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https://www.readbyqxmd.com/read/28628498/earlier-physical-therapy-input-is-associated-with-a-reduced-length-of-hospital-stay-and-reduced-care-needs-on-discharge-in-frail-older-inpatients-an-observational-study
#1
Peter J Hartley, Victoria L Keevil, Ledia Alushi, Rebecca L Charles, Eimear B Conroy, Patricia M Costello, Becki Dixon, Aida M Dolinska-Grzybek, Diana Vajda, Roman Romero-Ortuno
BACKGROUND AND PURPOSE: Pressures on hospital bed occupancy in the English National Health Service have focused attention on enhanced service delivery models and methods by which physical therapists might contribute to effective cost savings, while retaining a patient-centered approach. Earlier access to physical therapy may lead to better outcomes in frail older inpatients, but this has not been well studied in acute National Health Service hospitals. Our aim was to retrospectively study the associations between early physical therapy input and length of hospital stay (LOS), functional outcomes, and care needs on discharge...
June 16, 2017: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/28627844/patient-care-in-family-medicine-what-s-new-in-the-2016-literature-findings
#2
Christine Cohidon, Nicolas Senn
During the last two decades in Europe, the scope of activities regarding chronic diseases management in family medicine has increased while technical activities and preventative care have decreased. A new literature review and meta-analysis confirms that the use of electronic health records improves the quality of care. In the field of interprofessionnality, the task delegation in chronic care management to nurses or medical assistants is a source of satisfaction for these professionals. At the same time, this could improve patients' quality of life...
May 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28603717/assessment-of-the-risk-to-public-health-due-to-use-of-antimicrobials-in-pigs-an-example-of-pleuromutilins-in-denmark
#3
Lis Alban, Johanne Ellis-Iversen, Margit Andreasen, Jan Dahl, Ute W Sönksen
Antibiotic consumption in pigs can be optimized by developing treatment guidelines, which encourage veterinarians to use effective drugs with low probability of developing resistance of importance for human health. In Denmark, treatment guidelines for use in swine production are currently under review at the Danish Veterinary and Food Administration. Use of pleuromutilins in swine has previously been associated with a very low risk for human health. However, recent international data and sporadic findings of novel resistance genes suggest a change of risk...
2017: Frontiers in Veterinary Science
https://www.readbyqxmd.com/read/28584865/the-gender-lens-development-of-a-learning-aid-to-introduce-gender-medicine
#4
Simone Weyers, Anja Vervoorts, Nico Dragano, Miriam Engels
Background and aim: Gender medicine takes into account biological and social differences between men and women in terms of prevalence and course of disease, diagnosis and therapy. Medical students should be made aware of this in the early stages of medical education. However, there is hardly any teaching material currently available. This article presents the adaption and first use of the German "Gender Lens," a tool to introduce gender medicine to medical students. Method: The original Canadian "Gender Lens Tool" was translated into German, tested by (n=5) teachers and adapted based on current scientific concepts...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/28584334/-nanogold-biological-effects-and-occupational-exposure-levels
#5
Anna Maria Świdwińska-Gajewska, Sławomir Czerczak
Nanogold has different properties and biological activity compared to metallic gold. It can be applied in many fields, such as medicine, laboratory diagnostics and electronics. Studies on laboratory animals show that nanogold can be absorbed by inhalation and ingestion. It can penetrate deep into the epidermis and dermis, but there is no evidence that it is absorbed through the skin. Gold nanoobjects accumulate mainly in the liver and spleen, but they can also reach other internal organs. Nanogold can cross the blood-brain and blood-placenta barriers...
May 9, 2017: Medycyna Pracy
https://www.readbyqxmd.com/read/28558746/characteristics-of-therapeutic-alliance-in-musculoskeletal-physiotherapy-and-occupational-therapy-practice-a-scoping-review-of-the-literature
#6
Folarin Babatunde, Joy MacDermid, Norma MacIntyre
BACKGROUND: Most conventional treatment for musculoskeletal conditions continue to show moderate effects, prompting calls for ways to increase effectiveness, including drawing from strategies used across other health conditions. Therapeutic alliance refers to the relational processes at play in treatment which can act in combination or independently of specific interventions. Current evidence guiding the use of therapeutic alliance in health care arises largely from psychotherapy and medicine literature...
May 30, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28532628/milestones-barriers-and-beacons-shared-decision-making-in-canada-inches-ahead
#7
France Légaré, Dawn Stacey, Pierre-Gerlier Forest, Marie-France Coutu, Patrick Archambault, Laura Boland, Holly O Witteman, Annie LeBlanc, Krystina B Lewis, Anik M C Giguere
Canada's approach to shared decision making (SDM) remains as disparate as its healthcare system; a conglomerate of 14 public plans - ten provincial, three territorial and one federal. The healthcare research funding environment has been largely positive for SDM because there was funding for knowledge translation research which also encompassed SDM. The funding climate currently places new emphasis on patient involvement in research and on patient empowerment in healthcare. SDM fields have expanded from primary care to elder care, paediatrics, emergency and critical care medicine, cardiology, nutrition, occupational therapy and workplace rehabilitation...
May 19, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28529301/the-establishment-of-wonsan-laborers-hospital-during-the-japanese-occupation-and-its-significance
#8
Il Yeong Jeong, Young-Jeon Shin
On July 3, 1928, the Wonsan Labor Union established the Wonsan Laborers' Hospital in Seoku-dong, Wonsan for the purpose of reducing medical consultation fees for its members. The union's efforts to improve the welfare of its members include the establishment of an educational institute, a consumers union, a barbershop, and a relief department. The Laborers' Hospital, which began with ten wards, was led by a team of two doctors, one midwife, two pharmacists, and four nurses. The two doctors were Cheol-sun Cha and Jeong-kwon Lee, and the midwife/nurse was Sun-jeong Kim...
December 2016: Ŭi Sahak
https://www.readbyqxmd.com/read/28527504/telehealth-in-physical-medicine-and-rehabilitation-a-narrative-review
#9
REVIEW
Adam S Tenforde, Jaye E Hefner, Jodi E Kodish-Wachs, Mary A Iaccarino, Sabrina Paganoni
Telehealth refers to health care interactions that leverage telecommunication devices to provide medical care outside the traditional face-to-face, in-person medical encounter. Technology advances and research have expanded use of telehealth in health care delivery. Physical medicine and rehabilitation providers may use telehealth to deliver care to populations with neurologic and musculoskeletal conditions, commonly treated in both acute care and outpatient settings. Patients with impaired mobility and those living in locations with reduced access to care may particularly benefit...
May 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28521065/eelab-an-innovative-educational-resource-in-occupational-medicine
#10
A Y Zhou, J Dodman, L Hussey, D Sen, C Rayner, N Zarin, R Agius
Background: Postgraduate education, training and clinical governance in occupational medicine (OM) require easily accessible yet rigorous, research and evidence-based tools based on actual clinical practice. Aims: To develop and evaluate an online resource helping physicians develop their OM skills using their own cases of work-related ill-health (WRIH). Methods: WRIH data reported by general practitioners (GPs) to The Health and Occupation Research (THOR) network were used to identify common OM clinical problems, their reported causes and management...
May 17, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/28520597/key-performance-indicators-assessment-to-develop-best-practices-in-an-emergency-medical-communication-centre
#11
Yann Penverne, Brice Leclere, Julien Labady, Frederic Berthier, Joel Jenvrin, Francois Javaudin, Eric Batard, Emmanuel Montassier
INTRODUCTION: Emergency Medical Communication Centre (EMCC) represents a pivotal link in the chain of survival for those requiring rapid response for out-of-hospital medical emergencies. Assessing and grading the performance of EMCCs are warranted as it can affect the health and safety of the served population. OBJECTIVE: The aim of our work was to describe the activity on an EMCC and to explore the associations between different key performance indicators. METHODS: We carried out our prospective observational study in the EMCC of Nantes, France, from 6 June 2011 to 6 June 2015...
May 17, 2017: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/28516258/-biomarkers-of-internal-exposure-to-toxicologically-relevant-contaminants-in-food
#12
REVIEW
Klaus Abraham, Bernhard Monien, Alfonso Lampen
The assessment of health risks resulting from the intake of genotoxic carcinogens in food depends essentially on a valid exposure assessment. The reliability of the external exposure estimation is restricted by various factors, e. g. inaccurate data from dietary protocols and variations of food contaminant contents. As an alternative, the individual internal exposure to genotoxic substances may be described by specific biomarkers in different matrices. For example, mercapturic acids formed after glutathione conjugation of electrophilic metabolites can be detected in the urine...
May 17, 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/28512360/bullying-behavior-and-mental-health-in-healthcare-and-educational-sectors-in-kaunas-lithuania
#13
Lina Bernotaite, Vilija Malinauskiene, Palmira Leisyte
BACKGROUND: Investigations on workplace bullying in the countries of Eastern Europe are yet not too extensive. The aim of the study has been to identify the most frequent bullying behavior and to explore the associations with psychological distress and post-traumatic stress symptoms in 3 female-dominated occupations in Kaunas, Lithuania. MATERIAL AND METHODS: This crosssectional study employed 517 teachers (response rate (RR) = 71.3%), 174 family physicians (RR = 65...
May 16, 2017: Medycyna Pracy
https://www.readbyqxmd.com/read/28499004/rehabilitation-research-at-the-national-institutes-of-health-moving-the-field-forward-executive-summary
#14
Walter R Frontera, Jonathan F Bean, Diane Damiano, Linda Ehrlich-Jones, Melanie Fried-Oken, Alan Jette, Ranu Jung, Rick L Lieber, James F Malec, Michael J Mueller, Kenneth J Ottenbacher, Keith E Tansey, Aiko Thompson
Approximately 53 million Americans live with a disability. For decades, the National Institutes of Health (NIH) has been conducting and supporting research to discover new ways to minimize disability and enhance the quality of life of people with disabilities. After the passage of the American With Disabilities Act, the NIH established the National Center for Medical Rehabilitation Research with the goal of developing and implementing a rehabilitation research agenda. Currently, a total of 17 institutes and centers at NIH invest more than $500 million per year in rehabilitation research...
April 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28499003/national-institutes-of-health-research-plan-on-rehabilitation-nih-medical-rehabilitation-coordinating-committee
#15
Ann O'Mara, Julia H Rowland, Thomas N Greenwell, Cheri L Wiggs, Jerome Fleg, Lyndon Joseph, Joan McGowan, James S Panagis, Charles Washabaugh, Grace C Y Peng, Rosalina Bray, Alison N Cernich, Theresa H Cruz, Sue Marden, Mary Ellen Michel, Ralph Nitkin, Louis Quatrano, Catherine Y Spong, Lana Shekim, Teresa L Z Jones, Denise Juliano-Bult, David M Panchinson, Daofen Chen, Lyn Jakeman, Ann Knebel, Lois A Tully, Leighton Chan, Diane Damiano, Biao Tian, Pamela McInnes, Partap Khalsa, Eve Reider, David Shurtleff, William Elwood, Rachel Ballard, Abby G Ershow, Lisa Begg
One in five Americans experiences disability that affects their daily function because of impairments in mobility, cognitive function, sensory impairment, or communication impairment. The need for rehabilitation strategies to optimize function and reduce disability is a clear priority for research to address this public health challenge. The National Institutes of Health (NIH) recently published a Research Plan on Rehabilitation that provides a set of priorities to guide the field over the next 5 years. The plan was developed with input from multiple Institutes and Centers within the NIH, the National Advisory Board for Medical Rehabilitation Research, and the public...
April 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28481580/neurocognitive-deficits-in-children-with-chronic-health-conditions
#16
Bruce E Compas, Sarah S Jaser, Kristen Reeslund, Niral Patel, Janet Yarboi
Over 4 million children in the United States suffer from chronic health conditions, including cancer, sickle cell disease, and diabetes. Because of major advances in the early identification and treatment of these conditions, survival rates for these children continue to rise, and the majority now lives into adulthood. However, increases in survival have come with costs related to long-term effects of disease processes and treatments. Foremost among these consequences is impairment in brain development and neurocognitive function that may affect a substantial portion of children with chronic health conditions and follow many into adulthood...
May 2017: American Psychologist
https://www.readbyqxmd.com/read/28481373/pilot-study-of-contact-sensitization-to-rubber-allergens-and-bisphenol-a-amongst-dental-students
#17
Maya Grigorievna Lyapina, Assya Krasteva, Maria Dencheva, Mariana Tzekova, Georgy Nikolov, Mariela Yaneva-Deliverska, Angelina Kisselova-Yaneva
OBJECTIVES: The aim of this study has been to evaluate the rate of contact sensitization to some rubber allergens and to bisphenol A (BPA) amongst students of dental medicine and dental patients. MATERIAL AND METHODS: A total of 50 participants were included in the study: 40 students of dental medicine exposed to the studied rubber allergens and BPA-based dental materials during the course of their education; 10 dental patients without occupational exposure to the latter substances served as a control group...
May 8, 2017: International Journal of Occupational Medicine and Environmental Health
https://www.readbyqxmd.com/read/28469893/improving-catheter-associated-urinary-tract-infection-rates-in-the-medical-units
#18
Haytham Taha, Salama J Raji, Abeer Khallaf, Seham Abu Hija, Raji Mathew, Hanan Rashed, Christelle Du Plessis, Zaytoen Allie, Samer Ellahham
Sheikh Khalifa Medical City (SKMC) in Abu Dhabi is the main tertiary care referral hospital in the United Arab Emirates (UAE) with 560 bed capacity with a high occupancy rate. SKMC senior management has made a commitment to make quality and patient safety a top priority. Preventing health care associated infections, including Catheter Associated Urinary Tract Infection (CAUTI), is a high priority for our hospital. In order to improve CAUTI rates a multidisciplinary task force team was formed and led this performance improvement project...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28469046/gender-specific-predictors-of-depressive-symptoms-among-community-elderly
#19
Mahbobeh Faramarzi, Mahla Cheraghi, Mohammad Zamani, Farzan Kheirkhah, Ali Bijani, Seyed Reza Hosseini
BACKGROUND: We aimed to determine the gender-specific predictors of depressive symptoms among an Iranian elderly community population. STUDY DESIGN: A cross-sectional study. METHODS: This study was performed on elderly subjects (aged ≥60 yr) who participated in the Amirkola Health and Aging Project, Amirkola, Babol, northern Iran in 2011-12. Depression was assessed by the Geriatric Depression Scale. Fourteen variables, including marital status, age, education, occupation, living alone, social support, dependency in daily activities, physical activity, smoking, body mass index, chronic pain, medicine use, comorbidities, and cognitive impairment, were analyzed as predictors of depression...
April 29, 2017: Journal of Research in Health Sciences
https://www.readbyqxmd.com/read/28466798/-physicians-assessments-of-work-capacity-in-patients-with-shc-comparison-between-five-european-countries
#20
S L Merkus, K H N Weerdesteijn, F G Schaafsma, S Maeland, M Jourdain, J P Canévet, C Rat, J R Anema, E L Werner
OBJECTIVE: Comparing assessments of incapacity to work in patients with subjective health complaints (SHC) by physicians from 5 different European countries. DESIGN: Cross-sectional study. METHOD: General practitioners from Norway (n=56), Sweden (n=29), Denmark (n=41), France (n=46) and occupational and insurance physicians from the Netherlands (n=93) watched and assessed incapacity to work in nine video vignettes of patients with SHC. We subsequently analysed differences between assessments (whether or not there was incapacity to work) by country, with Norway as a reference, as well as differences between general practitioners from the four countries and occupational and insurance physicians using a generalised linear mixed model...
2017: Nederlands Tijdschrift Voor Geneeskunde
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