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https://www.readbyqxmd.com/read/28428902/nonfamilial-juvenile-polyposis-syndrome-with-exon-5-novel-mutation-in-smad-4-gene
#1
Amna Ahmed, Badr Alsaleem
Juvenile polyposis syndrome (JPS) is a rare autosomal dominant hereditary disorder, characterized by multiple juvenile polyps in the gastrointestinal tract and an increased risk of colorectal cancer. JPS is most frequently caused by mutations in the SMAD4 or BMPR1A genes. Herein, we report a child with juvenile polyposis syndrome (JPS) with a novel mutation in the SMAD4 gene. An 8-year-old boy presented with recurrent rectal bleeding and was found to have multiple polyps in the entire colon. The histology of the resected polyps was consistent with juvenile polyps...
2017: Case Reports in Pediatrics
https://www.readbyqxmd.com/read/28428838/a-national-strategic-plan-for-reducing-the-burden-of-sexually-transmitted-infections-in-israel-by-the-year-2025
#2
Daniel Chemtob, Dan Gandacu, Zohar Mor, Itamar Grotto, Emilia Anis, Elliot Rosenberg
BACKGROUND: There is on ongoing debate in the literature regarding the real burden of STIs (sexually transmitted infections) in Western countries and the proper strategies needed to estimate and to prevent them. Our purpose is to present an evidence-based national strategic plan for STI prevention in Israel through assessing the current burden of illness, leading international preventive strategies, and practical policymaking experience. METHODS: Epidemiologic and health policy data on STIs were analyzed from various sources: a) systematic national surveillance data for the years 2002-2014; b) the international scientific literature (published between 2002-16; keywords: Sexually Transmitted Diseases (STD) (or STI) AND prevention AND intervention AND gonorrhea OR chlamydia OR syphilis; c) internal Ministry of Health (MOH) analyses and reports, and d) expert opinion...
2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28422933/nursing-informatics-competency-assessment-for-the-nurse-leader-instrument-refinement-validation-and-psychometric-analysis
#3
Po-Yin Yen, Andrew Phillips, Mary K Kennedy, Sarah Collins
OBJECTIVE: The aim of this article is to refine and validate a new instrument, Nursing Informatics Competency Assessment for the Nurse Leader (NL). BACKGROUND: Because health information technology rapidly advances, the NL requires greater levels of informatics knowledge. METHODS: Item reduction and psychometric analysis methodology RESULTS: A total of 357 national NLs completed the survey. Exploratory factor analysis resulted in a final 6-factor solution that contained 26 items: (1) strategic implementation management, (2) advanced information management and education, (3) executive planning, (4) ethical and legal concepts, (5) information systems concepts, and (6) requirements and system selection...
May 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28412937/understanding-relevance-of-health-research-considerations-in-the-context-of-research-impact-assessment
#4
EDITORIAL
Mark J Dobrow, Fiona A Miller, Cy Frank, Adalsteinn D Brown
BACKGROUND: With massive investment in health-related research, above and beyond investments in the management and delivery of healthcare and public health services, there has been increasing focus on the impact of health research to explore and explain the consequences of these investments and inform strategic planning. Relevance is reflected by increased attention to the usability and impact of health research, with research funders increasingly engaging in relevance assessment as an input to decision processes...
April 17, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28408280/status-and-perspectives-of-municipal-solid-waste-incineration-in-china-a-comparison-with-developed-regions
#5
REVIEW
Jia-Wei Lu, Sukun Zhang, Jing Hai, Ming Lei
With the rapid expansion of municipal solid waste (MSW) incineration, the applicability, technical status, and future improvement of MSW incineration attract much attention in China. This paper aims to be a sensible response, with the aid of a comparison between China and some representative developed regions including the EU, the U.S., Japan, South Korea, and Taiwan area. A large number of up-to-date data and information are collected to quantitatively and impartially support the comparison, which covers a wider range of key points including spatial distribution, temporal evolution, technologies, emissions, and perspectives...
April 10, 2017: Waste Management
https://www.readbyqxmd.com/read/28407718/perspectives-on-tactile-intervention-for-children-with-cerebral-palsy-a-framework-to-guide-clinical-reasoning-and-future-research
#6
Megan L Auld, Leanne M Johnston
PURPOSE: Many children with cerebral palsy (CP) are known to experience tactile impairments. Research evaluating specific interventions to manage this is, however, minimal. This paper seeks to consolidate current literature and provide a framework to help clinicians and researchers think strategically about tactile treatment selection and future research planning. METHOD: The framework is described via a novel analogy - "The Apartment Block Theory". The theory describes the relative effectiveness of three intervention strategies aimed at overcoming a poorly responsive tactile system: (1) Pressing the buzzer - providing repeated passive tactile stimulation at the periphery; (2) Sneaking in the door - providing active tactile-enhanced motor training that capitalises on the opportunity to provide high-dose tactile input during motor interventions; and (3) Connecting another way - providing visually enhanced touch strategies with the aim of enhancing tactile function, which can be compared to phoning the apartment as an alternative to using the buzzer...
April 14, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28406365/diagnosing-and-resolving-conflict-created-by-strategic-plans-where-outreach-strategies-and-execution-meet-at-an-academic-health-center
#7
Robert L Edwards, Samuel B Wollner, Jessica Weddle, James W Zembrodt, Mark D Birdwhistell
The imperative for strategic change at academic health centers has never been stronger. Underpinning the success of strategic change is an effective process to implement a strategy. Healthcare organizations, however, often fail to execute on strategy because they do not activate the requisite capabilities and management processes. The University of Kentucky HealthCare recently defined its 2020 strategic plan to adapt to emerging market conditions. The authors outline the strategic importance of strengthening partnership networks and the initial challenges faced in executing their strategy...
April 13, 2017: Hospital Topics
https://www.readbyqxmd.com/read/28401672/multi-decadal-time-series-of-remotely-sensed-vegetation-improves-prediction-of-soil-carbon-in-a-subtropical-grassland
#8
Chris H Wilson, T Trevor Caughlin, Sami W Rifai, Elizabeth H Boughton, Michelle C Mack, S Luke Flory
Soil carbon sequestration in agroecosystems could play a key role in climate change mitigation but will require accurate predictions of soil organic carbon (SOC) stocks over spatial scales relevant to land management. Spatial variation in underlying drivers of SOC, such as plant productivity and soil mineralogy, complicates these predictions. Recent advances in the availability of remotely sensed data make it practical to generate multidecadal time series of vegetation indices with high spatial resolution and coverage...
April 12, 2017: Ecological Applications: a Publication of the Ecological Society of America
https://www.readbyqxmd.com/read/28399000/overcoming-health-system-challenges-for-women-and-children-living-with-hiv-through-the-global-plan
#9
Surbhi Modi, Tegan Callahan, Jessica Rodrigues, Mwikemo D Kajoka, Helen M Dale, Judite O Langa, Marilena Urso, Matsepeli I Nchephe, Helene Bongdene, Sostena Romano, Laura N Broyles
To meet the ambitious targets set by the Global Plan Towards the Elimination of New HIV Infections Among Children by 2015 and Keeping Their Mothers Alive (Global Plan), the initial 22 priority countries quickly developed innovative approaches for overcoming long-standing health systems challenges and providing HIV testing and treatment to pregnant and breastfeeding women and their infants. The Global Plan spurred programs for prevention of mother-to-child HIV transmission to integrate HIV-related care and treatment into broader maternal, newborn, and child health services; expand the effectiveness of the health workforce through task sharing; extend health services into communities; strengthen supply chain and commodity management systems; reduce diagnostic and laboratory hurdles; and strengthen strategic supervision and mentorship...
May 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28398571/what-does-the-alcohol-industry-mean-by-responsible-drinking-a-comparative-analysis
#10
N Maani Hessari, M Petticrew
Background: The alcohol industry uses responsible drinking messaging as a central element of its corporate social responsibility (CSR) activities. It has been argued that such messaging is vague, and potentially part of broader CSR activities to protect industry interests at the expense of public health. This study aimed to identify how industry defines responsible drinking, and in what contexts it is used. Methods: This was a qualitative documentary analysis of publicly available documents and web pages, including company web pages, press releases, reports and blogs from a representative selection of alcohol producers, and industry social aspect/public relations organizations; these were compared to health NGOs and Public Health England...
April 7, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/28397168/can-a-bayesian-belief-network-be-used-to-estimate-1-year-survival-in-patients-with-bone-sarcomas
#11
Rajpal Nandra, Michael Parry, Jonathan Forsberg, Robert Grimer
BACKGROUND: Extremity sarcoma has a preponderance to present late with advanced stage at diagnosis. It is important to know why these patients die early from sarcoma and to predict those at high risk. Currently we have mid- to long-term outcome data on which to counsel patients and support treatment decisions, but in contrast to other cancer groups, very little on short-term mortality. Bayesian belief network modeling has been used to develop decision-support tools in various oncologic diagnoses, but to our knowledge, this approach has not been applied to patients with extremity sarcoma...
April 10, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28390024/strategic-tillage-in-conservation-agricultural-systems-of-north-eastern-australia-why-where-when-and-how
#12
Yash Pal Dang, Anna Balzer, Mark Crawford, Vivian Rincon-Florez, Hongwei Liu, Alice Rowena Melland, Diogenes Antille, Shreevatsa Kodur, Michael John Bell, Jeremey Patrick Milroy Whish, Yunru Lai, Nikki Seymour, Lilia Costa Carvalhais, Peer Schenk
Farmers often resort to an occasional tillage (strategic tillage (ST)) operation to combat constraints of no-tillage (NT) farming systems. There are conflicting reports regarding impacts of ST and a lack of knowledge around when, where and how ST is implemented to maximise its benefits without impacting negatively on soil and environment. We established 14 experiments during 2012-2015 on farms with long-term history of continuous NT to (i) quantify the associated risks and benefits to crop productivity, soil and environmental health and (ii) explore key factors that need to be considered in decisions to implement ST in an otherwise NT system...
April 7, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28386746/river-bank-erosion-and-the-influence-of-environmental-flow-management
#13
Geoff J Vietz, Anna Lintern, J Angus Webb, David Straccione
Environmental flows aim to influence river hydrology to provide appropriate physical conditions for ecological functioning within the restrictions of flow regulation. The hydrologic characteristics of flow events, however, may also lead to unintended morphologic effects in rivers, such as increases in riverbank erosion beyond natural rates. This may negatively impact habitat for biota, riparian infrastructure, and land use. Strategic environmental flow delivery linked to monitoring and adaptive management can help mitigate risks...
April 6, 2017: Environmental Management
https://www.readbyqxmd.com/read/28385025/private-sector-accountable-care-organization-development-a-qualitative-study
#14
Ann Scheck McAlearney, Brian Hilligoss, Paula H Song
OBJECTIVES: To explore accountable care organizations (ACOs) as they develop in the private sector, including their motivation for development, perspectives from consumers regarding these emerging ACOs, and the critical success factors associated with ACO development. STUDY DESIGN: Comprehensive organizational case studies of 4 full-risk private sector ACOs that included in-person interviews with providers and administrators and focus groups with local consumers...
March 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28384003/qualifications-and-competencies-for-population-health-management-positions-a-content-analysis-of-job-postings
#15
Melanie Meyer
The need for population health management expertise has increased as the health care industry shifts toward value-based care. However, many organizations report hiring gaps as they seek to fill positions. The purpose of this study was to analyze the types of population health management positions for which health care organizations are hiring, including qualifications and competencies required for these positions. A content analysis was conducted on 271 job postings collected during a 2-month period. A typology of qualifications and competencies was developed based on the content analysis...
April 6, 2017: Population Health Management
https://www.readbyqxmd.com/read/28376993/a-model-to-improve-preparedness-and-strategically-enhance-resiliency-at-a-community-level-the-garden-state-approach
#16
Rodric Bowman, Alexander Newman
This paper focuses on community resiliency planning in high-density areas, concentrating on balancing critical infrastructure recovery needs with real-life limitations in funding, and knowledge for how emergency management is done. A case study examines how a New Jersey government agency and state university were able to pilot a community resiliency concept in order to rapidly inject emergency management knowledge into a community that was affected by Superstorm Sandy. The lessons learned are intuitively understood by emergency planning professionals: preparing continuity of operations plans, conducting training and exercises, and mitigating risk for future disasters...
December 1, 2017: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/28376992/you-say-you-want-an-evolution-of-your-risk-management-programme
#17
Kerry Anderson
Living organisms must evolve to continue to exist, let alone thrive. This situation is especially true when organisms are faced with a challenging environment, such as the risk management landscape. Risk management organisations need to adopt a continuous adaptation strategy to manage the dynamic threat landscape and build resilience into the risk management function. However, risk management teams do not have the luxury of being able to wait for adaptations to occur naturally because of the rapid rate of change...
December 1, 2017: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/28376865/estimating-the-scale-of-adverse-animal-welfare-consequences-of-movement-restriction-and-mitigation-strategies-in-a-classical-swine-fever-outbreak
#18
Shankar Yadav, Hsin-Yi Weng
BACKGROUND: The study aim was to quantify the impact of movement restriction on the well-being of pigs and the associated mitigation responses during a classical swine fever (CSF) outbreak. We developed a stochastic risk assessment model and incorporated Indiana swine industry statistics to estimate the timing and number of swine premises that would encounter overcrowding or feed interruption resulting from movement restriction. Our model also quantified the amount of on-farm euthanasia and movement of pigs to slaughter plants required to alleviate those conditions...
April 4, 2017: BMC Veterinary Research
https://www.readbyqxmd.com/read/28371134/strandadvantage-test-for-early-line-and-advanced-stage-treatment-decisions-in-solid-tumors
#19
Manimala Sen, Shanmukh Katragadda, Aarthi Ravichandran, Gouri Deshpande, Minothi Parulekar, Swetha Nayanala, Vikram Vittal, Weiming Shen, Melanie Phooi Nee Yong, Jemima Jacob, Sravanthi Parchuru, Kalpana Dhanuskodi, Kenneth Eyring, Pooja Agrawal, Smita Agarwal, Ashwini Shanmugam, Satish Gupta, Divya Vishwanath, Kiran Kumari, Arun K Hariharan, Sai A Balaji, Qiaoling Liang, Belen Robolledo, Vijayashree Gauribidanur Raghavendrachar, Mohammed Oomer Farooque, Cary J Buresh, Preveen Ramamoorthy, Urvashi Bahadur, Kalyanasundaram Subramanian, Ramesh Hariharan, Vamsi Veeramachaneni, Satish Sankaran, Vaijayanti Gupta
Comprehensive genetic profiling of tumors using next-generation sequencing (NGS) is gaining acceptance for guiding treatment decisions in cancer care. We designed a cancer profiling test combining both deep sequencing and immunohistochemistry (IHC) of relevant cancer targets to aid therapy choices in both standard-of-care (SOC) and advanced-stage treatments for solid tumors. The SOC report is provided in a short turnaround time for four tumors, namely lung, breast, colon, and melanoma, followed by an investigational report...
April 3, 2017: Cancer Medicine
https://www.readbyqxmd.com/read/28369396/strengthening-mental-health-system-governance-in-six-low-and-middle-income-countries-in-africa-and-south-asia-challenges-needs-and-potential-strategies
#20
Inge Petersen, Debbie Marais, Jibril Abdulmalik, Shalini Ahuja, Atalay Alem, Dan Chisholm, Catherine Egbe, Oye Gureje, Charlotte Hanlon, Crick Lund, Rahul Shidhaye, Mark Jordans, Fred Kigozi, James Mugisha, Nawaraj Upadhaya, Graham Thornicroft
Poor governance has been identified as a barrier to effective integration of mental health care in low- and middle-income countries. Governance includes providing the necessary policy and legislative framework to promote and protect the mental health of a population, as well as health system design and quality assurance to ensure optimal policy implementation. The aim of this study was to identify key governance challenges, needs and potential strategies that could facilitate adequate integration of mental health into primary health care settings in low- and middle-income countries...
February 27, 2017: Health Policy and Planning
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