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https://www.readbyqxmd.com/read/29166448/meta-evaluation-of-a-participatory-process-in-the-strengthening-of-municipal-management
#1
Cristiane Andrea Locatelli de Almeida, Oswaldo Yoshimi Tanaka
OBJECTIVE: To evaluate, with a focus on participation, an evaluation process developed by municipal managers and administrators of a health region in the state of São Paulo, considering the need for theoretical reflection on participatory health practices in the Brazilian context. METHODS: Qualitative research that used the framework developed by Daigneault and Jacob (2009) to analyze the empirical material, encompassing three dimensions of participation: control of the evaluation process, diversity of participants, and extent of their involvement...
2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29166428/a-characterization-of-ecosystem-services-drivers-and-values-of-two-watersheds-in-s%C3%A3-o-paulo-state-brazil
#2
N A Periotto, J G Tundisi
The evaluation of ecosystem services is a tool to raise awareness about benefits of ecosystem functions for human well-being. In Brazil, few studies and reports assess ecosystem services in a watershed context. The aim of this paper is to fill this gap by assessing ecosystem services of Jacaré-Guaçu and Jacaré-Pepira Watersheds (São Paulo State, Brazil) in a temporal scale of 10 years. Land cover and uses' capacity to provide ecosystem services and drivers were assessed as a result of mapping these areas...
November 21, 2017: Brazilian Journal of Biology, Revista Brasleira de Biologia
https://www.readbyqxmd.com/read/29166389/comparisons-of-management-practices-and-farm-design-on-australian-commercial-layer-and-meat-chicken-farms-cage-barn-and-free-range
#3
Angela Bullanday Scott, Mini Singh, Jenny-Ann Toribio, Marta Hernandez-Jover, Belinda Barnes, Kathryn Glass, Barbara Moloney, Amanda Lee, Peter Groves
There are few published studies describing the unique management practices, farm design and housing characteristics of commercial meat chicken and layer farms in Australia. In particular, there has been a large expansion of free range poultry production in Australia in recent years, but limited information about this enterprise exists. This study aimed to describe features of Australian commercial chicken farms, with particular interest in free range farms, by conducting on-farm interviews of 25 free range layer farms, nine cage layer farms, nine barn layer farms, six free range meat chicken farms and 15 barn meat chicken farms in the Sydney basin bioregion and South East Queensland...
2017: PloS One
https://www.readbyqxmd.com/read/29166375/gastric-emptying-of-different-meal-volumes-of-identical-composition-in-preterm-infants-a-time-series-analysis
#4
Sharon L Perrella, Anna R Hepworth, Zoya Gridneva, Karen N Simmer, Peter E Hartmann, Donna T Geddes
BACKGROUND: Preterm infants' meals typically progress to higher volumes over time. Knowledge of gastric emptying (GE) responses to differing meal volumes may inform enteral feeding management. We examined the effect of meal volume and composition on preterm GE. METHODS: Forty infants were studied at 33.3±1.4 (29.7-35.6) weeks postmenstrual age when fully enteral fed (target 150 ml/kg/day). Intra-individual comparisons of GE were made for paired meals of 100 and 75% prescribed volume and identical composition of mother's own milk (n=21) and pasteurized donor human milk (n=19)...
November 22, 2017: Pediatric Research
https://www.readbyqxmd.com/read/29166296/emergency-intubations-in-a-high-volume-pediatric-emergency-department
#5
Jen Heng Pek, Gene Yong-Kwang Ong
INTRODUCTION: Resuscitation of critically ill children can be chaotic, and emergency airway management is often fraught with difficulties. This study aimed to characterize the Singaporean landscape of tracheal intubation in a pediatric emergency unit, placing emphasis on safety outcomes, procedural process of care, and provider training. METHODS: A retrospective review of all cases presented to the KK Women's and Children's Hospital from January 2009 to December 2013 with intubation carried out within the pediatric emergency unit was done...
November 21, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29166295/nursing-care-of-infants-with-a-ventriculoperitoneal-shunt
#6
Rachel A Joseph, Michaela R Killian, Emily E Brady
BACKGROUND: Infants with congenital or posthemorrhagic hydrocephalus may require a ventriculoperitoneal (VP) shunt to divert the flow of cerebrospinal fluid, thus preventing increase in intracranial pressure. Knowledge on various aspects of caring for a child with a VP shunt will enable new and experienced nurses to better care for these infants and equip parents for ongoing care at home. PURPOSE: To review the nurses' role in care of infants with hydrocephalus, care after VP shunt placement, prevention of complications, and parental preparation for home care...
November 20, 2017: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29166193/traditional-method-of-initial-diarrhea-treatment-in-children
#7
Kristian Ade Chandra, Dessie Wanda
Diarrhea is the most common cause of death in children. For diarrhea, home treatment should be administered by parents to prevent diarrheal complications. The purpose of this research was to investigate the traditional method of diarrhea treatment in Tegal regency, Central Java, Indonesia. A descriptive study was conducted with the aim of describing the traditional method of home treatment for diarrhea in children. The study sample included families with children who were experiencing or had experienced diarrhea and had received traditional medicine...
2017: Compr Child Adolesc Nurs
https://www.readbyqxmd.com/read/29165969/all-things-bed-bugs-a-primer-for-nephrology-nurses
#8
Mary S Haras
Bed bug infestation is on the rise, affecting individuals across all demographics and geographics worldwide. Of concern is nursing's lack of knowledge about bed bug transmission, prevention, elimination, and the management of bed bug bites. This article explores the evidence about the lifecycle of the bed bug, its typical presentation, and ways to prevent and eliminate bed bug infestation. Ways that the nephrology nurse can assist in eradication and policy development are discussed, and resources are provided for further information...
March 2017: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/29165938/-the-electronic-patient-record-a-great-opportunity-to-rethink-medical-information-and-its-use
#9
François Bastardot, Jean-Blaise Wasserfallen, Pierre-François Regamey, Pierre-Alexandre Bart
Since the early 2000s, the management of information concerning patient care has fundamentally changed. Previously stored in separate medical and nursing paper medical records, patient data are now gathered in a single electronic health record (EHR) thanks to the digitization of our hospitals, whose development and mastery are a major issue in today's health system.
November 22, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29165920/diabetes-related-complications-which-research-topics-matter-to-diverse-patients-and-caregivers
#10
Maman Joyce Dogba, Mylène Tantchou Dipankui, Selma Chipenda Dansokho, France Légaré, Holly O Witteman
BACKGROUND: Diabetes is a chronic disease with increasing prevalence worldwide. Although research has improved its treatment and management, little is known about which research topics matter to people living with diabetes, particularly among under-represented groups. OBJECTIVES: To explore the importance of research topics among a diverse range of people living with any type of diabetes or caring for someone living with any type of diabetes. METHODS: We used a convergent mixed-method design with quantitative and qualitative aspects...
November 22, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/29165828/nursing-center-health-intervention-program-in-philadelphia-program-evaluation-and-outcomes
#11
(no author information available yet)
BACKGROUND: The La Salle Neighborhood Nursing Center provided the Health Intervention Program (HIP) for vulnerable children with special needs, and families in Philadelphia challenged by chronic physical, developmental, behavioral, and emotional conditions and low incomes. AIMS: We evaluated the effectiveness of HIP for a 5-year period and the consistency of quarterly and annual reports as a quality improvement initiative. METHODS: Using program evaluation, secondary analysis design, the effect of a city-wide, family support home visiting program was assessed...
November 22, 2017: Nursing Forum
https://www.readbyqxmd.com/read/29165776/model-driven-gas-exchange-monitoring-in-the-critically-ill
#12
Cosmin Ion Balan, Adrian View-Kim Wong
Understanding pulmonary gas exchange performance is a dynamic process which, depending on clinical context, exhibits different levels of complexity. Global tools such as tension-based indexes yield clinically crucial information under very specific conditions. Yet, accurate mechanistic insight can only originate in model-based tools. One-parameter models such as shunt or dead space are well established in clinical practice whilst two or three-parameter models have just been advanced and their role is yet to be delineated...
November 22, 2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/29165612/long-term-outcomes-of-107-cases-of-primary-thyroid-malt-lymphoma-at-a-single-medical-institution-in-japan
#13
Natsuko Watanabe, Hiroto Narimatsu, Jaeduk Yoshimura Noh, Kenji Iwaku, Yo Kunii, Nami Suzuki, Hidemi Ohye, Miho Suzuki, Masako Matsumoto, Ai Yoshihara, Kaori Kameyama, Kazuhiko Kobayashi, Masahiro Kami, Kiminori Sugino, Koichi Ito
Context: Thyroid mucosa-associated lymphoid tissue (MALT) lymphoma is a type of extranodal lymphoma with a favorable prognosis. Objective: To provide information on long-term outcomes that would facilitate establishment of the optimal management strategy for thyroid lymphoma. Design, Setting, and Participants: Medical records of 107 patients (median age 67 years, 20 males, 87 females) who were diagnosed with localized thyroid MALT lymphoma stage IE or IIE at Ito Hospital were retrospectively reviewed...
November 20, 2017: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29165605/patient-reported-outcome-measures-in-neurosurgery-a-review-of-the-current-literature
#14
Prajwal Ghimire, Harutomo Hasegawa, Nida Kalyal, Victoria Hurwitz, Keyoumars Ashkan
BACKGROUND: Patient-reported outcome measures (PROMs) play an important role in the evaluation of health outcomes, quality of life, and satisfaction, and have been successfully utilized in many areas of clinical medicine and surgical practice. The prevalence of PROMs in neurosurgery is not known. OBJECTIVE: To review the PROMs that have been utilized in the published neurosurgery literature to date. METHODS: Articles were searched in MEDLINE, EMBASE, HMIC Health Management Information Consortium, PsycARTICLES, and PsycINFO using search terms related to neurosurgery and PROMs, published from 1806 to August 2016...
November 18, 2017: Neurosurgery
https://www.readbyqxmd.com/read/29165309/clinical-characteristics-of-patients-with-dizziness-after-motor-vehicle-accident
#15
Min Bum Kim, Suk Won Chang, Gil Chai Lim, Chan Il Song
OBJECTIVE: The purpose of this study was to identify the clinical characteristics of dizziness occurring after a motor vehicle accident. MATERIALS AND METHODS: We retrospectively analyzed 217 patients who had visited a tertiary medical center complaining of dizziness after a motor vehicle accident between January 2009 and December 2014. Of the 217 patients, we enrolled 54 patients who had undergone a vestibular function test and had no definite evidence of fracture of the temporal bone or intracranial lesions...
November 21, 2017: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/29165160/a-review-of-vietnam-s-healthcare-reform-through-the-direction-of-healthcare-activities-doha
#16
REVIEW
Kyoko Takashima, Koji Wada, Ton Thanh Tra, Derek R Smith
OBJECTIVE: This article provides a comprehensive review of the healthcare reform process driven by the Vietnamese Ministry of Health's Direction of Healthcare Activities (DOHA) scheme. METHODS: We reviewed policy documents relating to DOHA, along with historical literature and background information describing its formation. RESULTS: DOHA (Chỉ đạo tuyến in Vietnamese) literally means guidance line or level in English. It requires healthcare facilities at higher government administration levels to support those at lower levels (the four levels being central, provincial, district, and commune), to help lower level hospitals to provide medical services for local communities in primary care settings and reduce the number of patients in higher level (central and provincial) hospitals...
October 30, 2017: Environmental Health and Preventive Medicine
https://www.readbyqxmd.com/read/29165026/comparative-evaluation-of-oral-and-dento-maxillofacial-manifestation-of-patients-with-sickle-cell-diseases-and-beta-thalassemia-major
#17
Salmeh Kalbassi, Mohammad Reza Younesi, Vahid Asgary
BACKGROUND: Regarding the importance of oral and dental health in patients with hemoglobinopathies and also due to the different results of different studies in this background, in patients with beta thalassemia (BTM) and sickle cell disease (SCD), this study aimed to evaluate and compare the oral and dental manifestations of patients with BTM and SCD. MATERIAL AND METHODS: In this cross-sectional study during the years 2014-2017, a total of 175 patients (with documented BTM or SCD attending to Tehran, Mashhad, Isfahan, and Tabriz cities central hospitals) were randomly recruited...
November 22, 2017: Hematology (Amsterdam, Netherlands)
https://www.readbyqxmd.com/read/29165010/dnmt3a-co-mutation-is-required-for-flt3-itd-as-an-adverse-prognostic-indicator-in-intermediate-risk-cytogenetic-group-aml
#18
Juan Ma, Jennifer Dunlap, Aleksandra Paliga, Elie Traer, Richard Press, Lisong Shen, Guang Fan
This single institution cohort study of 132 AML patients investigated the clinical implications of co-mutations detected with a 42-gene NGS panel. In the intermediate-risk cytogenetic group, FLT3-ITD is an adverse prognostic indicator only in the presence of a DNMT3A co-mutation, regardless of NPM1 mutation status. In the absence of a concomitant DNMT3A mutation, there was no significant difference in overall survival between FLT3-ITD positive and FLT3-ITD negative patients. Furthermore, mutation analysis on post-induction specimens showed that residual FLT3-ITD and/or DNMT3A mutations were associated with a high frequency of therapy resistance or relapse in AML...
November 22, 2017: Leukemia & Lymphoma
https://www.readbyqxmd.com/read/29165004/person-directed-care-planning-in-nursing-homes-resident-family-and-staff-perspectives
#19
Kezia Scales, Michael Lepore, Ruth A Anderson, Eleanor S McConnell, Yuting Song, Bada Kang, Kristie Porter, Trini Thach, Kirsten N Corazzini
Empowering individuals to direct their own care is central to person-centered care and health care policy. However, there is limited knowledge of how "person-directed care planning" (PDCP) can be achieved in particular settings. This study identifies key structures and processes for operationalizing and implementing PDCP in nursing homes. Using participatory inquiry, we convened "stakeholder engagement sessions" with residents, families, nursing staff, and managers/administrators in two North Carolina nursing homes ( N = 24 sessions; N = 67 unique participants)...
September 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29164957/expectations-concerns-and-needs-of-patients-who-start-drugs-for-chronic-conditions-a-prospective-observational-study-among-community-pharmacies-in-serbia
#20
Katarina M Vučićević, Branislava R Miljković, Bojana C Golubović, Marija N Jovanović, Sandra D Vezmar Kovačević, Milica D Ćulafić, Milena M Kovačević, Johan J de Gier
BACKGROUND: During the initiation of treatment of a chronic disease, patients may have varying interests, expectations, concerns, and reasons to stop treatment, influencing compliance with prescribed treatment. Thus, healthcare professionals are expected to integrate these needs into medicines management. OBJECTIVES: To determine what information is important to patients; assess predictors of patients' interests, expectations, concerns, reasons to stop therapy; evaluate drug-related problems following initiation of therapy and summarize how pharmacists resolve them during patient-pharmacist counselling...
November 22, 2017: European Journal of General Practice
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