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https://www.readbyqxmd.com/read/29790166/physical-therapy-as-the-first-point-of-care-to-treat-low-back-pain-an-instrumental-variables-approach-to-estimate-impact-on-opioid-prescription-health-care-utilization-and-costs
#1
Bianca K Frogner, Kenneth Harwood, C Holly A Andrilla, Malaika Schwartz, Jesse M Pines
OBJECTIVE: To compare differences in opioid prescription, health care utilization, and costs among patients with low back pain (LBP) who saw a physical therapist (PT) at the first point of care, at any time during the episode or not at all. DATA SOURCES: Commercial health insurance claims data, 2009-2013. STUDY DESIGN: Retrospective analyses using two-stage residual inclusion instrumental variable models to estimate rates for opioid prescriptions, imaging services, emergency department visits, hospitalization, and health care costs...
May 23, 2018: Health Services Research
https://www.readbyqxmd.com/read/29789217/outcomes-and-cost-of-open-versus-endovascular-repair-of-intact-thoracoabdominal-aortic-aneurysm
#2
Satinderjit Locham, Hanaa Dakour-Aridi, Besma Nejim, Jasninder Dhaliwal, Widian Alshwaily, Mahmoud Malas
OBJECTIVE: Many previous studies have evaluated the outcomes of open and endovascular repair of thoracoabdominal aortic aneurysms (TAAAs). However, little is known about the differences in cost of these procedures and the potential factors driving these differences. The aim of this study was to evaluate the outcomes and cost of open aortic repair (OAR) vs endovascular repair of intact TAAA. METHODS: All patients undergoing repair for intact TAAA were identified in the Premier Healthcare Database (July 2009-March 2015)...
May 19, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29779794/understanding-pain-and-pain-management-in-elderly-nursing-home-patients-applying-an-interprofessional-learning-activity-in-health-care-students-a-norwegian-pilot-study
#3
Elin Damsgård, Hege Solgård, Karin Johannessen, Katrine Wennevold, Gunnvald Kvarstein, Gunn Pettersen, Beate Garcia
Pain is common among elderly patients in nursing homes. However, pain assessment and treatment are inadequate. Interprofessional treatment is recommended, and consequently interprofessional education in pain management is necessary. This pilot project aimed to describe how two interprofessional groups of students approached pain management in two nursing home patients. We formed two teams comprising one student from the nursing, physical therapy, pharmacy, and medical educations. Each team spent one day examining a patient with chronic pain at a nursing home and they developed pain management plans...
May 17, 2018: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://www.readbyqxmd.com/read/29764637/association-between-physical-activity-and-grade-point-average-among-a-cohort-of-pharmacy-students-in-didactic-years
#4
Qingqing Xu, Sujit S Sansgiry
INTRODUCTION: The physical activity (PA) behavior and its association with academic performance has not been examined among professional pharmacy (PharmD) students in didactic years. METHODS: A survey was administered to a cohort of PharmD students at University of Houston that collected information related to each student's PA and grade point average (GPA). Correlation analyses and multiple regression were performed to evaluate factors associated with GPA. RESULTS: The response rate was 58...
March 2018: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29763935/comorbidities-are-associated-with-altered-health-services-use-in-multiple-sclerosis-a-prospective-cohort-study
#5
Kyla A McKay, Ruth Ann Marrie, John D Fisk, Scott B Patten, Helen Tremlett
BACKGROUND: Persons with multiple sclerosis (MS) use health resources with greater frequency than the general population. However, little is known regarding which patient characteristics might contribute. OBJECTIVE: The study aimed to evaluate characteristics associated with healthcare use in MS patients. METHODS: Consecutive MS clinic attendees were recruited (September-November 2010), with clinical, demographic, and patient-completed questionnaires collected at 3 visits over 2 years...
May 15, 2018: Neuroepidemiology
https://www.readbyqxmd.com/read/29741408/shifting-perspectives-on-pain-management-after-an-interprofessional-international-service-learning-experience-a-qualitative-assessment-of-pilot-data
#6
Catherine D Noonan, Sarah Scow, Brittany A Sheagley, Jennifer Bunn
Interprofessional education and international service learning (ISL) experiences are increasing in healthcare education and have the potential to broaden healthcare providers' strategies to manage patients' pain. After the addition of a physical therapy (PT) cohort to an existing interprofessional ISL, survey data was collected for program evaluation. Responses indicated altered ideation regarding the role of PT in pain management, and this theme was investigated further. Following two one-week interprofessional ISL experiences in Honduras in 2015 (Y1) and 2016 (Y2), participating students and preceptors in pharmacy, physician assistant and osteopathic medicine and Y1 PT preceptors were surveyed regarding their impressions of the PT cohort and the PT profession in general...
May 9, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29734323/-risk-assessment-related-to-galenic-products
#7
Emanuela Vittoria, Raffaella Campana, Rita Pugliese, Luigia Sabatini, Diego Pugliè, Wally Baffone
The risks associated with the preparation of galenic products prepared at a local pharmacy have been hypothesized and evaluated, also carrying out a microbiological environmental monitoring of the used surfaces. Three possible situations risk were evaluated: the first one related to the physical separation of the production phases (medium risk of occurrence), the second to the failure to restore hygienic conditions in the transition from different formulations (high risk of occurrence), the third to contamination caused by the operator itself (unacceptable risk of occurrence)...
January 2018: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/29734008/biochemistry-and-biomedicine-of-quantum-dots-from-biodetection-to-bioimaging-drug-discovery-diagnosis-and-therapy
#8
REVIEW
Jun Yao, Pingfan Li, Lin Li, Mei Yang
According to recent research, nanotechnology based on quantum dots (QDs) has been widely applied in the field of bioimaging, drug delivery, and drug analysis. Therefore, it has become one of the major forces driving basic and applied research. The application of nanotechnology in bioimaging has been of concern. Through in vitro labeling, it was found that luminescent QDs possess many properties such as narrow emission, broad UV excitation, bright fluorescence, and high photostability. The QDs also show great potential in whole-body imaging...
May 4, 2018: Acta Biomaterialia
https://www.readbyqxmd.com/read/29720928/evaluation-of-a-short-food-frequency-questionnaire-to-assess-cardiovascular-disease-related-diet-and-lifestyle-factors
#9
Karianne Svendsen, Hege Berg Henriksen, Beate Østengen, David R Jacobs, Vibeke H Telle-Hansen, Monica H Carlsen, Kjetil Retterstøl
Background: The Vascular lifestyle-Intervention and Screening in phArmacies (VISA) study investigates diet and lifestyle factors associated with risk of cardiovascular disease (CVD). As part of the study methodology, a short Food Frequency Questionnaire (FFQ), the VISA-FFQ, was adapted from the Norwegian NORDIET-FFQ. Objective: The aim of this study was to evaluate the VISA-FFQ and its ability to estimate intakes of foods and lifestyle factors in screening for elevated risk of CVD...
2018: Food & Nutrition Research
https://www.readbyqxmd.com/read/29710007/-approach-to-practical-training-in-basic-clinical-pharmacy-for-third-year-pharmacy-students-literature-appraisal-and-professional-writing
#10
Ryuichi Ogawa
 Training pharmacy students to become future clinical pharmacists is an important mission in the 6-year school of pharmacy curriculum in Japan. Since 2014, we have conducted an on-campus practical training program to develop basic skills in clinical pharmacy for third-year pharmacy students at Meiji Pharmaceutical University. This training program includes searching for and retrieving drug information; interpretation of laboratory findings, vital signs, and physical examinations; literature appraisal; and professional writing...
2018: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
https://www.readbyqxmd.com/read/29706279/a-pilot-ipe-workshop-integrating-ot-pharmacy-pt-and-pa-programs
#11
Diane E Hadley, Jennifer S Pitonyak, Kimberly D Wynarczuk, Sanchita Sen, Joan F Ward, Radha V Patel
BACKGROUND AND PURPOSE: This article describes the development, implementation, and evaluation of an interprofessional education (IPE) experience. EDUCATIONAL ACTIVITY AND SETTING: The IPE experience included 53 student learners from occupational therapy, pharmacy, physical therapy, and physician assistant programs at the University of the Sciences (USciences). This experience used an icebreaker activity and a stroke case-based activity as the activities within the workshop...
February 2018: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29692877/predictors-of-transitioning-to-incident-chronic-opioid-therapy-among-working-age-adults-in-the-united-states
#12
J Douglas Thornton, Nilanjana Dwibedi, Virginia Scott, Charles D Ponte, Douglas Ziedonis, Nethra Sambamoorthi, Usha Sambamoorthi
Background: Opioids have been prescribed and used for chronic noncancer pain at prolific rates in the United States during the past 2 decades. Patients who transition to incident chronic opioid therapy are at increased risk for significant negative health consequences, including cardiovascular risk, endocrine disorders, opioid use disorder, and death. Objective: To identify the leading predictors associated with transitioning to incident chronic opioid therapy among working-age adults without cancer...
February 2018: American Health & Drug Benefits
https://www.readbyqxmd.com/read/29690897/a-qualitative-study-of-safe-abortion-and-post-abortion-family-planning-service-experiences-of-women-attending-private-facilities-in-kenya
#13
Suzanne Penfold, Susy Wendot, Inviolata Nafula, Katharine Footman
BACKGROUND: To inform improvements in safe abortion and post-abortion family planning (PAFP) services, this study aimed to explore the pathways, decision-making, experiences and preferences of women receiving safe abortion and post-abortion family planning (PAFP) at private clinics in western Kenya. METHODS: We conducted semi-structured interviews with 22 women who had recently used a safe abortion service from a private clinic. Interviews explored abortion-seeking behaviour and decision-making, abortion experience, use and knowledge of contraception, experience of PAFP counselling, and perceived facilitators of and challenges to family planning use...
April 24, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29678148/knowledge-and-practice-of-patients-with-diabetes-mellitus-in-lebanon-a-cross-sectional-study
#14
Lamis R Karaoui, Mary E Deeb, Layal Nasser, Souheil Hallit
BACKGROUND: The objective of this study was to assess the knowledge and practice of Lebanese patients living with diabetes mellitus in regards to their diabetes self- management. METHODS: A cross-sectional study, conducted between January and June 2015, enrolled 207 urban adult patients with diabetes mellitus from community pharmacies while purchasing their diabetes medications. Their knowledge and self-management practices were assessed using a structured anonymous interview survey questionnaire...
April 20, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29657545/uninsured-migrants-health-insurance-coverage-and-access-to-care-among-mexican-return-migrants
#15
Joshua Wassink
Background: Despite an expansive body of research on health and access to medical care among Mexican immigrants in the United States, research on return migrants focuses primarily on their labor market mobility and contributions to local development. Objective: Motivated by recent scholarship that documents poor mental and physical health among Mexican return migrants, this study investigates return migrants' health insurance coverage and access to medical care...
2018: Demographic Research
https://www.readbyqxmd.com/read/29617486/-structure-of-primary-healthcare-units-for-treating-persons-with-diabetes-cycles-i-and-ii-of-the-brazilian-national-program-to-improve-access-and-quality
#16
Rosália Garcia Neves, Suele Manjourany Silva Duro, Javier Muñiz, Teresa Rosalia Pérez Castro, Luiz Augusto Facchini, Elaine Tomasi
The objective was to describe the necessary structure for treating diabetes patients in the primary healthcare system, as evaluated in Cycles I and II of the Brazilian National Program for the Improvement of Access and Quality (PMAQ) in 2012 and 2014, according to the municipalities' characteristics. A descriptive study was used to assess primary care units whose teams participated in Cycles I and II of the PMAQ in 2012 and 2014. The study used variables from Module I of the external evaluation of the PMAQ that addresses the primary care units' structure...
March 29, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29614888/service-quality-and-perceived-customer-value-in-community-pharmacies
#17
Dennis Guhl, Katharina E Blankart, Tom Stargardt
A patient's perception of the service provided by a health care provider is essential for the successful delivery of health care. This study examines the value created by community pharmacies-defined as perceived customer value-in the prescription drug market through varying elements of service quality. We develop a path model that describes the relationship between service elements and perceived customer value. We then analyze the effect of perceived customer value on customer satisfaction and loyalty. We use data obtained from 289 standardized interviews on respondents' prescription fill in the last six months in Germany...
January 1, 2018: Health Services Management Research
https://www.readbyqxmd.com/read/29601550/exploration-of-the-use-of-new-psychoactive-substances-by-individuals-in-treatment-for-substance-misuse-in-the-uk
#18
Rosalind Gittins, Amira Guirguis, Fabrizio Schifano, Ian Maidment
Substance misuse services need to meet the growing demand and needs of individuals using new psychoactive substances (NPS). A review of the literature identified a paucity of research regarding NPS use by these individuals and UK guidelines outline the need for locally tailored strategies. The purpose of this qualitative study was to identify and explore key themes in relation to the use of NPS by individuals receiving community treatment for their substance use. Electronic records identified demographics and semi-structured interviews were undertaken...
March 30, 2018: Brain Sciences
https://www.readbyqxmd.com/read/29554952/in-vitro-comparative-quality-evaluation-of-different-brands-of-esomeprazole-tablets-available-in-selected-community-pharmacies-in-dhaka-bangladesh
#19
Oby Dulla, Sharifa Sultana, Md Shohag Hosen
OBJECTIVE: Esomeprazole is the S-isomer of omeprazole, used to treat gastro esophageal reflux disease. It is one of the widely manufactured and marketed drugs by many pharmaceutical companies in Bangladesh. The aim of the study is to compare the different physical parameters including hardness, friability, diameter, thickness, disintegration time, dissolution test and assay for quality evaluation and characterization of tablets of five different brands of Bangladeshi pharmaceutical company...
March 20, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29542033/patients-perspective-of-the-impact-of-copd-on-quality-of-life-a-focus-group-study-for-patients-with-copd
#20
Anan Jarab, Eman Alefishat, Tareq Mukattash, Karem Alzoubi, Sharrel Pinto
Background The quality of life has been shown to be poor in patients with chronic obstructive pulmonary disease (COPD). Furthermore, patients' perspective and attitudes toward COPD and its impact on their quality of life have been remarkably ignored. Objective To explore patients' views and perceptions regarding COPD and its impact on their quality of life. Setting COPD clinic at the Royal Medical Services Hospital, Amman, Jordan. Method Focus groups discussions to explore patients' views and perceptions about COPD were conducted using purposive sampling technique till data saturation achieved...
March 14, 2018: International Journal of Clinical Pharmacy
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