Objective:
The objective of this review is to determine the diagnostic accuracy of computed tomography coronary angiography (CTCA) using recent scan technologies for detecting coronary artery disease (CAD) in adults with high heart rates.
Introduction:
Invasive coronary angiography is the gold standard for detecting significant CAD, but it is costly and carries risks of complications. Computed tomography coronary angiography has a high sensitivity for diagnosing CAD, although image quality may be affected by elevated heart rates. Recent technological advances in scanner design may increase the diagnostic accuracy of CTCA.
Inclusion criteria:
This review will consider diagnostic test accuracy studies that include adults 18 years and older with a heart rate greater than 65 beats per minute who have undergone CTCA to diagnose CAD (greater than 50% stenosis). Eligible studies will compare invasive coronary angiography with computed tomography scanner technologies that use either single- or dual-source scanner configuration in prospective electrocardiogram scan acquisition mode, and with a total scanner coverage equal to or greater than 128 detector-rows. Studies published in English from 2007 will be considered.
Methods:
PubMed, Embase, CINAHL and Scopus will be searched, along with Google Scholar, the NIHR-HTA register, computed tomography vendors and conference abstracts. Screening of potential titles and abstracts, retrieval of full-text studies, assessment of methodological quality and data extraction will be performed independently by two reviewers. Meta-analyses will be performed, if possible, and a Grading of Recommendations, Assessment, Development and Evaluation (GRADE) Summary of Findings presented.
Parents whose children are in public care are a vulnerable, hard-to-reach and under-focused group. Their needs are numerous, complex, and range from acute to long-term. The Family Counselling Services have recently assumed particular responsibility to provide emotional and support services to this parent group. The study aimed to explore the experiences and needs of family therapists currently working with the parent group. A national sample of 21 therapists participated in the study. Data was collected based on focus-group interviews and analysed using themes from the Contextual Model presented by Wampold (2015). Responses covered the initial bond and the three therapeutic pathways offered by the model. Further, therapists had a positive attitude but also expressed their concerns. Providing supplemental services to the parent group had an excellent fit with the Family Counseling Services.
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