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https://www.readbyqxmd.com/read/29161654/prevalence-of-various-environmental-intolerances-in-a-swedish-and-finnish-general-population
#1
Kirsi Karvala, Markku Sainio, Eva Palmquist, Maj-Helen Nyback, Steven Nordin
OBJECTIVE: To determine the prevalence of various environmental intolerances (EIs), using several criteria in a Swedish and a Finnish general population. Ill-health attributed to low-level environmental exposures is a commonly encountered challenge in occupational and environmental medicine. METHODS: In population-based questionnaire surveys, the Västerbotten Environmental Health Study (Sweden) and the Österbotten Environmental Health Study (Finland), EI was inquired by one-item questions on symptom attribution to chemicals, certain buildings, or electromagnetic fields (EMFs), and difficulties tolerating sounds...
November 18, 2017: Environmental Research
https://www.readbyqxmd.com/read/29155960/occupational-medicine-specialist-referral-triggers-mixed-methods-analysis-of-teleconsult-cases
#2
J L Eaton, A Mohammad, D C Mohr, D J Brustein, S R Kirkhorn
Background: Qualitative analyses can yield critical lessons for learning organizations in healthcare. Few studies have applied these techniques in the field of occupational and environmental medicine (OEM). Aims: To describe the characteristics of complex cases referred for OEM subspecialty evaluation and variation by referring provider's training. Methods: Using a mixed methods approach, we conducted a content analysis of clinical cases submitted to a national OEM teleconsult service...
November 16, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/29135752/experiences-and-shared-meaning-of-teamwork-and-interprofessional-collaboration-among-health-care-professionals-in-primary-health-care-settings-a-systematic-review
#3
Carine Sangaleti, Mariana Cabral Schveitzer, Marina Peduzzi, Elma Lourdes Campos Pavone Zoboli, Cassia Baldini Soares
BACKGROUND: During the last decade, teamwork has been addressed under the rationale of interprofessional practice or collaboration, highlighted by the attributes of this practice such as: interdependence of professional actions, focus on user needs, negotiation between professionals, shared decision making, mutual respect and trust among professionals, and acknowledgment of the role and work of the different professional groups. Teamwork and interprofessional collaboration have been pointed out as astrategy for effective organization of health care services as the complexity of healthcare requires integration of knowledge and practices from differente professional groups...
November 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29132018/the-provision-of-accredited-higher-education-on-dementia-in-six-european-countries-an-exploratory-study
#4
Simona Hvalič-Touzery, Brigita Skela-Savič, Rhoda Macrae, Anna Jack-Waugh, Debbie Tolson, Amanda Hellström, Wilson de Abreu, Katja Pesjak
BACKGROUND: The World Health Organization has identified developing the knowledge and skills of healthcare professionals who are involved in dementia care as a priority. Most healthcare professionals lack the necessary knowledge, skills and understanding to provide high quality dementia care. While dementia education amongst most UK university health and social care programmes is inconsistent, we know little about the provision of dementia education in European universities. OBJECTIVES: To examine the provision of accredited higher education on dementia in European countries, to illustrate that it is highly variable despite universities being the major provider of education for healthcare professionals internationally...
November 6, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29118424/methods-for-scarless-selection-free-generation-of-human-cells-and-allele-specific-functional-analysis-of-disease-associated-snps-and-variants-of-uncertain-significance
#5
Nicole B Coggins, Jacob Stultz, Henriette O'Geen, Luis G Carvajal-Carmona, David J Segal
With the continued emergence of risk loci from Genome-Wide Association studies and variants of uncertain significance identified from patient sequencing, better methods are required to translate these human genetic findings into improvements in public health. Here we combine CRISPR/Cas9 gene editing with an innovative high-throughput genotyping pipeline utilizing KASP (Kompetitive Allele-Specific PCR) genotyping technology to create scarless isogenic cell models of cancer variants in ~1 month. We successfully modeled two novel variants previously identified by our lab in the PALB2 gene in HEK239 cells, resulting in isogenic cells representing all three genotypes for both variants...
November 8, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29115960/should-the-poor-have-no-medicines-to-cure-a-study-on-the-association-between-social-class-and-social-security-among-the-rural-migrant-workers-in-urban-china
#6
Ming Guan
BACKGROUND: The rampant urbanization and medical marketization in China have resulted in increased vulnerabilities to health and socioeconomic disparities among the rural migrant workers in urban China. In the Chinese context, the socioeconomic characteristics of rural migrant workers have attracted considerable research attention in the recent past years. However, to date, no previous studies have explored the association between the socioeconomic factors and social security among the rural migrant workers in urban China...
November 7, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29114347/examining-critical-factors-affecting-graduate-retention-from-an-emergency-training-program-in-addis-ababa-ethiopia-a-qualitative-study-of-stakeholder-perspectives
#7
Meredith Kuipers, Amira Eapen, Joel Lockwood, Sara Berman, Samuel Vaillancourt, James Maskalyk, Aklilu Azazh, Megan Landes
Background: In Ethiopia, improvement and innovation of the emergency care system is hindered by lack of specialist doctors trained in emergency medicine, underdeveloped emergency care infrastructure, and resource limitations. Our aim was to examine the critical factors affecting retention of graduates from the Addis Ababa University (AAU) post-graduate emergency medicine (EM) training program within the Ethiopian health care system. Methods: One post-graduate trainee and one program manager from the AAU and the University of Toronto (UT) partnership conducted qualitative interviews with current AAU EM residents and stakeholders in Ethiopian EM...
April 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/29109671/the-role-and-characteristics-of-collections-of-folk-recepies-in-the-folk-and-traditional-medicine-of-bosnia-and-herzegovina
#8
REVIEW
Armin Skrbo, Izet Masic
Introduction: Folk medicine represents part of the folk culture, when we first think about the rural culture with characteristic of the rural population in the pre-industrial period. The difference between official and folk medicine is manifested in the education, knowledge and social status of those practicing folk medicine as well as their patients. The most common ways of treating were the treatment by use of herbs, magic and treatments based on religious beliefs. So, it is of no surprise that folk medicine was the main form of treatment for the inhabitants of Bosnia and Herzegovina (B&H) in the past...
September 2017: Materia Socio-medica
https://www.readbyqxmd.com/read/29093579/-hygiene-and-legal-aspects-of-occupational-exposure-assessment-to-cytostatics
#9
REVIEW
Małgorzata Kupczewska-Dobecka, Anna Pałaszewska-Tkacz, Sławomir Czerczak, Katarzyna Konieczko
The employers responsibilities for the assessment of occupational exposure to cytostatics in the workplace were analyzed in the light of existing legal regulations. Cytostatics may pose a threat to health and life of workers taking care of patients treated oncologically, i.e., pharmacists, physicians, nurses and other personnel. The significant scale of occupational exposure to cytostatics in Poland is confirmed by the data collected in the Central Register of Data on Exposure to Carcinogenic or Mutagenic Substances, Mixtures, Agents or Technological Processes, maintained by the Nofer Institute of Occupational Medicine, Łódź, Poland...
October 26, 2017: Medycyna Pracy
https://www.readbyqxmd.com/read/29083262/-more-effort-and-more-time-considerations-in-the-establishment-of-interprofessional-education-programs-in-the-workplace
#10
Fiona Kent, Katrina Nankervis, Christina Johnson, Marisa Hodgkinson, Julie Baulch, Terry Haines
The argument for integrating interprofessional education (IPE) activities into the workplace has been made concurrently with the call for collaborative clinical practice. An exploratory case study investigation of existing activities in a large metropolitan health care network was undertaken to inform the development of future IPE initiatives. Purposive sampling invited clinicians involved in the design or delivery of workplace IPE activities to participate in a semi-structured interview to discuss their existing programs and the opportunities and challenges facing future work...
January 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29070639/effects-of-a-multicomponent-workplace-intervention-programme-with-environmental-changes-on-physical-activity-among-japanese-white-collar-employees-a-protocol-for-a-cluster-randomised-controlled-trial
#11
Kazuhiro Watanabe, Norito Kawakami
INTRODUCTION: Physical activity is one of the most important health behaviours as a determinant of physical and mental health. Although intervention strategies for promoting physical activity among workers are needed, evidence for the effectiveness of multilevel workplace interventions with environmental changes on the promotion of physical activity are still limited due to lack of cluster randomised controlled trials (RCTs). The aim of this study is to investigate effects of a 3-month workplace intervention programme with environmental changes on the improvement in physical activity among Japanese white collar employees...
October 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/29064144/treatment-of-self-poisoning-at-a-tertiary-level-hospital-in-bangladesh-cost-to-patients-and-government
#12
Vasundhara Verma, Sujat Paul, Aniruddha Ghose, Michael Eddleston, Flemming Konradsen
OBJECTIVES: Approximately 10,000 people die from suicide annually in Bangladesh, many from pesticide poisoning. We aimed to estimate financial costs to patients and health services of treating patients with self-poisoning. METHODS: Data on direct costs to families, sources of funds for treatment and family wealth were collected prospectively over a one-month period in 2016 at the tertiary Chittagong Medical College Hospital, Bangladesh. Aggregate operational costs to the government were calculated using annual budget, bed occupancy and length-of-stay data...
October 24, 2017: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/29034866/the-health-effects-of-aluminum-exposure
#13
Katrin Klotz, Wobbeke Weistenhöfer, Frauke Neff, Andrea Hartwig, Christoph van Thriel, Hans Drexler
BACKGROUND: Aluminum is regularly taken up with the daily diet. It is also used in antiperspirants, as an adjuvant for vaccination, and in desensitization procedures. In this review, we present the scientifically documented harmful effects of aluminum on health and the threshold values associated with them. METHODS: This review is based on publications retrieved by a selective search of the PubMed and SCOPUS databases on the topic of aluminum in connection with neurotoxicity, Alzheimer's disease, and breast cancer, as well as on the authors' personal experience in occupational and environmental medicine...
September 29, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29032590/a-scoping-approach-to-systematically-review-published-reviews-adaptations-and-recommendations
#14
REVIEW
Annette Schultz, Leah Goertzen, Janet Rothney, Pamela Wener, Jennifer Enns, Gayle Halas, Alan Katz
Knowledge translation is a central focus of the health research community, which includes strategies to synthesize published research to support uptake within healthcare practice and policy arenas. Within the literature concerning review methodologies, a new discussion has emerged concerning methods that review and synthesize published review articles. In this paper, our multidisciplinary team from family medicine, nursing, dental hygiene, kinesiology, occupational therapy, physiology, population health, clinical psychology and library sciences contribute to this discussion by sharing our experiences in conducting three scoping reviews of published review studies...
October 15, 2017: Research Synthesis Methods
https://www.readbyqxmd.com/read/29025838/association-between-childhood-allergic-diseases-educational-attainment-and-occupational-status-in-later-life-systematic-review-protocol
#15
Laura Beate von Kobyletzki, Linda Beckman, Liam Smeeth, Martin McKee, Jennifer K Quint, Katrina Abuabara, Sinead Langan
INTRODUCTION: Childhood allergic diseases may prevent affected children from achieving their academic potential. Potential mechanisms include absence from school due to illness and medical appointments. Experience of symptoms in classes or leisure time, and stigma associated with visible signs and symptoms, including skin disease, requirements for medication during school time or the need for specific diets, may also contribute to reduced educational attainment. Studies have investigated the association between specific allergic diseases and educational attainment...
October 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/29022737/implementation-of-an-integrative-medicine-treatment-program-at-a-veterans-health-administration-residential-mental-health-facility
#16
Melinda A Gaddy
A 4-week interdisciplinary integrative medicine program was recently added to the core treatment offerings for veterans participating in the Mental Health Residential Rehabilitation Program at the Dwight D. Eisenhower Veterans Affairs Medical Center. The new integrative medicine program teaches veterans about using meditative practices, nutrition, creative expression, tai chi, hatha yoga, sensory and breathing techniques, and lifestyle changes to enhance well-being. The groups are run by professionals from a variety of disciplines including recreation therapy, art therapy, occupational therapy, psychology, and nutrition...
October 12, 2017: Psychological Services
https://www.readbyqxmd.com/read/29020840/self-determining-medical-leadership-needs-of-occupational-health-physicians
#17
Prosenjit Giri, Jill Aylott, Karen Kilner
Purpose The purpose of this study was to explore which factors motivate doctors to engage in leadership roles and to frame an inquiry of self-assessment within Self-Determination Theory (SDT) to identify the extent to which a group of occupational health physicians (OHPs) was able to self-determine their leadership needs, using a National Health Service (NHS) England competency approach promoted by the NHS England Leadership Academy as a self-assessment leadership diagnostic. Medical leadership is seen as crucial to the transformation of health-care services, yet leadership programmes are often designed with a top-down and centrally commissioned "one-size-fits-all" approach...
October 12, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/29019349/do-workers-health-surveillance-examinations-fulfill-their-occupational-preventive-objective-analysis-of-the-medical-practice-of-occupational-physicians-in-catalonia-spain
#18
Mari Cruz Rodríguez-Jareño, Emilia Molinero, Jaume de Montserrat, Antoni Vallès, Marta Aymerich
OBJECTIVES: Although routine workers' health examinations are extensively performed worldwide with important resource allocation, few studies have analyzed their quality. The objective of this study has been to analyze the medical practice of workers' health examinations in Catalonia (Spain) in terms of its occupational preventive aim. MATERIAL AND METHODS: A cross-sectional study was carried out by means of an online survey addressed to occupational physicians who were members of the Catalan Society of Safety and Occupational Medicine...
October 6, 2017: International Journal of Occupational Medicine and Environmental Health
https://www.readbyqxmd.com/read/28966734/current-and-future-treatment-options-for-narcolepsy-a-review
#19
Jackie Bhattarai, Scott Sumerall
Narcolepsy is a chronic neurological sleep disorder with potentially disabling symptoms ranging from occupational concerns to mental health difficulties. Recent advances related to the neurobiological basis of narcolepsy have led to newer pharmacological treatment options and adjunctive behavioral techniques that support symptom management. This article outlines evidence-based pharmacologic therapies, behavioral techniques, and psychosocial costs related to narcolepsy. Psychosocial factors, although frequently acknowledged, deserve further attention and awareness from researchers and providers...
January 2017: Sleep Science
https://www.readbyqxmd.com/read/28956826/sun-exposure-sun-related-symptoms-and-sun-protection-practices-in-an-african-informal-traditional-medicines-market
#20
Caradee Y Wright, Tarylee Reddy, Angela Mathee, Renée A Street
Informal workers in African market trade have little formal protection against sun exposure. We aimed to examine sun exposure, sun-related symptoms, and sun protection practices in an informal occupational setting. Trained fieldworkers asked 236 workers in the Warwick Junction market about their workplace, skin and eye sensitivity and skin colour, symptoms faced at work during the summer due to heat, and preventive measures. Data were analyzed using univariate logistic regression to assess the effect of gender and the risk of experiencing symptoms to sun exposure in relation to pre-existing diseases and perception of sun exposure as a hazard...
September 28, 2017: International Journal of Environmental Research and Public Health
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