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https://www.readbyqxmd.com/read/29453504/financing-the-primary-care-behavioral-health-model
#1
Dennis S Freeman, Lesley Manson, Jeff Howard, Joel Hornberger
The PCBH model of integrated care blends behavioral health professionals into the primary care team, thereby enhancing the scope of primary care and expanding the range of services provided to the patient. Despite promising evidence in support of the model and a growing number of advocates and practitioners of PCBH integration, current reimbursement policies are not always favorable. As the nation's healthcare system transitions to value-based payment models, new financing strategies are emerging which will further support the viability of PCBH integration...
February 16, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29410976/working-to-full-scope-the-reorganization-of-nursing-work-in-two-canadian-community-hospitals
#2
Karen MacKinnon, Diane L Butcher, Anne Bruce
Work relationships between registered nurses (RNs) and practical nurses (LPNs) are changing as new models of nursing care delivery are introduced to create more flexibility for employers. In Canada, a team-based, hospital nursing care delivery model, known as Care Delivery Model Redesign (CDMR), redesigned a predominantly RN-based staffing model to a functional team consisting of fewer RNs and more LPNs. The scope of practice for LPNs was expanded, and unregulated health care assistants introduced. This study began from the standpoint of RNs and LPNs to understand their experiences working on redesigned teams by focusing on discourses activated in social settings...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/29395903/pharmacists-views-on-the-development-of-asthma-pharmaceutical-care-model-in-indonesia-a-needs-analysis-study
#3
Aris Widayati, Dita Maria Virginia, Christianus Heru Setiawan, Fenty Fenty, Maria Wisnu Donowati, Putu Dyana Christasani, Titien Siwi Hartayu, Rita Suhadi, Bandana Saini, Carol Armour
BACKGROUND: Over recent years the pharmacy profession in Indonesia has adopted a stance of pharmaceutical care to expand their scope of practice. Asthma management presents a key opportunity for pharmacists to test expanded roles in health service provision. There is however no exploratory work on the willingness, experience or future practice needs of Indonesian pharmacists in the realm of specialised asthma service provision. OBJECTIVES: The objectives of this study were to explore Indonesian pharmacists' experiences, perspectives, and needs regarding the provision of pharmaceutical care for asthma patients in Indonesia...
January 30, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29393625/high-nuclearity-lanthanide-containing-clusters-as-potential-molecular-magnetic-coolers
#4
Xiu-Ying Zheng, Xiang-Jian Kong, Zhiping Zheng, La-Sheng Long, Lan-Sun Zheng
High-nuclearity cluster-type metal complexes are a unique class of compounds, many of which have aesthetically pleasing molecular structures. Their interesting physical and chemical properties arise primarily from the electronic and/or magnetic interplay between the component metal ions. Among the extensive studies in the past two decades, those on lanthanide-containing clusters, lanthanide-exclusive or heterometallic with transition metal elements, are most notable. The research was driven by both the synthetic challenges for these generally elusive species and their intriguing magnetic properties, which are useful for the development of energy-efficient and environmentally friendly magnetic cooling technologies...
February 2, 2018: Accounts of Chemical Research
https://www.readbyqxmd.com/read/29386490/guidelines-for-personal-exposure-monitoring-of-chemicals-part-iv
#5
Haruo Hashimoto, Kenichi Yamada, Hajime Hori, Shinji Kumagai, Masaru Murata, Toshio Nagoya, Hirohiko Nakahara, Nobuyuki Mochida
This Document, "Guidelines for personal exposure monitoring of chemicals" ("this Guideline"), has been prepared by "The Committee for Personal Exposure Monitoring" ("the Committee") of the Expert Division of Occupational Hygiene & Ergonomics, Japan Society for Occupational Health. Considering the background of the growing importance of personal exposure monitoring in risk assessment and the need to prepare for the introduction of monitoring using personal samplers from an administrative perspective in recent years, the Committee was organized in November 2012...
January 30, 2018: Journal of Occupational Health
https://www.readbyqxmd.com/read/29383378/counseling-issues-addressing-behavioral-and-emotional-considerations-in-the-treatment-of-communication-disorders
#6
Aaron Lieberman
Purpose: Counseling is an important fundamental professional activity and an established component of the speech-language pathology/audiology scope of practice as documented by the American Speech-Language-Hearing Association (2004a, 2016a). Appropriate incorporation of counseling into practice can optimize service provision, help address comorbid behavioral and emotional reactions to communication disorders, and enhance prognosis. Practitioner insecurity in incorporating counseling into practice has been documented by Phillips and Mendel (2008), as well as Atkins (2007)...
January 30, 2018: American Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/29342432/pharmacists-scope-of-practice-in-travel-health-a-review-of-state-laws-and-regulations
#7
Keri Hurley-Kim, Rebecca Snead, Karl M Hess
OBJECTIVES: The primary objective of this study was to assess pharmacists' authority to provide travel health services in each state and Washington, DC. Secondary objectives were to determine the need for collaborative practice agreements (CPAs), protocols, or prescriptions for this type of pharmacy practice and to identify jurisdictions where pharmacists are able to practice as travel health providers independent of CPAs or individual physician protocols. METHODS: An online survey was developed to assess pharmacists' authority to administer travel immunizations, furnish travel-related medications, and order travel-related laboratory tests...
January 13, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29318769/seeking-and-defining-the-special-in-specialist-mental-health-nursing-a-theoretical-construct
#8
Peter Santangelo, Nicholas Procter, Denise Fassett
In the context of an enduring debate about the distinct identity of mental health nursing, this qualitative study explored the nature, scope and consequences of mental health nursing practice. Data for interpretation were generated through interviews with 36 mental health nurses, five of their clients and one health care colleague, each of whom were asked to speak in as much detail as possible about what they believe is special about mental health nursing and what had influenced them to arrive at this understanding...
February 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29297732/canagliflozin-and-cardiovascular-and-renal-events-in-type-2-diabetes
#9
Robert Guthrie
Review of: Neal B, Perkovic V, Mahaffey K, et al. Canagliflozin and Cardiovascular and Renal Events in Type 2 Diabetes. N Engl J Med 2017: 377; 644-657. The report combines the data from two trials, CANVAS and CANVAS-Renal, which were designed to evaluate the safety and effect of canagliflozin, an SGLT-2 inhibitor, on the appearance of cardiovascular and renal events in patients with type 2 diabetes. Enrollees were patients with type 2 diabetes of at least 30 years of age, with a glycated hemoglobin of > or equal to 7...
January 3, 2018: Postgraduate Medicine
https://www.readbyqxmd.com/read/29295714/fdetect-webserver-fast-predictor-of-propensity-for-protein-production-purification-and-crystallization
#10
Fanchi Meng, Chen Wang, Lukasz Kurgan
BACKGROUND: Development of predictors of propensity of protein sequences for successful crystallization has been actively pursued for over a decade. A few novel methods that expanded the scope of these predictions to address additional steps of protein production and structure determination pipelines were released in recent years. The predictive performance of the current methods is modest. This is because the only input that they use is the protein sequence and since the experimental annotations of these data might be inconsistent given that they were collected across many laboratories and centers...
January 3, 2018: BMC Bioinformatics
https://www.readbyqxmd.com/read/29290339/encouraging-comprehensive-and-consistent-pharmacist-education-for-provision-of-contraception
#11
Lorinda Anderson, Laura M Borgelt, Paige Clark, Gina Moore
OBJECTIVES: To initiate a call to action for community pharmacists and key stakeholders to encourage comprehensive and consistent education and certification for contraception services, especially in states where laws have been enacted for pharmacist prescribing of hormonal contraceptives. DATE SOURCES: Websites for several boards of pharmacy that have implemented pharmacist training for contraceptive prescribing. SUMMARY: From the authors' perspective of helping to implement laws that allow pharmacist prescribing of contraception in Oregon and Colorado, lessons learned have shown that it is better to have 1 consistent resource for pharmacist certification for the following reasons: 1) Boards of pharmacy are able to ensure patient safety because all pharmacists are providing the same level of care to every patient; 2) retail chain pharmacies and pharmacy managers are assured that all their pharmacists, regardless of state, are trained in a similar and appropriate manner; and 3) pharmacists can be reimbursed through medical insurance for the patient encounter because payers are able to identify and credential pharmacists who pass an approved and accredited certification program...
January 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29290247/can-we-do-that-here-establishing-the-scope-of-surgical-practice-at-a-new-safety-net-community-hospital-through-a-transparent-collaborative-review-of-physician-privileges
#12
Sean M O'Neill, Sarah Seresinghe, Arun Sharma, Tara A Russell, L'Orangerie Crawford, Stanley K Frencher
PROBLEM DEFINITION: Stewarding of physician privileges wisely is imperative, but no guidelines exist for how to incorporate system-level factors in privileging decisions. A newly opened, safety-net community hospital tailored the scope of surgical practice through review of physician privileges. Martin Luther King, Jr. Community Hospital is a public-private partnership, safety-net institution in South Los Angeles that opened in July 2015. It has 131 beds, including a 28-bed emergency department, a 20-bed ICU, and 5 operating rooms...
January 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29279266/academy-of-nutrition-and-dietetics-revised-2017-scope-of-practice-for-the-nutrition-and-dietetics-technician-registered
#13
Denise Andersen, Shari Baird, Denise L Chapel, Alana D Cline, Shyamala N Ganesh, Margaret Garner, Barbara L Grant, Kathryn K Hamilton, Krista Jablonski, Sherri L Jones, Alexandra G Kazaks, Susan H Konek, Kelly K Leonard, Kimi G McAdam, Beth N Ogata, Egondu M Onuoha, Gretchen Y Robinson, Darrin W Schmidt, Nancy G Walters, Pauline Williams, Pamela Wu, Karen Hui, Carol Gilmore, Mujahed Khan, Dana Buelsing, Sharon M McCauley
The Academy of Nutrition and Dietetics (Academy) is the world's largest organization of food and nutrition professionals and the association that represents credentialed nutrition and dietetics practitioners-nutrition and dietetics technicians, registered (NDTRs) and registered dietitian nutritionists (RDNs). An NDTR's scope of practice in nutrition and dietetics has flexible boundaries to capture the depth and breadth of the individual's practice. The NDTR's practice expands with advances in many areas, including nutrition, food production, food safety, food systems management, health care, public health, community health, and information and communication technology...
December 23, 2017: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/29275291/biocatalytic-reduction-of-activated-cc-bonds-and-beyond-emerging-trends
#14
REVIEW
Christoph K Winkler, Kurt Faber, Mélanie Hall
The biocatalytic reduction of activated CC-bonds is dominated by ene-reductases from the Old Yellow Enzyme family, which gained broad practical use owing to exquisite stereoselectivity combined with wide substrate scope. Protein diversity is fostered by mining distinct protein classes and by implementing protein engineering techniques. Recent efforts are focusing on expanding the chemical complexity of the product portfolio, either through substrate functionalization or design of multi-step reactions. This review also highlights unusual chemistries catalyzed by ene-reductases and presents emerging methodologies developed to bypass the need of natural nicotinamide cofactors...
December 21, 2017: Current Opinion in Chemical Biology
https://www.readbyqxmd.com/read/29236533/a-history-of-social-work-in-public-health
#15
Betty J Ruth, Jamie Wyatt Marshall
Social work is a core health profession with origins deeply connected to the development of contemporary public health in the United States. Today, many of the nation's 600 000 social workers practice broadly in public health and in other health settings, drawing on a century of experience in combining clinical, intermediate, and population approaches for greater health impact. Yet, the historic significance of this long-standing interdisciplinary collaboration-and its current implications-remains underexplored in the present era...
December 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29235332/technology-expands-the-scope-of-the-general-practice
#16
Daniel Drake
No abstract text is available yet for this article.
March 2017: Dentistry Today
https://www.readbyqxmd.com/read/29233403/perceptions-of-pharmacists-role-in-the-health-care-team-through-student-pharmacist-led-point-of-care-screenings-and-its-future-application-in-health-care
#17
Karen M S Bastianelli, Lucas Nelson, Laura Palombi
INTRODUCTION: The public is largely unaware of changing pharmacy roles and continues to underutilize pharmacists as mainly a dispensing service, often overlooking direct patient care components. This paper evaluates the public perceptions of pharmacists' through student led point-of-care screenings and comprehensive medication reviews. METHODS: An IRB approved longitudinal retrospective study design was used to survey participants who attended College of Pharmacy sponsored health fairs in 2013...
March 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29233287/a-community-based-partnership-collaborative-practice-agreement-project-to-teach-innovation-in-care-delivery
#18
Kenneth C Hohmeier, Christina A Spivey, Marie Chisholm-Burns
BACKGROUND AND PURPOSE: To explore students' perceptions (self-assessment) of their preparedness to develop collaborative practice agreements (CPAs) before and after delivery of one CPA-focused classroom lectures and 2) a CPA development student project in partnership with a local community-based pharmacy. EDUCATIONAL ACTIVITY AND SETTING: A CPA-focused didactic lecture and subsequent project were given to second-year (P2) pharmacy students enrolled in a community pharmacy elective course at the University of Tennessee College of Pharmacy...
May 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29218801/frontiers-in-alley-cropping-transformative-solutions-for-temperate-agriculture
#19
Kevin J Wolz, Sarah T Lovell, Bruce E Branham, William C Eddy, Keefe Keeley, Ronald S Revord, Michelle M Wander, Wendy H Yang, Evan H DeLucia
Annual row crops dominate agriculture around the world and have considerable negative environmental impacts, including significant greenhouse gas emissions. Transformative land-use solutions are necessary to mitigate climate change and restore critical ecosystem services. Alley cropping (AC)-the integration of trees with crops-is an agroforestry practice that has been studied as a transformative, multifunctional land-use solution. In the temperate zone, AC has strong potential for climate change mitigation through direct emissions reductions and increases in land-use efficiency via overyielding compared to trees and crops grown separately...
December 8, 2017: Global Change Biology
https://www.readbyqxmd.com/read/29213012/guidelines-for-personal-exposure-monitoring-of-chemicals-part-iii
#20
Haruo Hashimoto, Kenichi Yamada, Hajime Hori, Shinji Kumagai, Masaru Murata, Toshio Nagoya, Hirohiko Nakahara, Nobuyuki Mochida
This Document, "Guidelines for personal exposure monitoring of chemicals" ("this Guideline"), has been prepared by "The Committee for Personal Exposure Monitoring" ("the Committee") of the Expert Division of Occupational Hygiene & Ergonomics, Japan Society for Occupational Health. Considering the background of the growing importance of personal exposure monitoring in risk assessment and the need to prepare for the introduction of monitoring using personal samplers from an administrative perspective in recent years, the Committee was organized in November 2012...
December 6, 2017: Journal of Occupational Health
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