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https://www.readbyqxmd.com/read/29102087/availability-cost-and-prescription-patterns-of-antihypertensive-medications-in-primary-health-care-in-china-a-nationwide-cross-sectional-survey
#1
Meng Su, Qiuli Zhang, Xueke Bai, Chaoqun Wu, Yetong Li, Elias Mossialos, George A Mensah, Frederick A Masoudi, Jiapeng Lu, Xi Li, Sebastian Salas-Vega, Anwen Zhang, Yuan Lu, Khurram Nasir, Harlan M Krumholz, Lixin Jiang
BACKGROUND: Around 200 million adults in China have hypertension, but few are treated or achieve adequate control of their blood pressure. Available and affordable medications are important for successfully controlling hypertension, but little is known about current patterns of access to, and use of, antihypertensive medications in Chinese primary health care. METHODS: We used data from a nationwide cross-sectional survey (the China Patient-Centered Evaluative Assessment of Cardiac Events Million Persons Project primary health care survey), which was undertaken between November, 2016 and May, 2017, to assess the availability, cost, and prescription patterns of 62 antihypertensive medications at primary health-care sites across 31 Chinese provinces...
October 25, 2017: Lancet
https://www.readbyqxmd.com/read/29096598/cost-effectiveness-analysis-of-sealing-hemostat-patches-vs-standard-of-care-in-cardiac-surgery
#2
Shelly Ikeme, Luca Weltert, Kevin M Lewis, Gerhard Bothma, Daniela Cianciulli, Nicole Pay, Josh Epstein, Erik Kuntze
BACKGROUND: A recent randomized controlled trial showed that patients undergoing ascending aorta surgery treated with HEMOPATCH to control bleeding had a significantly better hemostasis success rate than with dry or wet gauze compression or similar standard of care (SOC). OBJECTIVE: To compare the cost effectiveness using two different agents for hemostasis (HEMOPATCH versus dry or wet gauze compression or similar SOC) in cardiac surgery from the European hospital perspective...
November 3, 2017: Journal of Medical Economics
https://www.readbyqxmd.com/read/29084160/new-instrument-to-measure-hospital-patient-experiences-in-flanders
#3
Luk Bruyneel, Else Tambuyzer, Ellen Coeckelberghs, Dirk De Wachter, Walter Sermeus, Dirk De Ridder, Dirk Ramaekers, Ilse Weeghmans, Kris Vanhaecht
Implementing a standardized patient experience survey may initiate a process to apply pressure on hospitals to attend to improving patient experiences. In Flanders, Belgium, the Flemish Patient Survey was developed between 2011 and 2015. A preliminary version was developed from a scoping review and patient and expert focus groups, and included 27 items for eight hypothesized dimensions: 'preparing for hospital stay', 'information and communication', 'coordination', 'respect', 'privacy', 'safe care', pain management', and 'participation'...
October 30, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29075429/a-feasibility-study-of-ssvep-based-passive-training-on-an-ankle-rehabilitation-robot
#4
Xiangfeng Zeng, Guoli Zhu, Lan Yue, Mingming Zhang, Shane Xie
OBJECTIVE: This study aims to establish a steady-state visual evoked potential- (SSVEP-) based passive training protocol on an ankle rehabilitation robot and validate its feasibility. METHOD: This paper combines SSVEP signals and the virtual reality circumstance through constructing information transmission loops between brains and ankle robots. The robot can judge motion intentions of subjects and trigger the training when subjects pay their attention on one of the four flickering circles...
2017: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29062749/transcatheter-aortic-valve-implantation-in-nonagenarians-selectively-feasible-or-extravagantly-futile
#5
Antonis S Manolis, Antonis A Manolis
A growing number of nonagenarians is recorded as life expectancy increases. Unfortunately, this extreme-aged group is plagued by increased prevalence of aortic stenosis amidst a higher occurrence of comorbidities that pose dilemmas to cardiologists and cardiac surgeons when having to choose a conservative or interventional treatment modality, and a surgical or transcatheter aortic valve implantation (TAVI) approach. TAVI is an expensive procedure, which also confers a higher mortality and morbidity risk in nonagenarians, compared to younger patients...
September 2017: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29044750/model-macrocyclic-ligands-for-proof-of-concept-mechanistic-studies-in-transition-metal-catalysis
#6
Xavi Ribas, Marc Devillard
In this Concept article, we will scrutinize different approaches devoted to the mechanistic understanding of catalytic processes, paying special attention to the successful use of triazamacrocyclic aryl-halide or arene-containing substrates used for Cu-, Ag-, Au-, Co- and Ni-catalysis. The importance of designing model substrate platforms to unravel mechanistic details at a molecular level of C─C or C─heteroatom bond forming processes catalysed by transition metals will be highlighted. This fundamental mechanistic knowledge will serve as a foundation for the catalyst design for a desired transformation...
October 16, 2017: Chemistry: a European Journal
https://www.readbyqxmd.com/read/29029614/field-assessment-of-a-novel-spatial-repellent-for-malaria-control-a-feasibility-and-acceptability-study-in-mondulkiri-cambodia
#7
Marco Liverani, Jacques Derek Charlwood, Harriet Lawford, Shunmay Yeung
BACKGROUND: Large-scale use of insecticide-treated nets and indoor residual spraying have contributed to a significant decrease in malaria transmission worldwide. Further reduction and progress towards elimination, however, require complementary control measures which can address the remaining gaps in protection from mosquito bites. Following the development of novel pyrethroids with high knockdown effects on malaria vectors, programmatic use of spatial repellents has been suggested as one potential strategy to fill the gaps...
October 13, 2017: Malaria Journal
https://www.readbyqxmd.com/read/29029075/improving-health-systems-performance-in-low-and-middle-income-countries-a-system-dynamics-model-of-the-pay-for-performance-initiative-in-afghanistan
#8
O Alonge, S Lin, T Igusa, D H Peters
System dynamics methods were used to explore effective implementation pathways for improving health systems performance through pay-for-performance (P4P) schemes. A causal loop diagram was developed to delineate primary causal relationships for service delivery within primary health facilities. A quantitative stock-and-flow model was developed next. The stock-and-flow model was then used to simulate the impact of various P4P implementation scenarios on quality and volume of services. Data from the Afghanistan national facility survey in 2012 was used to calibrate the model...
December 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29020028/learning-speed-is-affected-by-personality-and-reproductive-investment-in-a-songbird
#9
Hector Fabio Rivera-Gutierrez, Tine Martens, Rianne Pinxten, Marcel Eens
Individuals from different taxa, including songbirds, differ consistently in behaviour and personality when facing different situations. Although our understanding of animal behaviour has increased, knowledge about between-individual differences in cognitive abilities is still limited. By using an experimental approach and a free-living songbird (Parus major) as a model, we attempted to understand between-individual differences in habituation to playbacks (as a proxy of learning speed), by investigating the role of personality, age and reproductive investment (clutch size)...
2017: PloS One
https://www.readbyqxmd.com/read/28966716/understanding-why-undergraduate-students-declare-and-continue-to-study-an-exercise-science-related-major
#10
Matthew B Vaartstra, Vanessa M Kercher, Amanda Start, Amber N Brown, Mark D Peterson, Ryan McGrath
Understanding factors that contribute to a student's selection of an exercise science-related major is important to student success, higher education and industry. This study sought to 1) better understand why undergraduate students study an exercise science-related major, 2) determine whether positive influences to study an exercise science-related major differ by academic classification, and 3) identify what student's aspirations are after graduation. Department administrators from four-year colleges and universities offering an exercise science-related major in the Northwest Region of the United States (i...
2017: International Journal of Exercise Science
https://www.readbyqxmd.com/read/28939346/asymmetric-public-goods-game-cooperation-through-pest-control
#11
T Reeves, H Ohtsuki, S Fukui
Cooperation in a public goods game has been studied extensively to find the conditions for sustaining the commons, yet the effect of asymmetry between agents has been explored very little. Here we study a game theoretic model of cooperation for pest control among farmers. In our simple model, each farmer has a paddy of the same size arranged adjacently on a line. A pest outbreak occurs at an abandoned paddy at one end of the line, directly threatening the frontier farmer adjacent to it. Each farmer pays a cost of his or her choice to an agricultural collective, and the total sum held by the collective is used for pest control, with success probability increasing with the sum...
December 21, 2017: Journal of Theoretical Biology
https://www.readbyqxmd.com/read/28935805/teaching-personal-initiative-beats-traditional-training-in-boosting-small-business-in-west-africa
#12
Francisco Campos, Michael Frese, Markus Goldstein, Leonardo Iacovone, Hillary C Johnson, David McKenzie, Mona Mensmann
Standard business training programs aim to boost the incomes of the millions of self-employed business owners in developing countries by teaching basic financial and marketing practices, yet the impacts of such programs are mixed. We tested whether a psychology-based personal initiative training approach, which teaches a proactive mindset and focuses on entrepreneurial behaviors, could have more success. A randomized controlled trial in Togo assigned microenterprise owners to a control group (n = 500), a leading business training program (n = 500), or a personal initiative training program (n = 500)...
September 22, 2017: Science
https://www.readbyqxmd.com/read/28926023/the-political-economy-of-bovine-tuberculosis-in-great-britain
#13
R M Bennett
A brief history of bovine tuberculosis (bTB) and its control in Great Britain (GB) is presented. Numerous diverse policies to control the disease in humans, cattle and wildlife have been pursued over the last 100 years and many millions of pounds have been spent. After notable success in reducing the incidence and prevalence of bTB in cattle in GB from the 1950s to the mid-1980s, the geographical spread of the disease and the number of cattle slaughtered have increased continually since that time, with a high point of bTB incidence in 2008...
April 2017: Revue Scientifique et Technique
https://www.readbyqxmd.com/read/28921477/out-of-pocket-expenditure-and-catastrophic-health-spending-on-maternal-care-in-public-and-private-health-centres-in-india-a-comparative-study-of-pre-and-post-national-health-mission-period
#14
Sanjay K Mohanty, Anshul Kastor
BACKGROUND: The National Health Mission (NHM), one of the largest publicly funded maternal health programs worldwide was initiated in 2005 to reduce maternal, neo-natal and infant mortality and out-of-pocket expenditure (OOPE) on maternal care in India. Though evidence suggests improvement in maternal and child health, little is known on the change in OOPE and catastrophic health spending (CHS) since the launch of NHM. AIM: The aim of this paper is to provide a comprehensive estimate of OOPE and CHS on maternal care by public and private health providers in pre and post NHM periods...
September 18, 2017: Health Economics Review
https://www.readbyqxmd.com/read/28894546/nurses-perception-of-the-strategies-to-gaining-professional-power-a-qualitative-study
#15
Rana Rezai Sepasi, Fariba Borhani, Abbas Abbaszadeh
BACKGROUND: Power in nursing is a broad concept that has a determining effect on the achievement of professional goals. Gaining power is essential for promoting the roles of nurses, improving their professional image and the consistent improvement of healthcare systems. OBJECTIVES: This study was conducted to identify and clarify strategies for gaining power in the nursing profession through the experiences of Iranian nurses. METHODS: The present qualitative grounded theory study was conducted on fifteen participants selected through purposive sampling...
July 2017: Electronic Physician
https://www.readbyqxmd.com/read/28893248/the-impact-of-austerity-on-the-health-workforce-and-the-achievement-of-human-resources-for-health-policies-in-ireland-2008-2014
#16
Des Williams, Steve Thomas
BACKGROUND: The global economic crisis saw recessionary conditions in most EU countries. Ireland's severe recession produced pro-cyclical health spending cuts. Yet, human resources for health (HRH) are the most critical of inputs into a health system and an important economic driver. The aim of this article is to evaluate how the Irish health system coped with austerity in relation to HRH and whether austerity allowed and/or facilitated the implementation of HRH policy. METHODS: The authors employed a quantitative longitudinal trend analysis over the period 2008 to 2014 with Health Service Executive (HSE) staff database as the principal source...
September 11, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28889317/the-predictive-value-of-t-tau-and-ab1-42-levels-in-idiopathic-normal-pressure-hydrocephalus
#17
Claudia L Craven, Irene Baudracco, Henrik Zetterberg, Michael P T Lunn, Miles D Chapman, Neghat Lakdawala, Laurence D Watkins, Ahmed K Toma
BACKGROUND: Idiopathic normal pressure hydrocephalus (INPH) has no reliable biomarker to assist in the selection of patients who could benefit from ventriculo-peritoneal (VP) shunt insertion. The neurodegenerative markers T-tau and Aβ1-42 have been found to successfully differentiate between Alzheimer's disease (AD) and INPH and therefore are candidate biomarkers for prognosis and shunt response in INPH. The aim of this study was to test the predictive value of cerebrospinal fluid (CSF) T-tau and Aβ1-42 for shunt responsiveness...
September 9, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28885139/prevalence-of-fosfomycin-resistance-and-plasmid-mediated-fosfomycin-modifying-enzymes-among-carbapenem-resistant-enterobacteriaceae-in-zhejiang-china
#18
COMPARATIVE STUDY
Lin Huang, Yan Yan Hu, Rong Zhang
Two hundred and thirty-three nonduplicated clinical isolates of carbapenem-resistant Enterobacteriaceae were collected from four hospitals in Zhejiang, China. 45.1 % (105/233) strains were resistant to fosfomycin, among which plasmid-mediated fosfomycin-modifying enzymes fosA, fosA2, fosA3 and fosA5 were positive, and the other fos genes were negative. 80 % (12/15) Enterobacter cloacae isolates were positive for fosA. 100 % (73/73) Klebsiella pneumoniae isolates were positive for fosA5. A conjugation experiment indicated that fosfomycin resistance could be transferred to an Escherichia coli recipient strain successfully...
September 2017: Journal of Medical Microbiology
https://www.readbyqxmd.com/read/28881937/using-a-sound-field-to-reduce-the-risks-of-bird-strike-an-experimental-approach
#19
John P Swaddle, Nicole M Ingrassia
Each year, billions of birds collide with large human-made structures, such as building, towers, and turbines, causing substantial mortality. Such bird-strike, which is projected to increase, poses risks to populations of birds and causes significant economic costs to many industries. Mitigation technologies have been deployed in an attempt to reduce bird-strike, but have been met with limited success. One reason for bird-strike may be that birds fail to pay adequate attention to the space directly in front of them when in level, cruising flight...
July 1, 2017: Integrative and Comparative Biology
https://www.readbyqxmd.com/read/28872418/pregnancy-planning-preferences-among-people-and-couples-affected-by-human-immunodeficiency-virus-piloting-a-discrete-choice-experiment
#20
Mona Loutfy, V Logan Kennedy, Morvarid Sanandaji, Fatimatou Barry, Fanta Ongoiba, Marvelous Muchenje, Wangari Tharao, Dean A Regier
Decision-making related to pregnancy planning is complex and human immunodeficiency virus (HIV) may further complicate the process. With increasing rates of pregnancy among individuals affected by HIV, the need to understand decision-making is imperative. The primary objectives of this pilot study were to confirm the feasibility of using discrete choice experimentation (DCE) to elicit an understanding of this process and to determine the acceptability of the choice factors that were included in two novel DCEs, while gathering a preliminary understanding of preference...
January 1, 2017: International Journal of STD & AIDS
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