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https://www.readbyqxmd.com/read/28108875/against-the-odds-syringe-exchange-policy-implementation-in-indiana
#1
Beth E Meyerson, Carrie A Lawrence, Laura Miller, Anthony Gillespie, Daniel Raymond, Kristen Kelley, D J Shannon
Indiana recently passed legislation allowing local governments to establish syringe exchanges. While the effectiveness of syringe exchange programming is established, there is a dearth of studies about associated policy adoption and implementation. This study documents the experiences of 24 Indiana counties engaged in the process of establishing syringe exchange programming under new state law. A mixed method, qualitative, exploratory case study was conducted from May 2015 to April 2016. We observed rapid and widespread policy adoption interest, and yet counties reported significant policy ambiguity, epidemiologic and resource capacity issues...
January 20, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28105879/factor-selection-for-service-quality-evaluation-a-hospital-case-study
#2
Ahmad Ameryoun, Seyedvahid Najafi, Bayram Nejati-Zarnaqi, Seyed Omid Khalilifar, Mahdi Ajam, Ahmad Ansarimoghadam
Purpose The purpose of this paper is to develop a systematic approach to predict service quality dimension's influence on service quality using a novel analysis based on data envelopment and SERVQUAL. Design/methodology/approach To assess hospital service quality in Tehran, expectation and perception of those who received the services were evaluated using SERVQUAL. The hospital service quality dimensions were found by exploratory factor analysis (EFA). To compare customer expectation and perception, perceived service quality index (PSQI) was measured using a new method based on common weights...
February 13, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28096400/defining-recovery-neurobiology-of-injured-spinal-cord-by-synthetic-matrix-assisted-hmsc-implantation
#3
Alexander E Ropper, Devang K Thakor, InBo Han, Dou Yu, Xiang Zeng, Jamie E Anderson, Zaid Aljuboori, Soo-Woo Kim, Hongjun Wang, Richard L Sidman, Ross D Zafonte, Yang D Teng
Mesenchymal stromal stem cells (MSCs) isolated from adult tissues offer tangible potential for regenerative medicine, given their feasibility for autologous transplantation. MSC research shows encouraging results in experimental stroke, amyotrophic lateral sclerosis, and neurotrauma models. However, further translational progress has been hampered by poor MSC graft survival, jeopardizing cellular and molecular bases for neural repair in vivo. We have devised an adult human bone marrow MSC (hMSC) delivery formula by investigating molecular events involving hMSCs incorporated in a uniquely designed poly(lactic-co-glycolic) acid scaffold, a clinically safe polymer, following inflammatory exposures in a dorsal root ganglion organotypic coculture system...
January 17, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28095674/the-century-of-biology-and-the-evolving-role-of-medicinal-chemists-in-neuroscience
#4
Dario Doller
Society expects that the wave of contemporary new discoveries in biological sciences will soon lead to novel treatments for human diseases, including many devastating brain disorders. Historically, medicinal chemists have contributed to drug discovery teams in ways that synergize with those from their partner sciences, and help transform new knowledge into the ultimate tangible asset: a new drug. The optimal balance of resources and the right strategy to minimize the risk of late clinical failure may differ for different therapeutic indications...
January 18, 2017: ACS Chemical Neuroscience
https://www.readbyqxmd.com/read/28092781/social-consequences-of-subclinical-negative-symptoms-an-emg-study-of-facial-expressions-within-a-social-interaction
#5
Marcel Riehle, Tania M Lincoln
BACKGROUND AND OBJECTIVES: The negative symptoms of schizophrenia are related to lower social functioning even in non-clinical samples, but little is known about the distinct social consequences of motivational and expressive negative symptoms. In this study we focused on expressive negative symptoms and examined how these symptoms and varying degrees of pro-social facial expressiveness (smiling and mimicry of smiling) relate to the social evaluations by face-to-face interaction partners and to social support...
January 10, 2017: Journal of Behavior Therapy and Experimental Psychiatry
https://www.readbyqxmd.com/read/28088674/people-s-reasons-for-wanting-to-complete-probation-use-and-predictive-validity-in-an-e-health-intervention
#6
Stephanie A Spohr, Faye S Taxman, Scott T Walters
The criminal justice system tends to emphasize external contingencies (e.g., fees, jail time) to motivate offender compliance. However, people's reasons for desistance vary considerably. This study evaluated the acceptability, utility, and predictive validity of questions that ask about people's reasons for wanting to successfully complete probation. Substance-using probationers (N=113) participated in a web-based computer intervention that targeted substance use and treatment initiation. Questions around seven dimensions of reasons for completing probation were developed to provide tailored feedback during the web-based program...
January 6, 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/28078194/trauma-exposed-latina-immigrants-networks-a-social-network-analysis-approach
#7
Alejandra Hurtado-de-Mendoza, Adriana Serrano, Felisa A Gonzales, Nicole C Fernandez, Mark Cabling, Stacey Kaltman
OBJECTIVE: Trauma exposure among Latina immigrants is common. Social support networks can buffer the impact of trauma on mental health. This study characterizes the social networks of trauma-exposed Latina immigrants using a social network analysis perspective. METHODS: In 2011-2012 a convenience sample (n=28) of Latina immigrants with trauma exposure and presumptive depression or posttraumatic stress disorder was recruited from a community clinic in Washington DC...
November 2016: Journal of Latina/o Psychology
https://www.readbyqxmd.com/read/28076923/how-schools-can-promote-healthy-development-for-newly-arrived-immigrant-and-refugee-adolescents-research-priorities
#8
Clea A McNeely, Lyn Morland, S Benjamin Doty, Laurie L Meschke, Summer Awad, Altaf Husain, Ayat Nashwan
BACKGROUND: The US education system must find creative and effective ways to foster the healthy development of the approximately 2 million newly arrived immigrant and refugee adolescents, many of whom contend with language barriers, limited prior education, trauma, and discrimination. We identify research priorities for promoting the school success of these youth. METHODS: The study used the 4-phase priority-setting method of the Child Health and Nutrition Research Initiative...
February 2017: Journal of School Health
https://www.readbyqxmd.com/read/28076261/-how-can-we-talk-about-patient-centered-care-without-patients-at-the-table-lessons-learned-from-patient-advisory-councils
#9
Anjana E Sharma, Rachel Willard-Grace, Andrew Willis, Olivia Zieve, Kate Dubé, Charla Parker, Michael B Potter
CONTEXT AND OBJECTIVE: Patient advisory councils (PACs) are a strategy for primary care clinics to engage patients in practice improvement. However, there is scant research on how PACs function. This study aimed to understand how PACs are organized and identify common challenges and perceived benefits of high-functioning PACs. SETTING AND POPULATION: Key informants identified 8 primary care clinics in California with high-functioning PACs. Leaders from each of the 8 clinics nominated 1 clinic staff member and 1 PAC patient member to be interviewed...
November 2016: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28068136/psychology-in-patient-centered-medical-homes-reducing-health-disparities-and-promoting-health-equity
#10
Eugene W Farber, Mana K Ali, Kristi S Van Sickle, Nadine J Kaslow
With persisting health disparities contributing to a disproportionate impact on the health and well-being of socially disenfranchised and medically underserved populations, the emerging patient-centered medical home (PCMH) model offers promise in bridging the health disparities divide. Because behavioral health care is an important component of the PCMH, psychologists have significant opportunity to contribute to the development and implementation of PCMH services in settings that primarily serve medically underserved communities...
January 2017: American Psychologist
https://www.readbyqxmd.com/read/28060878/soft-modular-robotic-cubes-toward-replicating-morphogenetic-movements-of-the-embryo
#11
Andrea Vergara, Yi-Sheng Lau, Ricardo-Franco Mendoza-Garcia, Juan Cristóbal Zagal
In this paper we present a new type of simple, pneumatically actuated, soft modular robotic system that can reproduce fundamental cell behaviors observed during morphogenesis; the initial shaping stage of the living embryo. The fabrication method uses soft lithography for producing composite elastomeric hollow cubes and permanent magnets as passive docking mechanism. Actuation is achieved by controlling the internal pressurization of cubes with external micro air pumps. Our experiments show how simple soft robotic modules can serve to reproduce to great extend the overall mechanics of collective cell migration, delamination, invagination, involution, epiboly and even simple forms of self-reconfiguration...
2017: PloS One
https://www.readbyqxmd.com/read/28056540/a-tale-of-smoking-cessation-promotion
#12
Katharine E H Thomas, Steve Kisely, Fernando Urrego
OBJECTIVES: The rate at which pediatricians promote smoking cessation in clinical settings is low. The literature demonstrates that interventions paired with tangible health promotion materials may significantly increase screening rates to the pediatric office. The aim of this study was to investigate whether the addition of a children's book in the pediatric clinic could result in an increase in the rate in which pediatricians screened for secondhand smoke exposure (SHSe) and counseled caregivers to stop smoking...
December 1, 2016: Clinical Pediatrics
https://www.readbyqxmd.com/read/28047032/su-f-e-08-medical-physics-as-a-teaching-tool-for-high-school-science-curriculum
#13
L Buckley
PURPOSE: Delivering high school science curriculum in a timely manner and in way that is accessible to all students is a challenge for teachers. Although many high schools offer career workshops, these are typically directed at senior students and do not relate directly to details of the curriculum. The objective of this initiative was to create a series of lectures that use medical physics to relate many aspects of the high school science curriculum to tangible clinical applications and to introduce students to alternate pathways into a career in health sciences...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28043714/initial-versus-ongoing-education-perspectives-of-people-with-type-1-diabetes-in-13-countries
#14
David Beran, Alain Golay
PURPOSE: To understand the perspectives of people with type 1 diabetes with regards to the diabetes education they receive within the health system. METHODS: Grounded Theory was used for the collection and analysis of data from interviews with 101 people with type 1 diabetes from 13 countries. RESULTS: There are two aspects to education, namely initial education received when diagnosed and the ongoing education people continue to receive. Within these two categories content and process of diabetes education are important as are factors linked to the healthcare worker and setting...
December 24, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/28042697/knowledge-into-action-supporting-the-implementation-of-evidence-into-practice-in-scotland
#15
Sandra Davies, Paul Herbert, Ann Wales, Karen Ritchie, Suzanne Wilson, Laura Dobie, Annette Thain
BACKGROUND: The knowledge into action model for NHS Scotland provides a framework for librarians and health care staff to support getting evidence into practice. Central to this model is the development of a network of knowledge brokers to facilitate identification, use, creation and sharing of knowledge. OBJECTIVE: To translate the concepts described in the model into tangible activities with the intention of supporting better use of evidence in health care and subsequently improving patient outcomes...
January 1, 2017: Health Information and Libraries Journal
https://www.readbyqxmd.com/read/28042387/colorectal-cancer-screening-opportunities-to-improve-uptake-outcomes-and-disparities
#16
REVIEW
Neal Shahidi, Winson Y Cheung
Colorectal cancer screening has become a standard of care in industrialized nations for those 50 to 75 years of age, along with selected high-risk populations. While colorectal cancer screening has been shown to reduce both the incidence and mortality of colorectal cancer, it is a complex multi-disciplinary process with a number of important steps that require optimization before tangible improvements in outcomes are possible. For both opportunistic and programmatic colorectal cancer screening, poor participant uptake remains an ongoing concern...
December 16, 2016: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28040597/marine-actinobacteria-as-a-drug-treasure-house
#17
REVIEW
Syed Shams Ul Hassan, Abdul Lateef Shaikh
Marine actinobacteria have been considered as a gold mine with respect to great potential regarding their secondary metabolites. Most of the researches have been conducted on actinobacteria's derived secondary metabolites to examine its pharmacological properties. Actinobacteria have a potential to provide future drugs against crucial diseases, such as drug-resistance bacteria, cancer, a range of viral illnesses, malaria, several infections and inflammations. Although, the mode of action of many bio molecules are still untapped, for a tangible number of compounds by which they interfere with human pathogenesis are reported here with detailed diagrammed illustrations...
December 29, 2016: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
https://www.readbyqxmd.com/read/28025929/hemophilia-management-via-data-collection-and-reporting-initial-findings-from-the-comprehensive-care-sustainability-collaborative
#18
Michael D Tarantino, Vanita K Pindolia
BACKGROUND: Despite being a rare disorder, hemophilia represents a significant driver of health care resource utilization and requires expert hematologic and multidisciplinary services to achieve optimal outcomes. Since their inception nearly 40 years ago, hemophilia treatment centers (HTCs) have served as centers of excellence in providing the intensive care and ancillary services necessary for this unique patient base; however, the full capabilities of these centers may be underused in the current framework of managed care, largely because of a lack of communication and information shared between payers and HTC stakeholders...
January 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28025902/what-can-science-and-technology-studies-learn-from-art-and-design-reflections-on-synthetic-aesthetics
#19
Jane Calvert, Pablo Schyfter
In this paper we reflect on a project called 'Synthetic Aesthetics', which brought together synthetic biologists with artists and designers in paired exchanges. We - the STS researchers on the project - were quickly struck by the similarities between our objectives and those of the artists and designers. We shared interests in forging new collaborations with synthetic biologists, 'opening up' the science by exploring implicit assumptions, and interrogating dominant research agendas. But there were also differences between us, the most important being that the artists and designers made tangible artefacts, which had an immediacy and an ability to travel, and which seemed to allow different types of discussions from those initiated by our academic texts...
December 1, 2016: Social Studies of Science
https://www.readbyqxmd.com/read/27997218/inhibition-of-the-gut-enzyme-intestinal-alkaline-phosphatase-may-explain-how-aspartame-promotes-glucose-intolerance-and-obesity-in-mice
#20
Sarah S Gul, A Rebecca L Hamilton, Alexander R Munoz, Tanit Phupitakphol, Wei Liu, Sanjiv K Hyoju, Konstantinos P Economopoulos, Sara Morrison, Dong Hu, Weifeng Zhang, Mohammad Hadi Gharedaghi, Haizhong Huo, Sulaiman R Hamarneh, Richard A Hodin
Diet soda consumption has not been associated with tangible weight loss. Aspartame (ASP) commonly substitutes sugar and one of its breakdown products is phenylalanine (PHE), a known inhibitor of intestinal alkaline phosphatase (IAP), a gut enzyme shown to prevent metabolic syndrome in mice. We hypothesized that ASP consumption might contribute to the development of metabolic syndrome based on PHE's inhibition of endogenous IAP. The design of the study was such that for the in vitro model, IAP was added to diet and regular soda, and IAP activity was measured...
January 2017: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
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