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https://www.readbyqxmd.com/read/28930816/a-comparative-study-of-interprofessional-education-in-global-health-care-a-systematic-review
#1
Chulani Herath, Yangfeng Zhou, Yong Gan, Naomie Nakandawire, Yanghong Gong, Zuxun Lu
BACKGROUND: The World Health Organization (WHO) and its partners identify interprofessional (IP) collaboration in education and practice as an innovative strategy that plays an important role in mitigating the global health workforce crisis. Evidence on the practice of global health level in interprofessional education (IPE) is scarce and hampered due to the absence of aggregate information. Therefore, this systematic review was conducted to examine the incidences of IPE and summarize the main features about the IPE programs in undergraduate and postgraduate education in developed and developing countries...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28929887/retail-food-reform-how-to-effectively-bridge-what-we-say-and-what-we-do-in-our-hospital-settings
#2
Laurie Dojeiji, Andra Taylor, Cholly Boland, Carolyn Brennan, Randy Penney
Hospital leaders in Eastern Ontario, Canada, have acknowledged the critical role of food to health and the need for progressive change that goes beyond personal responsibility paradigms. The Healthy Foods in Champlain Hospitals program aims to create supportive, healthy nutrition environments in hospital retail food settings. Twenty independent hospital corporations have collectively initiated a plan to transition cafeteria, vending, franchise, and volunteer operations towards healthier offerings. Hospitals are actively implementing a set of progressively phased, evidence-based nutrition criteria, which cover food and beverage categories, preparation methods, product placement, and provision of nutrition information...
March 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28928262/the-use-of-speaking-valves-in-children-with-tracheostomy-tubes-what-is-the-scope-of-the-literature
#3
Weeda Zabih, Theresa Holler, Faiza Syed, Laurie Russell, Jennifer Allegro, Reshma Amin
One-way speaking valves have been successfully used to restore audible meaningful speech in adult patients after tracheostomy tube placement. One-way speaking valves have also been used in pediatric patients after tracheostomy tube placement with promising results. We conducted a scoping review to synthesize and summarize the current evidence on the use of one-way tracheostomy tube speaking valves in the pediatric population to identify knowledge gaps that could inform future research programs and facilitate evidence-based clinical decision making...
September 19, 2017: Respiratory Care
https://www.readbyqxmd.com/read/28922177/project-career-an-individualized-postsecondary-approach-to-promoting-independence-functioning-and-employment-success-among-students-with-traumatic-brain-injuries
#4
Deborah Minton, Eileen Elias, Phillip Rumrill, Deborah J Hendricks, Karen Jacobs, Anne Leopold, Amanda Nardone, Elaine Sampson, Marcia Scherer, Aundrea Gee Cormier, Aiyana Taylor, Caitlin DeLatte
BACKGROUND: Project Career is a five-year interdisciplinary demonstration project funded by NIDILRR. It provides technology-driven supports, merging Cognitive Support Technology (CST) evidence-based practices and rehabilitation counseling, to improve postsecondary and employment outcomes for veteran and civilian undergraduate students with traumatic brain injury (TBI). GOAL: Provide a technology-driven individualized support program to improve career and employment outcomes for students with TBI...
September 14, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/28905252/human-and-equipment-resources-for-difficult-airway-management-airway-education-programs-and-capnometry-use-in-japanese-emergency-departments-a-nationwide-cross-sectional-study
#5
Yuko Ono, Koichi Tanigawa, Kazuaki Shinohara, Tetsuhiro Yano, Kotaro Sorimachi, Ryota Inokuchi, Jiro Shimada
BACKGROUND: Although human and equipment resources, proper training, and the verification of endotracheal intubation are vital elements of difficult airway management (DAM), their availability in Japanese emergency departments (EDs) has not been determined. How ED type and patient volume affect DAM preparation is also unclear. We conducted the present survey to address this knowledge gaps. METHODS: This nationwide cross-sectional study was conducted from April to September 2016...
September 13, 2017: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28904696/health-worker-attrition-at-a-rural-district-hospital-in-rwanda-a-need-for-improved-placement-and-retention-strategies
#6
Jackline Odhiambo, Felix Cyamatare Rwabukwisi, Christian Rusangwa, Vincent Rusanganwa, Lisa Ruth Hirschhorn, Evrard Nahimana, Patient Ngamije, Bethany Lynn Hedt-Gauthier
INTRODUCTION: The shortage and maldistribution of health care workers in sub-Saharan Africa is a major concern for rural health facilities. Rural areas have 63% of sub-Saharan Africa population but only 37% of its doctors. Although attrition of health care workers is implicated in the human resources for health crisis in the rural settings, few studies report attrition rates and risk factors for attrition in rural district hospitals in sub-Saharan Africa. METHODS: We assessed attrition of health care workers at a Kirehe District Hospital in rural Rwanda...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28899433/wearable-sensors-to-predict-improvement-following-an-exercise-intervention-in-patients-with-knee-osteoarthritis
#7
Dylan Kobsar, Sean T Osis, Jeffrey E Boyd, Blayne A Hettinga, Reed Ferber
BACKGROUND: Muscle strengthening exercises consistently demonstrate improvements in the pain and function of adults with knee osteoarthritis, but individual response rates can vary greatly. Identifying individuals who are more likely to respond is important in developing more efficient rehabilitation programs for knee osteoarthritis. Therefore, the purpose of this study was to determine if pre-intervention multi-sensor accelerometer data (e.g., back, thigh, shank, foot accelerometers) and patient reported outcome measures (e...
September 12, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/28886935/examination-of-nondesignated-preliminary-surgery-residents-recruited-since-the-inception-of-supplementary-offer-and-acceptance-program-lessons-learned-from-a-large-academic-program
#8
Maria Albuja-Cruz, Claire Travis, Michael Benge, Barbara Caufield, Mark Nehler
PURPOSE: The majority of surgery programs roster non-designated preliminary (NDP) residents. We and others have reported on the success of NDP resident mentoring with regard to categorical position placement. Lacking is a focus on the candidates themselves and differences based on initial career of choice. METHODS: NDP residents' files since the institution of SOAP were reviewed for demographics, initial career choice, financial burden, region of medical school of origin, application and interview history, and pre-screen interview candidate score (high score of 22 - data includes USMLE scores, major clerkship grades, and AOA) used for categorical recruitment...
September 5, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28886399/effectiveness-of-a-measure-program-to-prevent-admission-hypothermia-in-very-low-birth-weight-preterm-infants
#9
Jamil Pedro de Siqueira Caldas, Fernanda de Castro Millen, Juliana Fernandes de Camargo, Paula Almeida Cavalcanti Castro, Ana Letícia da Fonseca Camilo, Sérgio Tadeu Martins Marba
OBJECTIVE: To evaluate the effectiveness of a thermoregulation bundle for preventing admission hypothermia (AH) in very low-birth weight preterm infants. METHODS: Interventional study with retrospective evaluation of data undertaken in a tertiary neonatal unit including all very low-birth weight preterm infants (<1500g) born at and admitted to the unit. Two periods were compared: before intervention (PI; 01/01/2012 to 02/28/2014_ and after intervention (PII; 04/01/2014 to 11/30/2016)...
September 5, 2017: Jornal de Pediatria
https://www.readbyqxmd.com/read/28884953/a-retro-prospective-effectiveness-study-on-3448-implant-operations-at-one-referral-clinic-a-multifactorial-analysis-part-i-clinical-factors-associated-to-early-implant-failures
#10
Torsten Jemt
BACKGROUND: Limited numbers of large effectiveness studies on routine dental implant treatment are available in the literature. PURPOSE: To report retro-prospective data on prevalence of early implant failures in a large number of routine patients/operations at 1 referral clinic. MATERIALS AND METHODS: A total of 2848 patients were consecutively provided with 9582 implants with an anodized surface (Nobel Biocare AB) during 3448 implant operations between 2003 and 2011...
September 8, 2017: Clinical Implant Dentistry and related Research
https://www.readbyqxmd.com/read/28876992/curricular-renewal-at-the-southern-tip-of-africa-the-2016-veterinary-curriculum-at-the-university-of-pretoria
#11
Peter C Irons, Dietmar E Holm, C Henry Annandale
Four years after the institution of a new curriculum at the University of Pretoria's Faculty of Veterinary Science, a second major curricular renewal was initiated as a result of several pressing drivers, many of which were unique to the national and institutional context. During the project, South African higher education was disrupted by student protests prompted by financial pressures on students, the overt colonial structure of higher education, and the need to accelerate transformation of the sector. A structured curricular renewal process was followed, including the laying down of the principles, the structuring the macro-curriculum as a story, the design of a meso- and micro-curriculum, and the mapping of the curriculum to Day One outcomes...
2017: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/28867643/subtrochanteric-fractures-of-the-femur-treatment-with-locking-intramedullary-nailing-an-experience-without-c-arc-the-guide-wire-stopping-method-for-verify-distal-locking-is-described
#12
Saúl A Apóstol-González
OBJECTIVE: Evaluate the results of treatment of subtrochanteric fracture with interlocked intramedullary nail and describe a technical for accurate and secure verification of distal locking position when we do surgery without arc-C. METHODS: A case series where was reviewed the results in 49 patients with subtrochanteric fracture and treated locking intramedullary nailing. The AO and Russell-Taylor Classification were used. The statistic procedure was done with SPSS program...
August 30, 2017: Injury
https://www.readbyqxmd.com/read/28862900/physiotherapy-clinical-educators-perspectives-on-a-fitness-to-practice-initiative
#13
Kristin Lo, Heather Curtis, Alison Francis-Cracknell, Stephen Maloney, Wendy Nickson, Margaret Bearman, Jennifer L Keating
CONTEXT: Health practitioner registration boards require health professionals to evaluate and maintain "fitness to practice" (FTP). This encompasses the professional behavior, clinical competence, and freedom from impairment required for safe and effective service provision. We developed and implemented policies to promote student self-assessment and support of FTP that were pre-emptive and designed to be helpful and sought clinician feedback on this initiative. METHOD: An innovative student-centered FTP approach was devised with consideration of defensible ethico-legal practice...
September 1, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28858768/making-the-most-of-person-centred-education-by-integrating-flipped-and-simulated-teaching-an-exploratory-study
#14
Annette Saunders, Rosy Green, Merylin Cross
Preparing a person-centred nursing workforce to work in diverse settings is a global health priority. Nursing students' first placement experience is a key transitional moment that shapes professional understanding and motivation to become a nurse. This paper reports the outcomes of combining flipped and simulated learning to enhance nursing students' understanding of person-centred care, the professional nursing role and preparation for placement. The study design was exploratory, the setting, an undergraduate nursing program in an Australian University...
August 19, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28838168/disposing-of-excess-vaccines-after-the-withdrawal-of-oral-polio-vaccine
#15
Sarah Wanyoike, Alejandro Ramirez Gonzalez, Samantha B Dolan, Julie Garon, Chantal Laroche Veira, Lee M Hampton, Diana Chang Blanc, Manish M Patel
Until recently, waste management for national immunization programs was limited to sharps waste, empty vaccine vials, or vaccines that had expired or were no longer usable. However, because wild-type 2 poliovirus has been eradicated, the World Health Organization's (WHO's) Strategic Advisory Group of Experts on Immunization deemed that all countries must simultaneously cease use of the type 2 oral polio vaccine and recommended that all countries and territories using oral polio vaccine (OPV) "switch" from trivalent OPV (tOPV; types 1, 2, and 3 polioviruses) to bivalent OPV (bOPV; types 1 and 3 polioviruses) during a 2-week period in April 2016...
July 1, 2017: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/28832927/innovation-in-a-learning-health-care-system-veteran-directed-home-and-community-based-services
#16
Melissa M Garrido, Richard M Allman, Steven D Pizer, James L Rudolph, Kali S Thomas, Nina R Sperber, Courtney H Van Houtven, Austin B Frakt
A path-breaking example of the interplay between geriatrics and learning healthcare systems is the Veterans Health Administration's (VHA's) planned roll-out of a program for providing participant-directed home- and community-based services to veterans with cognitive and functional limitations. We describe the design of a large-scale, stepped-wedge, cluster-randomized trial of the Veteran-Directed Home- and Community-Based Services (VD-HCBS) program. From March 2017 through December 2019, up to 77 Veterans Affairs Medical Centers will be randomized to times to begin offering VD-HCBS to veterans at risk of nursing home placement...
August 21, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28831365/comparative-study-of-prepectoral-and-subpectoral-expander-based-breast-reconstruction-and-clavien-iiib-score-outcomes
#17
Lynne N Bettinger, Linda M Waters, Stephen W Reese, Susan E Kutner, Daniel I Jacobs
Prepectoral breast reconstruction is increasingly popular. This study compares complications between 2 subpectoral and 1 prepectoral breast reconstruction technique. METHODS: Between 2008 and 2015, 294 two-staged expander breast reconstructions in 213 patients were performed with 1 of 3 surgical techniques: (1) Prepectoral, (2) subpectoral with acellular dermal matrix (ADM) sling ("Classic"), or (3) subpectoral/subserratus expander placement without ADM ("No ADM"). Demographics, comorbidities, radiation therapy, and chemotherapy were assessed for correlation with Clavien IIIb score outcomes...
July 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28827849/oral-health-status-related-to-social-behaviors-among-6-11-year-old-schoolchildren-in-kosovo
#18
Lulëjeta Ferizi, Fatmir Dragidella, Gloria Staka, Venera Bimbashi, Shefqet Mrasori
AIM: The aim of the present study was to evaluate the current oral health status among schoolchildren in Kosovo aged 6-11 years. MATERIAL AND METHODS: A study included 5679 schoolchildren aged 6 -11 years, from different towns of Kosovo. Dental health status was evaluated using the World Health Organization (WHO) caries diagnostic criteria for decayed, missing and filled teeth (dmft/DMFT index), for deciduous and permanent dentition. The observed children have answered a number of questions about their oral hygiene, eating habits, and dental visits...
June 2017: Acta Stomatologica Croatica
https://www.readbyqxmd.com/read/28826730/graduating-pediatric-resident-reports-on-procedural-training-and-preparation
#19
Daniel J Schumacher, Mary Pat Frintner, William Cull
OBJECTIVE: Determine pediatric resident training and preparation for 14 ACGME-required procedures. METHODS: National, random sample of 1000 graduating pediatric residents in 2015. For each of the ACGME-required procedures, residents were asked if they received training, successfully completed the procedure at least once, were comfortable performing the procedure unsupervised, and desired more training. To examine relationships among these 4 measures of training, we conducted logistic regression models and receiver operating characteristics (ROC) curves...
August 4, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28818338/spinal-anesthesia-for-pediatric-urological-surgery-reducing-the-theoretic-neurotoxic-effects-of-general-anesthesia
#20
Emmett E Whitaker, Brianne Z Wiemann, Daniel G DaJusta, Seth A Alpert, Christina B Ching, Daryl J McLeod, Joseph D Tobias, Venkata R Jayanthi
BACKGROUND: Spinal anesthesia (SA) is an effective technique that has been used in children for years. With growing concern with regard to the risks of general anesthesia (GA), we developed a SA program to provide an alternative option. We present our initial experience with this program. OBJECTIVE: To implement a SA program at a large tertiary care pediatric center and assess the safety and efficacy of the technique as an alternative to GA for urologic surgery...
July 14, 2017: Journal of Pediatric Urology
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