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Sökning: WFRF:(Reid D.) > Linköpings universitet

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  • Gunnarsson, Ronny K, 1955, et al. (författare)
  • Association between guidelines and medical practitioners' perception of best management for patients attending with an apparently uncomplicated acute sore throat: a cross-sectional survey in five countries
  • 2020
  • Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 10
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective To investigate the relationship between guidelines and the medical practitioners' perception of optimal care for patients attending with an apparently uncomplicated acute sore throat in five countries (Australia, Germany, Sweden, UK and USA). Design International cross-sectional survey. Setting Primary healthcare (PHC). Participants Medical practitioners working in PHC. Main outcome measures ORs for: (A) perception of throat swabs as important, (B) perception of blood tests (C reactive protein, B-ESR and B-leucocytes) as important and (C) antibiotic prescriptions if no pathogenic bacteria isolated on throat swab. Results Guidelines differed significantly; those recommending throat swabs (Sweden and USA) were associated with practitioners perceiving them as important. The UK guideline was the only one actively discouraging the use of throat swabs. Hence, compared with the USA (reference), a throat swab showing no pathogenic bacteria increased the probability of antibiotic prescribing in the UK with OR 3.2 (95% CI 1.7 to 6.1) for adults, whereas it reduced the probability in Sweden for adults OR 0.35 (95% CI 0.13 to 0.96) and children 0.19 (95% CI 0.069 to 0.50). Conclusions The differences between practitioners' perceptions of best management were associated with their guidelines. It remains unclear if guidelines influenced medical practitioners' perception or if guidelines merely reflect the consensus of current practice. A larger effort should be made to reach an international consensus in high-income countries about the best management of patients attending for an uncomplicated acute sore throat.
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  • Patel, G.N., et al. (författare)
  • An asynchronous architecture for modeling intersegmental neural communication
  • 2006
  • Ingår i: IEEE Transactions on Very Large Scale Integration (vlsi) Systems. - 1063-8210 .- 1557-9999. ; 14:2, s. 97-111
  • Tidskriftsartikel (refereegranskat)abstract
    • This paper presents an asynchronous VLSI architecture for modeling the oscillatory patterns seen in segmented biological systems. The architecture emulates the intersegmental synaptic connectivity observed in these biological systems. The communications network uses address-event representation (AER), a common neuromorphic protocol for data transmission. The asynchronous circuits are synthesized using communicating hardware processes (CHP) procedures. The architecture is scalable, supports multichip communication, and operates independent of the type of silicon neuron (spiking or burst envelopes). A 16-segment prototype system was developed, tested, and implemented, data from this system are presented. © 2006 IEEE.
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