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https://www.readbyqxmd.com/read/28097637/moving-from-patient-advocacy-to-partnership-a-long-and-bumpy-road
#1
Durhane Wong-Rieger
Real-life experiences of grassroots patient organizations across a variety of diseases, countries and contexts have been used to develop a four-mode framework of the transition from patient advocacy to partnership, defined by one axis as individual versus collective action and the other axis as activities 'outside' or 'inside' the system. The four quadrants are labeled as advocacy, activism, reform and broker, and engagement is further refined by whether the participation is 'pushed' by the group or 'pulled' by the system...
January 17, 2017: Patient
https://www.readbyqxmd.com/read/28091432/depression-and-posttraumatic-stress-disorder-among-road-traffic-accident-victims-managed-in-a-tertiary-hospital-in-southern-nigeria
#2
J E Asuquo, B E Edet, I E Abang, E A Essien, O G Osakwe, E J Aigbomain, K C Chigbundu
BACKGROUND: Psychological responses to traumatic events vary widely across different cultures but studies in the developing countries are scant. The objective of this study is to determine prevalence of depression and posttraumatic stress disorder (PTSD) among patients involved in road traffic accident (RTA) compared with that of the general population using a matched control group. MATERIALS AND METHODS: The study design was case control and employed the convenient sampling technique...
February 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/28048147/su-f-e-14-global-radiation-oncology-education-and-training-in-medical-physics-powered-by-information-and-communication-technologies
#3
W Ngwa, E Sajo, T Ngoma, J Dachi, J Julius Mwaiselage, O Kenton, S Avery
PURPOSE: Recent publications have highlighted the potential of Information and Communication Technologies (ICTs) to catalyze collaborations in cancer care, research and education in global radiation oncology. This work reports on the use of ICTs for global Medical Physics education and training across three countries: USA, Tanzania and Kuwait METHODS: An online education platform was established by Radiation Oncology Faculty from Harvard Medical School, and the University of Pennsylvania with integrated Medical Physics Course modules accessible to trainees in Tanzania via partnership with the Muhimbili University of Health and Allied Sciences, and the Ocean Road Cancer Institute...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28039687/road-traffic-incidents-in-uganda-a-systematic-review-study-of-a-five-year-trend
#4
Joseph Kimuli Balikuddembe, Ali Ardalan, Davoud Khorasani-Zavareh, Amir Nejati, Kasiima Stephen Munanura
BACKGROUND: Over the years, Uganda has been one of the low and middle-income countries bearing the heaviest burden of road traffic incidents (RTI). Since the proclamation of the United Nations Decade of Action for Road Safety 2011 - 2020, a number of measures have been taken to reduce the burden. However, they ought to be premised on existing evidence-based research; therefore, the present review ventures to report the most recent five-year trend of RTI in Uganda. METHODS: Based on Preferred Reporting Items for Systematic Reviews and Meta-Data Analysis (PRISMA) guidelines, a systematic review was employed...
January 1, 2017: Journal of Injury & Violence Research
https://www.readbyqxmd.com/read/28018898/economic-costs-associated-with-motorbike-accidents-in-kathmandu-nepal
#5
Diksha Sapkota, Bihungum Bista, Shiva Raj Adhikari
BACKGROUND: Road traffic accidents, considered as global tragedies, are in increasing trend; however, the safety situation is very severe in developing countries incurring substantial amount of human, economic, and social costs. Motorcycle crashes, the commonest form, occur mostly in economically active population. However, there is limited number of studies on economic burden of motorcycle crashes. This study aims to estimate the total cost and disability-adjusted life years (DALYs) lost due to motorbike accidents among victims of Kathmandu Valley...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27999053/issues-in-antifungal-stewardship-an-opportunity-that-should-not-be-lost
#6
Chand Wattal, Arunaloke Chakrabarti, Jaswinder Kaur Oberoi, J Peter Donnelly, Rosemary A Barnes, B L Sherwal, Neeraj Goel, Sonal Saxena, George M Varghese, Rajeev Soman, Poonam Loomba, Bansidhar Tarai, Sanjay Singhal, Naimish Mehta, V Ramasubramanian, Dharma Choudhary, Yatin Mehta, Supradip Ghosh, Sumathi Muralidhar, Ravinder Kaur
Many countries have observed an increase in the incidence of invasive fungal infections (IFIs) over the past two decades with emergence of new risk factors and isolation of new fungal pathogens. Early diagnosis and appropriate antifungal treatment remain the cornerstones of successful outcomes. However, due to non-specific clinical presentations and limited availability of rapid diagnostic tests, in more than half of cases antifungal treatment is inappropriate. As a result, the emergence of antifungal resistance both in yeasts and mycelial fungi is becoming increasingly common...
December 20, 2016: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/27992980/-factors-associated-to-mortality-by-non-communicable-diseases-in-colombia-2008-2012
#7
Julio Cesar Martínez
INTRODUCTION: Non-communicable diseases are the leading cause of premature mortality and disability in the world. OBJECTIVE: To describe the trend pattern and to explore which risk factors were associated with mortality rates in Colombia from 2008 to 2012. MATERIALS AND METHODS: A descriptive study was conducted to analyze mortality rate trends from the official vital statistics (death certificates) from 2008 to 2012. RESULTS: Between 2008 and 2012 there were 727,146 deaths due to non-communicable diseases, and 58...
December 1, 2016: Biomédica: Revista del Instituto Nacional de Salud
https://www.readbyqxmd.com/read/27940523/the-impact-of-child-restraint-legislation-on-the-incidence-of-severe-paediatric-injury-in-chile
#8
J Ignacio Nazif-Muñoz, Geneviève Gariépy, James Falconer, Annie Gong, Alison Macpherson
BACKGROUND: The objective of this study is to determine the association between Chile's 2005 child restraint legislation (CRL) and the incidence of severe paediatric motor vehicle-related injury. METHODS: We analysed motor vehicle injury data from Chile's Road Safety Commission from 2000 to 2012 to determine the association between Chile's 2005 CRL and severe paediatric injury. Using Poisson time-series models we assessed the effect of the law on two outcome variables: (1) severely injured children per vehicle fleet; and (2) severely injured children per population...
December 9, 2016: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/27938449/ems-systems-in-lower-middle-income-countries-a-literature-review
#9
Suryanto, Virginia Plummer, Malcolm Boyle
: Introduction Prehospital care is one of the many issues that require addressing by lower-middle income countries (LMICs) where approximately 90% of global injuries occur. This may arise from more traffic in LMICs, poor road conditions, lack of public awareness of the importance of road safety, and the lack of ability to provide first aid to the victims. However, prehospital care in LMICs remains underdeveloped. Problem There is insufficient evidence regarding the development of prehospital care among LMICs...
December 12, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27895703/changing-patterns-of-lung-liver-and-head-and-neck-non-aids-defining-cancers-relative-to-hiv-status-in-tanzania-between-2002-2014
#10
Julee A Campbell, Amr S Soliman, Crispin Kahesa, Sioban D Harlow, Diwani Msemo
BACKGROUND: Tanzania, like other low-income countries, has an increasing cancer burden that remains underestimated. Infection-associated malignancies, particularly HIV-infection, represent a great proportion of cancer burden in Tanzania and throughout Africa. Availability of HIV treatment and improved survival of HIV patients are suggested factors related to increasing prevalence of non-AIDS-defining cancers (NADCs). This study examined patterns of NADCs and proportions of HIV-positivity at the Ocean Road Cancer Institute (ORCI)...
2016: Infectious Agents and Cancer
https://www.readbyqxmd.com/read/27893865/the-decrease-in-traumatic-brain-injury-epidemics-deriving-from-road-traffic-collision-following-strengthened-legislative-measures-in-france
#11
Thomas Lieutaud, Blandine Gadegbeku, Amina Ndiaye, Mireille Chiron, Vivian Viallon
BACKGROUND: Since 2002, France has been strengthening legislation on road traffic. This study is intended to evaluate the changes in Traumatic Brain Injury (TBI) incidence and mortality resulting from Road Traffic Collision (RTC) in the two 6-year periods before and after 2002. METHODS: We used a Registry of all RTC casualties in the Rhône Department of France. Each casualty was coded according to the Abbreviated Injury Scale (AIS). The study describes changes in demographic variables, TBI (AIS ≥ 2) incidence and mortality, other body lesions (AIS ≥ 3) associated with TBI, road user types, seatbelt and helmet wearing...
2016: PloS One
https://www.readbyqxmd.com/read/27889110/psychological-distress-and-physical-disability-in-patients-sustaining-severe-injuries-in-road-traffic-crashes-results-from-a-one-year-cohort-study-from-three-european-countries
#12
Maria Papadakaki, Ottavia Eleonora Ferraro, Chiara Orsi, Dietmar Otte, Georgia Tzamalouka, Marco von-der-Geest, Timo Lajunen, Türker Özkan, Anna Morandi, Markos Sarris, George Pierrakos, Joannes Chliaoutakis
The current study aimed to follow-up a group of road crash survivors for one year and assesses the impact of injury on their psychological and physical condition. All crash survivors that were admitted to the intensive or sub-intensive care units of selected hospitals in Greece, Germany and Italy over one year period (2013-2014), were invited to participate in the study and were interviewed at three different time-points as follows: (a) at one month (baseline data), (b) at six months, and (c) at twelve months...
November 18, 2016: Injury
https://www.readbyqxmd.com/read/27886584/attributes-of-successful-actions-to-restore-lakes-and-estuaries-degraded-by-nutrient-pollution
#13
Catharine Gross, James D Hagy
As more success is achieved in restoring lakes and estuaries from the impacts of nutrient pollution, there is increased opportunity to evaluate the scientific, social, and policy factors associated with achieving restoration goals. We examined case studies where deliberate actions to reduce nutrient pollution and restore ecosystems resulted in ecological recovery. Prospective cases were identified from scientific literature and technical documents for lakes and estuaries with: (1) scientific evidence of nutrient pollution; (2) restoration actions taken to mitigate nutrient pollution; and (3) documented ecological improvement...
February 1, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/27884311/understanding-kidney-care-needs-and-implementation-strategies-in-low-and-middle-income-countries-conclusions-from-a-kidney-disease-improving-global-outcomes-kdigo-controversies-conference
#14
Vivekanand Jha, Mustafa Arici, Allan J Collins, Guillermo Garcia-Garcia, Brenda R Hemmelgarn, Tazeen H Jafar, Roberto Pecoits-Filho, Laura Sola, Charles R Swanepoel, Irma Tchokhonelidze, Angela Yee Moon Wang, Bertram L Kasiske, David C Wheeler, Goce Spasovski
Evidence-based cinical practice guidelines improve delivery of uniform care to patients with and at risk of developing kidney disease, thereby reducing disease burden and improving outcomes. These guidelines are not well-integrated into care delivery systems in most low- and middle-income countries (LMICs). The KDIGO Controversies Conference on Implementation Strategies in LMIC reviewed the current state of knowledge in order to define a road map to improve the implementation of guideline-based kidney care in LMICs...
December 2016: Kidney International
https://www.readbyqxmd.com/read/27881270/cost-effectiveness-of-screening-and-treatment-for-cervical-cancer-in-tanzania-implications-for-other-sub-saharan-african-countries
#15
Stephanie Nelson, Jungyoon Kim, Fernando A Wilson, Amr S Soliman, Twalib Ngoma, Crispin Kahesa, Julius Mwaiselage
OBJECTIVES: To compare the institutional cost per person of screening and treatment between two groups of patients-those screened and those not screened before treatment for cervical cancer at Ocean Road Cancer Institute (ORCI) in Dar es Salaam, Tanzania-and to perform a cost-effectiveness analysis of the ORCI cervical cancer screening program. METHODS: The study included 721 screened and 333 unscreened patients treated at ORCI for cervical cancer from 2002 to 2011...
September 2016: Value in Health Regional Issues
https://www.readbyqxmd.com/read/27880835/built-environment-selected-risk-factors-and-major-cardiovascular-disease-outcomes-a-systematic-review
#16
Pasmore Malambo, Andre P Kengne, Anniza De Villiers, Estelle V Lambert, Thandi Puoane
INTRODUCTION: Built environment attributes have been linked to cardiovascular disease (CVD) risk. Therefore, identifying built environment attributes that are associated with CVD risk is relevant for facilitating effective public health interventions. OBJECTIVE: To conduct a systematic review of literature to examine the influence of built environmental attributes on CVD risks. DATA SOURCE: Multiple database searches including Science direct, CINAHL, Masterfile Premier, EBSCO and manual scan of reference lists were conducted...
2016: PloS One
https://www.readbyqxmd.com/read/27879497/the-differential-diagnosis-between-natural-death-and-homicide-an-everlasting-challenge-for-the-forensic-pathologist-an-exemplar-case-report
#17
Alessandro di Luca, Valentino de Matteis, Antonio Marcelli, Matteo Polacco, Vincenzo L Pascali, Antonio Oliva
Most of the work performed by the forensic expert is to find proof for different plausible hypotheses that may be used in a trial to serve justice purposes when the "identity" of a case is already unveiled. Yet the previous phase of the investigation is also of great importance, and sometimes (like in the presented case), it represents the core element of the entire investigation. The appropriate determination of the differential diagnosis between a natural death and a death of forensic interest (ie, homicide) is the first and crucial step in the classification of a case...
November 23, 2016: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/27874992/on-the-road-to-health-equity-incorporating-culture-into-research
#18
EDITORIAL
Rosa M Gonzalez-Guarda, June Carrington
The increased mobility of people between and within countries throughout history has contributed to the diversification of populations worldwide. Despite the recent worldwide economic crisis, migration to both Northern and Southern regions in the world and from rural to urban areas has reached all-time highs (United Nations 2013). As a result, local communities have become increasingly diverse with individuals within these communities representing a myriad of races, ethnic groups, countries of origin, languages, religions, socioeconomic strata, histories, and lived experiences...
November 22, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27868167/the-role-of-ugandan-district-hospital-orthopedic-units-in-the-care-of-vulnerable-road-users-a-cross-sectional-study
#19
Dan K Kisitu, Lauren E Eyler, Isaac Kajja, Gonzaga Waiswa, Titus Beyeza, David R Ragland, Isabelle Feldhaus, Catherine Juillard, Rochelle A Dicker
BACKGROUND: Musculoskeletal injuries are a common cause of morbidity after road traffic injury (RTI) in motorizing countries. District hospitals provide front-line orthopedic care in Uganda and other sub-Saharan African nations. Improving care at the district hospital level is an important component of the World Health Organization's strategy for surgical and trauma systems strengthening, but the data necessary to inform RTI safety and care initiatives has previously been insufficient at the district hospital level...
December 2016: Injury Epidemiology
https://www.readbyqxmd.com/read/27867825/evolution-opportunity-and-challenges-of-transboundary-water-and-energy-problems-in-central-asia
#20
Lidan Guo, Haiwei Zhou, Ziqiang Xia, Feng Huang
Central Asia is one of the regions that suffer the most prominent transboundary water and energy problems in the world. Effective transboundary water-energy resource management and cooperation are closely related with socioeconomic development and stability in the entire Central Asia. Similar to Central Asia, Northwest China has an arid climate and is experiencing a water shortage. It is now facing imbalanced supply-demand relations of water and energy resources. These issues in Northwest China and Central Asia pose severe challenges in the implementation of the Silk Road Economic Belt strategy...
2016: SpringerPlus
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