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https://www.readbyqxmd.com/read/29452365/indigenous-medicine-and-biomedical-health-care-in-fragile-settings-insights-from-burundi
#1
Jean-Benoît Falisse, Serena Masino, Raymond Ngenzebuhoro
This study contributes to the health policy debate on medical systems integration by describing and analysing the interactions between health-care users, indigenous healers, and the biomedical public health system, in the so far rarely documented case of post-conflict Burundi. We adopt a mixed-methods approach combining (1) data from an existing survey on access to health-care, with 6,690 individuals, and (2) original interviews and focus groups conducted in 2014 with 121 respondents, including indigenous healers, biomedical staff, and health-care users...
February 14, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29450752/racial-and-socioeconomic-differences-in-the-use-of-high-volume-commission-on-cancer-accredited-hospitals-for-cancer-surgery-in-the-united-states
#2
Nabil Wasif, David Etzioni, Elizabeth B Habermann, Amit Mathur, Barbara A Pockaj, Richard J Gray, Yu-Hui Chang
BACKGROUND: Although major cancer surgery at a high-volume hospital is associated with lower postoperative mortality, the use of such hospitals may not be equally distributed. OBJECTIVE: Our aim was to study socioeconomic and racial differences in cancer surgery at Commission on Cancer (CoC)-accredited high-volume hospitals. METHODS: The National Cancer Database (NCDB) was used to identify patients undergoing surgery for colon, esophageal, liver, and pancreatic cancer from 2003 to 2012...
February 15, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29445882/procedure-rates-performed-by-emergency-medicine-residents-a-retrospective-review
#3
Joshua T Bucher, Christopher Bryczkowski, Grant Wei, Renee L Riggs, Anoop Kotwal, Brian Sumner, Jonathan V McCoy
BACKGROUND: The purpose of our study is to investigate rates of individual procedures performed by residents in our emergency medicine (EM) residency program. Different programs expose residents to different training environments. Our hypothesis is that ultrasound examinations are the most commonly performed procedure in our residency. METHODS: The study took place in an academic level I trauma center with multiple residency and fellowship programs including surgery, surgical critical care, trauma, medicine, pulmonary/critical care, anesthesiology and others...
February 14, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29441503/utilization-of-intergovernmental-funds-to-implement-maternal-and-child-health-plans-of-a-multi-strategy-community-intervention-in-haryana-north-india-a-retrospective-assessment
#4
Madhu Gupta, Federica Angeli, Hans Bosma, Shankar Prinja, Manmeet Kaur, Onno C P van Schayck
INTRODUCTION: A multi-strategy community intervention known as the National Rural Health Mission (NRHM) was implemented in India from 2005 to 2012 in an attempt to reduce maternal and child mortality. OBJECTIVE: This study examined the extent to which the NRHM's maternal and child health (MCH) sector plans were implemented. We observed trends in how intergovernmental (use of central government funds by state governments) budgets were allocated and used to implement MCH plans in Haryana, India...
December 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29441184/revised-risk-priority-number-in-failure-mode-and-effects-analysis-model-from-the-perspective-of-healthcare-system
#5
Fatemeh Rezaei, Mohmmad H Yarmohammadian, Abbas Haghshenas, Ali Fallah, Masoud Ferdosi
Background: Methodology of Failure Mode and Effects Analysis (FMEA) is known as an important risk assessment tool and accreditation requirement by many organizations. For prioritizing failures, the index of "risk priority number (RPN)" is used, especially for its ease and subjective evaluations of occurrence, the severity and the detectability of each failure. In this study, we have tried to apply FMEA model more compatible with health-care systems by redefining RPN index to be closer to reality...
2018: International Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29438629/corrigendum
#6
(no author information available yet)
Webber, E., & Watkins, A. L. (2017). Evolution of a profession: The role of accreditation in lactation education. Journal of Human Lactation, 33(4), 740-744. (Original DOI: 10.1177/0890334417711893).
January 1, 2018: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/29436259/two-novel-approaches-to-improve-otolaryngology-resident-wellness-the-acgme-back-to-bedside-initiative
#7
Emily C Ambrose, Jenna Devare, Carl M Truesdale, Ellen Ricker, Janice Firn, Marc C Thorne, Andrew G Shuman, Cristina Cabrera-Muffly
Rates of burnout, mental illness, and suicide are disproportionately elevated among physicians, and surgical specialists, including otolaryngologists, are at even higher risk for professional burnout. These trends have been identified at both the trainee and attending level. To combat resident burnout, the Accreditation Council for Graduate Medical Education (ACGME) Council of Review Committee Residents (CRCR) designed the Back to Bedside Initiative, the goals of which are to foster meaning in the learning environment and to help trainees to engage more deeply with patients...
February 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29435394/mentor-mentee-relationship-a-win-win-contract-in-graduate-medical-education
#8
EDITORIAL
Hale Z Toklu, Jacklyn C Fuller
Scholarly activities (i.e., the discovery of new knowledge; development of new technologies, methods, materials, or uses; integration of knowledge leading to new understanding) are intended to measure the quality and quantity of dissemination of knowledge. A successful mentorship program is necessary during residency to help residents achieve the six core competencies (patient care, medical knowledge, practice-based learning and improvement, systems-based practice, professionalism, interpersonal and communication skills) required by the Accreditation Council for Graduate Medical Education (ACGME)...
December 5, 2017: Curēus
https://www.readbyqxmd.com/read/29434415/advancing-pain-education-in-canadian-physiotherapy-programmes-results-of-a-consensus-generating-workshop
#9
Timothy H Wideman, Jordan Miller, Geoff Bostick, Aliki Thomas, André Bussières
Purpose: This article reports on a national stakeholder workshop that focused on advancing pain education in physiotherapy programmes across Canada. Methods: Workshop participants included national leaders from the following stakeholder groups: people living with pain; physiotherapy students and recent graduates; pain educators; physiotherapy programme administrators; and representatives from the Canadian Alliance of Physiotherapy Regulators, Physiotherapy Education Accreditation Canada, Canadian Physiotherapy Association, and Physiotherapy Practice Profile project...
2018: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/29434059/certification-validation-of-biosafety-level-2-biosafety-level-3-laboratories-in-indian-settings-common-issues
#10
Devendra T Mourya, Pragya D Yadav, Ajay Khare, Anwar H Khan
With increasing awareness regarding biorisk management worldwide, many biosafety laboratories are being setup in India. It is important for the facility users, project managers and the executing agencies to understand the process of validation and certification of such biosafety laboratories. There are some international guidelines available, but there are no national guidelines or reference standards available in India on certification and validation of biosafety laboratories. There is no accredited government/private agency available in India to undertake validation and certification of biosafety laboratories...
October 2017: Indian Journal of Medical Research
https://www.readbyqxmd.com/read/29433867/research-during-general-surgery-residency-a-web-based-review-of-opportunities-structure-and-outputs
#11
Audrey Brochu, Rajesh Aggarwal
BACKGROUND: Academic research is an integral part of general surgery training. Despite the recent research curriculum requirements of the Accreditation Council for Graduate Medical Education, there is perceived lack of research structure for residents. The aim of this study was to identify research opportunities, structure, and academic outputs during general surgical United States (US) residency. METHODS: A Web-based review of all accredited general surgery US residency programs was undertaken...
March 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29433447/comparative-assessment-of-the-quality-of-commercial-black-and-green-tea-using-microbiology-analyses
#12
Federica Carraturo, Olga De Castro, Jacopo Troisi, Adriana De Luca, Armando Masucci, Paola Cennamo, Marco Trifuoggi, Francesco Aliberti, Marco Guida
BACKGROUND: Drinking tea constitutes a tradition which is deeply rooted in the culture of several countries. Moreover, in recent years, tea consumption is growing all over the world. Improper herbal tea storage (long periods, humid environments) represents a relevant health hazard for consumers because of the growth of bacteria and molds. RESULTS: This study analyzed 32 samples of commercially available black and green teas - purchased from southern Italy markets and online-shops - and the monitoring of microbiological quality of the tea bag content was performed...
January 5, 2018: BMC Microbiology
https://www.readbyqxmd.com/read/29433136/-audit-as-a-tool-to-improve-the-efficiency-of-the-immunization-services-the-experience-of-a-local-health-authority-in-rome
#13
Andrea Poscia, Simonetta Ferro, Lauretta Tribuzi, Antonietta Spadea
INTRODUCTION: The Italian Ministry of Health has launched an alert about the reduction in vaccine coverage (VC), which decreased below 95% since 2014 for many paediatric vaccines, oppositely from the National Prevention Plan 2014-18 and the National Immunization Plan 2017-2019. Even though the growing vaccine hesitancy attracts the attention of the media in the last few years, the organization of an easily accessible and efficient supply network remains a crucial imperative for ensuring satisfactory and uniform vaccine coverage...
September 2017: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/29432396/gathering-tips-from-carers-to-support-people-with-dementia-an-adaptation-of-the-top-5-program-for-community-use
#14
Kerrie Westaway, Oliver Frank, Russell Shute, Anna Moffat, Vanessa LeBlanc, Debra Rowett, Natalie Blacker, Elizabeth Roughead
AIM: Behavioral and psychological symptoms of dementia are often managed inappropriately with antipsychotic medicines. The TOP 5 program, which involves recording up to five relevant and meaningful tips that assist in personalizing care for the person with dementia, has been tested in the hospital setting and transitions of care in Australia, and has been found to be useful. Our study aimed to adapt the TOP 5 program as a strategy to support people with dementia in a primary care setting and to test the acceptability of our adapted TOP 5 program materials...
February 9, 2018: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/29431916/clinical-relevance-of-smartphone-apps-for-diabetes-management-a-global-overview
#15
Zhilian Huang, Michael Soljak, Bernhard Otto Boehm, Josip Car
AIMS: We assessed the number, proportion and clinical relevance of diabetes self-management apps in major languages spoken by ten countries with the greatest number of people with diabetes. METHODS: China, India, USA, Brazil, Russian Federation, Mexico, Indonesia, Egypt, Japan and Pakistan were identified as the ten countries with the largest number of people with diabetes based on the latest NCD-RisC survey. Android and iOS apps in the ten national languages were extracted with a search strategy...
February 12, 2018: Diabetes/metabolism Research and Reviews
https://www.readbyqxmd.com/read/29428692/routine-contrast-imaging-after-bariatric-surgery-and-the-effect-on-hospital-length-of-stay
#16
Uzma Rahman, Salvatore Docimo, Aurora D Pryor, Andrew Bates, Nabeel R Obeid, Konstantinos Spaniolas
BACKGROUND: Although multiple studies demonstrate that routine postoperative contrast studies have a low yield in diagnosing patients with early gastrointestinal (GI) leak after bariatric surgery, the practice pattern is unknown. Additionally, routine imaging may hinder procedural pathways that lead to accelerated postoperative discharge. OBJECTIVES: To report on the nationwide use of routine upper GI studies (UGI) and evaluate the effect on hospital resource utilization...
January 3, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29428234/same-day-discharge-after-laparoscopic-roux-en-y-gastric-bypass-an-analysis-of-the-mbsaqip-database
#17
Colette S Inaba, Christina Y Koh, Sarath Sujatha-Bhaskar, Lishi Zhang, Ninh T Nguyen
BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (LRYGB) has been performed with successful discharge on postoperative day 1 (POD1). There are limited studies on same-day discharge after LRYGB. The objective of this study was to examine the frequency and outcomes of same-day discharge after LRYGB. STUDY DESIGN: The 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database was analyzed for adult patients who underwent elective LRYGB cases with same-day versus POD1 discharge...
February 8, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29426583/-use-of-new-technologies-by-adolescents-in-the-search-for-health-information
#18
Minerva Blázquez Barba, Dolores Gómez Romero, Isidora Frontaura Fernández, Abdón Camacho Ojeda, Francisco M Rodríguez Salas, Higinio Toriz Cano
OBJECTIVE: To describe Internet sources used by adolescents to consult health information and their sociodemographic characteristics, as well as to identify the variables that influence the choice of Internet site. DESIGN: Cross-sectional descriptive study. Survey adapted from the questionnaire validated by Rideout. PARTICIPANTS AND LOCATION: Adolescents aged 12-18 from 4schools in rural municipalities. RESULTS: The study included a total of 405 adolescents, of whom 51...
February 6, 2018: Atencion Primaria
https://www.readbyqxmd.com/read/29426128/intake-estimates-of-dioxins-and-dioxin-like-polychlorobiphenyls-in-the-italian-general-population-from-the-2013-2016-results-of-official-monitoring-plans-in-food
#19
Gianfranco Diletti, Giampiero Scortichini, Maria Cesarina Abete, Giovanni Binato, Luca Candeloro, Roberta Ceci, Giannina Chessa, Annamaria Conte, Alessandra Di Sandro, Mauro Esposito, Giorgio Fedrizzi, Vincenzo Ferrantelli, Enrica Ferretti, Simonetta Menotta, Valeria Nardelli, Bruno Neri, Arianna Piersanti, Francesca Roberti, Alessandro Ubaldi, Gianfranco Brambilla
The implementation of the European Union strategy for polychlorodibenzo-dioxins and -furans (PCDD/Fs), and dioxin-like polychlorobiphenyls (DL-PCBs) is determining a general reduction of their presence in the environment and in the food chain. The most important route for human exposure to these substances is food consumption and, as a consequence, a progressive decrease of their dietary intake has been observed in the last decades. In this context, it seemed worth updating the PCDD/F and DL-PCB intake estimation for the Italian population...
January 27, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29425923/effects-of-training-and-feedback-on-accuracy-of-predicting-rectosigmoid-neoplastic-lesions-and-selection-of-surveillance-intervals-by-endoscopists-performing-optical-diagnosis-of-diminutive-polyps
#20
Jasper L A Vleugels, Marcel G W Dijkgraaf, Yark Hazewinkel, Linda K Wanders, Paul Fockens, Evelien Dekker, M C J M Becx, A M van Berkel, W Bruins Slot, M Cazemier, A C T M Depla, J M J Geesing, T A Grool, G M P Houben, J M Jansen, K Kessels, M E van Leerdam, N van Lelyveld, R C Mallant-Hent, W A Marsman, E Schnekenburger, E J van Soest, B W van der Spek, P C F Stokkers, J Tenthof van Noorden, S A C van Tuyl, K M A J Tytgat, M T Uiterwaal, R C Verdonk, M A M T Verhagen, M van der Vlugt, A Voorburg, C A Wientjes
BACKGROUND & AIMS: Real-time differentiation of diminutive polyps (1-5 mm) during endoscopy could replace histopathology analysis. According to guidelines, implementation of optical diagnosis into routine practice would require it to identify rectosigmoid neoplastic lesions with a negative predictive value (NPV) of over 90%, using histologic findings as a reference, and agreement with histology-based surveillance intervals for more than 90% of cases. METHODS: We performed a prospective study with 39 endoscopists accredited to perform colonoscopies on participants with positive results from fecal immunochemical tests in the Bowel Cancer Screening Program at 13 centers in the Netherlands...
February 6, 2018: Gastroenterology
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