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https://www.readbyqxmd.com/read/27856941/the-quest-to-extend-health-services-to-vulnerable-substance-users-in-rio-de-janeiro-brazil-in-the-context-of-an-unfolding-economic-crisis
#1
Noa Krawczyk, Deanna Kerrigan, Francisco Inácio Bastos
Calls to address crack-cocaine use in Brazil among homeless and street-frequenting populations who are in urgent need of health services have questioned the capacity of the Brazilian Unified Health System to attend to the nation's most marginalized citizens. In recent years, Brazil has launched several actions to escalate care for substance users, yet many obstacles hindering accessibility and effectiveness of services remain. Paradoxically, these actions have been implemented in the context of a growing economic crisis, and expanding services for a population of poor and stigmatized substance users while cutting other government programs tends to elicit harsh criticism from citizens...
November 16, 2016: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27818329/liberation-from-mechanical-ventilation-in-critically-ill-adults-executive-summary-of-an-official-american-college-of-chest-physicians-american-thoracic-society-clinical-practice-guideline
#2
Gregory A Schmidt, Timothy D Girard, John P Kress, Peter E Morris, Daniel R Ouellette, Waleed Alhazzani, Suzanne M Burns, Scott K Epstein, Andres Esteban, Eddy Fan, Miguel Ferrer, Gilles L Fraser, Michelle Gong, Catherine L Hough, Sangeeta Mehta, Rahul Nanchal, Sheena Patel, Amy J Pawlik, Curtis N Sessler, William Schweickert, Thomas Strøm, Kevin C Wilson, Jonathon D Truwit
BACKGROUND: This clinical practice guideline addresses six questions related to liberation from mechanical ventilation in critically ill adults. It is the result of a collaborative effort between the American Thoracic Society (ATS) and American College of Chest Physicians (CHEST). METHODS: A multi-disciplinary panel posed six clinical questions in a Population, Intervention, Comparator and Outcomes (PICO) format. A comprehensive literature search and evidence synthesis was performed for each question, which included appraising the quality of evidence using the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach...
November 3, 2016: Chest
https://www.readbyqxmd.com/read/27802866/point-of-care-ultrasonography-as-a-training-milestone-for-internal-medicine-residents-the-time-is-now
#3
Bruce F Sabath, Gurkeerat Singh
Point-of-care (POC) ultrasonography is considered fundamental in emergency medicine training and recently has become a milestone in critical care fellowship programs as well. Currently, there is no such standard requirement for internal medicine residency programs in the United States. We present a new case and briefly review another case at our institution - a community hospital - in which internal medicine house staff trained in ultrasonography were able to uncover unexpected and critical diagnoses that significantly changed patient care and outcomes...
2016: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/27762608/official-executive-summary-of-an-american-thoracic-society-american-college-of-chest-physicians-clinical-practice-guideline-liberation-from-mechanical-ventilation-in-critically-ill-adults
#4
Gregory A Schmidt, Timothy D Girard, John P Kress, Peter E Morris, Daniel R Ouellette, Waleed Alhazzani, Suzanne M Burns, Scott K Epstein, Andres Esteban, Eddy Fan, Miquel Ferrer, Gilles L Fraser, Michelle Gong, Catherine Hough, Sangeeta Mehta, Rahul Nanchal, Sheena Patel, Amy J Pawlik, Curtis N Sessler, Thomas Strøm, William Schweickert, Kevin C Wilson, Jonathon D Truwit
BACKGROUND: This clinical practice guideline addresses six questions related to liberation from mechanical ventilation in critically ill adults. It is the result of a collaborative effort between the American Thoracic Society (ATS) and American College of Chest Physicians (CHEST). METHODS: A multi-disciplinary panel posed six clinical questions in a Population, Intervention, Comparator and Outcomes (PICO) format. A comprehensive literature search and evidence synthesis was performed for each question, which included appraising the certainty in the evidence (i...
October 20, 2016: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/27739895/an-official-american-thoracic-society-research-statement-implementation-science-in-pulmonary-critical-care-and-sleep-medicine
#5
Curtis H Weiss, Jerry A Krishnan, David H Au, Bruce G Bender, Shannon S Carson, Adithya Cattamanchi, Michelle M Cloutier, Colin R Cooke, Karen Erickson, Maureen George, Joe K Gerald, Lynn B Gerald, Christopher H Goss, Michael K Gould, Robert Hyzy, Jeremy M Kahn, Brian S Mittman, Erika M Mosesón, Richard A Mularski, Sairam Parthasarathy, Sanjay R Patel, Cynthia S Rand, Nancy S Redeker, Theodore F Reiss, Kristin A Riekert, Gordon D Rubenfeld, Judith A Tate, Kevin C Wilson, Carey C Thomson
BACKGROUND: Many advances in health care fail to reach patients. Implementation science is the study of novel approaches to mitigate this evidence-to-practice gap. METHODS: The American Thoracic Society (ATS) created a multidisciplinary ad hoc committee to develop a research statement on implementation science in pulmonary, critical care, and sleep medicine. The committee used an iterative consensus process to define implementation science and review the use of conceptual frameworks to guide implementation science for the pulmonary, critical care, and sleep community and to explore how professional medical societies such as the ATS can promote implementation science...
October 15, 2016: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/27672141/access-to-and-experiences-of-healthcare-services-by-trafficked-people-findings-from-a-mixed-methods-study-in-england
#6
Joanne Westwood, Louise M Howard, Nicky Stanley, Cathy Zimmerman, Clare Gerada, Siân Oram
BACKGROUND: Physical and psychological morbidity is high in trafficked people but little is known about their experiences of accessing and using healthcare services while, or after, being trafficked. AIM: To explore trafficked people's access to, and use of, health care during and after trafficking. DESIGN AND SETTING: A mixed-methods study - a cross-sectional survey comprising a structured interview schedule and open-ended questions - was undertaken in trafficked people's accommodation or support service offices across England...
November 2016: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/27525995/defining-futile-and-potentially-inappropriate-interventions-a-policy-statement-from-the-society-of-critical-care-medicine-ethics-committee
#7
Alexander A Kon, Eric K Shepard, Nneka O Sederstrom, Sandra M Swoboda, Mary Faith Marshall, Barbara Birriel, Fred Rincon
OBJECTIVES: The Society of Critical Care Medicine and four other major critical care organizations have endorsed a seven-step process to resolve disagreements about potentially inappropriate treatments. The multiorganization statement (entitled: An official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units) provides examples of potentially inappropriate treatments; however, no clear definition is provided...
September 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27454885/the-timeliness-of-the-us-military-response-to-the-2014-ebola-disaster-a-critical-review
#8
Remington L Nevin, Jill N Anderson
In the face of an unprecedented epidemic of Ebola Virus Disease, in September 2014, the US military began sending thousands of personnel to Liberia and supporting areas in Senegal in its largest deployment to the African continent in over two decades. In this review, media reports, published photographs and official statements are evaluated and summarized to identify and describe key time points in the US military response. Specific events include the initial establishment of the Monrovia Medical Unit and the buildup of forces for the expanded mission, which involved enhancement of laboratory testing capacity, construction of Ebola Treatment Units, and training of health care workers...
January 2016: Medicine, Conflict, and Survival
https://www.readbyqxmd.com/read/27396776/an-official-critical-care-societies-collaborative-statement-burnout-syndrome-in-critical-care-health-care-professionals-a-call-for-action
#9
Marc Moss, Vicki S Good, David Gozal, Ruth Kleinpell, Curtis N Sessler
Burnout syndrome (BOS) occurs in all types of health-care professionals and is especially common in individuals who care for critically ill patients. The development of BOS is related to an imbalance of personal characteristics of the employee and work-related issues or other organizational factors. BOS is associated with many deleterious consequences, including increased rates of job turnover, reduced patient satisfaction, and decreased quality of care. BOS also directly affects the mental health and physical well-being of the many critical care physicians, nurses, and other health-care professionals who practice worldwide...
July 2016: Chest
https://www.readbyqxmd.com/read/27369038/an-official-critical-care-societies-collaborative-statement-burnout-syndrome-in-critical-care-health-care-professionals-a-call-for-action
#10
Marc Moss, Vicki S Good, David Gozal, Ruth Kleinpell, Curtis N Sessler
Burnout syndrome (BOS) occurs in all types of health care professionals and is especially common in individuals who care for critically ill patients. The development of BOS is related to an imbalance of personal characteristics of the employee and work-related issues or other organizational factors. BOS is associated with many deleterious consequences, including increased rates of job turnover, reduced patient satisfaction, and decreased quality of care. BOS also directly affects the mental health and physical well-being of the many critical care physicians, nurses, and other health care professionals who practice worldwide...
July 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27358547/pharmaceutical-regulatory-framework-in-ethiopia-a-critical-evaluation-of-its-legal-basis-and-implementation
#11
Sultan Suleman, Abdulkadir Woliyi, Kifle Woldemichael, Kora Tushune, Luc Duchateau, Agnes Degroote, Roy Vancauwenberghe, Nathalie Bracke, Bart De Spiegeleer
BACKGROUND: Effective and enforceable national regulations describing the manufacture and (re)packaging, export and import, distribution and storage, supply and sale, information and pharmaco-vigilance of medicines are required to consistently ensure optimal patient benefit. Expansion of pharmaceutical industries in many countries with advancement in transport technologies facilitated not only trade of genuine pharmaceutical products but also the circulation of poor quality medicines across the globe...
May 2016: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/27351436/-men-s-health-report-conclusion-and-challenges-for-sex-and-gender-sensitive-health-reporting
#12
Anne Starker, Alexander Rommel, Anke-Christine Saß
In December 2014, the Federal Health Reporting published the first official report on men's health in Germany. The report covers a wide range of topics, from diseases and causes of death to health-related behaviors and male-specific prevention. Special chapters put the focus on the impact that working life and certain living arrangements may have on health. Based on preliminary methodological work on gender-sensitive health reporting, a step-wise approach was pursued. In addition to mere comparisons between men and women, differences within men were taken into account with respect to certain stressors, risks and resources...
August 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/27344107/local-health-departments-as-clinical-safety-net-in-rural-communities
#13
Nathan L Hale, Tamar Klaiman, Kate E Beatty, Michael B Meit
INTRODUCTION: The appropriate role of local health departments (LHDs) as a clinical service provider remains a salient issue. This study examines differences in clinical service provision among rural/urban LHDs for early periodic screening, diagnosis, and treatment (EPSDT) and prenatal care services. METHODS: Data collected from the 2013 National Association of County and City Health Officials Profile of Local Health Departments Survey was used to conduct a cross-sectional analysis of rural/urban differences in clinical service provision by LHDs...
June 22, 2016: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27338530/prehospital-care-training-in-a-rapidly-developing-economy-a-multi-institutional-study
#14
Dinesh Vyas, Michael Hollis, Rohit Abraham, Neeti Rustagi, Siddharth Chandra, Ajai Malhotra, Vikas Rajpurohit, Harshada Purohit, Ranabir Pal
BACKGROUND: The trauma pandemic is one of the leading causes of death worldwide but especially in rapidly developing economies. Perhaps, a common cause of trauma-related mortality in these settings comes from the rapid expansion of motor vehicle ownership without the corresponding expansion of national prehospital training in developed countries. The resulting road traffic injuries often never make it to the hospital in time for effective treatment, resulting in preventable disability and death...
June 1, 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27309157/an-official-critical-care-societies-collaborative-statement-burnout-syndrome-in-critical-care-healthcare-professionals-a-call-for-action
#15
Marc Moss, Vicki S Good, David Gozal, Ruth Kleinpell, Curtis N Sessler
Burnout syndrome (BOS) occurs in all types of healthcare professionals and is especially common in individuals who care for critically ill patients. The development of BOS is related to an imbalance of personal characteristics of the employee and work-related issues or other organizational factors. BOS is associated with many deleterious consequences, including increased rates of job turnover, reduced patient satisfaction, and decreased quality of care. BOS also directly affects the mental health and physical well-being of the many critical care physicians, nurses, and other healthcare professionals who practice worldwide...
July 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27306579/person-centred-medicines-optimisation-policy-in-england-an-agenda-for-research-on-polypharmacy
#16
Janet Heaton, Nicky Britten, Janet Krska, Joanne Reeve
: Aim To examine how patient perspectives and person-centred care values have been represented in documents on medicines optimisation policy in England. BACKGROUND: There has been growing support in England for a policy of medicines optimisation as a response to the rise of problematic polypharmacy. Conceptually, medicines optimisation differs from the medicines management model of prescribing in being based around the patient rather than processes and systems. This critical examination of current official and independent policy documents questions how central the patient is in them and whether relevant evidence has been utilised in their development...
June 16, 2016: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/27277831/prevalence-of-plasmodium-spp-in-illegal-gold-miners-in-french-guiana-in-2015-a-hidden-but-critical-malaria-reservoir
#17
Maylis Douine, Lise Musset, Florine Corlin, Stéphane Pelleau, Jérémie Pasquier, Louise Mutricy, Antoine Adenis, Felix Djossou, Paul Brousse, Frédérique Perotti, Helene Hiwat, Stephen Vreden, Magalie Demar, Mathieu Nacher
BACKGROUND: Malaria is endemic in French Guiana, an overseas territory of France on the Guiana Shield. Since 2005, notified malaria cases are decreasing. However, new data show that malaria affects many Brazilian gold miners working illegally in French Guiana, the majority of whom are not counted in official data. In addition, one major concern is the usual practice of improper self-treatment in this mining population, raising fear of the development of anti-malarial resistance. This prospective study, conducted in 2015, aimed to estimate the prevalence of Plasmodium spp...
2016: Malaria Journal
https://www.readbyqxmd.com/read/27227156/effectiveness-of-implementation-of-electronic-malaria-information-system-as-the-national-malaria-surveillance-system-in-thailand
#18
Shaojin Ma, Saranath Lawpoolsri, Ngamphol Soonthornworasiri, Amnat Khamsiriwatchara, Kasemsak Jandee, Komchaluch Taweeseneepitch, Rungrawee Pawarana, Sukanya Jaiklaew, Boonchai Kijsanayotin, Jaranit Kaewkungwal
BACKGROUND: In moving toward malaria elimination, one strategy is to implement an active surveillance system for effective case management. Thailand has developed and implemented the electronic Malaria Information System (eMIS) capturing individualized electronic records of suspected or confirmed malaria cases. OBJECTIVE: The main purpose of this study was to determine how well the eMIS improves the quality of Thailand's malaria surveillance system. In particular, the focus of the study was to evaluate the effectiveness of the eMIS in terms of the system users' perception and the system outcomes (ie, quality of data) regarding the management of malaria patients...
January 2016: JMIR Public Health and Surveillance
https://www.readbyqxmd.com/read/27207627/epidemiology-health-systems-and-stakeholders-in-rheumatic-heart-disease-in-africa-a-systematic-review-protocol
#19
Annesinah Hlengiwe Moloi, David Watkins, Mark E Engel, Sumaya Mall, Liesl Zühlke
INTRODUCTION: Rheumatic heart disease (RHD) is a chronic disease affecting the heart valves, secondary to group A streptococcal infection (GAS) and subsequent acute rheumatic fever (ARF). However, RHD cure and preventative measures are inextricably linked with socioeconomic development, as the disease mainly affects children and young adults living in poverty. In order to address RHD, public health officials and health policymakers require up-to-date knowledge on the epidemiology of GAS, ARF and RHD, as well as the existing enablers and gaps in delivery of evidence-based care for these conditions...
2016: BMJ Open
https://www.readbyqxmd.com/read/27198980/sparking-supporting-and-steering-change-grounding-an-accountability-framework-with-viewpoints-from-nigerian-routine-immunization-and-primary-health-care-government-officials
#20
Asha S George, Daniel J Erchick, Mustafa Mahmud Zubairu, Inuwa Yau Barau, Chizoba Wonodi
Existing accountability efforts in Nigeria primarily serve as retrospective policing. To enable accountability to guide change prospectively and preemptively, we drew from a literature review to develop a framework that highlights mutually reinforcing dimensions of accountability in health systems along three counterbalancing axes. The axis of power sparks change by wielding 'sticks' that curb the potential abuse of power, but also by offering 'carrots' that motivate constructive agency. The axis of ability supports change by enabling service delivery actors with formal rules that appropriately expand their authority to act, but also the informal norms and inputs for improved performance...
November 2016: Health Policy and Planning
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