Carlos A. Zarate. "Preventing suicide: A multicausal model requires multimodal research and intervention." Bipolar Disorders 20, no. 6 (2018): 558–59. http://dx.doi.org/10.1111/bdi.12656.

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Reyes, Juliana Delos, Laura Morrison, Maria Costello, et al. "127A Multimodal Intervention to Reduce the Prescription of Night Sedation." Age and Ageing 46, Suppl_3 (2017): iii13—iii59. http://dx.doi.org/10.1093/ageing/afx144.140.

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Kohl, Thomas, Martin Westphal, Danja Strümper, et al. "Multimodal Fetal Transesophageal Echocardiography for Fetal Cardiac Intervention in Sheep." Circulation 104, no. 15 (2001): 1757–60. http://dx.doi.org/10.1161/hc4001.097937.

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Kalenine, Solène, Leatitia Pinet, and Edouard Gentaz. "The visual and visuo-haptic exploration of geometrical shapes increases their recognition in preschoolers." International Journal of Behavioral Development 35, no. 1 (2010): 18–26. http://dx.doi.org/10.1177/0165025410367443.

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This study assessed the benefit of a multisensory intervention on the recognition of geometrical shapes in kindergarten children. Two interventions were proposed, both conducted by the teachers and involving exercises focused on the properties of the shapes but differing in the sensory modalities used to explore them. In the ‘‘VH’’ intervention, the visual and haptic modalities were used to explore the raised shapes while only the visual modality was involved in the ‘‘V’’ (Visual) intervention. We compared the effect of the two interventions on the acquisition of conceptual knowledge about squ
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Shahril, Mohd Razif, Wan Putri Elena Wan Dali, and Pei Lin Lua. "A 10-Week Multimodal Nutrition Education Intervention Improves Dietary Intake among University Students: Cluster Randomised Controlled Trial." Journal of Nutrition and Metabolism 2013 (2013): 1–11. http://dx.doi.org/10.1155/2013/658642.

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The aim of the study was to evaluate the effectiveness of implementing multimodal nutrition education intervention (NEI) to improve dietary intake among university students. The design of study used was cluster randomised controlled design at four public universities in East Coast of Malaysia. A total of 417 university students participated in the study. They were randomly selected and assigned into two arms, that is, intervention group (IG) or control group (CG) according to their cluster. The IG received 10-week multimodal intervention using three modes (conventional lecture, brochures, and
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Hansen, Anders E., Jonas R. Henriksen, Rasmus I. Jølck, et al. "Multimodal soft tissue markers for bridging high-resolution diagnostic imaging with therapeutic intervention." Science Advances 6, no. 34 (2020): eabb5353. http://dx.doi.org/10.1126/sciadv.abb5353.

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Diagnostic imaging often outperforms the surgeon’s ability to identify small structures during therapeutic procedures. Smart soft tissue markers that translate the sensitivity of diagnostic imaging into optimal therapeutic intervention are therefore highly warranted. This paper presents a unique adaptable liquid soft tissue marker system based on functionalized carbohydrates (Carbo-gel). The liquid state of these markers allows for high-precision placement under image guidance using thin needles. Based on step-by-step modifications, the image features and mechanical properties of markers can b
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Saitoh, Akihiko, Kiyomi Sato, Yoko Magara, et al. "Improving Hand Hygiene Adherence in Healthcare Workers Before Patient Contact: A Multimodal Intervention in Four Tertiary Care Hospitals in Japan." Journal of Hospital Medicine 15, no. 2020-05 (2020): 262–67. http://dx.doi.org/10.12788/jhm.3446.

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OBJECTIVES: Our objectives were to evaluate hand hygiene adherence among physicians and nurses before touching hospitalized patients and to evaluate changes in hand hygiene adherence after a multimodal intervention was implemented. DESIGN, SETTING, AND PARTICIPANTS: We conducted a pre- and postintervention study with HCWs at four tertiary hospitals in Niigata, Japan. Hand hygiene observations were conducted from June to August 2018 (preintervention) and February to March 2019 (postintervention). INTERVENTION: The multimodal hand hygiene intervention recommended by the World Health Organization
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Agzamxodjaev, T. S., Otabek Ya Fayziev, A. S. Yusupov, and N. N. Turaevna. "Combined multimodal anesthesia for abdominal surgeries in children." Russian Journal of Pediatric Surgery 24, no. 3 (2020): 188–93. http://dx.doi.org/10.18821/1560-9510-2020-24-3-188-193.

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Introduction. The article presents findings which may be useful for solving an urgent medical problem on the adequacy of anesthetic management during planned surgical interventions in children with abdominal pathology. Purpose. To compare the effectiveness of combined multimodal anesthesia and multicomponent neuroleptanalgesia in abdominal interventions in children by evaluating central and peripheral hemodynamics. Material and methods. 96 children, aged 1-17, who had various surgical pathologies and were operated on, were examined. In 52% of patients (n = 50), a combined multimodal anesthesia
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Sakihama, Tomoko, Naomi Kayauchi, Sanjay Saint, Karen E. Fowler, David Ratz, and Yasuharu Tokuda. "1193. Assessing Sustainability of Hand Hygiene Adherence 5 Years after a Contest-Based Intervention in 3 Japanese Hospitals." Open Forum Infectious Diseases 6, Supplement_2 (2019): S428. http://dx.doi.org/10.1093/ofid/ofz360.1056.

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Abstract Background To evaluate the 5-year sustainability of a multimodal intervention which included a prize to the hospital with the highest overall hand hygiene adherence rates among healthcare workers. Methods Design: An observational study using direct observation of hand hygiene adherence performed by a trained observer coupled with a survey of healthcare workers about their knowledge of hand hygiene practices. Setting: Three Japanese tertiary care hospitals. Study Population: Physicians and nurses working on an inpatient medical or surgical ward, an intensive care unit (ICU), or the eme
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Alvarez, Guadalupe, and Lourdes Morán. "Análisis de las intervenciones de apertura de foros de formación online desde una perspectiva discursivo multimedial y didáctico discursiva." Edutec. Revista Electrónica de Tecnología Educativa, no. 33 (September 20, 2010): a142. http://dx.doi.org/10.21556/edutec.2010.33.434.

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No cualquier uso de las tecnologías de la información y la comunicación garantiza la construcción del conocimiento. Se vuelve entonces importante estudiar las modalidades comunicativas en los foros. En relación con ello, y considerando que la emisión iniciadora suele funcionar como guía de las emisiones subsiguientes, se propone elaborar una caracterización de la intervención de apertura de los foros. Para ello, se analizan dichas intervenciones desde una perspectiva discusivo multimedial y didáctico discursiva.Analysis of open online education forum from a discursive multimodal and didactic d
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Crevenna, Richard, Stefano Palma, and Thomas Licht. "Cancer prehabilitation—a short review." memo - Magazine of European Medical Oncology 14, no. 1 (2021): 39–43. http://dx.doi.org/10.1007/s12254-021-00686-5.

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SummaryCancer prehabilitation uses the pretreatment time period to prevent a treatment-related functional decline and its subsequent consequences, and therefore occurs between the time of cancer diagnosis and the beginning of acute cancer treatment. This intervention has been shown to improve functional status, physical and psychological health outcomes and decrease overall health care costs. Currently there are several unimodal and one multimodal cancer prehabilitation regimens. Unimodal cancer prehabilitation includes exercise only, and multimodal cancer prehabilitation regimens are combinat
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Esculier, Jean-Francois, Laurent J. Bouyer, and Jean-Sébastien Roy. "The Effects of a Multimodal Rehabilitation Program on Symptoms and Ground-Reaction Forces in Runners With Patellofemoral Pain Syndrome." Journal of Sport Rehabilitation 25, no. 1 (2016): 23–30. http://dx.doi.org/10.1123/jsr.2014-0245.

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Context:Patellofemoral pain (PFP) is one of the most frequent running-related injuries. However, few interventions taking into consideration the specificity of running have been shown to be effective in runners with PFP.Objective:To evaluate the effects of a multimodal rehabilitation program including lower-limb-strengthening/motor-control exercises, advice on running biomechanics, and symptoms management on symptoms, strength, and ground-reaction forces in runners with PFP.Design:Pre- to post- quasi-experimental.Setting:Gait-analysis laboratory and private physical therapy clinic.Participants
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