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https://www.readbyqxmd.com/read/29148352/nursing-home-response-to-nursing-home-compare-the-provider-perspective
#1
Marcelo Coca Perraillon, Daniel J Brauner, R Tamara Konetzka
Nursing Home Compare (NHC) publishes composite quality ratings of nursing homes based on a five-star rating system, a system that has been subject to controversy about its validity. Using in-depth interviews, we assess the views of nursing home administrators and staff on NHC and unearth strategies used to improve ratings. Respondents revealed conflicting goals and strategies. Although nursing home managers monitor the ratings and expend effort to improve scores, competing goals of revenue maximization and avoidance of litigation often overshadow desire to score well on NHC...
August 1, 2017: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/29145813/impact-of-a-decision-aid-about-stratified-ovarian-cancer-risk-management-on-women-s-knowledge-and-intentions-a-randomised-online-experimental-survey-study
#2
Susanne F Meisel, Maddie Freeman, Jo Waller, Lindsay Fraser, Sue Gessler, Ian Jacobs, Jatinderpal Kalsi, Ranjit Manchanda, Belinda Rahman, Lucy Side, Jane Wardle, Anne Lanceley, Saskia C Sanderson
BACKGROUND: Risk stratification using genetic and other types of personal information could improve current best available approaches to ovarian cancer risk reduction, improving identification of women at increased risk of ovarian cancer and reducing unnecessary interventions for women at lower risk. Amounts of information given to women may influence key informed decision-related outcomes, e.g. knowledge. The primary aim of this study was to compare informed decision-related outcomes between women given one of two versions (gist vs...
November 16, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29145804/a-descriptive-study-of-the-health-information-needs-of-kenyan-women-in-the-first-6%C3%A2-weeks-postpartum
#3
Everlyne Rotich, Liz Wolvaardt
BACKGROUND: A large number of maternal and neonatal deaths occur during birth and 48 h after birth. The benefits of postnatal care to the mother and newborn cannot be overemphasized as this is another opportunity where complications that might arise from pregnancy and childbirth can be treated, as well as the time to provide important information on maternal and newborn care after delivery. This study aimed to determine the information needs of mother-baby pairs in the first 6 weeks after birth...
November 16, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29144026/heart-rate-variability-and-implication-for-sport-concussion
#4
REVIEW
Scott A Bishop, Ryan T Dech, Przemyslaw Guzik, J Patrick Neary
Finding sensitive and specific markers for sports-related concussion is both challenging and clinically important. Such biomarkers might be helpful in the management of patients with concussion (i.e. diagnosis, monitoring and risk prediction). Among many parameters, blood flow-pressure metrics and heart rate variability (HRV) have been used to gauge concussion outcomes. Reports on the relation between HRV and both acute and prolonged concussion recovery are conflicting. While some authors report on differences in the low-frequency (LF) component of HRV during postural manipulations and postexercise conditions, others observe no significant differences in various HRV measures...
November 16, 2017: Clinical Physiology and Functional Imaging
https://www.readbyqxmd.com/read/29141730/keeping-abreast-of-developments-in-the-cancer-wars-a-view-from-the-front
#5
Nancy L Baenziger
Cancer somehow lends itself to military analogies, perhaps because of its status as a threat to life itself. We've declared war on cancer over several decades, viewing cancer as a cell going rogue, dividing uncontrollably, and ultimately breaking through local boundaries to spread. Less well known, but critically relevant to the health care impact of questioning authority, is the war within the breast cancer management community, among those studying molecular and cellular targets in breast cancer biology and those managing the human targets that represent cancer's toll...
November 1, 2017: Creative Nursing
https://www.readbyqxmd.com/read/29141255/is-venlafaxine-more-effective-than-escitalopram-and-nortriptyline-in-the-management-of-painful-symptoms-in-patients-with-major-depression
#6
Jan Jaracz, Karolina Gattner, Krystyna Jaracz, Krystyna Górna, Jerzy Moczko, Joanna Hauser
Background Conflicting data regarding the efficacy of antidepressants of different mechanism of action on unexplained painful physical symptoms (UPPS) in depression have been published so far. Objective The aim of this study was to compare the impact of escitalopram (ESC), nortriptyline (NOR), and venlafaxine (VEN) on UPPS in patients with major depression. Materials and methods Sixty patients, participants in the GENDEP study, with a diagnosis of depression according to the ICD-10 criteria were randomly assigned to treatment with ESC (10-30 mg, mean dose 15...
November 15, 2017: Pharmacopsychiatry
https://www.readbyqxmd.com/read/29137552/clinical-governance-breakdown-australian-cases-of-wilful-blindness-and-whistleblowing
#7
Sonja Cleary, Maxine Duke
BACKGROUND: After their attempts to have patient safety concerns addressed internally were ignored by wilfully blind managers, nurses from Bundaberg Base Hospital and Macarthur Health Service felt compelled to 'blow the whistle'. Wilful blindness is the human desire to prefer ignorance to knowledge; the responsibility to be informed is shirked. OBJECTIVE: To provide an account of instances of wilful blindness identified in two high-profile cases of nurse whistleblowing in Australia...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/29136556/industry-interests-in-gambling-research-lessons-learned-from-other-forms-of-hazardous-consumption
#8
S Cowlishaw, S L Thomas
Research indicates that the evidential bases for many harm reduction policies targeting hazardous consumptions (including tobacco, alcohol and gambling) have been distorted by commercial industries that derive revenue from such commodities. These distortions are best illustrated by research on tobacco and alcohol, which indicates similar tactics used by industries to determine favourable policy environments through engineering of evidence, among other approaches. Although there is concern that gambling research is similarly vulnerable to commercial interests, the relevant literature lags far behind other fields and the aim of this paper is to increase familiarity with tactics used by industries for influencing research...
November 6, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/29133911/species-pool-distributions-along-functional-trade-offs-shape-plant-productivity-diversity-relationships
#9
Loïc Chalmandrier, Camille Albouy, Loïc Pellissier
Grasslands deliver the resources for food production and are among the most biologically diverse ecosystems. These characteristics are often in conflict as increasing yield through fertilization can lead to biodiversity loss. Thus, the challenge in grassland management is to sustain both yield and diversity. Biodiversity-ecosystem functioning experiments typically reveal a positive relationship between manipulated species diversity and productivity. In contrast, observations of the effect of increasing productivity via fertilization suggest a negative association with biodiversity...
November 13, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29133329/involvement-of-people-with-dementia-in-making-decisions-about-their-lives-a-qualitative-study-that-appraises-shared-decision-making-concerning-daycare
#10
Leontine Groen-van de Ven, Carolien Smits, Fuusje de Graaff, Marijke Span, Jan Eefsting, Jan Jukema, Myrra Vernooij-Dassen
OBJECTIVE: To explore how people with dementia, their informal caregivers and their professionals participate in decision making about daycare and to develop a typology of participation trajectories. DESIGN: A qualitative study with a prospective, multiperspective design, based on 244 semistructured interviews, conducted during three interview rounds over the course of a year. Analysis was by means of content analysis and typology construction. SETTING: Community settings and nursing homes in the Netherlands...
November 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/29132720/intensify-production-transform-biomass-to-energy-and-novel-goods-and-protect-soils-in-europe-a-vision-how-to-mobilize-marginal-lands
#11
REVIEW
P Schröder, B Beckers, S Daniels, F Gnädinger, E Maestri, N Marmiroli, M Mench, R Millan, M M Obermeier, N Oustriere, T Persson, C Poschenrieder, F Rineau, B Rutkowska, T Schmid, W Szulc, N Witters, A Sæbø
The rapid increase of the world population constantly demands more food production from agricultural soils. This causes conflicts, since at the same time strong interest arises on novel bio-based products from agriculture, and new perspectives for rural landscapes with their valuable ecosystem services. Agriculture is in transition to fulfill these demands. In many countries, conventional farming, influenced by post-war food requirements, has largely been transformed into integrated and sustainable farming...
November 10, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29132091/effect-of-anti-diabetic-drugs-on-bone-metabolism-evidence-from-preclinical-and-clinical-studies
#12
REVIEW
Mohammad Adil, Rashid Ali Khan, Abul Kalam, Shiva Kumar Venkata, Amit Dattatraya Kandhare, Pinaki Ghosh, Manju Sharma
Diabetes mellitus is associated with abnormal bone health and an increased risk of fracture even though patients have normal or higher BMD. The mechanisms behind diabetes mellitus- induced various skeletal disorders remain unclear. Anti-diabetic drugs may have negative or positive impact on bone metabolism. For instance, thiazolidinediones increases the bone loss and risk of fracture possibly through PPARγ activation in bone marrow cells and hamper osteoblastogenesis via decreasing Runx2 transcription factor, IGF-1 and Wnt signalling pathways...
May 25, 2017: Pharmacological Reports: PR
https://www.readbyqxmd.com/read/29129107/development-implementation-and-evaluation-of-a-curriculum-to-prepare-volunteer-navigators-to-support-older-persons-living-with-serious-illness
#13
Wendy Duggleby, Barbara Pesut, Laura Cottrell, Lynnelle Friesen, Kelli Sullivan, Grace Warner
The purpose of this article is to report the development, implementation, and evaluation of a curriculum designed to prepare volunteer navigators to support community-dwelling older persons with serious chronic illness. The role of the volunteer navigator was to facilitate independence and quality of life through building social connections, improving access to resources, and fostering engagement. A curriculum was constructed from evidence-based competencies, piloted and revised, and then implemented in 7 subsequent workshops...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29128303/the-mountain-of-health-the-perceptions-and-perceived-expectations-of-youth-living-with-type-2-diabetes-in-winnipeg-manitoba-canada-through-a-grounded-theory-study
#14
Elizabeth Huynh
OBJECTIVE: The objective of this study was to explore youth's perceptions of diabetes management. METHODS: The study included 8 Manitoban youth with type 2 diabetes (n=7 girls). Each youth participated in a semistructured interview in person, via Skype or over the phone. The constructivist grounded theory methodologic approach guided the analysis of the data. RESULTS: Discussions about diabetes and health and its management revealed 2 viewpoints: 1) youth's perceptions and 2) youth's perceptions of health-care providers' expectations...
November 8, 2017: Canadian Journal of Diabetes
https://www.readbyqxmd.com/read/29127954/human-dimension-of-health-service-management
#15
Jo M Martins, Godfrey Isouard, Brenda Freshman
This article identifies three relevant and valid constructs that are associated with personal and organisational performance that can be used in the training of current and future health service managers: personal engagement at work, emotional intelligence and conflict resolution. A review was undertaken of the literature in human resources management to identify key concepts that bind and strengthen the management of organisations. A curriculum content analysis was then performed of postgraduate health management courses in Australia to assess the extent of inclusion in these areas...
November 13, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29126701/the-role-of-digital-health-in-making-progress-toward-sustainable-development-goal-sdg-3-in-conflict-affected-populations
#16
Yara M Asi, Cynthia Williams
PURPOSE: The progress of the Millennium Development Goals (MDGs) shows that sustained global action can achieve success. Despite the unprecedented achievements in health and education, more than one billion people, many of them in conflict-affected areas, were unable to reap the benefits of the MDG gains. The recently developed Sustainable Development Goals (SDGs) are even more ambitious then their predecessor. SDG 3 prioritizes health and well-being for all ages in specific areas such as maternal mortality, communicable diseases, mental health, and healthcare workforce...
November 6, 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29124494/information-and-support-needs-of-young-women-regarding-breast-cancer-risk-and-genetic-testing-adapting-effective-interventions-for-a-novel-population
#17
Suzanne C O'Neill, Chalanda Evans, Rebekah J Hamilton, Beth N Peshkin, Claudine Isaacs, Sue Friedman, Kenneth P Tercyak
Young women from hereditary breast and ovarian cancer (HBOC) families face a unique set of challenges in managing their HBOC risk, where obtaining essential information to inform decision making is key. Previous work suggests that this need for specific health information also comes at a time of heightened distress and greater individuation from family. In this report, we describe our adaptation of a previously-studied behavioral intervention for this population, utilizing a systematic approach outlined by the Centers for Disease Control and Prevention...
November 9, 2017: Familial Cancer
https://www.readbyqxmd.com/read/29122801/how-are-clinical-commissioning-groups-managing-conflicts-of-interest-under-primary-care-co-commissioning-in-england-a-qualitative-analysis
#18
Valerie Moran, Pauline Allen, Imelda McDermott, Kath Checkland, Lynsey Warwick-Giles, Oz Gore, Donna Bramwell, Anna Coleman
OBJECTIVES: From April 2015, NHS England (NHSE) started to devolve responsibility for commissioning primary care services to clinical commissioning groups (CCGs). The aim of this paper is to explore how CCGs are managing potential conflicts of interest associated with groups of GPs commissioning themselves or their practices to provide services. DESIGN: We carried out two telephone surveys using a sample of CCGs. We also used a qualitative case study approach and collected data using interviews and meeting observations in four sites (CCGs)...
November 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/29121349/naringenin-induces-mitochondria-mediated-apoptosis-and-endoplasmic-reticulum-stress-by-regulating-mapk-and-akt-signal-transduction-pathways-in-endometriosis-cells
#19
Sunwoo Park, Whasun Lim, Fuller W Bazer, Gwonhwa Song
STUDY QUESTION: Does the flavonoid naringenin inhibit proliferation of human endometriosis cells? SUMMARY ANSWER: Naringenin suppresses proliferation and increases apoptosis via depolarization of mitochondrial membrane potential and generation of reactive oxygen species (ROS) in human endometriosis cells. WHAT IS KNOWN ALREADY: For management of endometriosis, hormonal therapy is commonly used to decrease production of estrogens by the ovaries, but that has limitations including undesirable side effects with long-term therapies...
November 7, 2017: Molecular Human Reproduction
https://www.readbyqxmd.com/read/29119586/self-reported-musculoskeletal-disorder-pain-the-role-of-job-hazards-and-work-life-interaction
#20
Victoria P Weale, Yvonne Wells, Jodi Oakman
BACKGROUND: Previous research identified an association between work-family conflict and musculoskeletal pain. This study explores how the work-life interface might affect pain experienced by residential aged care staff. METHODS: A cross-sectional survey of 426 employees in residential aged care was analyzed to assess the impacts of workplace hazards, work-family conflict, and work-life balance on self-reported musculoskeletal pain. RESULTS: Work-family conflict acts as a mediator of the relationships between workplace hazards and the total number of body regions at which musculoskeletal pain was experienced...
November 9, 2017: American Journal of Industrial Medicine
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