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https://www.readbyqxmd.com/read/29244776/internet-of-things-iot-based-design-of-a-secure-and-lightweight-body-area-network-ban-healthcare-system
#1
Yong-Yuan Deng, Chin-Ling Chen, Woei-Jiunn Tsaur, Yung-Wen Tang, Jung-Hsuan Chen
As sensor networks and cloud computation technologies have rapidly developed over recent years, many services and applications integrating these technologies into daily life have come together as an Internet of Things (IoT). At the same time, aging populations have increased the need for expanded and more efficient elderly care services. Fortunately, elderly people can now wear sensing devices which relay data to a personal wireless device, forming a body area network (BAN). These personal wireless devices collect and integrate patients' personal physiological data, and then transmit the data to the backend of the network for related diagnostics...
December 15, 2017: Sensors
https://www.readbyqxmd.com/read/29244255/the-values-journey-of-nursing-and-midwifery-students-selected-using-multiple-mini-interviews-year-one-findings
#2
Alison Callwood, Sarah Bolger, Helen Therese Allan
AIM: to explore how adult, child and mental health nursing and midwifery students, selected using multiple mini interviews, describe their 'values journey' following exposure to the clinical practice environment. BACKGROUND: Values based recruitment incorporates assessment of healthcare students' personal values using approaches like multiple mini interviews. Students' experience of adjustment to their values during their programme is conceptualised as a 'values journey'...
December 15, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29243899/discussing-a-serious-illness-with-a-patient-and-family
#3
Hannu Laaksovirta
Learning of a serious illness is unique news. Nothing certain can be known about how it will affect the hearer's outlook on the future before a conception is established about the hearer's expectations and how he/she has understood the issue. For example, a person who has been expecting muscle tension to be an explanation for back pain but hearing that a cancer metastasis is the underlying cause, will inevitably be in shock. The healthcare system is not able to influence everything, but is usually given one possibility to make a good first impression when telling about a serious diagnosis...
2017: Duodecim; Lääketieteellinen Aikakauskirja
https://www.readbyqxmd.com/read/29243402/national-burden-of-hospitalized-and-non-hospitalized-influenza-associated-severe-acute-respiratory-illness-in-kenya-2012-2014
#4
Jeanette A Dawa, Sandra S Chaves, Bryan Nyawanda, Henry N Njuguna, Carolyne Makokha, Nancy A Otieno, Omu Anzala, Marc-Alain Widdowson, Gideon O Emukule
BACKGROUND: Influenza-associated respiratory illness was substantial during the emergence of the 2009 influenza pandemic. Estimates of influenza burden in the post-pandemic period are unavailable to guide Kenyan vaccine policy. OBJECTIVES: To update estimates of hospitalized and non-hospitalized influenza-associated severe acute respiratory illness (SARI) during a post-pandemic period (2012-2014) and describe the incidence of disease by narrow age categories. METHODS: We used data from Siaya County Referral Hospital to estimate age-specific base rates of SARI...
December 15, 2017: Influenza and Other Respiratory Viruses
https://www.readbyqxmd.com/read/29243015/relational-autonomy-in-the-care-of-the-vulnerable-health-care-professionals-reasoning-in-moral-case-deliberation-mcd
#5
Kaja Heidenreich, Anders Bremer, Lars Johan Materstvedt, Ulf Tidefelt, Mia Svantesson
In Moral Case Deliberation (MCD), healthcare professionals discuss ethically difficult patient situations in their daily practice. There is a lack of knowledge regarding the content of MCD and there is a need to shed light on this ethical reflection in the midst of clinical practice. Thus, the aim of the study was to describe the content of healthcare professionals' moral reasoning during MCD. The design was qualitative and descriptive, and data consisted of 22 audio-recorded inter-professional MCDs, analysed with content analysis...
December 14, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/29242996/personalized%C3%A2-health-monitoring%C3%A2-system-for-managing-well-being-in-rural-areas
#6
Prema Nedungadi, Akshay Jayakumar, Raghu Raman
Rural India lacks easy access to health practitioners and medical centers, depending instead on community health workers. In these areas, common ailments that are easy to manage with medicines, often lead to medical escalations and even fatalities due to lack of awareness and delayed diagnosis. The introduction of wearable health devices has made it easier to monitor health conditions and to connect doctors and patients in urban areas. However, existing initiatives have not succeeded in providing adequate health monitoring to rural and low-literate patients, as current methods are expensive, require consistent connectivity and expect literate users...
December 14, 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/29242141/molecular-and-epidemiological-evidence-of-patient-to-patient-hepatitis-c-virus-transmission-in-a-scottish-emergency-department
#7
I Johannessen, J Danial, D B Smith, J Richards, L Imrie, A Rankin, L J Willocks, C Evans, C Leen, P Gibson, P Simmonds, D Goldberg, A McCallum, K Roy
BACKGROUND: Transmission of hepatitis C virus (HCV) in the health care setting is rare. Routine infection prevention and control (IPC) measures mean this should be a preventable never event. This paper investigates the diagnosis of acute healthcare associated HCV infection. METHODS: Epidemiological and molecular investigation of a case of acute HCV infection associated with nosocomial exposure. RESULTS: Detailed investigation of the treatment history of a patient with acute HCV infection identified transmission from a co-attending patient in an Emergency Department as the likely source; this possibility was confirmed by virus sequence analysis...
December 11, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29240744/an-osteoarthritis-model-of-care-should-be-a-national-priority-for-new-zealand
#8
Jennifer Baldwin, Andrew Briggs, Warwick Bagg, Peter Larmer
Osteoarthritis is highly prevalent, disabling and costly to the person and the community. The burden of this chronic condition is predicted to increase dramatically over the coming decades. Healthcare spending on osteoarthritis is unsustainable and action is needed to improve care delivery. At present, there is an over-emphasis on surgical and pharmacological interventions, despite evidence supporting conservative treatments such as exercise, weight loss and education. While clinical guidelines provide recommendations regarding best practice (ie, what to do), they fail to address how to operationalise these recommendations into clinical practice...
December 15, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29239587/redefining-medical-care
#9
Lauren R Roth
President Donald J. Trump has said he will repeal the Affordable Care Act (ACA) and replace it with health savings accounts (HSAs). Conservatives have long preferred individual accounts to meet social welfare needs instead of more traditional entitlement programs. The types of "medical care" that can be reimbursed through an HSA are listed in section 213(d) of the Internal Revenue Code (Code) and include expenses "for the diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of the body...
2017: Cornell Journal of Law and Public Policy
https://www.readbyqxmd.com/read/29238478/exploring-the-challenges-of-the-iranian-parliament-about-passing-laws-for-resource-allocation-in-healthcare-a-qualitative-study
#10
Seyed Ramezan Mohsenpour, Mohammad Arab, Seyed Hasan Emami Razavi, Ali Akbari Sari
Background: Awareness about the process of law making and the factors that affect the legislative process have an important role in improving legislations that are approved by parliaments. Objective: This study aimed to explore and analyze the process of development and enactment of law in Iran's parliament, and factors that might affect the enactment of laws that are related to the allocation and distribution of health sector resources in Iran. Methods: In this case study, data were collected through review of literature and national documents, and experts' interviews...
October 2017: Electronic Physician
https://www.readbyqxmd.com/read/29238172/closing-the-loop-in-person-centered-care-patient-experiences-of-a-chronic-kidney-disease-self-management-intervention
#11
Kathryn Havas, Clint Douglas, Ann Bonner
Purpose: The provision of self-management support (SMS) for people with earlier stages (1-4) of chronic kidney disease (CKD) can improve patient outcomes and extend time to dialysis. However, attempts to deliver such support have often not taken patient preferences into account. After the development, implementation, and quantitative evaluation of the person-centered CKD-SMS intervention, the aim of this study was to investigate participant experiences and perceptions of the program, as well as to seek suggestions to improve future SMS attempts...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/29237442/factors-impacting-the-illness-trajectory-of-post-infectious-fatigue-syndrome-a-qualitative-study-of-adults-experiences
#12
Eva Stormorken, Leonard A Jason, Marit Kirkevold
BACKGROUND: Post-infectious fatigue syndrome (PIFS), also known as post-viral fatigue syndrome, is a complex condition resulting in physical, cognitive, emotional, neurological, vocational and/or role performance disabilities in varying degrees that changes over time. The needs for health care resources are high, and costly, as is the economic burden on the affected individuals. Many factors may impact the trajectory, and frequently PIFS develops into a chronic condition. Health professionals lack understanding and knowledge, which results in delayed diagnosis, lack of recognition, appropriate treatment, support and practical help...
December 13, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29236517/epidemiology-of-hypersensitivity-pneumonitis-among-an-insured-population-in-the-united-states-a-claims-based-cohort-analysis
#13
Evans R Fernández Pérez, Amanda M Kong, Karina Raimundo, Tilman L Koelsch, Rucha Kulkarni, Ashley L Cole
RATIONALE: Hypersensitivity pneumonitis is a complex lung disease resulting from repeated inhalation of a variety of antigens. Limited data exist regarding its epidemiology. OBJECTIVE: To describe the trends in the annual incidence and prevalence of hypersensitivity pneumonitis in the US. METHODS: We developed novel claims-based coding algorithms to identify hypersensitivity pneumonitis, chronic hypersensitivity pneumonitis, and fibrotic hypersensitivity pneumonitis cases using the 2004-2013 MarketScan Commercial and Medicare Supplemental healthcare claims databases...
December 13, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29236294/acute-myeloid-leukemia-and-myelodysplastic-syndrome-after-adjuvant-chemotherapy-a-population-based-study-among-older-breast-cancer-patients
#14
Aron S Rosenstock, Jiangong Niu, Sharon H Giordano, Hui Zhao, Antonio C Wolff, Mariana Chavez-MacGregor
BACKGROUND: Chemotherapy for early breast cancer is associated with a small risk of developing myelodysplastic syndrome (MDS) and/or acute myeloid leukemia (AML). The aim of this study was to determine the risk of developing AML or MDS after modern adjuvant chemotherapy in older breast cancer patients and to further define the risk of individual chemotherapy regimens. METHODS: Patients diagnosed with stage I to III breast cancer from 2003 to 2009 were identified in the Surveillance, Epidemiology, and End Results-Medicare and Texas Cancer Registry-Medicare linked databases...
December 13, 2017: Cancer
https://www.readbyqxmd.com/read/29235228/experiences-of-singapore-nurses-as-second-victims-a-qualitative-study
#15
Shi Teng Chan, Betty Peck Chui Khong, Lynnette Pei Lin Tan, Hong-Gu He, Wenru Wang
Nurses, like other healthcare professionals, such as physicians, pharmacists, and therapists, are susceptible to unanticipated patient harm, in which they suffer as second victims due to the immense personal and professional impact from the adverse event. The aim of the present study was to explore the psychological responses, coping strategies, and support needs of Singapore nurses as second victims of adverse events. A descriptive qualitative study was adopted. Eight participants (6 women and 2 men) who had been involved in an adverse event were interviewed and audio-recorded...
December 12, 2017: Nursing & Health Sciences
https://www.readbyqxmd.com/read/29233950/should-lifestyles-be-a-criterion-for-healthcare-rationing-evidence-from-a-portuguese-survey
#16
Ana Pinto Borges, Micaela Pinho
BACKGROUND: We evaluated whether different personal responsibilities should influence the allocation healthcare resources and whether attitudes toward the penalization of risk behaviours vary among individual's sociodemographic characteristics and health related habits. STUDY DESIGN: A cross-sectional study. METHODS: We developed an online survey and made it available on various social networks for six months, during 2015. The sample covered the population aged 18 yr and older living in Portugal and we got 296 valid answers...
November 18, 2017: Journal of Research in Health Sciences
https://www.readbyqxmd.com/read/29233439/an-investigation-of-final-year-pharmacy-students-moral-reasoning-ability-and-their-views-on-professionalism-and-fitness-to-practice-panel-determinations-a-questionnaire-study
#17
Lezley-Anne Hanna, John Gillen, Maurice Hall
BACKGROUND AND PURPOSE: The aim was to establish pharmacy students' moral reasoning ability and obtain their views on professionalism and fitness to practice (FtP) determinations involving pharmacists. EDUCATIONAL ACTIVITY AND SETTING: Following ethical approval and piloting, final year pharmacy students at Queen's University Belfast (QUB) (n=119) were invited to participate in a questionnaire study. Section A was a validated moral reasoning assessment tool [Defining Issues Test (DIT2); five moral dilemmas], Section B was FtP cases and professionalism...
July 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29233325/malaysian-pharmacy-students-intention-to-provide-smoking-cessation-counseling
#18
Saraswathi Simansalam, Siti Hadijah Shamsudin, Mohamad Haniki Nik Mohamed
BACKGROUND AND PURPOSE: Malaysian National Quit Smoking Program had proposed to integrate smoking cessation counseling skills into all relevant healthcare curricula as one of its strategies to increase the number of Malaysians giving up smoking. More effective implementation of the curricula can be facilitated by further understanding the factors influencing students' intention in terms of providing smoking cessation counseling. This study, guided by Integrated Behavior Model (IBM), aimed to explore the factors which influenced pharmacy undergraduates in providing smoking cessation counseling...
September 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29233157/medical-student-intervention-to-promote-effective-nicotine-dependence-and-tobacco-healthcare-mind-the-gap-single-centre-feasibility-randomised-trial-results
#19
Anusha Kumar, Kenneth D Ward, Lisa Mellon, Miriam Gunning, Sinead Stynes, Anne Hickey, Ronán Conroy, Shane MacSweeney, David Horan, Liam Cormican, Seamus Sreenan, Frank Doyle
BACKGROUND: Although brief cessation advice from healthcare professionals increases quit rates, smokers typically do not get this advice during hospitalisation, possibly due to resource issues, lack of training and professionals' own attitudes to providing such counselling. Medical students are a potentially untapped resource who could deliver cessation counselling, while upskilling themselves and changing their own attitudes to delivering such advice in the future; however, no studies have investigated this...
December 11, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29232365/monitoring-compliance-with-standards-of-care-for-chronic-diseases-using-healthcare-administrative-databases-in-italy-strengths-and-limitations
#20
Rosa Gini, Martijn J Schuemie, Alessandro Pasqua, Emanuele Carlini, Francesco Profili, Iacopo Cricelli, Patrizio Dazzi, Valentina Barletta, Paolo Francesconi, Francesco Lapi, Andrea Donatini, Giulia Dal Co, Modesta Visca, Mariadonata Bellentani, Miriam Sturkenboom, Niek Klazinga
BACKGROUND: A recent comprehensive report on healthcare quality in Italy published by the Organization of Economic Co-operation and Development (OECD) recommended that regular monitoring of quality of primary care by means of compliance with standards of care for chronic diseases is performed. A previous ecological study demonstrated that compliance with standards of care could be reliably estimated on regional level using administrative databases. This study compares estimates based on administrative data with estimates based on GP records for the same persons, to understand whether ecological fallacy played a role in the results of the previous study...
2017: PloS One
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