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Participatory medicine

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https://www.readbyqxmd.com/read/28895125/governance-arrangements-for-health-systems-in-low-income-countries-an-overview-of-systematic-reviews
#1
REVIEW
Cristian A Herrera, Simon Lewin, Elizabeth Paulsen, Agustín Ciapponi, Newton Opiyo, Tomas Pantoja, Gabriel Rada, Charles S Wiysonge, Gabriel Bastías, Sebastian Garcia Marti, Charles I Okwundu, Blanca Peñaloza, Andrew D Oxman
BACKGROUND: Governance arrangements include changes in rules or processes that determine authority and accountability for health policies, organisations, commercial products and health professionals, as well as the involvement of stakeholders in decision-making. Changes in governance arrangements can affect health and related goals in numerous ways, generally through changes in authority, accountability, openness, participation and coherence. A broad overview of the findings of systematic reviews can help policymakers, their technical support staff and other stakeholders to identify strategies for addressing problems and improving the governance of their health systems...
September 12, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28852561/barred-from-better-medicine-reexamining-regulatory-barriers-to-the-inclusion-of-prisoners-in-research
#2
Elaine Huang, Jacqueline Cauley, Jennifer K Wagner
In 2015, President Obama announced plans for the Precision Medicine Initiative(®) (PMI), an ambitious longitudinal project aimed at revolutionizing medicine. Integral to this Initiative is the recruitment of over one million Americans into a volunteer research cohort, the All of Us(SM) Research Program. The announcement has generated much excitement but absent is a discussion of how the All of Us Research Program-to be implemented within the context of social realities of mass incarcerations and racial disparities in criminal justice and healthcare-might excaberate health disparities...
April 2017: Journal of Law and the Biosciences
https://www.readbyqxmd.com/read/28845852/-rare-diseases-in-post-genomic-era
#3
Simonetta Pulciani, Andrea Vittozzi, Stefano Diemoz, Emanuele Nutile, Domenica Taruscio
The Human Genome Project and the "-omics" technologies will in future provide genetic maps and biosynthetic pathways permitting personalized medical interventions directed at maintaining or restoring wellbeing. This is reflected in the strategy aims of 4P medicine in being: predictive, preventive, personalized, and participatory. The results obtained in the field of cystic fibrosis, with the cloning of CFTR gene, and use of Kalydeco®, have demonstrated how using the mentioned strategies could also have success in rare disease management...
July 2017: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/28828397/assessment-of-useful-plants-in-the-catchment-area-of-the-proposed-ntabelanga-dam-in-the-eastern-cape-province-south-africa
#4
Alfred Maroyi
BACKGROUND: The developmental projects, particularly construction of dams, result in permanent changes of terrestrial ecosystems through inundation. OBJECTIVE: The present study was undertaken aiming at documenting useful plant species in Ntabelanga dam catchment area that will be impacted by the construction of the proposed dam. METHODS: A total of 55 randomly selected quadrats were used to assess plant species diversity and composition. Participatory rural appraisal (PRA) methods were used to identify useful plant species growing in the catchment area through interviews with 108 randomly selected participants...
2017: TheScientificWorldJournal
https://www.readbyqxmd.com/read/28805797/human-genomics-projects-and-precision-medicine
#5
REVIEW
F Carrasco-Ramiro, R Peiró-Pastor, B Aguado
The completion of the Human Genome Project (HGP) in 2001 opened the floodgates to a deeper understanding of medicine. There are dozens of HGP-like projects which involve from a few tens to several million genomes currently in progress, which vary from having specialised goals or a more general approach. However, data generation, storage, management and analysis in public and private cloud computing platforms have raised concerns about privacy and security. The knowledge gained from further research has changed the field of genomics and is now slowly permeating into clinical medicine...
August 14, 2017: Gene Therapy
https://www.readbyqxmd.com/read/28793900/botanical-ethnoveterinary-therapies-used-by-agro-pastoralists-of-fafan-zone-eastern-ethiopia
#6
Teka Feyera, Endalkachew Mekonnen, Befekadu Urga Wakayo, Solomon Assefa
BACKGROUND: In Ethiopia, plant based remedies are still the most important and sometimes the only source of therapeutics in the management of livestock diseases. However, documentation of this indigenous knowledge of therapeutic system still remains at a minimum level. The aim of this study was, thus, to document the traditional knowledge of botanical ethnoveterinary therapies in the agro-pastoral communities of Fafan Zone, Eastern Ethiopia. METHODS: The study employed a cross-sectional participatory survey...
August 9, 2017: BMC Veterinary Research
https://www.readbyqxmd.com/read/28768613/medicine-goes-female-protocol-for-improving-career-options-of-females-and-working-conditions-for-researching-physicians-in-clinical-medical-research-by-organizational-transformation-and-participatory-design
#7
Joachim Hasebrook, Klaus Hahnenkamp, Wolfgang F F A Buhre, Dianne de Korte-de Boer, Ankie E W Hamaekers, Bibiana Metelmann, Camila Metelmann, Marina Bortul, Silvia Palmisano, Jannicke Mellin-Olsen, Andrius Macas, Janusz Andres, Anna Prokop-Dorner, Tomáš Vymazal, Juergen Hinkelmann, Sibyll Rodde, Bettina Pfleiderer
BACKGROUND: All European countries need to increase the number of health professionals in the near future. Most efforts have not brought the expected results so far. The current notion is that this is mainly related to the fact that female physicians will clearly outnumber their male colleagues within a few years in nearly all European countries. Still, women are underrepresented in leadership and research positions throughout Europe. OBJECTIVES: The MedGoFem project addresses multiple perspectives with the participation of multiple stakeholders...
August 2, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28737328/-documenting-a-rehabilitation-program-using-a-logic-model-an-advantage-to-the-assessment-process
#8
Frédérique Poncet, Bonnie Swaine, Pascale Pradat-Diehl
The cognitive and behavioral disorders after brain injury can result in severe limitations of activities and restrictions of participation. An interdisciplinary rehabilitation program was developed in physical medicine and rehabilitation at the Pitié-Salpêtriere Hospital, Paris, France. Clinicians believe this program decreases activity limitations and improves participation in patients. However, the program’s effectiveness had never been assessed. To do this, we had to define/describe this program. However rehabilitation programs are holistic and thus complex making them difficult to describe...
March 6, 2017: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/28716653/bioeconomy-in-latin-america
#9
REVIEW
Albert Sasson, Carlos Malpica
This article provides the authors' view on how Latin America has embraced bioeconomy principles in the last two decades with different levels of socio-economic impact. Examples of biodiversity resource valorization in medicine, eco-intensification of agriculture, biotechnology applications in mature sectors such as mining, food and beverage production, bio-refineries and ecosystem services are provided. The importance of participatory and social innovation initiatives is highlighted.
July 14, 2017: New Biotechnology
https://www.readbyqxmd.com/read/28699998/culture-bound-syndromes-in-migratory-contexts-the-case-of-bolivian-immigrants
#10
María Teresa Roldán-Chicano, José Fernández-Rufete, César Hueso-Montoro, María Del Mar García-López, Javier Rodríguez-Tello, María Dolores Flores-Bienert
Objective: to describe the culture-bound syndromes maintained by Bolivian immigrants in the new migratory context and analyze the care processes of these health problems. Method: qualitative research with an ethnographic methodological approach. Sample: 27 Bolivian immigrants. In-depth interviews and participatory observation were the strategies used for data collection. Data were classified and categorized into logical schemes manually and using the ATLAS-ti program v...
July 10, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28679073/supporting-carers-to-manage-pain-medication-in-cancer-patients-at-the-end-of-life-a-feasibility-trial
#11
Sue Latter, Jane B Hopkinson, Elizabeth Lowson, Jane A Hughes, Jacki Hughes, Sue Duke, Sally Anstey, Michael I Bennett, Carl May, Peter Smith, Alison Richardson
BACKGROUND: Carers of people with advanced cancer play a significant role in managing pain medication, yet they report insufficient information and support to do so confidently and competently. There is limited research evidence on the best ways for clinicians to help carers with medication management. AIMS: To develop a pain medicines management intervention (Cancer Carers Medicines Management) for cancer patients' carers near the end of life and evaluate feasibility and acceptability to nurses and carers...
June 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28674300/systematic-and-stepwise-interprofessional-education-in-showa-university
#12
Yuji Kiuchi
 At Showa University, which consists of the schools of medicine, dentistry, pharmacy, nursing and rehabilitation sciences, systematic interprofessional education was introduced with the cooperation of all 4 schools and through all undergraduate grades with the purpose of training medical staff who can contribute positively to the medical team. In the lower grades, students study the basics of medical team care based on a 4-school joint curriculum of experience learning (such as early exposure) and problem-based learning (PBL) tutorial inside and outside of the university...
2017: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
https://www.readbyqxmd.com/read/28622406/building-bridges-to-address-health-disparities-in-puerto-rico-the-salud-para-pi%C3%A3-ones-project
#13
Enid J García-Rivera, Princess Pacheco, Marielis Colón, Mary Helen Mays, Maricruz Rivera, Verónica Munet-Díaz, María Del R González, María Rodríguez, Rebecca Rodríguez, Astrid Morales
Over the past several decades, Puerto Ricans have faced increased health threats from chronic diseases, particularly diabetes and hypertension. The patient-provider relationship is the main platform for individual disease management, whereas the community, as an agent of change for the community's health status, has been limited in its support of individual health. Likewise, traditional research approaches within communities have placed academic researchers at the center of the process, considering their knowledge was of greater value than that of the community...
June 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28622405/implementing-a-randomized-controlled-trial-through-a-community-academia-partnered-participatory-research-arte-con-salud-research-informed-intervention
#14
Patricia Noboa-Ortega, Wanda I Figueroa-Cosme, Alana Feldman-Soler, Christine Miranda-Díaz
OBJECTIVE: "Arte con Salud" is an HIV/AIDS prevention intervention tailored for Puerto Rican women who have sex with men. The intervention curriculum was refined through a community-academic collaboration between Taller Salud, the UPRCayey Campus, and the UCC-School of Medicine, subsided in 2012-13 by PRCTRC. The collaboration has been crucial to validate the impact of using art as a tool to facilitate sexual negotiation skills and safer sexual practices among adult women have sex with men participating in HIV prevention education...
June 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28575140/optimizing-drug-development-in-oncology-by-clinical-trial-simulation-why-and-how
#15
Jocelyn Gal, Gérard Milano, Jean-Marc Ferrero, Esma Saâda-Bouzid, Julien Viotti, Sylvie Chabaud, Paul Gougis, Christophe Le Tourneau, Renaud Schiappa, Agnes Paquet, Emmanuel Chamorey
In therapeutic research, the safety and efficacy of pharmaceutical products are necessarily tested on humans via clinical trials after an extensive and expensive preclinical development period. Methodologies such as computer modeling and clinical trial simulation (CTS) might represent a valuable option to reduce animal and human assays. The relevance of these methods is well recognized in pharmacokinetics and pharmacodynamics from the preclinical phase to postmarketing. However, they are barely used and are poorly regarded for drug approval, despite Food and Drug Administration and European Medicines Agency recommendations...
May 29, 2017: Briefings in Bioinformatics
https://www.readbyqxmd.com/read/28569221/a-four-part-working-bibliography-of-neuroethics-part-4-ethical-issues-in-clinical-and-social-applications-of-neuroscience
#16
EDITORIAL
Kira Becker, John R Shook, Martina Darragh, James Giordano
BACKGROUND: As a discipline, neuroethics addresses a range of questions and issues generated by basic neuroscientific research (inclusive of studies of putative neurobiological processes involved in moral and ethical cognition and behavior), and its use and meanings in the clinical and social spheres. Here, we present Part 4 of a four-part bibliography of the neuroethics literature focusing on clinical and social applications of neuroscience, to include: the treatment-enhancement discourse; issues arising in neurology, psychiatry, and pain care; neuroethics education and training; neuroethics and the law; neuroethics and policy and political issues; international neuroethics; and discourses addressing "trans-" and "post-" humanity...
May 31, 2017: Philosophy, Ethics, and Humanities in Medicine: PEHM
https://www.readbyqxmd.com/read/28558812/introducing-onsite-antenatal-syphilis-screening-in-burkina-faso-implementation-and-evaluation-of-a-feasibility-intervention-tailored-to-a-local-context
#17
Fadima Yaya Bocoum, Grissoum Tarnagda, Fabrice Bationo, Justin R Savadogo, Sarata Nacro, Séni Kouanda, Christina Zarowsky
BACKGROUND: Although the advantages of introducing point of care testing for syphilis in antenatal care (ANC) are well documented, there is little evidence on how to address structural issues within health systems. A better understanding of how these interventions work in a range of settings and contexts is needed in order to overcome bottlenecks at health system level. To better understand the relationships between implementation and context we developed and implemented an intervention focused on integrating a rapid screening test for syphilis in ANC services in rural primary health care facilities in Burkina Faso...
May 30, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28523298/role-of-genetic-polymorphism-in-nutritional-supplementation-therapy-in-personalized-medicine
#18
Nicolae Ovidiu Peneş, Bernard Weber, Silviu Dumitru Păun
Genetic-guided nutritional supplementation therapy in personalized medicine is the type of treatment that prevents and acts against errors during the copying process of a cell's deoxyribonucleic acid (DNA), mistakes that lead to diversification in the DNA sequence at certain locations, called single nucleotide polymorphisms (SNPs). Positive results are quickly achieved using one of the four types of therapy. These types are: personalized, when individual human genetic variations drive individual treatment, preventive, with a tailored healthcare strategy and therapeutic preventive drugs and vaccines, participatory, when empowered patients make informed choices and take responsibility of their own health and predictive, using a proactive approach to health and medicine...
2017: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/28506152/a-participatory-systems-approach-to-design-for-safer-integrated-medicine-management
#19
Gyuchan Thomas Jun, Aneurin Canham, Ander Altuna-Palacios, James R Ward, Ran Bhamra, Stephen Rogers, Amalin Dutt, Priyal Shah
It is recognised that whole systems approaches are required in the design and development of complex health care services. Application of a systems approach benefits from the involvement of key stakeholders. However, participation in the context of community based health care is particularly challenging due to busy and geographically distributed stakeholders. This study used action research to investigate what processes and methods were needed to successfully employ a participatory systems approach. Three participatory workshops planned and facilitated by method experts were held with 30 representative stakeholders...
June 2, 2017: Ergonomics
https://www.readbyqxmd.com/read/28482678/partnerships-for-active-children-in-elementary-schools-outcomes-of-a-2-year-pilot-study-to-increase-physical-activity-during-the-school-day
#20
R Glenn Weaver, Collin A Webster, Cate Egan, Carolina M C Campos, Robert D Michael, Spyridoula Vazou
PURPOSE: To evaluate the impact of the pilot study Partnerships for Active Children in Elementary Schools on the percentage of children achieving the Institute of Medicine guideline of 30 minutes of moderate-to-vigorous physical activity (MVPA) during the school day. DESIGN: Pre/multiple post-quasi-experimental. SETTING: Four elementary schools. PARTICIPANTS: Physical education (n = 3) and classroom teachers (n = 12) and students (n = 229)...
January 1, 2017: American Journal of Health Promotion: AJHP
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