keyword
MENU ▼
Read by QxMD icon Read
search

Lean program

keyword
https://www.readbyqxmd.com/read/28614127/a-hospital-is-not-just-a-factory-but-a-complex-adaptive-system-implications-for-perioperative-care
#1
Aman Mahajan, Salim D Islam, Michael J Schwartz, Maxime Cannesson
Many methods used to improve hospital and perioperative services productivity and quality of care have assumed that the hospital is essentially a factory, and therefore, that industrial engineering and manufacturing-derived redesign approaches such as Six Sigma and Lean can be applied to hospitals and perioperative services just as they have been applied in factories. However, a hospital is not merely a factory but also a complex adaptive system (CAS). The hospital CAS has many subsystems, with perioperative care being an important one for which concepts of factory redesign are frequently advocated...
July 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28607221/vastus-lateralis-and-rectus-femoris-echo-intensity-fail-to-reflect-knee-extensor-specific-tension-in-middle-school-boys
#2
Jacob Mota, Matt S Stock, Brennan Thompson
The potential dissociation between muscle strength and size has led to interest in the ability to assess muscle quality across the lifespan. We examined the association between echo intensity and specific tension in middle-school boys. Twenty-five boys participated in this study. Sixteen (mean ± SD age = 12 ± 1 years) engaged in a 16-week after-school strength and conditioning program. Nine boys (12 ± 1 years) served as controls. The program involved two, 90 minute sessions per week of lower-body speed, power, and resistance training...
June 13, 2017: Physiological Measurement
https://www.readbyqxmd.com/read/28578654/progressive-resistance-training-in-head-and-neck-cancer-patients-during-concomitant-chemoradiotherapy-design-of-the-dahanca-31-randomized-trial
#3
Camilla K Lonkvist, Simon Lønbro, Anders Vinther, Bo Zerahn, Eva Rosenbom, Hanne Primdahl, Pernille Hojman, Julie Gehl
BACKGROUND: Head and neck cancer patients undergoing concomitant chemoradiotherapy (CCRT) frequently experience loss of muscle mass and reduced functional performance. Positive effects of exercise training are reported for many cancer types but biological mechanisms need further elucidation. This randomized study investigates whether progressive resistance training (PRT) may attenuate loss of muscle mass and functional performance. Furthermore, biochemical markers and muscle biopsies will be investigated trying to link biological mechanisms to training effects...
June 3, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28575048/effects-of-a-weight-management-program-delivered-by-social-media-on-weight-and-metabolic-syndrome-risk-factors-in-overweight-and-obese-adults-a-randomised-controlled-trial
#4
Monica Jane, Martin Hagger, Jonathan Foster, Suleen Ho, Robert Kane, Sebely Pal
INTRODUCTION: The aim of this project was to evaluate the effectiveness of using social media to augment the delivery of, and provide support for, a weight management program delivered to overweight and obese individuals during a twenty four week intervention. METHODS: Participants randomly divided into either one of two intervention groups or a control group. The two intervention groups were instructed to follow identical weight-management program. One group received the program within a Facebook group, along with a support network with the group, and the other intervention group received the same program in a booklet...
2017: PloS One
https://www.readbyqxmd.com/read/28572857/changes-in-health-related-quality-of-life-in-elderly-men-after-12%C3%A2-weeks-of-strength-training
#5
Kristin Haraldstad, Gudrun Rohde, Tonje Holte Stea, Hilde Lohne-Seiler, Ken Hetlelid, Gøran Paulsen, Sveinung Berntsen
BACKGROUND: Muscular strength is associated with functional ability in elderly, and older adults are recommended to perform muscle-strengthening exercise. Understanding how improved muscle strength and -mass influence general and specific domains of quality of life is important when planning health promotion efforts targeting older adults. The aims of the present study were to describe changes in health-related quality of life (HRQOL) in older men participating in 12 weeks of systematic strength training, and to investigate whether improvements in muscle strength and muscle mass are associated with enhancements in HRQOL...
2017: European Review of Aging and Physical Activity
https://www.readbyqxmd.com/read/28571519/using-lean-manufacturing-principles-to-evaluate-wait-times-for-hiv-positive-patients-in-an-urban-clinic-in-kenya
#6
Aliza Monroe-Wise, Elizabeth Reisner, Kenneth Sherr, David Ojakaa, Lilian Mbau, Paul Kisia, Samuel Muhula, Carey Farquhar
As human immunodeficiency virus (HIV) treatment programs expand in Africa, delivery systems must be strengthened to support patient retention. Clinic characteristics may affect retention, but a relationship between clinic flow and attrition is not established. This project characterized HIV patient experience and flow in an urban Kenyan clinic to understand how these may affect retention. We used Toyota's lean manufacturing principles to guide data collection and analysis. Clinic flow was evaluated using value stream mapping and time and motion techniques...
January 1, 2017: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/28566529/unconditional-seasonal-cash-transfer-increases-intake-of-high-nutritional-value-foods-in-young-burkinabe-children-results-of-24-hour-dietary-recall-surveys-within-the-mam-out-randomized-controlled-trial
#7
Audrey Tonguet-Papucci, Freddy Houngbe, Lieven Huybregts, Myriam Ait-Aissa, Chiara Altare, Patrick Kolsteren, Jean-François Huneau
Background: Cash transfer programs have the potential to improve dietary intake by improving accessibility to food. However, quantitative data on the impact of cash transfer programs on children's energy and nutrient intakes are lacking.Objective: The aim of this study was to evaluate the effect of seasonal unconditional cash transfers on children's energy, micro- and macronutrient, and food group intakes during the lean season in Burkina Faso.Methods: Within the framework of the MAM'Out (Moderate Acute Malnutrition Out) cluster-randomized controlled trial, two 24-h dietary recall surveys were conducted in July and August 2014...
May 31, 2017: Journal of Nutrition
https://www.readbyqxmd.com/read/28561278/the-effects-of-testosterone-on-body-composition-in-obese-men-are-not-sustained-after-cessation-of-testosterone-treatment
#8
Mark Ng Tang Fui, Rudolf Hoermann, Jeffrey D Zajac, Mathis Grossmann
BACKGROUND: Testosterone treatment in obese dieting men augments the diet-associated loss of fat mass, but protects against loss of lean mass. We assessed whether body composition changes are maintained following withdrawal of testosterone treatment. METHODS: We conducted a pre-specified double-blind randomised placebo-controlled observational follow-up study of a randomized controlled trial (RCT). Participants were men with baseline obesity (body mass index ≥ 30kg/m(2) ) and a repeated total testosterone level ≤ 12nmol/L, previously enrolled in a 56-week testosterone-treatment trial combined with a weight loss program...
May 31, 2017: Clinical Endocrinology
https://www.readbyqxmd.com/read/28561039/sedentary-behavior-and-compensatory-mechanisms-in-response-to-different-doses-of-exercise-a-randomized-controlled-trial-in-overweight-and-obese-adults
#9
E A Castro, P B Júdice, A M Silva, P J Teixeira, P J Benito
BACKGROUND/OBJECTIVES: To examine compensatory changes in sedentary behavior (SB) and light-intensity physical activities (LIPA) in response to a 22-week exercise training program in overweight/obese adults; and to determine if different forms of exercise training and physical activity recommendations interact with these compensatory changes. SUBJECTS/METHODS: Eighty-nine overweight and obese individuals (body mass index (BMI): 25-34.9 kg/m(2), 48% males), aged 18-50 years, were randomized into four intervention groups (strength, endurance, combined strength + endurance and physical activity recommendations) with a 25-30% caloric restriction of total daily energy expenditure for 22 weeks...
May 31, 2017: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28560574/eortc-pet-response-criteria-are-more-influenced-by-reconstruction-inconsistencies-than-percist-but-both-benefit-from-the-earl-harmonization-program
#10
Charline Lasnon, Elske Quak, Pierre-Yves Le Roux, Philippe Robin, Michael S Hofman, David Bourhis, Jason Callahan, David S Binns, Cédric Desmonts, Pierre-Yves Salaun, Rodney J Hicks, Nicolas Aide
BACKGROUND: This study evaluates the consistency of PET evaluation response criteria in solid tumours (PERCIST) and European Organisation for Research and Treatment of Cancer (EORTC) classification across different reconstruction algorithms and whether aligning standardized uptake values (SUVs) to the European Association of Nuclear Medicine acquisition (EANM)/EARL standards provides more consistent response classification. MATERIALS AND METHODS: Baseline (PET1) and response assessment (PET2) scans in 61 patients with non-small cell lung cancer were acquired in protocols compliant with the EANM guidelines and were reconstructed with point-spread function (PSF) or PSF + time-of-flight (TOF) reconstruction for optimal tumour detection and with a standardized ordered subset expectation maximization (OSEM) reconstruction known to fulfil EANM harmonizing standards...
December 2017: EJNMMI Physics
https://www.readbyqxmd.com/read/28546738/kinematic-and-electromyographic-activity-changes-during-back-squat-with-submaximal-and-maximal-loading
#11
Hasan U Yavuz, Deniz Erdag
The aim of this study was to investigate the possible kinematic and muscular activity changes with maximal loading during squat maneuver. Fourteen healthy male individuals, who were experienced at performing squats, participated in this study. Each subject performed squats with 80%, 90%, and 100% of the previously established 1 repetition maximum (1RM). Electromyographic (EMG) activities were measured for the vastus lateralis, vastus medialis, rectus femoris, semitendinosus, biceps femoris, gluteus maximus, and erector spinae by using an 8-channel dual-mode portable EMG and physiological signal data acquisition system (Myomonitor IV, Delsys Inc...
2017: Applied Bionics and Biomechanics
https://www.readbyqxmd.com/read/28545164/loss-of-appendicular-muscle-mass-in-haemodialysis-patients-is-associated-with-increased-self-reported-depression-anxiety-and-lower-general-health-scores
#12
Helen Alston, Aine Burns, Andrew Davenport
AIMS: Depressive symptoms are commonly reported by haemodialysis (HD) patients. Previous reports have suggested an association between depression and nutritional status. To investigate this, we measured muscle mass in HD patients screened for depression. METHODS: The Beck Depression Inventory-II (BDI-II), Hospital Anxiety and Depression Scale (HADS) were used to screen for depression, and quality of life assessed by the short form 36 (SF36), and measured appendicular lean mass (ALM) post-dialysis with segmental bioimpedance...
May 25, 2017: Nephrology
https://www.readbyqxmd.com/read/28542072/effect-of-exercise-training-on-the-frequency-of-contracture-release-surgeries-in-burned-children
#13
Jong O Lee, David N Herndon, Clark Andersen, Oscar E Suman, Ted T Huang
BACKGROUND: Intensive physical exercise (IPE) increases strength, lean body mass, aerobic capacity, and range of motion in children with extensive burns. However, whether IPE decreases the frequency of burn scar contracture-releasing procedures in children with extensive burns is unknown. MATERIALS AND METHODS: Prospectively collected surgical records of 184 children who had undergone axilla, elbow, and/or wrist contracture-releasing procedures were reviewed. All children were 7 years or older and had sustained burns of at least 40% of the total body surface area...
May 25, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28534168/father-s-obesity-programs-the-adipose-tissue-in-the-offspring-via-the-local-renin-angiotensin-system-and-mapks-pathways-especially-in-adult-male-mice
#14
Fernanda Ornellas, Isabele Bringhenti, Brenda Akemi N F Mattos, Carlos Alberto Mandarim-de-Lacerda, Marcia Barbosa Aguila
PURPOSE: Studies demonstrated the influence of mother's obesity on offspring. However, the father is also related to programming the future generation. The study aimed to evaluate the effects of father's obesity upon white adipose tissue (WAT) remodeling, resulting in activation of signaling pathways and inflammation in male and female offspring. METHODS: Male C57BL/6 mice received control diet (lean father group; 17% energy from lipids) or high-fat diet (obese father group; 49% energy from lipids) for 8 weeks before mating...
May 22, 2017: European Journal of Nutrition
https://www.readbyqxmd.com/read/28530517/contributions-of-body-composition-characteristics-to-critical-power-and-anaerobic-work-capacity
#15
M Travis Byrd, Jonathan Robert Switalla, Joel E Eastman, Brian J Wallace, Jody L Clasey, Haley C Bergstrom
Critical power (CP) and anaerobic work capacity (AWC) from the CP test represent distinct parameters related to metabolic characteristics of the whole body and active muscle tissue, respectively. PURPOSE: This study examined the contribution of whole body composition characteristics and local lean mass to further elucidate the differences in metabolic characteristics between CP and AWC as they relate to whole body and local factors. METHODS: Fifteen, anaerobically trained males were assessed for whole body (% body fat [%BF] and mineral-free, lean mass [LBM]) and local mineral-free thigh lean mass (TLM) composition characteristic...
May 22, 2017: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/28528621/using-lean-to-rapidly-and-sustainably-transform-a-behavioral-health-crisis-program-impact-on-throughput-and-safety
#16
Margaret E Balfour, Kathleen Tanner, Paul J Jurica, Dawn Llewellyn, Robert G Williamson, Chris A Carson
BACKGROUND: Lean has been increasingly applied in health care to reduce waste and improve quality, particularly in fast-paced and high-acuity clinical settings such as emergency departments. In addition, Lean's focus on engagement of frontline staff in problem solving can be a catalyst for organizational change. In this study, ConnectionsAZ demonstrates how they applied Lean principles to rapidly and sustainably transform clinical operations in a behavioral health crisis facility. METHODS: A multidisciplinary team of management and frontline staff defined values-based outcome measures, mapped the current and ideal processes, and developed new processes to achieve the ideal...
June 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28528340/evaluation-of-hypocaloric-diet-with-protein-supplementation-in-middle-aged-sarcopenic-obese-women-a-pilot-study
#17
Rosa Sammarco, Maurizio Marra, Maria Luisa Di Guglielmo, Marianna Naccarato, Franco Contaldo, Eleonora Poggiogalle, Lorenzo Maria Donini, Fabrizio Pasanisi
OBJECTIVE: The aim of this study was to evaluate the efficacy of a nutritional program, which is characterized by a different modulation of proteins, in adult patients with sarcopenic obesity. METHODS: We studied 18 obese women aged 41-74 years. Obesity was diagnosed as fat mass > 34.8% and sarcopenia was defined when lean body mass was <90% of the subject's ideal fat free mass. All subjects were randomly assigned to different nutritional interventions: Hypocaloric diet plus placebo (A) and hypocaloric high-protein diet (1...
May 20, 2017: Obesity Facts
https://www.readbyqxmd.com/read/28527156/the-effect-of-aerobic-or-aerobic-strength-exercise-on-body-composition-and-functional-capacity-in-patients-with-bmi-%C3%A2-35-after-bariatric-surgery-a-randomized-control-trial
#18
Alireza Hassannejad, Alireza Khalaj, Mohammad Ali Mansournia, Mastaneh Rajabian Tabesh, Zahra Alizadeh
BACKGROUND: Although previous studies suggested that bariatric surgery is the most effective and sustainable treatment method for morbid obesity in long term, but without changing in lifestyle, maintaining optimal weight loss is almost impossible. METHODS: Sixty morbid obese patients (BMI ≥ 35) were evaluated before and after 12 weeks of bariatric surgery in order to compare the impact of two different exercise programs on body composition and functional capacity outcomes...
May 19, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28515498/using-lean-to-develop-frontline-clinical-staff-pharmacists-as-residency-program-primary-preceptors
#19
EDITORIAL
Leah Frantzen, Brandon Ordway
No abstract text is available yet for this article.
April 2017: Hospital Pharmacy
https://www.readbyqxmd.com/read/28514618/aerobic-or-resistance-exercise-or-both-in-dieting-obese-older-adults
#20
RANDOMIZED CONTROLLED TRIAL
Dennis T Villareal, Lina Aguirre, A Burke Gurney, Debra L Waters, David R Sinacore, Elizabeth Colombo, Reina Armamento-Villareal, Clifford Qualls
BACKGROUND: Obesity causes frailty in older adults; however, weight loss might accelerate age-related loss of muscle and bone mass and resultant sarcopenia and osteopenia. METHODS: In this clinical trial involving 160 obese older adults, we evaluated the effectiveness of several exercise modes in reversing frailty and preventing reduction in muscle and bone mass induced by weight loss. Participants were randomly assigned to a weight-management program plus one of three exercise programs - aerobic training, resistance training, or combined aerobic and resistance training - or to a control group (no weight-management or exercise program)...
May 18, 2017: New England Journal of Medicine
keyword
keyword
18292
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"