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https://www.readbyqxmd.com/read/29681631/management-of-medical-care-a-fundamental-tool-for-resident-doctors
#1
Guillermo Fajardo-Ortiz, Héctor Robledo
In the area of medical education, and particularly in our country, medical residencies are the best educational programs for a graduated physicians; however, when young medical doctors begin a residence at hospitals, they hardly poses knowledge about the way medical services work as well as the processes they involve, which directly affects the fulfillment of their tasks, their process of learning and more importantly, it interferes in the services provided by the hospital. Therefore, it is imperative to immerse residents in the management of medical care and let them know that its main function is to harmoniously articulate every medical-administrative process related to patients as well as human, material and financial resources...
2018: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/29681044/benefit-risk-of-patients-online-access-to-their-medical-records-consensus-exercise-of-an-international-expert-group
#2
Harshana Liyanage, Siaw-Teng Liaw, Emmanouela Konstantara, Freda Mold, Richard Schreiber, Craig Kuziemsky, Amanda L Terry, Simon de Lusignan
BACKGROUND:  Patients' access to their computerised medical records (CMRs) is a legal right in many countries. However, little is reported about the benefit-risk associated with patients' online access to their CMRs. OBJECTIVE:  To conduct a consensus exercise to assess the impact of patients' online access to their CMRs on the quality of care as defined in six domains by the Institute of Medicine (IoM), now the National Academy of Medicine (NAM). METHOD:  A five-round Delphi study was conducted...
April 22, 2018: Yearbook of Medical Informatics
https://www.readbyqxmd.com/read/29677675/nitrogen-use-efficiency-and-crop-production-patterns-of-regional-variation-in-the-united-states-1987-2012
#3
Dennis P Swaney, Robert W Howarth, Bongghi Hong
National-level summaries of crop production and nutrient use efficiency, important for international comparisons, only partially elucidate agricultural dynamics within a country. Agricultural production and associated environmental impacts in large countries vary significantly because of regional differences in crops, climate, resource use and production practices. Here, we review patterns of regional crop production, nitrogen use efficiency (NUE), and major inputs of nitrogen to US crops over 1987-2012, based on the Farm Resource Regions developed by the Economic Research Service (USDA-ERS)...
April 17, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29676876/exploring-the-role-of-advanced-nurse-practitioners-in-leadership
#4
Claire Anderson
There have been several changes to healthcare services in the UK over recent years, with rising NHS costs and increasing demands on healthcare professionals to deliver high-quality care. Simultaneously, public inquiries have identified suboptimal leadership throughout the NHS, which has been linked to a lack of clear leadership across the healthcare professions. In nursing, the role of the advanced nurse practitioner is regarded as a solution to this leadership challenge. This article examines the background to the development of the advanced nurse practitioner role...
April 19, 2018: Nursing Standard
https://www.readbyqxmd.com/read/29676057/the-effects-of-acute-alcohol-withdrawal-on-sleep
#5
Christopher J Hodges, Rowan P Ogeil, Dan I Lubman
OBJECTIVES: Although sleep disturbances are prominent during alcohol withdrawal, less is known about the specific components of sleep that are disturbed prior to and during acute detoxification. This study aimed to determine whether specific sleep components are affected prior to and during acute detoxification and their relationship to psychological distress. METHODS: Twenty-nine participants were recruited from a residential detoxification service in Melbourne, Australia, and completed both subjective methods of sleep and distress, in addition to wearing an actigraphy device...
April 20, 2018: Human Psychopharmacology
https://www.readbyqxmd.com/read/29673176/a-new-model-for-optimal-mechanical-and-thermal-performance-of-cement-based-partition-wall
#6
Shiping Huang, Mengyu Hu, Yonghui Huang, Nannan Cui, Weifeng Wang
The prefabricated cement-based partition wall has been widely used in assembled buildings because of its high manufacturing efficiency, high-quality surface, and simple and convenient construction process. In this paper, a general porous partition wall that is made from cement-based materials was proposed to meet the optimal mechanical and thermal performance during transportation, construction and its service life. The porosity of the proposed partition wall is formed by elliptic-cylinder-type cavities. The finite element method was used to investigate the mechanical and thermal behaviour, which shows that the proposed model has distinct advantages over the current partition wall that is used in the building industry...
April 17, 2018: Materials
https://www.readbyqxmd.com/read/29662915/patient-perspectives-of-midlevel-providers-in-orthopaedic-sports-medicine
#7
Blaine T Manning, Daniel D Bohl, Charles P Hannon, Michael L Redondo, David R Christian, Brian Forsythe, Shane J Nho, Bernard R Bach
Background: Midlevel providers (eg, nurse practitioners and physician assistants) have been integrated into orthopaedic systems of care in response to the increasing demand for musculoskeletal care. Few studies have examined patient perspectives toward midlevel providers in orthopaedic sports medicine. Purpose: To identify perspectives of orthopaedic sports medicine patients regarding midlevel providers, including optimal scope of practice, reimbursement equity with physicians, and importance of the physician's midlevel provider to patients when initially selecting a physician...
April 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29659535/adaptive-aggregation-routing-to-reduce-delay-for-multi-layer-wireless-sensor-networks
#8
Xujing Li, Anfeng Liu, Mande Xie, Neal N Xiong, Zhiwen Zeng, Zhiping Cai
The quality of service (QoS) regarding delay, lifetime and reliability is the key to the application of wireless sensor networks (WSNs). Data aggregation is a method to effectively reduce the data transmission volume and improve the lifetime of a network. In the previous study, a common strategy required that data wait in the queue. When the length of the queue is greater than or equal to the predetermined aggregation threshold ( N t ) or the waiting time is equal to the aggregation timer ( T t ), data are forwarded at the expense of an increase in the delay...
April 16, 2018: Sensors
https://www.readbyqxmd.com/read/29652816/the-emergency-medical-system-in-greece-opening-aeolus-bag-of-winds
#9
Ourania S Kotsiou, David S Srivastava, Panagiotis Kotsios, Aristomenis K Exadaktylos, Konstantinos I Gourgoulianis
An Emergency Medical Service (EMS) system must encompass a spectrum of care, with dedicated pre-hospital and in-hospital medical facilities. It has to be organised in such a way as to include all necessary services—such as triage accurate initial assessment, prompt resuscitation, efficient management of emergency cases, and transport to definitive care. The global economic downturn has had a direct effect on the health sector and poses additional threats to the healthcare system. Greece is one of the hardest-hit countries...
April 13, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29652045/-the-medical-recreational-and-balneotherapeutic-regions-of-the-krasnoyarsk-territory
#10
N K Dzhabarova, N G Sidorina, I N Smirnova, A A Kokhanenko, N G Klopotova
BACKGROUND: the creation of the efficient system of the spa and health resort-based health care for the population of the entire territory of the Russian Federation requires the systematic evaluation and protection of the natural resources of country as a basis for the further development of the health resort and recreation facilities in different regions. AIM: The objective of the present study was to estimate the possibilities of expansion of the health resort and recreational activities based on the rational exploitation of the natural resources of the medical-recreational and balneotherapeutic areas of the Krasnoyarsk Territory...
April 9, 2018: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/29651778/cost-consequence-analysis-alongside-a-randomised-controlled-trial-of-hospital-versus-telephone-follow-up-after-treatment-for-endometrial-cancer
#11
Padraig Dixon, Kinta Beaver, Susan Williamson, Chris Sutton, Pierre Martin-Hirsch, William Hollingworth
BACKGROUND: Regular outpatient follow-up programmes are usually offered to patients following treatment for gynaecological and other cancers. Despite the substantial resources involved in providing these programmes, there is evidence that routine follow-up programmes do not affect survival or the likelihood of detecting recurrence and may not meet patient needs. Alternative follow-up modalities may offer the same outcomes at lower cost. We examined the costs of using telephone-based routine follow-up of women treated for endometrial cancer undertaken by specialist gynaecology oncology nurses in comparison to routine hospital-based follow-up...
April 12, 2018: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/29651205/errors-in-the-extra-analytical-phases-of-clinical-chemistry-laboratory-testing
#12
Annalise E Zemlin
The total testing process consists of various phases from the pre-preanalytical to the post-postanalytical phase, the so-called brain-to-brain loop. With improvements in analytical techniques and efficient quality control programmes, most laboratory errors now occur in the extra-analytical phases. There has been recent interest in these errors with numerous publications highlighting their effect on service delivery, patient care and cost. This interest has led to the formation of various working groups whose mission is to develop standardized quality indicators which can be used to measure the performance of service of these phases...
April 2018: Indian Journal of Clinical Biochemistry: IJCB
https://www.readbyqxmd.com/read/29651197/a-strategy-for-sperm-cryopreservation-of-atlantic-salmon-salmo-salar-for-remote-commercial-scale-high-throughput-processing
#13
Huiping Yang, E Hu, John T Buchanan, Terrence R Tiersch
Sperm cryopreservation is an essential tool for long-term storage of genetic resources for aquaculture fishes. The goal of this study was to develop an efficient and streamlined protocol for high-throughput processing for sperm cryopreservation in Atlantic salmon, Salmo salar . The objectives were to evaluate: 1) osmolality of blood serum for determining extender osmolality; 2) effects of extenders for fresh sperm dilution and refrigerated storage; 3) effects of methanol and dimethyl sulfoxide (DMSO) on fresh sperm motility, and 4) motility and fertility after thawing...
February 2018: Journal of the World Aquaculture Society
https://www.readbyqxmd.com/read/29649007/practice-of-teledermatopathology-a-systematic-review
#14
Jasmine Saleh
INTRODUCTION: Teledermatopathology has the potential to revolutionize the practice of diagnosing skin diseases. This review provides an overview of the advantages, limitations, and future directions of teledermatopathology. METHODS: MEDLINE was searched via PubMed and Google Scholar databases for relevant articles published from 2012 to the present. Additional articles were also identified by hand-searching. RESULTS: A total of 2675 citations were identified in the initial search...
April 11, 2018: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/29642889/a-methodology-to-extract-outcomes-from-routine-healthcare-data-for-patients-with-locally-advanced-non-small-cell-lung-cancer
#15
Swee-Ling Wong, Kate Ricketts, Gary Royle, Matt Williams, Ruheena Mendes
BACKGROUND: Outcomes for patients in UK with locally advanced non-small cell lung cancer (LA NSCLC) are amongst the worst in Europe. Assessing outcomes is important for analysing the effectiveness of current practice. However, data quality is inconsistent and regular large scale analysis is challenging. This project investigates the use of routine healthcare datasets to determine progression free survival (PFS) and overall survival (OS) of patients treated with primary radical radiotherapy for LA NSCLC...
April 11, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29623157/collaborative-comanagement-between-neurohospitalists-and-internal-medicine-hospitalists-decreases-provider-costs-and-enhances-satisfaction-with-neurology-care-at-an-academic-medical-center
#16
James G Greene
Background and Purpose: The majority of academic medical centers are moving to a neurohospitalist model of care for hospital neurology coverage. Potential benefits over a more traditional academic model of patient care include greater expertise in acute neurologic disease, increased efficiency, and improved availability to patients, providers, and learners. Despite these perceived advantages, switching to a neurohospitalist model can come at substantial financial cost, so finding ways to maximize the positive impact of a limited number of neurohospitalists is very important to the future health of academic neurology departments...
April 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29617084/functional-outcomes-and-quality-of-life-after-transobturatory-slings-hand-made-vs-commercial-slings
#17
Danilo Budib Lourenço, Fernando Korkes, José Eduardo Vetorazzo, Silvia da Silva Carramão, Antônio Pedro Flores Auge, Luis Gustavo Morato de Toledo
Surgical correction is the most efficient treatment for stress urinary incontinence (SUI), and transobturator sling (TO) has optimal results. The high cost of commercially available sling kits makes it difficult the access in most Brazilian public health services. Hand-made polypropylene slings, on the other hand, have been previously reported. The aim of the present study was to compare the effectiveness and safety of commercial vs. hand-made polypropylene mesh slings. Data from 57 women who underwent consecutive TO sling surgery to treat SUI were pros-pectively collected between 2012 and 2014, and divided in two groups for further comparison...
February 28, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29615387/strengthening-routine-data-systems-to-track-the-hiv-epidemic-and-guide-the-response-in-sub-saharan-africa
#18
Brian Rice, Andrew Boulle, Stefan Baral, Matthias Egger, Paul Mee, Elizabeth Fearon, Georges Reniers, Jim Todd, Sandra Schwarcz, Sharon Weir, George Rutherford, James Hargreaves
The global HIV response has entered a new phase with the recommendation of treating all persons living with HIV with antiretroviral therapy, and with the goals of reducing new infections and AIDS-related deaths to fewer than 500,000 by 2020. This new phase has intensive data requirements that will need to utilize routine data collected through service delivery platforms to monitor progress toward these goals. With a focus on sub-Saharan African, we present the following priorities to improve the demand, supply, and use of routine HIV data: (1) strengthening patient-level HIV data systems that support continuity of clinical care and document sentinel events; (2) leveraging data from HIV testing programs; (3) using targeting data collection in communities and among clients; and (4) building capacity and promoting a culture of HIV data quality assessment and use...
April 3, 2018: JMIR Public Health and Surveillance
https://www.readbyqxmd.com/read/29614131/association-between-quality-domains-and-health-care-spending-across-physician-networks
#19
Farah Rahman, Jun Guan, Richard H Glazier, Adalsteinn Brown, Arlene S Bierman, Ruth Croxford, Therese A Stukel
One of the more fundamental health policy questions is the relationship between health care quality and spending. A better understanding of these relationships is needed to inform health systems interventions aimed at increasing quality and efficiency of care. We measured 65 validated quality indicators (QI) across Ontario physician networks. QIs were aggregated into domains representing six dimensions of care: screening and prevention, evidence-based medications, hospital-community transitions (7-day post-discharge visit with a primary care physician; 30-day post-discharge visit with a primary care physician and specialist), potentially avoidable hospitalizations and emergency department (ED) visits, potentially avoidable readmissions and unplanned returns to the ED, and poor cancer end of life care...
2018: PloS One
https://www.readbyqxmd.com/read/29610290/implementation-and-quality-assessment-of-a-pharmacy-services-call-center-for-outpatient-pharmacies-and-specialty-pharmacy-services-in-an-academic-health-system
#20
Matthew H Rim, Karen C Thomas, Jane Chandramouli, Stephanie A Barrus, Nancy A Nickman
PURPOSE: The implementation and quality assessment of a pharmacy services call center (PSCC) for outpatient pharmacies and specialty pharmacy services within an academic health system are described. SUMMARY: Prolonged wait times in outpatient pharmacies or hold times on the phone affect the ability of pharmacies to capture and retain prescriptions. To support outpatient pharmacy operations and improve quality, a PSCC was developed to centralize handling of all outpatient and specialty pharmacy calls...
April 2, 2018: American Journal of Health-system Pharmacy: AJHP
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