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https://www.readbyqxmd.com/read/29049412/measuring-facility-capability-to-provide-routine-and-emergency-childbirth-care-to-mothers-and-newborns-an-appeal-to-adjust-for-delivery-caseload-of-facilities
#1
Stephanie M Allen, Charles Opondo, Oona M R Campbell
BACKGROUND: Measurement of Emergency Obstetric Care capability is common, and measurement of newborn and overall routine childbirth care has begun in recent years. These assessments of facility capabilities can be used to identify geographic inequalities in access to functional health services and to monitor improvements over time. This paper develops an approach for monitoring the childbirth environment that accounts for the delivery caseload of the facility. METHODS: We used data from the Kenya Service Provision Assessment to examine facility capability to provide quality childbirth care, including infrastructure, routine maternal and newborn care, and emergency obstetric and newborn care...
2017: PloS One
https://www.readbyqxmd.com/read/29049351/the-impact-of-breast-reduction-surgery-on-breastfeeding-systematic-review-of-observational-studies
#2
Roni Y Kraut, Erin Brown, Christina Korownyk, Lauren S Katz, Ben Vandermeer, Oksana Babenko, M Shirley Gross, Sandy Campbell, G Michael Allan
BACKGROUND: Almost half a million breast reduction surgeries are performed internationally each year, yet it is unclear how this type of surgery impacts breastfeeding. This is particularly important given the benefits of breastfeeding. OBJECTIVES: To determine if breast reduction surgery impacts breastfeeding success and whether different surgical techniques differentially impact breast feeding success. METHODS: Databases were searched up to September 5, 2017...
2017: PloS One
https://www.readbyqxmd.com/read/29049005/beliefs-attitudes-and-activities-of-healthcare-personnel-about-influenza-and-pneumococcal-vaccines
#3
Fatma Çiftci, Elif Şen, Nalan Demir, Orçun Çiftci, Serhat Erol, Oya Kayacan
OBJECTIVES: Vaccination of healthcare personnel (HCP) is an effective measure for preventing the spread of influenza among at-risk patients. This study was conducted to determine influenza vaccination rates and activities among HCP working at a tertiary healthcare setting. METHODS: This study included 470 HCP (85 physicians, 134 nurses, 53 healthcare assistants, 44 paramedics, 47 medical secretaries, and 107 auxillary staff members) working at the emergency, cardiology, chest diseases, and internal medicine departments with the largest volume of patients with vaccination indication of two large university hospitals with similar medical practices and work environment...
October 19, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29049002/cost-effectiveness-of-the-haemophilus-influenzae-type-b-vaccine-for-infants-in-mainland-china
#4
Guijun Ning, Zundong Yin, Yixing Li, Huaqing Wang, Weizhong Yang
OBJECTIVE: The aims of this study were to estimate the cost-effectiveness of the Haemophilus influenzae type b (Hib) vaccine for the prevention of childhood pneumonia, meningitis and other vaccine-preventable diseases in mainland China from a societal perspective and to provide information about the addition of the Hib vaccine to Chinese immunization programs. METHODS: A decision tree and the Markov model were used to estimate the costs and effectiveness of the Hib vaccine versus no Hib vaccine for a birth cohort of 100,000 children in 2016...
October 19, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29048939/supporting-law-enforcement-personnel-working-with-distressing-material-online
#5
Nicola Fortune, Brendan Rooney, Grainne H Kirwan
This study aimed to expand on previous research by gathering international data on key stressors impacting on computer forensic investigators who are exposed to child exploitation material (CEM) as part of their role. Semistructured interviews were conducted with five members of law enforcement (LE) working in this area, from five independent and internationally separated organizations. The results of these interviews were explored using thematic analysis. The three key themes identified were "stressors related to work investigating CEM online," "strategies for mediating stress related to investigating CEM online," and "training to investigate CEM online...
October 19, 2017: Cyberpsychology, Behavior and Social Networking
https://www.readbyqxmd.com/read/29048880/interactions-of-native-cyclodextrins-with-metal-ions-and-inorganic-nanoparticles-fertile-landscape-for-chemistry-and-materials-science
#6
Daniel Prochowicz, Arkadiusz Kornowicz, Janusz Lewiński
Readily available cyclodextrins (CDs) with an inherent hydrophobic internal cavity and hydrophilic external surface are macrocyclic entities that display a combination of molecular recognition and complexation properties with vital implications for host-guest supramolecular chemistry. While the host-guest chemistry of CDs has been widely recognized and led to their exploitation in a variety of important functions over the last five decades, these naturally occurring macrocyclic systems have emerged only recently as promising macrocyclic molecules to fabricate environmentally benign functional nanomaterials...
October 19, 2017: Chemical Reviews
https://www.readbyqxmd.com/read/29048520/pain-acceptance-as-a-predictor-of-medical-utilization-and-school-absenteeism-in-adolescents-with-chronic-pain
#7
Michelle A Clementi, Grace S Kao, Evelyn Monico
Objective: Identifying factors contributing to high medical utilization and productivity loss is important, given the high cost of pediatric chronic pain. The current study examined chronic pain acceptance as a predictor of medical utilization and school absenteeism in adolescents with chronic pain. Methods: In all, 122 adolescents (aged 12-21 years) with chronic pain and their parents/guardians completed questionnaires assessing medical visits (past 6 months), medication usage, and number of school absences (past month)...
October 12, 2017: Journal of Pediatric Psychology
https://www.readbyqxmd.com/read/29048320/development-of-the-carmen-q-questionnaire-for-mental-workload-assessment
#8
Susana Rubio-Valdehita, María I López-Núñez, Ramón López-Higes, Eva M Díaz-Ramiro
BACKGROUND: Mental workload has emerged as one of the most important occupational risk factors present in most psychological and physical diseases caused by work. In view of the lack of specific tools to assess mental workload, the objective of this research was to assess the construct validity and reliability of a new questionnaire for mental workload assessment (CarMen-Q). METHOD: The sample was composed of 884 workers from several professional sectors, between 18 and 65 years old, 53...
November 2017: Psicothema
https://www.readbyqxmd.com/read/29046971/training-and-service-provision-in-cardiovascular-ct-international-challenges-and-solutions
#9
REVIEW
E D Nicol, J Shambrook, E Shaw, J Leipsic, L Shaw
PURPOSE OF REVIEW: This manuscript identifies international challenges in cardiovascular CT that may prevent it from becoming a mainstream cardiovascular investigation. It offers potential solutions and a vision to overcome these barriers. RECENT FINDINGS: The acceptance of cardiovascular CT as a mainstream investigation now mandates a root and branch review of how we deliver a technology that is no longer emerging but recommended for mainstream clinical practice...
October 18, 2017: Current Cardiology Reports
https://www.readbyqxmd.com/read/29046869/staphylococcus-aureus-alpha-toxin-induces-the-formation-of-dynamic-tubules-labeled-with-lc3-within-host-cells-in-a-rab7-and-rab1b-dependent-manner
#10
María M López de Armentia, María C Gauron, María I Colombo
Staphylococcus aureus is a pathogen that causes severe infectious diseases that eventually lead to septic and toxic shock. S. aureus infection is characterized by the production of virulence factors, including enzymes and toxins. After internalization S. aureus resides in a phagosome labeled with Rab7 protein. Here, we show that S. aureus generates tubular structures marked with the small GTPases Rab1b and Rab7 and by the autophagic protein LC3 at early times post-infection. As shown by live cell imaging these tubular structures are highly dynamic, extend, branch and grow in length...
2017: Frontiers in Cellular and Infection Microbiology
https://www.readbyqxmd.com/read/29046814/emergence-and-loss-of-spliceosomal-twin-introns
#11
Michel Flipphi, Norbert Ág, Levente Karaffa, Napsugár Kavalecz, Gustavo Cerqueira, Claudio Scazzocchio, Erzsébet Fekete
BACKGROUND: In the primary transcript of nuclear genes, coding sequences-exons-usually alternate with non-coding sequences-introns. In the evolution of spliceosomal intron-exon structure, extant intron positions can be abandoned and new intron positions can be occupied. Spliceosomal twin introns ("stwintrons") are unconventional intervening sequences where a standard "internal" intron interrupts a canonical splicing motif of a second, "external" intron. The availability of genome sequences of more than a thousand species of fungi provides a unique opportunity to study spliceosomal intron evolution throughout a whole kingdom by means of molecular phylogenetics...
2017: Fungal Biology and Biotechnology
https://www.readbyqxmd.com/read/29046714/understanding-the-menstrual-hygiene-management-challenges-facing-displaced-girls-and-women-findings-from-qualitative-assessments-in-myanmar-and-lebanon
#12
Margaret L Schmitt, David Clatworthy, Ruwan Ratnayake, Nicole Klaesener-Metzner, Elizabeth Roesch, Erin Wheeler, Marni Sommer
BACKGROUND: There is a significant gap in empirical evidence on the menstrual hygiene management (MHM) challenges faced by adolescent girls and women in emergency contexts, and on appropriate humanitarian response approaches to meet their needs in diverse emergency contexts. To begin filling the gap in the evidence, we conducted a study in two diverse contexts (Myanmar and Lebanon), exploring the MHM barriers facing girls and women, and the various relevant sectoral responses being conducted (e...
2017: Conflict and Health
https://www.readbyqxmd.com/read/29046493/sp-current-global-standards-for-chemical-protective-clothing-how-to-choose-the-right-protection-for-the-right-job
#13
Eric VAN Wely
The first standards for chemical protective clothing (CPC) emerged mid to late 1980's and have evolved since as most standards are revisited every 5 years. Over the past years, we have also seen a strengthening of the chemical and worker protection legislation around the globe (various forms of REACH) but also protection of workers. The most prevalent standards originate under the auspices of the International Standards Organisation (ISO), European Committee for Standardisation (CEN) or under various US standards organisations (e...
October 17, 2017: Industrial Health
https://www.readbyqxmd.com/read/29046364/randomized-study-of-iv-prochlorperazine-plus-diphenhydramine-vs-iv-hydromorphone-for-migraine
#14
Benjamin W Friedman, Eddie Irizarry, Clemencia Solorzano, Alexander Latev, Karolyn Rosa, Eleftheria Zias, David R Vinson, Polly E Bijur, E John Gallagher
OBJECTIVE: To determine outcomes among patients with migraine in the emergency department (ED) who receive IV hydromorphone vs IV prochlorperazine + diphenhydramine. METHODS: This study was conducted in 2 EDs in New York City. Patients who met international criteria for migraine were eligible for participation if they had not used an opioid within the previous month. Clinicians, participants, investigators, and research personnel were blinded to treatment. Patients were randomized in blocks of 4...
October 18, 2017: Neurology
https://www.readbyqxmd.com/read/29046067/making-food-aid-fit-for-purpose-in-the-21st-century-a-review-of-recent-initiatives-improving-the-nutritional-quality-of-foods-used-in-emergency-and-development-programming
#15
Patrick Webb, Kristine Caiafa, Shelley Walton
Important strides have been made recently in upgrading the global food aid agenda in line with evolving medical and nutrition sciences, operational experience, and innovations in food technology. A 2011 report endorsed by the United States Agency for International Development (USAID) recommended numerous improvements to products intended to support improved survival and nutrition in humanitarian programming, as well as greater rigor and transparency in the research agenda that supports innovations in this critical field...
January 1, 2017: Food and Nutrition Bulletin
https://www.readbyqxmd.com/read/29045913/team-based-learning-in-nursing-and-midwifery-higher-education-a-systematic-review-of-the-evidence-for-change
#16
REVIEW
Chris Dearnley, Christine Rhodes, Peter Roberts, Pam Williams, Sarah Prenton
REVIEW AIM: The aim of this study is to review the evidence in relation to the experiences and outcomes of students on nursing and/or midwifery higher education programmes, who experience team based learning. REVIEW OBJECTIVES: To examine the relationship between team based learning and attainment for nursing and midwifery students in professional higher education. To examine the relationship between team based learning and student satisfaction for nurses and midwifery students in higher education...
September 28, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29045851/trends-in-pelvic-inflammatory-disease-emergency-department-visits-united-states-2006-2013
#17
Kristen Kreisel, Elaine W Flagg, Elizabeth Torrone
BACKGROUND: Pelvic inflammatory disease is a female genital tract disorder with severe reproductive sequelae. Due to difficulties in diagnosing pelvic inflammatory disease, it is not a reportable condition in many states. Females seeking care in emergency departments are a sentinel population for pelvic inflammatory disease surveillance. OBJECTIVE: To determine trends in diagnoses of acute pelvic inflammatory disease in a nationally representative sample of emergency departments...
October 15, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29044675/-oh-my-god-i-can-t-handle-this-trainees-emotional-responses-to-complex-situations
#18
Esther Helmich, Laura Diachun, Radha Joseph, Kori LaDonna, Nelleke Noeverman-Poel, Lorelei Lingard, Sayra Cristancho
CONTEXT: Dealing with emotions is critical for medical trainees' professional development. Taking a sociocultural and narrative approach to understanding emotions, we studied complex clinical situations as a specific context in which emotions are evoked and influenced by the social environment. We sought to understand how medical trainees respond to emotions that arise in those situations. METHODS: In an international constructivist grounded theory study, 29 trainees drew two rich pictures of complex clinical situations, one exciting and one frustrating...
October 16, 2017: Medical Education
https://www.readbyqxmd.com/read/29044369/law-as-a-fixture-between-the-one-health-interfaces-of-emerging-diseases
#19
Alexandra L Phelan, Lawrence O Gostin
A One Health approach calls for multisectoral and multi-institutional cooperation and partnership across the interfaces of human, animal and ecosystem health risks. Without strong governance, these interfaces risk detaching, leaving gaps in capacities to prevent, detect and respond to emerging and persisting public health threats. As a crucial component of governance, law can act as the fixture between interfaces. We examine some of the many forms and foci of law and propose that the process of law-making, implementation and evaluation can provide a benefit for strengthening law as a fixture between One Health interfaces...
June 1, 2017: Transactions of the Royal Society of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29044080/amalric-sign-an-augur-of-ophthalmic-artery-occlusion
#20
Prathibha Hande, Babi Sinha, Shivani Nayak, Srilakshmi Srinivasan, Jyothi Shetty
A 75-year-old man presented to us with sudden onset of profound vision loss in his right eye and was identified as suffering from an ophthalmic artery occlusion. Apart from the retinal whitening and box-carring of the retinal arteries, there were characteristic triangular patches of retinal whitening in the midperipheral temporal fundus indicating a previous lateral posterior choroidal artery occlusion. The patient was a chronic smoker and had dyslipidemia. The carotid Doppler study showed complete occlusion of the internal carotid artery...
October 2017: Indian Journal of Ophthalmology
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