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https://www.readbyqxmd.com/read/28635534/exploring-premenstrual-dysphoric-disorder-pmdd-in-the-work-context-a-qualitative-study
#1
Claire Hardy, Jenna Hardie
This study aims to explore women's experience of premenstrual dysphoric disorder (PMDD) in the workplace, and identify if organizations can do anything to help. Analysis of 15 semi-structured interviews, using an inductive thematic analysis approach, revealed the most common symptoms women experience at work include difficulty in concentrating, self-doubt, paranoia, fatigue, tearfulness, a heightened sensitivity to the environment and people, outbursts, and finding social interaction particularly difficult during this premenstrual "episode" phase...
February 21, 2017: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28634000/dose-dependent-effects-of-abobotulinumtoxina-dysport%C3%A2-on-spasticity-and-active-movements-in-adults-with-upper-limb-spasticity-secondary-analysis-of-a-phase-3-study
#2
Michael W O'Dell, Allison Brashear, Robert Jech, Thierry Lejeune, Philippe Marque, Djamel Bensmail, Ziyad Ayyoub, David M Simpson, Magali Volteau, Claire Vilain, Philippe Picaut, Jean Michel Gracies
BACKGROUND: AbobotulinumtoxinA has beneficial effects on spasticity and active movements in hemiparetic adults with upper limb spasticity (ULS). However, evidence-based information on optimal dosing for clinical use is limited. OBJECTIVE: To describe joint-specific dose effects of abobotulinumtoxinA in adults with ULS. DESIGN: Secondary analysis of a phase 3 study (NCT01313299). SETTING: Multi-center, international, double-blind, placebo-controlled clinical trial...
June 17, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28632054/middle-finger-and-ball-movements-around-ball-release-during-baseball-fastball-pitching
#3
Tomoyuki Matsuo, Tsutomu Jinji, Daisaku Hirayama, Daiki Nasu, Hiroki Ozaki, Daisuke Kumagawa
The objectives of this study were to investigate middle finger movements and dynamics of ball movements around the instant of ball release during baseball pitching. Baseball pitching from an indoor mound among 14 semi-professional pitchers was captured using a motion capture system with 16 high-speed cameras (1,000 Hz). Kinematics of middle finger joints, ball rotation, and force applied to the ball were calculated. The proximal and distal interphalangeal joints continued to extend until the instant of ball release, then abruptly flexed...
February 28, 2017: Sports Biomechanics
https://www.readbyqxmd.com/read/28621247/-aria-2016-executive-summary-integrated-care-pathways-for-predictive-medicine-across-the-life-cycle
#4
Ayşe Arzu Yorgancıoğlu, Ömer Kalaycı, Cemal Cingi, Bilun Gemicioğlu, Ali Fuat Kalyoncu, Iogana Agache, Claus Bachert, Anna Bedbrook, George Walter Canonica, Thomas Casale, Alvaro Cruz, Wytsk Ej Fokkens, Peter Hellings, Boleslaw Samolinski, Jean Bousquet
The Allergic Rhinitis and its Impact on Asthma (ARIA) initiative commenced during a World Health Organization (WHO) workshop in 1999. The initial goals were (i) to propose a new allergic rhinitis classification, (ii) to promote the concept of multi-morbidity in asthma and rhinitis and (iii) to develop guidelines with all stakeholders for global use in all countries and populations. ARIA- disseminated and implemented in over 70 countries globally- is now focusing on the implementation of emerging technologies for individualized and predictive medicine...
March 2017: Tüberküloz Ve Toraks
https://www.readbyqxmd.com/read/28606088/developing-a-standardized-healthcare-cost-data-warehouse
#5
Sue L Visscher, James M Naessens, Barbara P Yawn, Megan S Reinalda, Stephanie S Anderson, Bijan J Borah
BACKGROUND: Research addressing value in healthcare requires a measure of cost. While there are many sources and types of cost data, each has strengths and weaknesses. Many researchers appear to create study-specific cost datasets, but the explanations of their costing methodologies are not always clear, causing their results to be difficult to interpret. Our solution, described in this paper, was to use widely accepted costing methodologies to create a service-level, standardized healthcare cost data warehouse from an institutional perspective that includes all professional and hospital-billed services for our patients...
June 12, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28597621/hemodynamic-adaptation-to-training-in-visually-impaired-professional-tandem-cyclists
#6
Anna M Kamelska, Krzysztof L Mazurek, Jacek J Nowakowski
BACKGROUND: Cycling is one of the disciplines with the greatest training-induced volumetric changes in cardiovascular systems. The aim of the study was to evaluate the hemodynamic adaptation to 7-month routine training in athletes with and without severe visual impairment. METHODS: The study involved 26 men: visually impaired (VI) (n = 13; 37±12.2 years) and properly sighted (PS) (n = 13; 41±12.8 years) elite tandem-cycling athletes. They underwent hemodynamic variables monitoring at rest and during exercise test by impedance cardiography (ICG), before (in the middle of the transition period) and after 7-month cycling training (at the beginning of the competitive period)...
June 8, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28595820/quality-management-a-directive-approach-to-patient-safety
#7
Diego Ayuso-Murillo, Begoña de Andrés-Gimeno, Concha Noriega-Matanza, Rafael Jesús López-Suárez, Ivan Herrera-Peco
Nowadays the implementation of effective quality management systems and external evaluation in healthcare is a necessity to ensure not only transparency in activities related to health but also access to health and patient safety. The key to correctly implementing a quality management system is support from the managers of health facilities, since it is managers who design and communicate to health professionals the strategies of action involved in quality management systems. This article focuses on nursing managers' approach to quality management through the implementation of cycles of continuous improvement, participation of improvement groups, monitoring systems and external evaluation quality models (EFQM, ISO)...
June 5, 2017: Enfermería Clínica
https://www.readbyqxmd.com/read/28592618/efficacy-and-safety-of-pertuzumab-and-trastuzumab-administered-in-a-single-infusion-bag-followed-by-vinorelbine-velvet-cohort-2-final-results
#8
Michael Andersson, José M López-Vega, Thierry Petit, Claudio Zamagni, Valerie Easton, Julia Kamber, Eleonora Restuccia, Edith A Perez
BACKGROUND: VELVET Cohort 1 demonstrated the applicability of pertuzumab, trastuzumab, and vinorelbine as an alternative first-line treatment regimen for patients with HER2-positive locally advanced or metastatic breast cancer (MBC) who cannot receive docetaxel. Co-infusion of pertuzumab and trastuzumab may reduce clinic time and medical resource utilization. We report results from Cohort 2, in which pertuzumab and trastuzumab were co-infused, followed by vinorelbine. PATIENTS AND METHODS: During cycle 1, patients with HER2-positive locally advanced or MBC received loading doses of pertuzumab (840 mg) and trastuzumab (8 mg/kg) on consecutive days, followed by vinorelbine (25 mg/m(2)) on days two and nine...
June 7, 2017: Oncologist
https://www.readbyqxmd.com/read/28592577/the-esmart-study-protocol-a-randomised-controlled-trial-to-evaluate-electronic-symptom-management-using-the-advanced-symptom-management-system-asyms-remote-technology-for-patients-with-cancer
#9
Roma Maguire, Patricia A Fox, Lisa McCann, Christine Miaskowski, Grigorios Kotronoulas, Morven Miller, Eileen Furlong, Emma Ream, Jo Armes, Elisabeth Patiraki, Alexander Gaiger, Geir V Berg, Adrian Flowerday, Peter Donnan, Paul McCrone, Kathi Apostolidis, Jenny Harris, Stylianos Katsaragakis, Alison R Buick, Nora Kearney
INTRODUCTION: While some evidence exists that real-time remote symptom monitoring devices can decrease morbidity and prevent unplanned admissions in oncology patients, overall, these studies have significant methodological weaknesses. The electronic Symptom Management using the Advanced Symptom Management System (ASyMS) Remote Technology (eSMART) study is designed to specifically address these weaknesses with an appropriately powered, repeated-measures, parallel-group stratified randomised controlled trial of oncology patients...
June 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28592237/labour-management-guidelines-for-a-tanzanian-referral-hospital-the-participatory-development-process-and-birth-attendants-perceptions
#10
Nanna Maaløe, Natasha Housseine, Jos van Roosmalen, Ib Christian Bygbjerg, Britt Pinkowski Tersbøl, Rashid Saleh Khamis, Birgitte Bruun Nielsen, Tarek Meguid
BACKGROUND: While international guidelines for intrapartum care appear to have increased rapidly since 2000, literature suggests that it has only in few instances been matched with reviews of local modifications, use, and impact at the targeted low resource facilities. At a Tanzanian referral hospital, this paper describes the development process of locally achievable, partograph-associated, and peer-reviewed labour management guidelines, and it presents an assessment of professional birth attendants' perceptions...
June 7, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28589307/cultivating-community-responsive-future-healthcare-professionals-using-service-learning-in-pre-health-humanities-education
#11
Casey Kayser
This essay argues that service-learning pedagogy is an important tool in pre-health humanities education that provides benefits to the community and produces more compassionate, culturally competent, and community-responsive future healthcare professionals. Further, beginning this approach at the baccalaureate level instills democratic and collaborative values at an earlier, crucial time in the career socialization process. The discussion focuses on learning outcomes and reciprocity between the university and community in a Medical Humanities course for junior and senior premedical students, an elective in the premedical curriculum...
June 7, 2017: Journal of Medical Humanities
https://www.readbyqxmd.com/read/28589027/developing-a-globally-applicable-evidence-informed-competency-framework-to-support-capacity-strengthening-in-clinical-research
#12
Amélie Julé, Tamzin Furtado, Liam Boggs, Francois van Loggerenberg, Victoria Ewing, Manhaz Vahedi, Pascal Launois, Trudie Lang
Capacity development for clinical research is held back by a lack of recognition for the skills acquired through involvement in clinical trials and in other varied types of global health research studies. Although some competency frameworks and associated recognised career pathways exist for different clinical research roles, they mostly apply to a single role or study setting. Our experience supports the need for an integrated approach, looking at the many roles in parallel and at all types of clinical research beyond trials...
March 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28588985/how-did-rapid-scale-up-of-hiv-services-impact-on-workplace-and-interpersonal-trust-in-zambian-primary-health-centres-a-case-based-health-systems-analysis
#13
Stephanie M Topp, Julien M Chipukuma
BACKGROUND: In sub-Saharan Africa, large amounts of funding continue to be directed towards HIV-specific care and treatment, often with claims of 'health system strengthening' effect. Such claims rarely account for the impact on human relationships and decisions that are core to functional health systems. This research examined how establishment of externally funded HIV services influenced trusting relationships in Zambian health centres. METHODS: An in-depth, multicase study included four health centres selected for urban, peri-urban and rural characteristics...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28586636/effectiveness-of-an-online-natural-family-planning-program-for-breastfeeding-women
#14
Richard J Fehring, Mary Schneider, Thomas Bouchard
OBJECTIVE: To analyze the effectiveness of an online, nurse-managed natural family planning (NFP) program among breastfeeding women and subgroups of these women. DESIGN: Longitudinal comparative cohort study. SETTING: A university-based online NFP education program and menstrual cycle charting system. PARTICIPANTS: Women (N = 816) with a mean age of 30.3 years (standard deviation = 4.5) who registered to use the online NFP system and indicated they were breastfeeding...
June 3, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28586608/adherence-to-diabetes-mellitus-treatment-guidelines-from-theory-to-practice-the-missing-link
#15
Noreen Rahat Hashmi, Shahzad Ali Khan
Diabetes mellitus is a complex multisystem disease that requires high quality care. Clinical practice guidelines help physicians and patients make the best possible health care decisions and improve health care management of diabetic patients. These guidelines provide the norms for clinical management as well as monitoring of diabetes care. They are not simple algorithms but are based on structured evidence based diabetic management protocols developed from randomized controlled trials. Despite the widespread availability of this diabetic guideline, their use is suboptimal at best...
October 2016: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/28580598/transforming-social-regularities-in-a-multicomponent-community-based-intervention-a-case-study-of-professionals-adaptability-to-better-support-parents-to-meet-their-children-s-needs
#16
Rodrigo Quiroz Saavedra, Liesette Brunson, Nathalie Bigras
This paper presents an in-depth case study of the dynamic processes of mutual adjustment that occurred between two professional teams participating in a multicomponent community-based intervention (CBI). Drawing on the concept of social regularities, we focus on patterns of social interaction within and across the two microsystems involved in delivering the intervention. Two research strategies, narrative analysis and structural network analysis, were used to reveal the social regularities linking the two microsystems...
June 5, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/28577152/cost-minimization-analysis-of-treatment-with-intravenous-or-subcutaneous-trastuzumab-in-patients-with-her2-positive-breast-cancer-in-spain
#17
G Lopez-Vivanco, J Salvador, R Diez, D López, M De Salas-Cansado, B Navarro, J De la Haba-Rodríguez
PURPOSE: To describe healthcare professional (HCP) and patient time and related costs associated with trastuzumab intravenous infusion (IV) and trastuzumab subcutaneous (SC) formulations in patients with HER2-positive early breast cancer. METHODS: This prospective, observational time, and motion study in three Spanish centers was run as a substudy of the PrefHer trial. We recorded active HCP time for trastuzumab SC and IV-related tasks and calculated HCP time as the mean sum of task times over 154 administrations (80 IV, 74 SC)...
June 2, 2017: Clinical & Translational Oncology
https://www.readbyqxmd.com/read/28566047/implementation-of-an-intramural-competitive-resident-research-grant
#18
Andrew G Shuman, David C Kohrman, Gabriel Corfas, Carol R Bradford
Experience with procurement of research funding and grantsmanship is an essential skill and one that is rarely taught in a manner that adequately prepares trainees for the magnitude of this professional requirement. The aims of the program described in this article are (1) to provide a mentored experience in grantsmanship through designing and concisely outlining an individual research study and (2) to supplement extramural funding mechanisms for clinical trainees to produce meaningful and substantive clinical and/or basic science research...
June 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28557627/a-nonresponse-bias-analysis-of-the-health-information-national-trends-survey-hints
#19
Aaron Maitland, Amy Lin, David Cantor, Mike Jones, Richard P Moser, Bradford W Hesse, Terisa Davis, Kelly D Blake
We conducted a nonresponse bias analysis of the Health Information National Trends Survey (HINTS) 4, Cycles 1 and 3, collected in 2011 and 2013, respectively, using three analysis methods: comparison of response rates for subgroups, comparison of estimates with weighting adjustments and external benchmarks, and level-of-effort analysis. Areas with higher concentrations of low socioeconomic status, higher concentrations of young households, and higher concentrations of minority and Hispanic populations had lower response rates...
May 30, 2017: Journal of Health Communication
https://www.readbyqxmd.com/read/28557236/using-action-research-to-develop-midwives-skills-to-support-women-with-perinatal-mental-health-needs
#20
Vivienne Brady, Deirdre Madden, Ann Marie Sliney, Aoife O'Friel, Barbara McMackin, Bernie O'Callaghan, Kate Casey, Lisa Courtney, Valerie Fleming
The aim of the research was to identify and develop midwives' skills to support women with mental health needs during pregnancy, using an action research approach. BACKGROUND: A review of perinatal mental health services in a large [insert here] maternity unit revealed a high number of referred women who 'did not attend' the perinatal mental health service with few guidelines in place to support midwives in identifying and referring women for specialist help. DESIGN: Action research using cooperative inquiry involved a mental health nurse specialist and a team of midwives, who were drawn to each other in mutual concern about an area of practice...
May 30, 2017: Journal of Clinical Nursing
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