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https://www.readbyqxmd.com/read/28803583/cross-sectional-survey-of-long-term-care-facilities-in-the-rockaway-peninsula-preparedness-and-response-during-hurricane-sandy
#1
Lynn Jiang, Christopher Tedeschi, Saleena Subaiya
BACKGROUND: Few studies have described the challenges experienced by long-term care facilities (LTCFs) following Hurricane Sandy. This study examined LTCF preparedness and experiences during and after the storm. METHODS: A cross-sectional survey was conducted 2 years after Hurricane Sandy to assess LTCF demographics, preparation, and post-storm resources. Surveys were conducted at LTCFs located on the Rockaway Peninsula of New York City. All LTCFs located in a heavily affected area were approached...
August 14, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28803481/autonomous-collision-free-navigation-of-microvehicles-in-complex-and-dynamically-changing-environments
#2
Tianlong Li, Xiaocong Chang, Zhiguang Wu, Jinxing Li, Guangbin Shao, Xinghong Deng, Jianbin Qiu, Bin Guo, Guangyu Zhang, Qiang He, Longqiu Li, Joseph Wang
Self-propelled micro- and nanoscale robots represent a rapidly emerging and fascinating robotics research area. However, designing autonomous and adaptive control systems for operating micro-/nanorobotics in complex and dynamically-changing environments, which is a highly demanding feature, is still an unmet challenge. Here we describe a smart microvehicle for precise autonomous navigation in complicated environments and traffic scenarios. The fully autonomous navigation system of the smart microvehicle is composed of a microscope-coupled CCD camera, an artificial intelligence planner, and a magnetic field generator...
August 12, 2017: ACS Nano
https://www.readbyqxmd.com/read/28801131/health-care-demand-elasticities-by-type-of-service
#3
Randall P Ellis, Bruno Martins, Wenjia Zhu
We estimate within-year price elasticities of demand for detailed health care services using an instrumental variable strategy, in which individual monthly cost shares are instrumented by employer-year-plan-month average cost shares. A specification using backward myopic prices gives more plausible and stable results than using forward myopic prices. Using 171 million person-months spanning 73 employers from 2008 to 2014, we estimate that the overall demand elasticity by backward myopic consumers is -0.44, with higher elasticities of demand for pharmaceuticals (-0...
July 29, 2017: Journal of Health Economics
https://www.readbyqxmd.com/read/28796530/athletic-trainers-roles-and-responsibilities-regarding-academic-adjustments-as-part-of-the-concussion-management-process-in-the-secondary-school-setting
#4
Cailee E Welch Bacon, Melissa C Kay, Tamara C Valovich McLeod
CONTEXT:   Athletic trainers (ATs) play a vital role in managing the care of student-athletes after a sport-related concussion, yet little is known about their specific involvement in the implementation of academic adjustments as part of the concussion-management plan. OBJECTIVE:   To explore ATs' perceived roles and responsibilities regarding the implementation of academic adjustments for concussed student-athletes. DESIGN:   Qualitative study...
August 10, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28780916/assessing-and-improving-hospital-mass-casualty-preparedness-a-no-notice-exercise
#5
Daniel A Waxman, Edward W Chan, Francesca Pillemer, Timothy Wj Smith, Mahshid Abir, Christopher Nelson
In recent years, mass-casualty incidents (MCIs) have become more frequent and deadly, while emergency department (ED) crowding has grown steadily worse and widespread. The ability of hospitals to implement an effective mass-casualty surge plan, immediately and expertly, has therefore never been more important. Yet, mass-casualty exercises tend to be highly choreographed, pre-scheduled events that provide limited insight into hospitals' true capacity to respond to a no-notice event under real-world conditions...
August 7, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28779855/progress-of-unaids-90-90-90-targets-in-a-district-in-kwazulu-natal-south-africa-with-high-hiv-burden-in-the-hipss-study-a-household-based-complex-multilevel-community-survey
#6
Anneke Grobler, Cherie Cawood, David Khanyile, Adrian Puren, Ayesha B M Kharsany
BACKGROUND: With the goal of eliminating new HIV infections, UNAIDS set the ambitious 90-90-90 targets to be achieved by 2020. We assessed whether these targets are being met among participants of the HIV Incidence Provincial Surveillance System (HIPSS) in a high-burden district of South Africa. METHODS: We used data from a HIPSS household-based, cross-sectional survey of HIV prevalence and incidence done in the uMgungundlovu district, KwaZulu-Natal, in 2014 and 2015...
August 2, 2017: Lancet HIV
https://www.readbyqxmd.com/read/28771646/assessing-disaster-preparedness-among-select-children-s-summer-camps-in-the-united-states-and-canada
#7
Megan Chang, Alan Sielaff, Stuart Bradin, Kevin Walker, Michael Ambrose, Andrew Hashikawa
OBJECTIVE: Children's summer camps are at risk for multiple pediatric casualties during a disaster. The degree to which summer camps have instituted disaster preparedness is unknown. We assessed disaster preparedness among selected camps nationally for a range of disasters. METHODS: We partnered with a national, web-based electronic health records system to send camp leadership of 315 camp organizations a 14-question online survey of disaster preparedness. One response from each camp was selected in the following order of importance: owner, director, physician, nurse, medical technician, office staff, and other...
August 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28768495/exploring-the-determinants-of-health-and-wellbeing-in-communities-living-in-proximity-to-coal-seam-gas-developments-in-regional-queensland
#8
Fiona Mactaggart, Liane McDermott, Anna Tynan, Christian A Gericke
BACKGROUND: There is some concern that coal seam gas mining may affect health and wellbeing through changes in social determinants such as living and working conditions, local economy and the environment. The onward impact of these conditions on health and wellbeing is often not monitored to the same degree as direct environmental health impacts in the mining context, but merits attention. This study reports on the findings from a recurrent theme that emerged from analysis of the qualitative component of a comprehensive Health Needs Assessment (HNA) conducted in regional Queensland: that health and wellbeing of communities was reportedly affected by nearby coal seam gas (CSG) development beyond direct environmental impacts...
August 3, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28766204/nonoperative-management-for-invasive-breast-cancer-after-neoadjuvant-systemic-therapy-conceptual-basis-and-fundamental-international-feasibility-clinical-trials
#9
Henry M Kuerer, Marie-Jeanne T F D Vrancken Peeters, Daniel W Rea, Mark Basik, Jennifer De Los Santos, Joerg Heil
With current advances in neoadjuvant systemic therapy (NST) and improved breast imaging, the potential of nonoperative therapy for invasive breast cancer has emerged as a viable option when utilizing meticulous image-guided percutaneous biopsy to document pathologic complete response. Feasibility clinical trials utilizing this approach are being performed by teams of investigators from single and multicenter/cooperative groups around the world. Imaging alone after NST lacks sufficient sensitivity and specificity in predicting pCR and therefore cannot be utilized for clinical selection of patients for omission of surgery...
August 1, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28764818/emergency-response-of-iranian-hospitals-against-disasters-a-practical-framework-for-improvement
#10
Ali Janati, Homayoun Sadeghi-Bazargani, Edris Hasanpoor, Mobin Sokhanvar, Elaheh HaghGoshyie, Abdollah Salehi
OBJECTIVE: Hospital emergency management is a continuous process that requires monolithic integration of planning and response attempts with local and national schemes. The aim of the current study is to evaluate emergency response by hospitals against potential disasters in Tabriz, north-west Iran. METHODS: A cross-sectional study was conducted in the city of Tabriz, in Iran, in 2016. The study population included all hospitals in Tabriz. A total of 18 hospitals were assessed...
August 2, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28761657/improving-the-transition-from-pediatric-to-adult-diabetes-care-the-pediatric-care-provider-s-perspective-in-quebec-canada
#11
Meranda Nakhla, Lorraine E Bell, Sarah Wafa, Kaberi Dasgupta
OBJECTIVES: The transition from pediatric to adult care is a high-risk period for the emerging adult with diabetes. We aimed to determine adequacy of pediatric transition care structures and explore the pediatric diabetes care provider's perceptions of transition care. RESEARCH DESIGN AND METHODS: In-depth interviews with pediatric diabetes care providers from 12 diabetes centers in Quebec were conducted. We queried alignment with Got Transition's six core elements of healthcare transition, experiences, and barriers to transition care...
2017: BMJ Open Diabetes Research & Care
https://www.readbyqxmd.com/read/28759883/challenges-to-the-census-international-trends-and-a-need-to-consider-public-health-benefits
#12
REVIEW
R T Wilson, S H Hasanali, M Sheikh, S Cramer, G Weinberg, A Firth, S H Weiss, C L Soskolne
The Canadian government decision to cancel the mandatory long-form census in 2010 (subsequently restored in 2015), along with similar discussions in the United Kingdom (UK) and the United States of America (USA), have brought the purpose and use of census data into focus for epidemiologists and public health professionals. Policy decision-makers should be well-versed in the public health importance of accurate and reliable census data for emergency preparedness planning, controlling disease outbreaks, and for addressing health concerns among vulnerable populations including the elderly, low-income, racial/ethnic minorities, and special residential groups (e...
July 28, 2017: Public Health
https://www.readbyqxmd.com/read/28755777/dispositional-and-situational-coping-among-individuals-with-alcohol-use-disorder
#13
Silvia Cerea, Gioia Bottesi, Jessica R Grisham, Alessio Vieno, Marta Ghisi
Previous research has documented that patients referred for problems related to alcohol use rely primary on maladaptive coping and are deficient in adaptive coping skills. However, the relation between dispositional and situational coping in these patients is not yet fully understood. Therefore, the first aim of the present study was to assess dispositional and situational coping among individuals with alcohol use disorder compared to matched healthy controls. Furthermore, we aimed at assessing gender differences in dispositional and situational coping among individuals with alcohol use disorder...
September 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28750691/the-use-of-interpreters-in-medical-triage-during-a-refugee-mass-gathering-incident-in-europe
#14
Lykourgos Christos Alexakis, Anastasia Papachristou, Chiara Baruzzi, Angeliki Konstantinou
Introduction During a refugees' mass-gathering incident in Kos Island, Greece, Médecins Sans Frontières (MSF; Brussels, Belgium) teams provided emergency medical care. A case report of the event focusing on difficulties encountered by the interpreters during triage and emergency response was prepared. METHODS: Data collected during the event were reviewed from the patient's register and qualitative interviews were obtained from the MSF interpreters involved in the response. In addition, a description of the event and a literature review were included...
July 28, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28749921/update-interim-guidance-for-health-care-providers-caring-for-pregnant-women-with-possible-zika-virus-exposure-united-states-including-u-s-territories-july-2017
#15
Titilope Oduyebo, Kara D Polen, Henry T Walke, Sarah Reagan-Steiner, Eva Lathrop, Ingrid B Rabe, Wendi L Kuhnert-Tallman, Stacey W Martin, Allison T Walker, Christopher J Gregory, Edwin W Ades, Darin S Carroll, Maria Rivera, Janice Perez-Padilla, Carolyn Gould, Jeffrey B Nemhauser, C Ben Beard, Jennifer L Harcourt, Laura Viens, Michael Johansson, Sascha R Ellington, Emily Petersen, Laura A Smith, Jessica Reichard, Jorge Munoz-Jordan, Michael J Beach, Dale A Rose, Ezra Barzilay, Michelle Noonan-Smith, Denise J Jamieson, Sherif R Zaki, Lyle R Petersen, Margaret A Honein, Dana Meaney-Delman
CDC has updated the interim guidance for U.S. health care providers caring for pregnant women with possible Zika virus exposure in response to 1) declining prevalence of Zika virus disease in the World Health Organization's Region of the Americas (Americas) and 2) emerging evidence indicating prolonged detection of Zika virus immunoglobulin M (IgM) antibodies. Zika virus cases were first reported in the Americas during 2015-2016; however, the incidence of Zika virus disease has since declined. As the prevalence of Zika virus disease declines, the likelihood of false-positive test results increases...
July 28, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28748777/reflection-on-lessons-learned-an-analysis-of-the-adverse-outcomes-observed-during-the-hurricane-rita-evacuation
#16
Karen Baker
In September 2005, nearly 3.7 million people evacuated the Texas coastline in advance of Hurricane Rita's landfall, making the event the largest emergency evacuation in US history. The Rita evacuation underscored the importance of planning for domestic mass-evacuation events, as the evacuation itself led to over 100 of the at least 119 deaths attributed to the storm. In the days preceding Rita's landfall, several cascading, interrelated circumstances precipitated such adverse outcomes. This article explores the series of events leading up to the evacuation's poor outcomes, the response following Rita to amend evacuation plans, and how Texas successfully implemented these changes during later storms to achieve better outcomes...
July 27, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28745907/role-of-fdg-pet-ct-scan-in-head-and-neck-cancer-patients
#17
Mehrdad Bakhshayesh Karam, Abtin Doroudinia, Ali Safavi Nainee, Fatemeh Kaghazchi, Abbas Yousefi Koma, Payam Mehrian, Farahnaz Agha Hossein
INTRODUCTION: PET/CT scan has an emerging role in head and neck oncology with a few well-established indications, including: detection of unknown primary tumor site, tumor staging, radiotherapy planning, treatment response assessment and detection of recurrent disease. The purpose of this study is reporting PET/CT findings in head and neck cancer patients to emphasize its role in head and neck oncology. MATERIALS AND METHODS: In a retrospective study, we reviewed our PET/CT database and found 94 patients with primary head and neck cancer...
July 2017: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/28745518/a-qualitative-study-of-how-pre-schoolers-problematic-sleep-impacts-mothers
#18
Laurelle Smith, Barbara Galland, Julie Lawrence
BACKGROUND: Sleep disturbances are common among pre-school aged children. As children's problematic sleep is commonly defined by subjective reports from parents as to how the issue affects them, we took a qualitative approach to explore the perceptions and experiences of mothers/main caregivers of pre-schoolers with problematic sleep. The aim was to understand their first-hand experiences. METHODS: Purposive sampling was used to identify mothers of 3 to 4 year-olds whose sleep was a problem for them...
July 26, 2017: Behavioral Sleep Medicine
https://www.readbyqxmd.com/read/28744926/structural-empowerment-and-burnout-among-portuguese-nursing-staff-an-explicative-model
#19
Alejandro Orgambídez-Ramos, Yolanda Borrego-Alés, Octavio Vázquez-Aguado, Jaume March-Amegual
AIMS: Kanter's structural empowerment model was used to assess the influence of access to opportunities, resources, information and support on core burnout through global empowerment in a nursing sample in Portugal. BACKGROUND: The empowerment experience increases the levels of nursing professionals' satisfaction and performance preventing the emergence of burnout. However, the relationship between structural empowerment and burnout has been scarcely studied in Portugal...
July 25, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/28735594/facilitating-partnerships-with-community-and-faith-based-organizations-for-disaster-preparedness-and-response-results-of-a-national-survey-of-public-health-departments
#20
Rachel M Adams, Michael L Prelip, Deborah C Glik, Ian Donatello, David P Eisenman
OBJECTIVE: We identify characteristics of local health departments, which enhance collaborations with community- and faith-based organizations (CFBOs) for emergency preparedness and response. METHODS: Online survey data were collected from a sample of 273 disaster preparedness coordinators working at local health departments across the United States between August and December 2011. RESULTS: Using multiple linear regression models, we found that perceptions of CFBO trust were associated with more successful partnership planning (β=0...
July 24, 2017: Disaster Medicine and Public Health Preparedness
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