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https://www.readbyqxmd.com/read/29686825/causal-relationship-analysis-of-the-patient-safety-culture-based-on-safety-attitudes-questionnaire-in-taiwan
#1
Yii-Ching Lee, Pei-Shan Zeng, Chih-Hsuan Huang, Hsin-Hung Wu
This study uses the decision-making trial and evaluation laboratory method to identify critical dimensions of the safety attitudes questionnaire in Taiwan in order to improve the patient safety culture from experts' viewpoints. Teamwork climate, stress recognition, and perceptions of management are three causal dimensions, while safety climate, job satisfaction, and working conditions are receiving dimensions. In practice, improvements on effect-based dimensions might receive little effects when a great amount of efforts have been invested...
2018: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29682497/place-of-delivery-associated-with-postnatal-care-utilization-among-childbearing-women-in-zambia
#2
Charles Chungu, Mpundu Makasa, Mumbi Chola, Choolwe Nkwemu Jacobs
Objective: Postnatal care (PNC) utilization is critical to the prevention of maternal morbidity and mortality. Despite its importance, the proportion of women utilizing this service is still low in Zambia. We investigated if place of delivery was associated with PNC utilization in the first 48 h among childbearing women in Zambia. Methods: Data from the 2013/14 Zambia Demographic and Health Survey for women, aged 15-49 years, who reported giving birth in the 2 years preceding the survey was used...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29676545/hemorheologic-alterations-in-patients-with-type-2-diabetes-mellitus-presented-with-an-acute-myocardial-infarction
#3
Kyu Hwan Park, Ung Kim, Kang Un Choi, Jong Ho Nam, Jung Hee Lee, Chan Hee Lee, Jang Won Son, Jong Seon Park, Dong Gu Shin, Kyu Chang Won, Jun Sung Moon, Yu Kyung Kim, Jang Soo Suh
BACKGROUND: Hemorheologic indices are known to be related to vascular complications in variable clinical settings. However, little is known about the associations between hemorheologic parameters and acute myocardial infarction (AMI) in type 2 diabetes mellitus (T2DM). The purpose of this study was to demonstrate the changes of hemorheologic environment inside of blood using hemorheologic parameters, especially the elongation index (EI) and critical shear stress (CSS) in diabetics with versus without AMI...
April 2018: Diabetes & Metabolism Journal
https://www.readbyqxmd.com/read/29676228/glaucoma-pathogenesis-and-neurotrophins-focus-on-the-molecular-and-genetic-basis-for-therapeutic-prospects
#4
Nitin Chitranshi, Yogita Dheer, Mojdeh Abbasi, Yuyi You, Stuart L Graham, Vivek Gupta
BACKGROUND: Retinal ganglion cell (RGC) degeneration is a major feature of glaucoma pathology. Neuroprotective approaches that delay or halt the progression of RGC loss are needed to prevent vision loss which can occur even after conventional medical or surgical treatments to lower intraocular pressure. OBJECTIVE: The aim of this review was to examine the progress in genetics and cellular mechanisms associated with endoplasmic reticulum (ER) stress, RGC dysfunction and cell death pathways in glaucoma...
April 19, 2018: Current Neuropharmacology
https://www.readbyqxmd.com/read/29671647/deep-brain-stimulation-for-trigeminal-autonomic-cephalalgias
#5
Giuseppe Messina, Giovanni Broggi, Vincenzo Levi, Angelo Franzini
Deep brain stimulation (DBS) of the posterior hypothalamic region (pHyr) has been shown to be efficacious for more than a half of patients suffering from trigeminal autonomic cephalalgias (TACs); nonetheless, controversies about the mechanisms of action and the actual site of stimulation have arisen in recent years. Areas covered: Firstly, a review of the most recent literature on the subject is presented, stressing the critical points that could, in the future, make a difference for optimal management of patients afflicted by these life-threating diseases...
April 19, 2018: Expert Review of Neurotherapeutics
https://www.readbyqxmd.com/read/29665984/emergency-department-overcrowding-quality-improvement-in-a-taiwan-medical-center
#6
Chen-Mei Hsu, Li-Lin Liang, Yun-Te Chang, Wang-Chuan Juang
BACKGROUND/PURPOSE: Overcrowding of hospital emergency departments (ED) is a worldwide health problem. The Taiwan Joint Commission on Hospital Accreditation has stressed the importance of finding solutions to overcrowding, including, reducing the number of patients with >48 h stay in the ED. Moreover, the Ministry of Health and Welfare aims at transferring non-critical patients to district or regional hospitals. We report the results of our Quality Improvement Project (QIP) on ED overcrowding, especially focusing on reducing length of stay (LOS) in ED...
April 14, 2018: Journal of the Formosan Medical Association, Taiwan Yi Zhi
https://www.readbyqxmd.com/read/29655866/activation-of-gsk3%C3%AE-%C3%AE-trcp-axis-via-phlpp1-exacerbates-nrf2-degradation-leading-to-impairment-in-cell-survival-pathway-during-diabetic-nephropathy
#7
Alpana Mathur, Vivek Kumar Pandey, Poonam Kakkar
NF-E2 p45-related factor 2 (Nrf2), is a major redox sensitive transcription factor that plays an essential role in regulating glucose metabolism. Inactivation of Nrf2 has been associated with diabetic complications however, mechanisms warranting Nrf2 suppression are incompletely understood. We hypothesized that PHLPP1 activates GSK3β to induce β-TrCP mediated Nrf2 phosphorylation and degradation. In vivo study was carried out in STZ-NA induced type 2 diabetic male Wistar rats. GSK3β mediated Nrf2 ubiquitination was confirmed by administration of GSK3β inhibitor (LiCl; 60mg/kg bwt...
April 12, 2018: Free Radical Biology & Medicine
https://www.readbyqxmd.com/read/29653248/core-trainee-boot-camp-a-method-for-improving-technical-and-non-technical-skills-of-novice-surgical-trainees-a-before-and-after-study
#8
R Bamford, L Langdon, C A Rodd, S Eastaugh-Waring, J E Coulston
INTRODUCTION: The transition to surgical training can be a stressful time for trainees and is most evident during national handover periods where new graduates start and senior trainees rotate to new programmes. During this time, patient mortality can increase and Hospital efficiency reduces. This influence is compounded by the impact of working time directives. Intensive, simulation rich training programmes or "Boot Camps" have been postulated as a solution. This article highlights the development of a surgical boot camp for novice surgical trainees and the impact this can have on training...
April 10, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29627396/characterization-of-circulating-steroid-hormone-profiles-in-the-bottlenose-dolphin-tursiops-truncatus-by-liquid-chromatography-tandem-mass-spectrometry-lc-ms-ms
#9
Thomas M Galligan, Lori H Schwacke, Dorian S Houser, Randall S Wells, Teri Rowles, Ashley S P Boggs
Systemic steroid hormone measurements are often used in the assessment of reproductive, developmental, and stress physiology in vertebrates. In protected wildlife, such as the common bottlenose dolphin (Tursiops truncatus), these measures can provide critical information about health and fitness to aid in effective conservation and management. Circulating steroid hormone concentrations are typically measured by immunoassays, which have imperfect specificity and are limited to the measurement of a single hormone per assay...
April 5, 2018: General and Comparative Endocrinology
https://www.readbyqxmd.com/read/29626406/competing-logics-and-healthcare-comment-on-re-making-the-procrustean-bed-standardization-and-customization-as-competing-logics-in-healthcare
#10
Mike Saks
This paper offers a short commentary on the editorial by Mannion and Exworthy. The paper highlights the positive insights offered by their analysis into the tensions between the competing institutional logics of standardization and customization in healthcare, in part manifested in the conflict between managers and professionals, and endorses the plea of the authors for further research in this field. However, the editorial is criticized for its lack of a strong societal reference point, the comparative absence of focus on hybridization, and its failure to highlight structural factors impinging on the opposing logics in a broader neo-institutional framework...
August 20, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29623477/future-heat-stress-arising-from-climate-change-on-iran-s-population-health
#11
Reza Modarres, Mohammad Ghadami, Sohrab Naderi, Mohammad Naderi
Climate change-induced extreme heat events are becoming a major issue in different parts of the world, especially in developing countries. The assessment of regional and temporal past and future change in heat waves is a crucial task for public health strategies and managements. The historical and future heat index (HI) time series are investigated for temporal change across Iran to study the impact of global warming on public health. The heat index is calculated, and the nonparametric trend assessment is carried out for historical time series (1981-2010)...
April 5, 2018: International Journal of Biometeorology
https://www.readbyqxmd.com/read/29604417/evaluating-how-variants-of-floristic-quality-assessment-indicate-wetland-condition
#12
Thomas E Kutcher, Graham E Forrester
Biological indicators are useful tools for the assessment of ecosystem condition. Multi-metric and multi-taxa indicators may respond to a broader range of disturbances than simpler indicators, but their complexity can make them difficult to interpret, which is critical to indicator utility for ecosystem management. Floristic Quality Assessment (FQA) is an example of a biological assessment approach that has been widely tested for indicating freshwater wetland condition, but less attention has been given to clarifying the factors controlling its response...
March 28, 2018: Journal of Environmental Management
https://www.readbyqxmd.com/read/29602138/the-effectiveness-of-mindfulness-meditation-for-nurses-and-nursing-students-an-integrated-literature-review
#13
REVIEW
Pamela van der Riet, Tracy Levett-Jones, Catherine Aquino-Russell
BACKGROUND: A growing body of literature has identified a range of beneficial physiological and psychological outcomes from the regular practice of mindfulness meditation. For healthcare professionals, mindfulness meditation is claimed to reduce stress, anxiety and burnout, and enhance resilience. OBJECTIVE: The objective of this integrative review was to critically appraise the literature that related to the effectiveness of mindfulness meditation programs for nurses and nursing students...
March 24, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29602118/fertilizer-n-application-rate-impacts-plant-soil-feedback-in-a-sanqi-production-system
#14
Wei Wei, Min Yang, Yixiang Liu, Huichuan Huang, Chen Ye, Jianfen Zheng, Cunwu Guo, Minwen Hao, Xiahong He, Shusheng Zhu
Replant failure caused by negative plant-soil feedback (NPFS) in agricultural ecosystems is a critical factor restricting the development of sustainable agriculture. Soil nutrient availability has the capacity to affect plant-soil feedback. Here, we used sanqi (Panax notoginseng), which is severely threatened by NPSF, as a model plant to decipher the overall effects of nitrogen (N) rates on NPSF and the underlying mechanism. We found that a high rate of N at 450kgNha-1 (450N) aggravated the NPSF through the accumulation of pathogens in the soil compared with the optimal 250N...
March 27, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29600591/veteran-centred-content-in-medical-education
#15
Paula T Ross, Monica L Lypson
BACKGROUND: Veterans have unique experiences that warrant special consideration in health care. Unfortunately, training in veteran-centred care has not been a clear focus of medical education, and only a very small proportion of medical schools include military cultural competency in their curricula. METHODS: We conducted an 80-minute focus group with six US veterans. Open-ended questions were used to elicit their perceptions of the health care that they receive, and how it can be improved...
March 30, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29599737/development-of-the-sexual-minority-adolescent-stress-inventory
#16
Sheree M Schrager, Jeremy T Goldbach, Mary Rose Mamey
Although construct measurement is critical to explanatory research and intervention efforts, rigorous measure development remains a notable challenge. For example, though the primary theoretical model for understanding health disparities among sexual minority (e.g., lesbian, gay, bisexual) adolescents is minority stress theory, nearly all published studies of this population rely on minority stress measures with poor psychometric properties and development procedures. In response, we developed the Sexual Minority Adolescent Stress Inventory (SMASI) with N = 346 diverse adolescents ages 14-17, using a comprehensive approach to de novo measure development designed to produce a measure with desirable psychometric properties...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29593871/impact-of-motorboats-on-fish-embryos-depends-on-engine-type
#17
Sofia Jain-Schlaepfer, Eric Fakan, Jodie L Rummer, Stephen D Simpson, Mark I McCormick
Human generated noise is changing the natural underwater soundscapes worldwide. The most pervasive sources of underwater anthropogenic noise are motorboats, which have been found to negatively affect several aspects of fish biology. However, few studies have examined the effects of noise on early life stages, especially the embryonic stage, despite embryo health being critical to larval survival and recruitment. Here, we used a novel setup to monitor heart rates of embryos from the staghorn damselfish ( Amblyglyphidodon curacao ) in shallow reef conditions, allowing us to examine the effects of in situ boat noise in context with real-world exposure...
2018: Conservation Physiology
https://www.readbyqxmd.com/read/29592827/managing-stress-in-a-crisis
#18
Alison Wright-Reid
Crisis situations are inherently uncertain and threatening. Although the primal stress reactions they provoke deliver some advantages, they so severely restrict intellect and behaviour that consultants observe crisis teams making the same mistakes over and again. Stress risks can be managed before, during and after a crisis. Crisis planning can select the right people, control the crisis team environment, and mitigate fatigue risks and memory demands. Because stress reactions are primitive, stress can be manipulated at a remarkably primitive level and teams can increase their resilience through such basics as sleep and breathing skills...
January 1, 2018: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/29587738/the-relationship-between-long-working-hours-and-depression-among-first-year-residents-in-japan
#19
Ryoko Ogawa, Emiko Seo, Takami Maeno, Makoto Ito, Masaru Sanuki, Tetsuhiro Maeno
BACKGROUND: In Japan, some residents develop mental health problems. In previous studies, it was reported that long working hours might be a cause of stress reaction such as depression. There were some reports that compared residents with 80 or more working hours with those with less than 80 working hours. However, many residents are practically detained for extra-long time, designated as 100 h or more per week, for medical practice, training, self-study, etc. There have been few reports on extra-long hours of work...
March 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29579497/the-perceptions-of-patient-safety-culture-a-difference-between-physicians-and-nurses-in-taiwan
#20
Chih-Hsuan Huang, Hsin-Hung Wu, Yii-Ching Lee
AIMS: In order to pursue a better patient safety culture and provide a superior medical service for patients, this study aims to respectively investigate the perceptions of patient safety from the viewpoints of physicians and nurses in Taiwan. BACKGROUND: Little knowledge has clearly identified the difference of perceptions between physicians and nurses in patient safety culture. Understanding physicians and nurses' attitudes toward patient safety is a critical issue for healthcare organizations to improve medical quality...
April 2018: Applied Nursing Research: ANR
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