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https://www.readbyqxmd.com/read/28405255/medication-management-of-chronic-pain-a-comparison-of-2-care-delivery-models
#1
Marlene Slipp, Robert Burnham
BACKGROUND: The prevalence of chronic pain is high and increasing. Medication management is an important component of chronic pain management. There is a shortage of physicians who are available and comfortable providing this service. In Alberta, pharmacists have been granted an advanced scope of practice. Given this empowerment, their availability, training and skill set, pharmacists are well positioned to play an expanded role in the medication management of chronic pain sufferers. OBJECTIVE: To compare the effectiveness and cost of a physician-only vs a pharmacist-physician team model of medication management for chronic nonmalignant pain sufferers...
March 2017: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
https://www.readbyqxmd.com/read/28401136/patient-family-physician-and-community-pharmacist-perspectives-on-expanded-pharmacy-scope-of-practice-a-qualitative-study
#2
Maoliosa Donald, Kathryn King-Shier, Ross T Tsuyuki, Yazid N Al Hamarneh, Charlotte A Jones, Braden Manns, Marcello Tonelli, Wendy Tink, Nairne Scott-Douglas, Brenda R Hemmelgarn
BACKGROUND: The RxEACH trial was a randomized trial to evaluate the efficacy of community pharmacy-based case finding and intervention in patients at high risk for cardiovascular (CV) events. Community-dwelling patients with poorly controlled risk factors were identified and their CV risk reduced through patient education, prescribing and follow-up by their pharmacist. Perspectives of patients, family physicians and community pharmacists were obtained regarding pharmacists' identification and management of patients at high risk for CV events, to identify strategies to facilitate implementation of the pharmacist's expanded role in routine patient care...
January 2017: CMAJ Open
https://www.readbyqxmd.com/read/28400708/costs-and-savings-associated-with-a-pharmacists-prescribing-for-minor-ailments-program-in-saskatchewan
#3
Ellen Rafferty, Mohsen Yaghoubi, Jeff Taylor, Marwa Farag
BACKGROUND: Health care systems around the world have started to develop pharmacists prescribing for minor ailments (PPMA) programs. These programs aim to improve the efficiency of care, reduce physician visits, and increase the accessibility to prescription medication (Rx). This study performed an economic impact analysis of the pharmacists prescribing for minor ailments program in Saskatchewan. METHODS: We measured costs for the program and the alternative scenario (i...
2017: Cost Effectiveness and Resource Allocation: C/E
https://www.readbyqxmd.com/read/28395044/human-rights-its-meaning-and-practice-in-social-work-field-settings
#4
Julie A Steen, Mary Mann, Nichole Restivo, Shellene Mazany, Reshawna Chapple
The goal of the study reported in this article was to explore the conceptualizations of human rights and human rights practice among students and supervisors in social work field settings. Data were collected from 35 students and 48 supervisors through an online survey system that featured two open-ended questions regarding human rights issues in their agency and human rights practice tasks. Responses suggest that participants encountered human rights issues related to poverty, discrimination, participation/self-determination/autonomy, violence, dignity/respect, privacy, and freedom/liberty...
January 1, 2017: Social Work
https://www.readbyqxmd.com/read/28369963/predicament-of-chinese-legislation-on-gmf-labeling-management-and-solutions-from-the-perspective-of-the-new-food-safety-law
#5
Wei Li, Han Li
BACKGROUND: This paper considers the background of Article 69 of the newly revised Food Safety Law in China, in combination with the current situation of Chinese legislation on genetically modified foods(GMFs)labeling management, compares with foreign genetically modified food labeling management system, reveals the deficiencies in Chinese legislation on GMFs labeling management, to note the institutionalize, systemic consider of GMFs labeling management system in China. RESULTS: China adheres to the principle of mandatory labeling based on both product and process in relation to GMFs and implements the system of process-centered mandatory labeling under the negotiation-construction form...
April 2, 2017: Journal of the Science of Food and Agriculture
https://www.readbyqxmd.com/read/28350776/school-based-work-capacity-evaluation-in-young-people-with-intellectual-disabilities-2-case-reports
#6
Connie C Johnson, Deborah S Rose
PURPOSE: These case reports examine the application of a work capacity/work-hardening model to increase work capacity in young people with disabilities. KEY POINTS: Examination, evaluation, interventions, and outcomes are described for 2 teenagers with intellectual disability. This approach is novel in that it uses functional capacity evaluation concepts used in ergonomic/occupational health contexts and applies them to youth with disabilities in educational settings...
April 2017: Pediatric Physical Therapy
https://www.readbyqxmd.com/read/28339320/basic-life-support-access-to-injectable-epinephrine-across-the-united-states
#7
Ian D Brasted, Michael W Dailey
BACKGROUND:  Aggressive epinephrine administration has growing support in the treatment of anaphylaxis, a life-threatening allergic reaction. Emergency Medical Services (EMS) providers are frequently in a position to provide the first care to someone experiencing an anaphylactic reaction. Intramuscular injection of epinephrine is the definitive pharmacologic treatment for many associated symptoms. While easy to use, epinephrine autoinjectors (EAI) are prohibitively expensive, having increased in price ten-fold in ten years...
March 24, 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/28325528/towards-the-implementation-of-breastfeeding-related-health-services-in-community-pharmacies-pharmacists-perspectives
#8
Tin Fei Sim, H Laetitia Hattingh, Jillian Sherriff, Lisa B G Tee
BACKGROUND: The scope of community pharmacy practice has expanded over the years. Pharmacists are now involved in the provision of a range of professional services. Pharmacists have regular contact with breastfeeding women, and are perceived as easily accessible, trusted health advisors. There is limited information on factors needed to be considered when implementing breastfeeding-related services in pharmacies to meet the needs of this population group. OBJECTIVE: This study aimed to explore community pharmacists' perspectives on the implementation of breastfeeding-related services, the factors to consider and the required implementation strategies in community pharmacies...
March 10, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28315527/standards-of-practice-applying-genetics-and-genomics-resources-to-oncology%C3%A2
#9
Alice S Kerber, Nancy J Ledbetter
Knowledge about genetics and genomics and its application to oncology care is rapidly expanding and evolving. As a result, oncology nurses at all levels must develop and maintain their knowledge of genetics and genomics, as well as be aware of resources to guide practice. This article focuses on implementation of the standards described in the updated Genetics/Genomics Nursing: Scope and Standards of Practice by the basic practitioner.
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April 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28302395/social-cognition-psychometric-evaluation-scope-in-people-with-early-psychosis-a-preliminary-study
#10
Kelsey A Ludwig, Amy E Pinkham, Philip D Harvey, Skylar Kelsven, David L Penn
Social cognition is an important outcome in schizophrenia research. Unfortunately, there has been a lack of consensus regarding which measures of social cognition best capture this domain of functioning. The Social Cognition Psychometric Evaluation (SCOPE) study was developed to address the need for a battery of measures that have sound psychometric properties and can be implemented in clinical trials for individuals with chronic schizophrenia. The current study expands upon the SCOPE study by examining the psychometric properties of the eight candidate measures administered to individuals early in the course of psychosis...
March 14, 2017: Schizophrenia Research
https://www.readbyqxmd.com/read/28289437/best-hits-of-11110110111-model-free-selection-and-parameter-free-sensitivity-calculation-of-spaced-seeds
#11
Laurent Noé
BACKGROUND: Spaced seeds, also named gapped q-grams, gapped k-mers, spaced q-grams, have been proven to be more sensitive than contiguous seeds (contiguous q-grams, contiguous k-mers) in nucleic and amino-acid sequences analysis. Initially proposed to detect sequence similarities and to anchor sequence alignments, spaced seeds have more recently been applied in several alignment-free related methods. Unfortunately, spaced seeds need to be initially designed. This task is known to be time-consuming due to the number of spaced seed candidates...
2017: Algorithms for Molecular Biology: AMB
https://www.readbyqxmd.com/read/28285164/the-views-of-non-medical-prescribing-students-and-medical-mentors-on-interprofessional-competency-assessment-a-qualitative-exploration
#12
Janyne D Afseth, Ruth E Paterson
BACKGROUND: The United Kingdom (UK) is one of the least restrictive countries in terms of scope of prescribing practice for non-medical prescribers and is a rapidly expanding group of professionals. In the United Kingdom nurse prescribers are assessed in practice by Designated Medical Practitioners (DMP) (doctors) which is a unique approach. In light of proposals to permit nurses to assess each other the benefits and challenges associated with current approach to interprofessional assessment warranted further exploration...
March 1, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28268159/protective-lung-strategies-a-cross-sectional-survey-of-nurses-knowledge-and-use-in-the-emergency-department
#13
Sarah Cornish, Rochelle Wynne, Sharon Klim, Anne-Maree Kelly
BACKGROUND: Mechanical ventilation (MV) is commonly used in emergency departments (EDs). Protective lung strategies (PLS), comprising of low tidal volume (6mL/kg), control of oxygen and plateau pressures, and administration of positive end expiratory pressure (PEEP) has been shown to reduces the risks associated with MV but there is little evidence exists about nurses' knowledge or application of PLS. Our aim was to explore nurses knowledge and application of PLS in Australian EDs. METHODS: Descriptive, exploratory design utilising an online questionnaire...
March 3, 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/28252482/expanding-rn-scope-of-knowledge-genetics-genomics-the-new-frontier
#14
Margaret A Rogers, Shannon Lizer, Andrea Doughty, Beth Hayden, Colleen J Klein
Introducing a new competency into nursing practice requires the support of nursing leadership. A knowledge survey was used to assess nurses' knowledge following a yearlong genomics education initiative. Findings indicate that nurses benefit from repeated exposure to genetics-related content. Recommendations from this study include development and implementation of strategies that can be used to prepare nurses at all levels for the application of genetics and genomics. Clinical nurses with knowledge of genetics will be able to implement evidence-based interventions to manage acute and chronic illnesses...
March 2017: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/28249761/towards-benchmarking-citizen-observatories-features-and-functioning-of-online-amateur-weather-networks
#15
Mohammad Gharesifard, Uta Wehn, Pieter van der Zaag
Crowd-sourced environmental observations are increasingly being considered as having the potential to enhance the spatial and temporal resolution of current data streams from terrestrial and areal sensors. The rapid diffusion of ICTs during the past decades has facilitated the process of data collection and sharing by the general public and has resulted in the formation of various online environmental citizen observatory networks. Online amateur weather networks are a particular example of such ICT-mediated observatories that are rooted in one of the oldest and most widely practiced citizen science activities, namely amateur weather observation...
May 15, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28245969/advancing-technician-practice-deliberations-of-a-regulatory-board
#16
EDITORIAL
Alex J Adams
In 2016, the Idaho State Board of Pharmacy (U.S.) undertook a major rulemaking initiative to advance pharmacy practice by broadening the ability of pharmacists to delegate tasks to pharmacy technicians. The new rules of the Board thus moved the locus of control in technician scope of practice from law to pharmacist delegation. Pharmacist delegation is individualistic and takes into account the individual technician's capabilities, the pharmacist's comfort level, facility policies, and the risk mitigation strategies present at the facility, among other factors...
February 16, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28220979/more-significance-of-tb-igra-except-for-the-diagnose-of-tuberculosis
#17
Jun-Chi Xu, Ze-Yi Li, Xin-Nian Chen, Cui-Lin Shi, Mei-Ying Wu, Hui Chen, Xiao-Yan Zhu, Hua-Feng Song, Min-Juan Wu, Ping Xu
OBJECTIVE: Tuberculosis (TB)-interferon gamma release assay (IGRA) test has the characteristics of short time, high specificity, and high sensitivity, but it lacks the correlation research between TB-IGRA test results and body's immune cells, disease progression and prognosis, which is explored in this study. DESIGN: A retrospective study was carried out on positive TB-IGRA patients who were infected with TB and diagnosed at our hospital from January 2014 to June 2015...
February 21, 2017: Journal of Clinical Laboratory Analysis
https://www.readbyqxmd.com/read/28215373/prevention-research-center-collaborations-with-state-departments-of-health-washington-state
#18
EDITORIAL
Peggy A Hannon, Thuy T Vu, Patricia Migliore Santiago, Pama Joyner, Caitlin Mason, Jeffrey R Harris
State health departments and Prevention Research Centers (PRCs) have complementary mandates and expertise important to improving population health. State health departments manage and administer numerous programs with broad population reach. PRCs bridge dissemination and implementation research and public health practice to improve health programming and outcomes. This paper describes the 15-year partnership between the Washington State Department of Health and the PRC at the University of Washington. Through this partnership, the Washington State Department of Health increases their research and evaluation capacity by working with the University of Washington PRC, and the University of Washington PRC receives opportunities to apply evidence in a variety of practice settings, expand the reach of their research-tested programs to new populations, and form new partnerships...
March 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28208171/update-on-didactic-and-clinical-education-in-fluency-disorders-2013-2014
#19
J Scott Yaruss, Jieun Lee, Kaya B Kikani, Paula Leslie, Caryn Herring, Sujini Ramachandar, Seth Tichenor, Robert W Quesal, Malcolm R McNeil
Purpose: This study surveyed didactic and clinical education in fluency disorders at undergraduate and graduate institutions in the United States that provide education in speech-language pathology to determine whether a previously observed reduction in requirements has continued since prior surveys (Yaruss, 1999; Yaruss & Quesal, 2002). Method: The study involved a detailed questionnaire that was sent to 282 communication science and disorders departments. Questions examined didactic and clinical education, as well as faculty knowledge about fluency disorders...
February 1, 2017: American Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/28180146/-i-think-we-ve-got-too-many-tests-prenatal-providers-reflections-on-ethical-and-clinical-challenges-in-the-practice-integration-of-cell-free-dna-screening
#20
B L Gammon, S A Kraft, M Michie, M Allyse
BACKGROUND: The recent introduction of cell-free DNA-based non-invasive prenatal screening (cfDNA screening) into clinical practice was expected to revolutionize prenatal testing. cfDNA screening for fetal aneuploidy has demonstrated higher test sensitivity and specificity for some conditions than conventional serum screening and can be conducted early in the pregnancy. However, it is not clear whether and how clinical practices are assimilating this new type of testing into their informed consent and counselling processes...
July 2016: Ethics, Medicine, and Public Health
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