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Emergency response planning

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https://www.readbyqxmd.com/read/29329234/poor-people-are-hospitalized-three-times-more-for-mental-health-services-than-the-non-poor-in-central-valley-california
#1
Gyanesh Lama, Emmanuel Alcala, John A Capitman
Introduction: Providing health insurance to the poor has become a standard policy response to health disparities between the poor and the non-poor. It is often assumed that if the poor people are given health insurance, they will use preventative care, which will prevent more expensive emergency visits and inpatient hospitalization, and in turn, it will save healthcare cost in the long run. This paper presents the findings from our study in California about what happens to the poor when they are given health insurance...
January 12, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/29326097/turning-good-intentions-into-actions-by-using-the-health-action-process-approach-to-predict-adherence-to-internet-based-depression-prevention-secondary-analysis-of-a-randomized-controlled-trial
#2
Anna-Carlotta Zarski, Matthias Berking, Dorota Reis, Dirk Lehr, Claudia Buntrock, Ralf Schwarzer, David Daniel Ebert
BACKGROUND: Many individuals engaging in Internet-based interventions fail to complete these treatments as intended. The processes responsible for treatment adherence in Internet-based interventions are still poorly understood. OBJECTIVE: The aim of this study was to investigate to what extent adherence in an Internet-based intervention can be predicted by motivational and volitional factors outlined in the health action process approach (HAPA). METHODS: This study investigated motivational and volitional factors included in HAPA in a randomized controlled trial to predict treatment adherence of N=101 individuals with subclinical depression in the intervention group of a depression prevention intervention (GET...
January 11, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29325162/an-analysis-of-adverse-events-in-the-rehabilitation-department-using-the-veterans-affairs-root-cause-analysis-system
#3
Gregory W Hagley, Peter D Mills, Brian Shiner, Robin R Hemphill
Background: Root cause analyses (RCA) are often completed in health care settings to determine causes of adverse events (AEs). RCAs result in action plans designed to mitigate future patient harm. National reviews of RCA reports have assessed the safety of numerous health care settings and suggested opportunities for improvement. However, few studies have assessed the safety of receiving care from physical therapists, occupational therapists, or speech and language pathology pathologists...
January 9, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29320541/agent-based-modeling-of-the-interaction-between-cd8-t-cells-and-beta-cells-in-type-1-diabetes
#4
Mustafa Cagdas Ozturk, Qian Xu, Ali Cinar
We propose an agent-based model for the simulation of the autoimmune response in T1D. The model incorporates cell behavior from various rules derived from the current literature and is implemented on a high-performance computing system, which enables the simulation of a significant portion of the islets in the mouse pancreas. Simulation results indicate that the model is able to capture the trends that emerge during the progression of the autoimmunity. The multi-scale nature of the model enables definition of rules or equations that govern cellular or sub-cellular level phenomena and observation of the outcomes at the tissue scale...
2018: PloS One
https://www.readbyqxmd.com/read/29319376/the-effect-of-physical-activity-on-ptsd
#5
Lauren M Oppizzi, Reba Umberger
Although physical activity (PA) is known to reduce anxiety and depression, less is known about the effects of PA on post-traumatic stress disorder (PTSD). The author examined the state of the science regarding the effect of PA on PTSD. Three themes emerged: PA characteristics, added benefits of PA as a PTSD intervention, and theories on the method of action. Physical activity seems to be an effective adjunct therapy to reduce PTSD symptom severity. Findings are inconsistent between observational and controlled studies...
January 10, 2018: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/29318354/li-rads-a-glimpse-into-the-future
#6
REVIEW
Claude B Sirlin, Ania Z Kielar, An Tang, Mustafa R Bashir
This article provides a glimpse into the future of the Liver Imaging Reporting and Data System (LI-RADS), discussing the immediate and long-term plans for its continuing improvement and expansion. To complement the Core and Essentials components of the latest version of LI-RADS, a comprehensive manual will be released soon, and it will include technical recommendations, management guidance, as well as reporting instructions and templates. In this article, we briefly review the process by which LI-RADS has been developed until now, a process guided by a variable combination of data, expert opinion, and desire for congruency with other diagnostic systems in North America...
January 9, 2018: Abdominal Radiology
https://www.readbyqxmd.com/read/29317004/superstorm-sandy-s-impact-on-the-provision-of-wic-special-supplemental-nutrition-program-for-women-infants-and-children-services-in-new-york-state
#7
Michelle Wemette, Asante Shipp Hilts, Stephanie R Mack, Yunshu Li, Millicent Eidson, Loretta A Santilli, Trang Nguyen, Guthrie S Birkhead
OBJECTIVE: Services provided by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) were interrupted in 2012 when Superstorm Sandy struck New York State (NYS). The present study evaluates the impact on WIC providers. DESIGN: A focus group, telephone interviews and anonymous online survey were conducted. Qualitative data were analysed by coding transcribed text into key words and identifying major and minor themes for strengths, challenges and recommendations using national public health preparedness capabilities...
January 10, 2018: Public Health Nutrition
https://www.readbyqxmd.com/read/29315731/understanding-patients-and-spouses-experiences-of-patient-education-following-a-cardiac-event-and-eliciting-attitudes-and-preferences-towards-incorporating-cardiopulmonary-resuscitation-training-a-qualitative-study
#8
Susie Cartledge, Susan Feldman, Janet E Bray, Dion Stub, Judith Finn
AIM: To gain a comprehensive perspective about the experience of patient and spousal education following an acute cardiac event. The second objective was to elicit an understanding of patient and spousal attitudes, preferences and intentions towards future cardiopulmonary resuscitation training. BACKGROUND: Patients with cardiovascular disease require comprehensive patient and family education to ensure adequate long-term disease management. As cardiac patients are at risk of future cardiac events, including out-of-hospital cardiac arrest, providing cardiopulmonary resuscitation training to patients and family members has long been advocated...
January 9, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29306687/real-time-prediction-and-avoidance-of-secondary-crashes-under-unexpected-traffic-congestion
#9
Hyoshin Park, Ali Haghani, Siby Samuel, Michael A Knodler
According to the Federal Highway Administration, nonrecurring congestion contributes to nearly half of the overall congestion. Temporal disruptions impact the effective use of the complete roadway, due to speed reduction and rubbernecking resulting from primary incidents that in turn provoke secondary incidents. There is an additional reduction of discharge flow caused by secondary incident that significantly increases total delay. Therefore, it is important to sequentially predict the probability of secondary incidents and develop appropriate countermeasures to reduce the associated risk...
January 4, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29304844/the-uae-healthy-future-study-a-pilot-for-a-prospective-cohort-study-of-20-000-united-arab-emirates-nationals
#10
Abdishakur Abdulle, Abdullah Alnaeemi, Abdullah Aljunaibi, Abdulrahman Al Ali, Khaled Al Saedi, Eiman Al Zaabi, Naima Oumeziane, Marina Al Bastaki, Mohammed Al-Houqani, Fatma Al Maskari, Ayesha Al Dhaheri, Syed M Shah, Tom Loney, Mohamed El-Sadig, Abderrahim Oulhaj, Leila Abdel Wareth, Wael Al Mahmeed, Habiba Alsafar, Benjamin Hirsch, Fatme Al Anouti, Jamila Yaaqoub, Claire K Inman, Aisha Al Hamiz, Ayesha Al Hosani, Muna Haji, Teeb Alsharid, Thekra Al Zaabi, Fatima Al Maisary, Divya Galani, Tim Sprosen, Omar El Shahawy, Jiyoung Ahn, Tomas Kirchhoff, Ravichandran Ramasamy, Ann Marie Schmidt, Richard Hayes, Scott Sherman, Raghib Ali
BACKGROUND: The United Arab Emirates (UAE) is faced with a rapidly increasing burden of non-communicable diseases including obesity, diabetes, and cardiovascular disease. The UAE Healthy Future study is a prospective cohort designed to identify associations between risk factors and these diseases amongst Emiratis. The study will enroll 20,000 UAE nationals aged ≥18 years. Environmental and genetic risk factors will be characterized and participants will be followed for future disease events...
January 5, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29304253/using-community-based-evidence-for-decentralized-health-planning-insights-from-maharashtra-india
#11
Abhay Shukla, Renu Khanna, Nitin Jadhav
Health planning is generally considered a technical subject, primarily the domain of health officials with minimal involvement of community representatives. The National Rural Health Mission launched in India in 2005 recognized this gap and mandated mechanisms for decentralized health planning. However, since planning develops in the context of highly unequal power relations, formal spaces for participation are necessary but not sufficient. Hence a project on capacity building for decentralized health planning was implemented in selected districts of Maharashtra, India during 2010-13...
January 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29299225/fes-bike-race-preparation-to-cybathlon-2016-by-ema-team-a-short-case-report
#12
Juliana Araujo Guimarães, Lucas Oliveira da Fonseca, Ana Carolina de Sousa, Miguel Eduardo Gutierrez Paredes, George Andrew Brindeiro, Antônio Padilha Lanari Bó, Emerson Fachin-Martins
FES-assisted cycling has been recommended to people struggling to emerge from a disability to more functioning life after spinal cord injury. Recommendations issued by a gowing number of scientific papershas promised toimprove body composition and physical activity levels, as well as to controlinvoluntary muscle response; favoring activity and participation which break new grounds in expanding locomotion, leisure and occupational options for people with paraplegia and tetraplegia. In this report we described our experience to select and prepare a pilot to compete in the FES Bike Race modality at Cybathlon 2016 in Kloten (Zurick)...
December 5, 2017: European Journal of Translational Myology
https://www.readbyqxmd.com/read/29297655/the-emerging-role-of-gammacore-in-the-management-of-cluster-headache-expert-panel-recommendations
#13
Stephen D Silberstein, Anne H Calhoun, Christina Treppendahl, David W Dodick, Alan M Rapoport, Avinash Mamidi, Peter Vargas, Thomas H Ebert, Stewart J Tepper
A panel of 9 experts, including neurologists, other headache specialists, and medical and pharmacy directors, from 4 health plans (1 integrated delivery network and 3 plans with commercial, Medicare, and Medicaid lines of business), convened to discuss cluster headache (CH). Topics covered included the current treatment landscape, treatment challenges, economic impact of disease, and gaps in care for patients with CH. One major challenge in the management of CH is that it is underrecognized and frequently misdiagnosed, leading to delays in and suboptimal treatment for patients who suffer from this painful and disabling condition...
November 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/29294930/bystander-based-sexual-violence-prevention-with-college-athletes-a-pilot-randomized-trial
#14
Deinera Exner-Cortens, Nina Cummings
The prevention of sexual violence on college campuses is a pressing public health issue. Given recent U.S. federal and state requirements for campus responses to sexual assault, many campuses may plan to implement brief, bystander-based programs to create a violence-free environment. This pilot study evaluates one such program for male undergraduate athletes, Wingman 101. The primary purpose of this study was to determine the feasibility and acceptability of participation in Wingman 101, as well as barriers to program implementation...
September 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29287974/enhancing-individual-and-community-disaster-preparedness-individuals-with-disabilities-and-others-with-access-and-functional-needs
#15
Judy Kruger, Cynthia F Hinton, Lisa Bundara Sinclair, Brenda Silverman
Preparedness planning is essential to minimizing the impact of disasters on communities and individuals. Attention to the needs of people with disabilities is vital as they have additional needs before, during and after a disaster that are specific to the disabling condition. In this Commentary, we emphasize national guidelines on disability inclusion in emergency preparedness. We examine some potential areas of planning and response that need attention as suggested by preparedness data for people with self-reported disabilities (also referred to as access and functional needs) and highlight selected resources (e...
December 13, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/29282069/health-system-s-response-for-physician-workforce-shortages-and-the-upcoming-crisis-in-ethiopia-a-grounded-theory-research
#16
Tsion Assefa, Damen Haile Mariam, Wubegzier Mekonnen, Miliard Derbew
BACKGROUND: A rapid transition from severe physician workforce shortage to massive production to ensure the physician workforce demand puts the Ethiopian health care system in a variety of challenges. Therefore, this study discovered how the health system response for physician workforce shortage using the so-called flooding strategy was viewed by different stakeholders. METHODS: The study adopted the grounded theory research approach to explore the causes, contexts, and consequences (at the present, in the short and long term) of massive medical student admission to the medical schools on patient care, medical education workforce, and medical students...
December 28, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29280248/fine-scale-spatial-climate-variation-and-drought-mediate-the-likelihood-of-reburning
#17
Sean A Parks, Marc-André Parisien, Carol Miller, Lisa M Holsinger, L Scott Baggett
In many forested ecosystems, it is increasingly recognized that the probability of burning is substantially reduced within the footprint of previously burned areas. This self-limiting effect of wildland fire is considered a fundamental emergent property of ecosystems and is partly responsible for structuring landscape heterogeneity (i.e. mosaics of different age classes), thereby reducing the likelihood of uncharacteristically large fires in regions with active fire regimes. However, the strength and longevity of this self-limiting phenomenon is not well understood in most fire-prone ecosystems...
December 26, 2017: Ecological Applications: a Publication of the Ecological Society of America
https://www.readbyqxmd.com/read/29275086/a-game-theory-approach-for-assessing-risk-value-and-deploying-search-and-rescue-resources-after-devastating-tsunamis
#18
Cheng-Kuang Wu
The current early-warning system and tsunami protection measures tend to fall short because they always underestimate the level of destruction, and it is difficult to predict the level of damage by a devastating tsunami on uncertain targets. As we know, the key to minimizing the total number of fatalities after a disaster is the deployment of search and rescue efforts in the first few hours. However, the resources available to the affected districts for emergency response may be limited. This study proposes two game theoretic models that are designed for search-and-rescue resource allocation...
December 21, 2017: Environmental Research
https://www.readbyqxmd.com/read/29274465/laboratory-preparedness-and-response-with-a-focus-on-arboviruses-in-europe
#19
REVIEW
Chantal B Reusken, Margareta Ieven, Louise Sigfrid, Isabella Eckerle, Marion Koopmans
BACKGROUND: The global health burden of arboviruses is continuously rising which results in increasing pressure on local and (inter)national laboratory infrastructures. Timely and accurate diagnosis of cases is one of the main pillars for public health and clinical responses to an arbovirus emergence. AIMS AND SOURCES: This narrative review aims to summarize recent advances and to identify needs in laboratory preparedness and response activities, with a focus on viruses transmitted by arthropods in Europe...
December 20, 2017: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/29249609/lessons-from-the-domestic-ebola-response-improving-health-care-system-resilience-to-high-consequence-infectious-diseases
#20
Diane Meyer, Tara Kirk Sell, Monica Schoch-Spana, Matthew P Shearer, Hannah Chandler, Erin Thomas, Dale A Rose, Eric G Carbone, Eric Toner
BACKGROUND: The domestic response to the West Africa Ebola virus disease (EVD) epidemic from 2014-2016 provides a unique opportunity to distill lessons learned about health sector planning and operations from those individuals directly involved. This research project aimed to identify and integrate these lessons into an actionable checklist that can improve health sector resilience to future high-consequence infectious disease (HCID) events. METHODS: Interviews (N = 73) were completed with individuals involved in the domestic EVD response in 4 cities (Atlanta, Dallas, New York, and Omaha), and included individuals who worked in academia, emergency management, government, health care, law, media, and public health during the response...
December 15, 2017: American Journal of Infection Control
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