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https://www.readbyqxmd.com/read/29232902/rapid-assessment-of-stakeholder-concerns-about-public-health-an-introduction-to-a-fast-and-inexpensive-approach-applied-on-health-concerns-about-intensive-animal-production-systems
#1
Marleen Kraaij-Dirkzwager, Joost van der Ree, Erik Lebret
To effectively manage environmental health risks, stakeholders often need to act collectively. Stakeholders vary in their desire to act due to many factors, such as knowledge, risk perception, interests, and worldviews. Understanding their perceptions of the issues at stake is crucial to support the risk governance process. Even though concern assessment is a pivotal element of risk governance, few tools for rapid assessment are reported in the literature. We tested a rapid and relatively cheap approach, taking the Dutch debate on Intensive Animal Production Systems (IAPS) and health as an example...
December 11, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29231753/rates-of-insufficiency-and-deficiency-of-vitamin-d-levels-in-elite-professional-male-and-female-skiers-a-chronobiologic-approach
#2
Jacopo Antonino Vitale, Giovanni Lombardi, Luca Cavaleri, Rosa Graziani, Herbert Schoenhuber, Antonio La Torre, Giuseppe Banfi
Vitamin D is essential for the maintenance and promotion of musculoskeletal health, for the functioning of the immune, cardiovascular and reproductive systems, and its main action is to keep calcium and phosphate plasmatic physiological concentrations at intestinal, renal and bony level. Vitamin D affects several parameters related to physical performance too and a particularly high percentage of vitamin D insufficiency and deficiency in professional athletes has been observed. Several variables are able to impair the synthesis of 25(OH)D in athletes, specifically both genetic and environmental factors, but the most probable explanation for the deficient/insufficient vitamin D levels is the insufficient ultraviolet B light (UVB) exposure during winter...
December 12, 2017: Chronobiology International
https://www.readbyqxmd.com/read/29227941/extractive-waste-management-a-risk-analysis-approach
#3
Neha Mehta, Giovanna Antonella Dino, Franco Ajmone-Marsan, Manuela Lasagna, Chiara Romè, Domenico Antonio De Luca
Abandoned mine sites continue to present serious environmental hazards because the heavy metals associated with extractive waste are continuously released into the environment, where they threaten human life and the environment. Remediating and securing extractive waste are complex, lengthy and costly processes. Thus, in most European countries, a site is considered for intervention when it poses a risk to human health and the surrounding environment. As a consequence, risk analysis presents a viable decisional approach towards the management of extractive waste...
December 8, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29225939/mapping-global-policy-discourse-on-antimicrobial-resistance
#4
Didier Wernli, Peter S Jørgensen, Chantal M Morel, Scott Carroll, Stephan Harbarth, Nicolas Levrat, Didier Pittet
The rising importance of antimicrobial resistance (AMR) to the global health agenda is associated with a growing number of parties voicing their concern about the issue. With more recommendations and policies appearing, understanding the policy process requires making sense of the views, values, interests and goals of each participant. Policy frame analysis provides a method to understand both the scientific view and the actions advocated by global health actors to tackle AMR. Here we review and refine policy frame analyses of AMR using a deductive approach...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29225913/action-3-30r-protocol-for-a-cluster-randomised-feasibility-study-of-a-revised-teaching-assistant-led-extracurricular-physical-activity-intervention-for-8-to-10-year-olds
#5
Byron Tibbitts, Alice Porter, Simon J Sebire, Chris Metcalfe, Emma Bird, Jane Powell, Russell Jago
Background: Approximately half of 7-year-old children do not meet physical activity (PA) recommendations. Interventions targeting primary school children's afterschool discretionary time could increase PA. Teaching assistants (TAs) are a school resource and could be trained to deliver after-school PA programmes. Building on earlier work, this paper describes the protocol for a cluster randomised feasibility study of a teaching assistant-led after-school intervention aimed at increasing PA levels of year 4 and 5 children (8-10 years old)...
2017: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29221989/differential-targeting-of-membrane-lipid-domains-by-caffeic-acid-and-its-ester-derivatives
#6
Hugo A L Filipe, Carla Sousa, Joaquim T Marquês, Diogo Vila-Viçosa, António de Granada Flor, Ana S Viana, M Soledade C S Santos, Miguel Machuqueiro, Rodrigo F M de Almeida
Phenolic acids have been associated to a wide range of important health benefits underlain by a common molecular mechanism of action. Considering that significant membrane permeation is prevented by their hydrophilic character, we hypothesize that their main effects result from the interplay with cell membrane surface. This hypothesis was tested using the paradigmatic caffeic acid (CA) and two of its ester derivatives, rosmarinic (RA) and chlorogenic (CGA) acids, for which we predict, based on molecular dynamics simulations, a shallow location in phospholipid bilayers dependent on the protonation-state...
December 5, 2017: Free Radical Biology & Medicine
https://www.readbyqxmd.com/read/29219085/perceptions-about-data-informed-decisions-an-assessment-of-information-use-in-high-hiv-prevalence-settings-in-south-africa
#7
Edward Nicol, Debbie Bradshaw, Jeannine Uwimana-Nicol, Lilian Dudley
BACKGROUND: Information-use is an integral component of a routine health information system and essential to influence policy-making, program actions and research. Despite an increased amount of routine data collected, planning and resource-allocation decisions made by health managers for managing HIV programs are often not based on data. This study investigated the use of information, and barriers to using routine data for monitoring the prevention of mother-to-child transmission of HIV (PMTCT) programs in two high HIV-prevalence districts in South Africa...
December 4, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29211184/participatory-environmental-diagnosis-and-of-health-risks-from-the-surrounding-communities-the-petrochemical-complex-of-rio-de-janeiro-brazil
#8
Marcela de Abreu Moniz, Vera Maria Sabóia, Cleber Nascimento do Carmo, Sandra de Souza Hacon
The aim of this study was to diagnose the priority socio environmental problems and the health risks from the surrounding communities the Petrochemical Complex of Rio de Janeiro. Characterized by a participatory approach, the action research has led to the application of interviews, focal groups, meetings and workshop with social actors of Porto das Caixas and Sambaetiba districts, located in Itaboraí city/RJ from November 2013 to December 2014. A structural analysis of the problems prioritized by the communities (water supply, sewage treatment and risk of transmissible diseases; risk of air pollution and respiratory diseases; absence of public security and risk of violence) sketched out the cause-effect-intervention relationship, on the basis of the Protocol for Assessing Community Excellence in Environmental Health...
November 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29210185/redemption-of-the-spoiled-identity-the-role-of-hiv-positive-individuals-in-hiv-care-cascade-interventions
#9
Carol S Camlin, Edwin D Charlebois, Elvin Geng, Fred Semitala, Jeanna Wallenta, Monica Getahun, Leatitia Kampiire, Elizabeth A Bukusi, Norton Sang, Dalsone Kwarisiima, Tamara D Clark, Maya L Petersen, Moses R Kamya, Diane V Havlir
INTRODUCTION: The concept of "therapeutic citizenship" has drawn attention to ways in which public testimony, the "story-telling in the public sphere" undertaken by people living with HIV (PLHIV), has shaped the global response to the epidemic. This paper presents qualitative findings from two large studies in eastern Africa that reveal how the advent of population-based HIV testing campaigns and efforts to accelerate antiretroviral "treatment for all" has precipitated a rapidly expanding therapeutic citizenship "project," or social movement...
December 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29208000/dynamics-behind-the-scale-up-of-evidence-based-obesity-prevention-protocol-for-a-multi-site-case-study-of-an-electronic-implementation-monitoring-system-in-health-promotion-practice
#10
Kathleen P Conte, Sisse Groen, Victoria Loblay, Amanda Green, Andrew Milat, Lina Persson, Christine Innes-Hughes, Jo Mitchell, Sarah Thackway, Mandy Williams, Penelope Hawe
BACKGROUND: The effectiveness of many interventions to promote health and prevent disease has been well established. The imperative has therefore shifted from amassing evidence about efficacy to scale-up to maximise population-level health gains. Electronic implementation monitoring, or 'e-monitoring', systems have been designed to assist and track the delivery of preventive policies and programs. However, there is little evidence on whether e-monitoring systems improve the dissemination, adoption, and ongoing delivery of evidence-based preventive programs...
December 6, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29206942/understanding-decision-making-in-cardiac-imaging-determinants-of-appropriate-use
#11
Ricardo Fonseca, Kim Jose, Thomas H Marwick
Aims: Appropriate Use Criteria (AUC) for echocardiography were developed in 2007 to facilitate decision-making, reduce variability in test utilization, and encourage rational use of imaging. However, there is little evidence that the AUC have favourably influenced ordering behaviour. This study explores the factors that contribute to clinicians requesting echocardiograms with a focus on appropriate use. Methods and results: Semi-structured face-to-face interviews with cardiologists and non-cardiologists who had requested echocardiograms were conducted at an Australian tertiary hospital...
November 30, 2017: European Heart Journal Cardiovascular Imaging
https://www.readbyqxmd.com/read/29206705/institution-of-just-culture-physician-peer-review-in-an-academic-medical-center
#12
Judith K Volkar, Paul Phrampus, Dennis English, Ronald Johnson, Ashley Medeiros, Mark Zacharia, Richard Beigi
OBJECTIVES: For academic medical centers to improve quality outcomes, identification and optimization of opportunities for improvement are necessary. Effective clinical peer review frequently has limitations on timeliness, transparency, and consideration of system processes related to untoward clinical outcomes. We developed a process to overcome these barriers and capture opportunities for process improvement identified within the clinical peer review system. METHODS: A multidisciplinary committee was formed to evaluate the current process of physician peer review at Magee Womens Hospital of the University of Pittsburgh Medical Center...
December 5, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/29205909/standing-up-for-student-health-an-application-of-the-health-action-process-approach-for-reducing-student-sedentary-behavior-randomised-control-pilot-trial
#13
Wuyou Sui, Harry Prapavessis
BACKGROUND: Sedentary behavior (SB) has been associated with chronic diseases. University students are a high-risk population for excessive SB. The purpose of this pilot study was to determine if a Health Action Process Approach (HAPA) based intervention, specifically action and coping planning, would increase student break frequency and decrease duration. METHODS: Fifty-two university students (14 men, mean age 23.5) were randomised into an 8-week HAPA-treatment (sedentary behavior) or HAPA-control (nutrition) group...
December 5, 2017: Applied Psychology. Health and Well-being
https://www.readbyqxmd.com/read/29204229/assessment-of-primary-health-care-in-the-treatment-of-tuberculosis-in-a-brazilian-locality-of-the-international-triple-frontier
#14
Reinaldo Antonio Silva-Sobrinho, Anneliese Domingues Wysocki, Lúcia Marina Scatena, Erika Simone Galvão Pinto, Aline Ale Beraldo, Rubia Laine Paula Andrade, Adriana Zilly, Rosane Meire Munhak da Silva, Michela Prestes Gomes, Paulo César Morales Mayer, Antonio Ruffino-Netto, Tereza Cristina Scatena Villa
Objective: To evaluate the performance of Primary Health Care (PHC) in treatment of TB patients in a triple international border municipality. Methods: The present study was an evaluative survey of cross-sectional and quantitative approach conducted with 225 PHC healthcare professionals. Data was collected through a structured and validated instrument, which provided five indicators of "structure" and four indicators of "process" classified as unsatisfactory, regular or satisfactory...
2017: Open Nursing Journal
https://www.readbyqxmd.com/read/29202072/participatory-approach-to-design-social-accountability-interventions-to-improve-maternal-health-services-a-case-study-from-the-democratic-republic-of-the-congo
#15
Eric M Mafuta, Marjolein A Dieleman, Leon Essink, Paul N Khomba, François M Zioko, Thérèse N M Mambu, Patrick K Kayembe, Tjard de Cock Buning
Background: Social accountability (SA) comprises a set of mechanisms aiming to, on the one hand, enable users to raise their concerns about the health services provided to them (voice), and to hold health providers (HPs) accountable for actions and decisions related to the health service provision. On the other hand, they aim to facilitate HPs to take into account users' needs and expectations in providing care. This article describes the development of a SA intervention that aims to improve health services responsiveness in two health zones in the Democratic Republic of the Congo...
2017: Global Health Research and Policy
https://www.readbyqxmd.com/read/29199532/translating-knowledge-from-a-family-systems-approach-to-clinical-practice-insights-from-knowledge-translation-research-experiences
#16
Fabie Duhamel
While there has been continued growth in family nursing knowledge, the complex process of implementing and sustaining family nursing in health care settings continues to be a challenge for family nursing researchers and clinicians alike. Developing knowledge and skills about how to translate family nursing theory to practice settings is a global priority to make family nursing more visible. There is a critical need for more research methods and research evidence about how to best move family nursing knowledge into action...
November 2017: Journal of Family Nursing
https://www.readbyqxmd.com/read/29195704/stakeholder-influence-in-public-sector-information-systems-strategy-implementation-the-case-of-public-hospitals-in-south-africa
#17
Boroto Hwabamungu, Irwin Brown, Quentin Williams
Recent literature on organisational strategy has called for greater emphasis on individuals (stakeholders) and what they do in the process of strategizing. Public sector organisations have to engage with an array of heterogeneous stakeholders in fulfilling their mandate. The public health sector in particular needs to engage with a diversity of stakeholders at local, regional and national levels when strategising. The purpose of this study is to investigate the influence of stakeholder relations on the implementation of Information Systems (IS) strategy in public hospitals in South Africa...
January 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29190289/malera-an-updated-research-agenda-for-health-systems-and-policy-research-in-malaria-elimination-and-eradication
#18
(no author information available yet)
Health systems underpin disease elimination and eradication programmes. In an elimination and eradication context, innovative research approaches are needed across health systems to assess readiness for programme reorientation, mitigate any decreases in effectiveness of interventions ('effectiveness decay'), and respond to dynamic and changing needs. The malaria eradication research agenda (malERA) Refresh consultative process for the Panel on Health Systems and Policy Research identifies opportunities to build health systems evidence and the tools needed to eliminate malaria from different zones, countries, and regions and to eradicate it globally...
November 2017: PLoS Medicine
https://www.readbyqxmd.com/read/29179778/determining-requirements-for-patient-centred-care-a-participatory-concept-mapping-study
#19
Kathryn Ogden, Jennifer Barr, David Greenfield
BACKGROUND: Recognition of a need for patient-centred care is not new, however making patient-centred care a reality remains a challenge to organisations. We need empirical studies to extend current understandings, create new representations of the complexity of patient-centred care, and guide collective action toward patient-centred health care. To achieve these ends, the research aim was to empirically determine what organisational actions are required for patient-centred care to be achieved...
November 28, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29161600/monitoring-wastewater-for-assessing-community-health-sewage-chemical-information-mining-scim
#20
Christian G Daughton
Timely assessment of the aggregate health of small-area human populations is essential for guiding the optimal investment of resources needed for preventing, avoiding, controlling, or mitigating human exposure risks, as well as for maintaining or promoting health. Seeking those interventions yielding the greatest benefit with respect to the allocation of resources is critical for making progress toward community sustainability, reducing health disparities, promoting social justice, and maintaining or improving collective health and well-being...
November 18, 2017: Science of the Total Environment
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