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https://www.readbyqxmd.com/read/29135763/health-system-creation-and-integration-at-a-health-sciences-university-a-five-year-follow-up
#1
Catherine P Slade, Ricardo Azziz, Steven Levin, Gretchen B Caughman, David S Hefner, Kimberly V Halbur, Martha S Tingen, Susan James
Shifting healthcare market forces and regulation have exerted near-constant pressure on U.S. academic health centers (AHCs) attempting to successfully execute their traditional tripartite mission. A governance structure and organizational alignment that works well under one set of conditions is rarely optimal when conditions change. Thus, the degree and type of alignment of an AHC's clinical, educational, and faculty practice organizations have changed regularly within the sector, typically landing near one end or the other on a continuum from fully aligned with centralized governance to largely independent with separate governance...
November 2017: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/29134267/complement-in-the-pathogenesis-of-alzheimer-s-disease
#2
REVIEW
B Paul Morgan
The emergence of complement as an important player in normal brain development and pathological remodelling has come as a major surprise to most scientists working in neuroscience and almost all those working in complement. That a system, evolved to protect the host against infection, should have these unanticipated roles has forced a rethink about what complement might be doing in the brain in health and disease, where it is coming from, and whether we can, or indeed should, manipulate complement in the brain to improve function or restore homeostasis...
November 13, 2017: Seminars in Immunopathology
https://www.readbyqxmd.com/read/29120202/collaboration-confidentiality-and-care
#3
Latoya S Moss
There is an increasing call to attend to the needs of students in distress (Reynolds, 2013). Furthermore, research has begun to highlight links between distress, risky, or dangerous behaviors as well as issues in mental health in the higher education population (Deasy, Coughlan, Pironom, Jourdan, & Mannix-McNamara, 2014). The National Alliance on Mental Health and the Jed Foundation (National Alliance on Mental Illness & the Jed Foundation, 2016) estimate that about 20% of enrolled college students will face some type of mental illness...
November 2017: Psychological Services
https://www.readbyqxmd.com/read/29119653/a-social-ecological-framework-a-model-for-addressing-ethical-practice-in-nursing
#4
P M Davidson, C H Rushton, M Kurtz, B Wise, D Jackson, A Beaman, M Broome
AIMS AND OBJECTIVES: To develop a framework to enable discussion, debate and the formulation of interventions to address ethical issues in nursing practice. BACKGROUND: Social, cultural, political and economic drivers are rapidly changing the landscape of health care in our local environments but also in a global context. Increasingly, nurses are faced with a range of ethical dilemmas in their work. This requires investigation into the culture of health care systems and organisations to identify the root causes and address the barriers and enablers of ethical practice...
November 9, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29118047/interprofessional-development-and-implementation-of-a-pharmacist-professional-advancement-and-recognition-program
#5
David Hager, Eric Chmielewski, Andrea L Porter, Sarah Brzozowski, Steve S Rough, Philip J Trapskin
PURPOSE: The interprofessional development, implementation, and outcomes of a pharmacist professional advancement and recognition program (PARP) at an academic medical center are described. SUMMARY: Limitations of the legacy advancement program, in combination with low rates of employee engagement in peer recognition and professional development, at the UW Health department of pharmacy led to the creation of a task force comprising pharmacists from all practice areas to develop a new pharmacist PARP...
November 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29112512/causal-analysis-of-world-health-organization-s-surgical-safety-checklist-implementation-quality-and-impact-on-care-processes-and-patient-outcomes-secondary-analysis-from-a-large-stepped-wedge-cluster-randomized-controlled-trial-in-norway
#6
Arvid Steinar Haugen, Hilde Valen Wæhle, Stian Kreken Almeland, Stig Harthug, Nick Sevdalis, Geir Egil Eide, Monica Wammen Nortvedt, Ingrid Smith, Eirik Søfteland
OBJECTIVE: We hypothesize that high-quality implementation of the World Health Organization's Surgical Safety Checklist (SSC) will lead to improved care processes and subsequently reduction of peri- and postoperative complications. BACKGROUND: Implementation of the SSC was associated with robust reduction in morbidity and length of in-hospital stay in a stepped wedge cluster randomized controlled trial conducted in 2 Norwegian hospitals. Further investigation of precisely how the SSC improves care processes and subsequently patient outcomes is needed to understand the causal mechanisms of improvement...
November 6, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/29111642/a-stretchable-and-transparent-nanocomposite-nanogenerator-for-self-powered-physiological-monitoring
#7
Xiaoliang Chen, Kaushik Parida, Jiangxin Wang, Jiaqing Xiong, Meng-Fang Lin, Jinyou Shao, Pooi-See Lee
Smart sensing electronic device with good transparency, high stretchability and self-powered sensing characteristics are essential in wearable health monitoring systems. This paper innovatively proposes a stretchable nanocomposite nanogenerator with good transparency that can be conformally attached on human body to harvest biomechanical energy and monitor physiological signals. The work reports an innovative device that uses sprayed silver nanowires as transparent electrodes and sandwiches a nanocomposite of piezoelectric BaTiO3 and PDMS as the sensing layer, which exhibits good transparency and mechanical transformability with stretchable, foldable, and twistable properties...
November 7, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29110559/injury-among-home-care-workers-in-washington-state
#8
Allison K Hansell, Elizabeth S Knaster, Leslie E Phillips
Home Care Aides (HCAs) have nearly four times the rate of injury as the general U.S. work force. In 2015, the Service Employees International Union 775 Benefits Group conducted a health and safety survey with 672 HCAs in Washington State. The goal was to identify the risk factors for injury and to better assess injury rates through self-report. Quantitative analyses assessed injury prevalence and barriers in reporting injury. Overall, 13 percent responded that they had ever had an injury that required medical attention while working as an HCA...
January 1, 2017: New Solutions: a Journal of Environmental and Occupational Health Policy: NS
https://www.readbyqxmd.com/read/29098424/a-cross-sectional-investigation-into-the-occupational-and-socio-demographic-characteristics-of-british-police-force-employees-reporting-a-dietary-pattern-associated-with-cardiometabolic-risk-findings-from-the-airwave-health-monitoring-study
#9
Rachel Gibson, Rebeca Eriksen, Deepa Singh, Anne-Claire Vergnaud, Andrew Heard, Queenie Chan, Paul Elliott, Gary Frost
PURPOSE: The aims of this study were to (1) determine the association between diet quality using the Dietary Approaches to Stop Hypertension (DASH) score and cardiometabolic risk in a British working population and (2) identify employee characteristics associated with reporting a poorer quality dietary pattern. METHODS: British police employees enrolled (2007-2012) into the Airwave Health Monitoring Study (n = 5527) were included for sex-specific cross-sectional analyses...
November 2, 2017: European Journal of Nutrition
https://www.readbyqxmd.com/read/29097992/circadian-and-metabolic-effects-of-light-implications-in-weight-homeostasis-and-health
#10
REVIEW
Santiago A Plano, Leandro P Casiraghi, Paula García Moro, Natalia Paladino, Diego A Golombek, Juan J Chiesa
Daily interactions between the hypothalamic circadian clock at the suprachiasmatic nucleus (SCN) and peripheral circadian oscillators regulate physiology and metabolism to set temporal variations in homeostatic regulation. Phase coherence of these circadian oscillators is achieved by the entrainment of the SCN to the environmental 24-h light:dark (LD) cycle, coupled through downstream neural, neuroendocrine, and autonomic outputs. The SCN coordinate activity and feeding rhythms, thus setting the timing of food intake, energy expenditure, thermogenesis, and active and basal metabolism...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/29096024/antithrombotic-therapy-in-atrial-fibrillation-associated-with-valvular-heart-disease-a-joint-consensus-document-from-the-european-heart-rhythm-association-ehra-and-european-society-of-cardiology-working-group-on-thrombosis-endorsed-by-the-esc-working-group
#11
Gregory Y H Lip, Jean Philippe Collet, Raffaele de Caterina, Laurent Fauchier, Deirdre A Lane, Torben B Larsen, Francisco Marin, Joao Morais, Calambur Narasimhan, Brian Olshansky, Luc Pierard, Tatjana Potpara, Nizal Sarrafzadegan, Karen Sliwa, Gonzalo Varela, Gemma Vilahur, Thomas Weiss, Giuseppe Boriani, Bianca Rocca
Atrial fibrillation (AF) is a major worldwide public health problem, and AF in association with valvular heart disease (VHD) is also common. However, management strategies for this group of patients have been less informed by randomized trials, which have largely focused on 'non-valvular AF' patients. Thrombo-embolic risk also varies according to valve lesion and may also be associated with CHA2DS2VASc score risk factor components, rather than only the valve disease being causal. Given marked heterogeneity in the definition of valvular and non-valvular AF and variable management strategies, including non-vitamin K antagonist oral anticoagulants (NOACs) in patients with VHD other than prosthetic heart valves or haemodynamically significant mitral valve disease, there is a need to provide expert recommendations for professionals participating in the care of patients presenting with AF and associated VHD...
November 1, 2017: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/29089318/comparative-analysis-of-the-scope-of-european-union-paediatric-investigation-plans-with-corresponding-orphan-designations
#12
Andrea Ecker, Segundo Mariz, Frauke Naumann-Winter, Koenraad Norga, Ingeborg Barisic, Thomas Girard, Paolo Tomasi, Dirk Mentzer, Bruno Sepodes
BACKGROUND: Market forces may not be sufficient to stimulate research and development of medicines for small patient populations, such as children and patients with rare diseases. Both the European Union Orphan and Paediatric Regulations were introduced to address the unmet public health needs of these smaller patient populations through the use of incentives, rewards and obligations. Developers for new medicines for rare diseases must agree a paediatric investigation plan (PIP) or waiver with the European Medicines Agency's (EMA) Paediatric Committee (PDCO), and can also apply for an orphan designation (OD) from the EMA's Committee of Orphan Medicinal Products (COMP)...
October 31, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29084131/workplace-health-promotion-programs-for-older-workers-in-italy
#13
Nicola Magnavita, Ilaria Capitanelli, Sergio Garbarino, Daniele Ignazio La Milia, Umberto Moscato, Enrico Pira, Andrea Poscia, Walter Ricciardi
BACKGROUND: Italy is the European country with the highest number of citizens over the age of sixty. In recent years, the unsustainability of the social security system has forced the Italian government to raise the retirement age and reduce the chances of early exit, thus sharply increasing the age of the workforce. Consequently, a significant proportion of older workers are currently obliged to do jobs that were designed for young people. Systematic health promotion intervention for older workers is therefore essential...
October 27, 2017: La Medicina del Lavoro
https://www.readbyqxmd.com/read/29074610/global-health-preparation-for-working-in-resource-limited-settings
#14
REVIEW
Nicole E St Clair, Michael B Pitt, Sabrina Bakeera-Kitaka, Natalie McCall, Heather Lukolyo, Linda D Arnold, Tobey Audcent, Maneesh Batra, Kevin Chan, Gabrielle A Jacquet, Gordon E Schutze, Sabrina Butteris
Trainees and clinicians from high-income countries are increasingly engaging in global health (GH) efforts, particularly in resource-limited settings. Concomitantly, there is a growing demand for these individuals to be better prepared for the common challenges and controversies inherent in GH work. This is a state-of-the-art review article in which we outline what is known about the current scope of trainee and clinician involvement in GH experiences, highlight specific considerations and issues pertinent to GH engagement, and summarize preparation recommendations that have emerged from the literature...
November 2017: Pediatrics
https://www.readbyqxmd.com/read/29060978/-present-situation-and-influencing-factors-on-classroom-mobile-phone-dependence-syndrome-in-college-students
#15
X B Hu, Y N Yang, M Y Zhang, M Miao, Y N Bai, S Zheng, M Z Wang
Objective: To explore the current situation and influencing factors on Classroom Mobile Phone Dependence Syndrome (CMPDS) among college students, and to provide scientific basis for guiding college students to use mobile phones reasonably and healthily. Methods: Stratified cluster sampling method was used. Students from different majors and different grades in Lanzhou University were included as the research objects. Classes were recognized as a unit in receiving basic field investigation in this questionnaire related study...
October 10, 2017: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/29057158/preventing-identifying-and-treating-prescription-drug-misuse-among-active-duty-service-members
#16
Rosalie Liccardo Pacula, Sarah B Hunter, Allison J Ober, Karen Chan Osilla, Raffaele Vardavas, Janice C Blanchard, David DeVries, Emmanuel F Drabo, Kristin J Leuschner, Warren Stewart, Jennifer Walters
Prescription drug misuse (PDM) is of critical concern for the military because of its potential impact on military readiness, the health and well-being of military personnel, and associated health care costs. The purpose of this study is to summarize insights gleaned from a series of activities that the RAND Corporation undertook for the Deputy Assistant Secretary of Defense for Readiness to address this important health and military readiness issue. The authors completed a review of U.S. Department of Defense policies and a comprehensive literature review of clinical guidelines and the empirical literature on the prevention and treatment of PDM and conducted individual face-to-face interviews with 66 health and behavioral health care providers at nine medical treatment facilities across three regions within the contiguous United States to identify best practices in the prevention, identification, and treatment of PDM and the extent to which those practices are known and followed...
January 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/29044053/fungal-keratitis-the-aravind-experience
#17
REVIEW
Venkatesh N Prajna, Lalitha Prajna, Srinivasan Muthiah
Research becomes very significant and meaningful when it addresses a significant public health problem of a region. Fungal keratitis is a serious problem affecting the agrarian poor and hence requires attention from public health specialists. The approach to a public health issue should focus not only on treatment but also prevention or at least show a significant thrust to reduce the morbidity of the problem. At our institution, we have developed a special interest in fungal keratitis and tried to study it in a multitude of aspects...
October 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29037185/research-involvement-among-undergraduate-health-sciences-students-a-cross-sectional-study
#18
J Bovijn, N Kajee, T M Esterhuizen, S C Van Schalkwyk
BACKGROUND: The development of research capacity among undergraduates is an important intervention in countering the documented decrease in medical and health sciences researchers. The literature on undergraduate research generally emanates from smaller scale studies that have been conducted in high income countries, with a focus on medical students. This cross-sectional study was conducted in a Sub-Saharan country, included a population of medical and allied health professions (AHP) students, and aimed to improve our understanding of the factors influencing undergraduate student research...
October 16, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29036859/from-awareness-to-action-sudbury-mining-and-occupational-disease-in-a-time-of-change
#19
Desre M Kramer, D Linn Holness, Emily Haynes, Keith McMillan, Colin Berriault, Sheila Kalenge, Nancy Lightfoot
BACKGROUND: Miners work in highly hazardous environments, but surprisingly, there are more fatalities from occupational diseases, including cancers, than from fatalities from injuries. Over the last few decades, the mining environment has become safer with fewer injuries and less exposure to the toxins that lead to occupational disease. There have been improvements in working conditions, and a reduction in the number of workers exposed, together with an overall improvement in the health of miners...
2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/29036311/do-work-and-family-care-histories-predict-health-in-older-women
#20
Rebecca Benson, Karen Glaser, Laurie M Corna, Loretta G Platts, Giorgio Di Gessa, Diana Worts, Debora Price, Peggy McDonough, Amanda Sacker
Background: Social and policy changes in the last several decades have increased women's options for combining paid work with family care. We explored whether specific combinations of work and family care over the lifecourse are associated with variations in women's later life health. Methods: We used sequence analysis to group women in the English Longitudinal Study of Ageing according to their work histories and fertility. Using logistic regression, we tested for group differences in later life disability, depressive symptomology and mortality, while controlling for childhood health and socioeconomic position and a range of adult socio-economic circumstances and health behaviours...
September 23, 2017: European Journal of Public Health
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