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https://www.readbyqxmd.com/read/28730929/development-of-a-screening-tool-to-predict-malnutrition-among-children-under-two-years-old-in-zambia
#1
Junko Hasegawa, Yoichi M Ito, Taro Yamauchi
BACKGROUND: Maternal and child undernutrition is an important issue, particularly in low- and middle-income countries. Children at high risk of malnutrition should be prioritized to receive necessary interventions to minimize such risk. Several risk factors have been proposed; however, until now, there has been no appropriate evaluation method to identify these children. In sub-Saharan Africa, children commonly receive regular check-ups from community health workers. A simple and easy nutrition assessment method is therefore needed for use by semi-professional health workers...
2017: Global Health Action
https://www.readbyqxmd.com/read/28729045/fracture-risk-assessment-from-population-to-individual
#2
Tuan V Nguyen, John A Eisman
Fracture caused by osteoporosis remains a major public health burden on contemporary populations because fracture is associated with a substantial increase in the risk of mortality. Early identification of high-risk individuals for prevention is a priority in osteoporosis research. Over the past decade, few risk prediction models, including the Garvan Fracture Risk Calculator (Garvan) and FRAX(®), have been developed to provide absolute (individualized) risk of fracture. Recent validation studies suggested that the area under the receiver operating characteristic curve in fracture discrimination ranged from 0...
July 17, 2017: Journal of Clinical Densitometry
https://www.readbyqxmd.com/read/28728578/development-of-an-optimised-key-worker-framework-for-people-with-dementia-their-family-and-caring-unit-living-in-the-community
#3
Emma Renehan, Dianne Goeman, Susan Koch
BACKGROUND: In Australia, dementia is a national health priority. With the rising number of people living with dementia and shortage of formal and informal carers predicted in the near future, developing approaches to coordinating services in quality-focused ways is considered an urgent priority. Key worker support models are one approach that have been used to assist people living with dementia and their caring unit coordinate services and navigate service systems; however, there is limited literature outlining comprehensive frameworks for the implementation of community dementia key worker roles in practice...
July 20, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28728545/the-potential-value-of-serum-pepsinogen-for-the-diagnosis-of-atrophic-gastritis-among-the-health-check-up-populations-in-china-a-diagnostic-clinical-research
#4
Yuling Tong, Yulian Wu, Zhenya Song, Yingying Yu, Xinyan Yu
BACKGROUND: The aim of this study is to assess the validity of the measurement of pepsinogen as a screening test for chronic atrophic gastritis (AG) in health check-up populations in China. METHODS: Patients from consecutive regular health check-up were enrolled from January 2014 to June 2015. Endoscopy, combined with monitoring the Helicobacter pylori (Hp) infections, and measuring the serum pepsinogen (PG) were used to determine the diagnostic accuracy of PG for the screening of atrophic gastritis...
July 20, 2017: BMC Gastroenterology
https://www.readbyqxmd.com/read/28728401/research-trends-in-outdoor-pig-production
#5
Hyun-Suk Park, Sang Hyon Oh
Since the industrialization of swine production in the late 1900s, swine farms in the United States, as well as in Europe, have largely become consolidated. Pig farms became larger in size but fewer in number, with 91% of market pigs being produced by large operations with 5,000 or more pigs on-site in the US, and only 3% of the total utilized agricultural land representing organic farming. Such change in the market made it difficult for small farmers to stay competitive, forcing them to find alternative ways to reduce the cost of production and increase profit using the outdoor production system...
July 17, 2017: Asian-Australasian Journal of Animal Sciences
https://www.readbyqxmd.com/read/28722563/the-west-african-experience-in-establishing-steering-committees-for-better-collaboration-between-researchers-and-decision-makers-to-increase-the-use-of-health-research-findings
#6
Namoudou Keita, Virgil Lokossou, Abdramane Berthe, Issiaka Sombie, Ermel Johnson, Kofi Busia
BACKGROUND: Aware of the advantages of a project steering committee (SC) in terms of influencing the development of evidence-based health policies, the West African Health Organisation (WAHO) encouraged and supported the creation of such SCs around four research projects in four countries (Burkina Faso, Nigeria, Senegal and Sierra Leone). This study was conducted to describe the process that was used to establish these committees and its findings aim to assist other stakeholders in initiating this type of process...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28722559/free-versus-subsidised-healthcare-options-for-fee-exemptions-access-to-care-for-vulnerable-groups-and-effects-on-the-health-system-in-burkina-faso
#7
Maurice Yaogo
BACKGROUND: The many forms of healthcare fee exemptions implemented in Burkina Faso since the 2000s have varied between total exemption (free) and cost subsidisation. This article examines both options, their contextual variations and the ways in which they affect access to healthcare for vulnerable people as well as the operation of the health system. This research is part of an interdisciplinary regional program on the elimination of user fees for health services in West Africa (Burkina Faso, Mali and Niger)...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28721958/cost-analysis-of-a-simulation-based-training-for-health-workforce-in-india
#8
Gursimer Jeet, Shankar Prinja, Arun Kumar Aggarwal
BACKGROUND: Training of health-care workforce including doctors, staff nurses, and Auxiliary Nurse Midwives using simulation techniques for skill enhancement have been used in a variety of clinical settings to improve the quality of training. India adopted the skills laboratories model for capacity building of health workers in maternal and child health in Bihar state. OBJECTIVE: Current economic evaluation was performed with the objective of assessing the financial and economic cost of implementing skills laboratories...
April 2017: Indian Journal of Public Health
https://www.readbyqxmd.com/read/28720632/improving-efficiency-while-improving-patient-care-in-a-student-run-free-clinic
#9
Jason S Lee, Kristen Combs, Magdalena Pasarica
INTRODUCTION: Student-run free clinics (SRFCs) have the capacity to decrease health care inequity in underserved populations. These facilities can benefit from improved patient experience and outcomes. We implemented a series of quality improvement interventions with the objectives to decrease patient wait times and to increase the variety of services provided. METHODS: A needs assessment was performed. Problems related to time management, communication between staff and providers, clinic resources, and methods for assessing clinic performance were identified as targets to reduce wait times and improve the variety of services provided...
July 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28720188/the-importance-of-the-study-of-cognitive-performance-enhancement-for-u-s-national-security
#10
Richard G Malish
The American military is embarking on the 'Third Offset'-a strategy designed to produce seismic shifts in the future of warfare. Central to the approach is the conjoining of humans, technology, and machines to deliver a decisive advantage on the battlefield. Because technology will spread rapidly and globally, tactical overmatch will occur when American operators possess a competitive edge in cognition. Investigation of cognitive enhancing therapeutics is not widely articulated as an adjunct to the Third Offset, yet failure to study promising agents could represent a strategic vulnerability...
August 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28716704/-psychosocial-working-conditions-of-physician-assistants-results-from-a-qualitative-study-on-occupational-stress-resources-possible-approaches-to-prevention-and-intervention-needs
#11
Patricia Vu-Eickmann, Adrian Loerbroks
BACKGROUND: Numerous studies have documented adverse psychosocial working conditions among health care staff. Working conditions may not only impair the health outcomes of this professional group, but can also affect the quality of care they deliver to patients. Previous work stress research has mainly focused on physicians and nurses. Comparable evidence remains limited, however, for physician assistants (Medizinische Fachangestellte, MFAs), who represent the largest professional group in German primary care...
July 14, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28713088/-pathogenic-factors-of-regulatory-mechanisms-of-organism-adaptation-to-conditions-with-a-high-level-of-psychoemotional-load
#12
Oksana V Gorsha, Vasily I Gorsha
INTRODUCTION: The urgency of the issue is determined by the value of the stress impact of environmental conditions on workers of the operator personnel contingent, because the deterioration of their health and well-being is a factor in dangerous situations. However, the search for early diagnostic markers forming diseases, with a view to their prevention, is still a challenge. The aim was to establish the most important (among studied) pathogenetic factors of status of regulatory mechanisms of adaptation of individuals with a high level of psychoemotional load that is conditional upon profession...
2017: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/28712608/a-custom-developed-emergency-department-provider-electronic-documentation-system-reduces-operational-efficiency
#13
Joshua Feblowitz, Sukhjit S Takhar, Michael J Ward, Ryan Ribeira, Adam B Landman
STUDY OBJECTIVE: Electronic health record implementation can improve care, but may also adversely affect emergency department (ED) efficiency. We examine how a custom, ED provider, electronic documentation system (eDoc), which replaced paper documentation, affects operational performance. METHODS: We analyzed retrospective operational data for 1-year periods before and after eDoc implementation in a single ED. We computed daily operational statistics, reflecting 60,870 pre- and 59,337 postimplementation patient encounters...
July 13, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28711812/bullying-involvement-and-adolescent-substance-use-a-multilevel-investigation-of-individual-and-neighbourhood-risk-factors
#14
Laura J Lambe, Wendy M Craig
BACKGROUND: Youth involved with school bullying are vulnerable to many negative outcomes, including substance use. Research has yet to examine how this vulnerability operates in the context of other individual and neighbourhood differences. The current study aimed to fill this gap by using multilevel modeling to investigate both the individual and neighbourhood risk factors associated with frequent drunkenness and frequent cannabis use among adolescents. METHODS: Data from the 2010 Canadian Health Behaviours in School-Aged Children (HBSC) survey were analyzed...
June 29, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28711721/-supporting-nursing-midwifery-and-allied-health-professional-students-to-raise-concerns-with-the-quality-of-care-a-review-of-the-research-literature
#15
REVIEW
Frank Milligan, Mark Wareing, Michael Preston-Shoot, Yannis Pappas, Gurch Randhawa, Janine Bhandol
BACKGROUND: This article reports aspects of a systematic literature review commissioned by the UK Council of Deans of Health. The review collated and analysed UK and international literature on pre-registration healthcare students raising concerns with poor quality care. The research found in that review is summarised here. OBJECTIVE: To review research on healthcare students raising concerns with regard to the quality of practice published from 2009 to the present...
June 23, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28711421/patient-safety-issues-in-office-based-surgery-and-anaesthesia-in-switzerland-a-qualitative-study
#16
Stuart McLennan, David Schwappach, Yves Harder, Sven Staender, Bernice Elger
OBJECTIVES: To identify the spectrum of patient safety issues in office-based surgery and anaesthesia in Switzerland. METHODS: Purposive sample of 23 experts in surgery and anaesthesia and quality and regulation in Switzerland. Data were collected via individual qualitative interviews using a researcher-developed semi-structured interview guide between March 2016 and September 2016. Interviews were transcribed and analysed using conventional content analysis. Issues were categorised under the headings "structure", "process", and "outcome"...
July 12, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28711284/financialisation-in-health-care-an-analysis-of-private-equity-fund-investments-in-turkey
#17
Ipek Eren Vural
The 2007-2008 global financial crisis revived interest in the impacts of financial markets and actors on our social and economic life. Nevertheless, research on health care financialisation remains scant. This article presents findings from research on one modality of financial investments in health care: global private equity funds' investments in private hospitals. Adopting a political economy approach, it analyses the drivers and impacts of the upsurge of global private equity investments in the Turkish private hospital sector amid the global financial crisis...
June 9, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28711110/psychometric-properties-of-the-french-adaptation-of-the-basic-documentation-for-psycho-oncology-po-bado-a-distress-screening-tool
#18
Nena Stadelmaier, Kamel Gana, Yaël Saada, Odile Duguey-Cachey, Bruno Quintard
We translated and adapted the French version of the Basic Documentation for Psycho-Oncology (Po-Bado standard version) and we report its psychometric properties. The Po-Bado is a 12-item documentation instrument that measures psychosocial burden in cancer patients (all types and stages). The intensity of a patient's psychological suffering is evaluated by a health care professional (e.g., doctor, psychologist, nurse) in a semiguided interview. Overall, 252 cancer patients (Mage = 57 years, SD = 12.8 years) participated, completing the Po-Bado during a supportive care consultation following initial diagnosis...
September 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28709461/do-public-nursing-home-care-providers-deliver-higher-quality-than-private-providers-evidence-from-sweden
#19
Ulrika Winblad, Paula Blomqvist, Andreas Karlsson
BACKGROUND: Swedish nursing home care has undergone a transformation, where the previous virtual public monopoly on providing such services has been replaced by a system of mixed provision. This has led to a rapidly growing share of private actors, the majority of which are large, for-profit firms. In the wake of this development, concerns have been voiced regarding the implications for care quality. In this article, we investigate the relationship between ownership and care quality in nursing homes for the elderly by comparing quality levels between public, for-profit, and non-profit nursing home care providers...
July 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28709057/predictive-validity-of-the-short-term-assessment-of-risk-and-treatability-start-for-multiple-adverse-outcomes-the-effect-of-diagnosis
#20
Rebecca Marriott, Laura E O'Shea, Marco M Picchioni, Geoffrey L Dickens
The Short-Term Assessment of Risk and Treatability (START) assists risk assessment for seven risk outcomes based on scoring of risk and protective factors and assignment of clinically-informed risk levels. Its predictive validity for violence and self-harm has been established in males with schizophrenia, but accuracy across pathologically diverse samples is unknown. Routine START assessments and 3-month risk outcome data of N = 527 adult, inpatients in a UK secure mental health facility were collected. The sample was divided into diagnostic groups; predictive validity was established using receiver operating characteristics regression (rocreg) analysis in which potential covariates were controlled...
July 8, 2017: Psychiatry Research
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