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https://www.readbyqxmd.com/read/29786625/differences-in-glenohumeral-joint-rotation-and-peak-power-output-between-super-league-and-championship-rugby-league-players
#1
Matthew R Haines
Haines, MR. Differences in glenohumeral joint rotation and peak power output between Super League and Championship Rugby League players. J Strength Cond Res 32(6): 1685-1691, 2018-Rugby league is a high-intensity sport with large impact forces sustained during play, resulting in high prevalence of shoulder injury. Consequently, shoulder strength and player power are important considerations for injury prevention and performance. Additionally, professional teams regularly compete against semiprofessional teams, where differences in physical conditioning could be marked...
June 2018: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/29771203/understanding-how-nurses-ration-care
#2
Clare Lynette Harvey, Shona Thompson, Eileen Willis, Alannah Meyer, Maria Pearson
Purpose The purpose of this paper is to explore how nurses make decisions to ration care or leave it undone within a clinical environment that is controlled by systems level cost containment. The authors wanted to find out what professional, personal and organisational factors contribute to that decision-making process. This work follows previous international research that explored missed nursing care using Kalisch and Williams' MISSCARE survey. Design/methodology/approach The authors drew on the care elements used by Kalisch and Williams, asking nurses to tell us how they decided what care to leave out, the conduits for which could include delaying care during a shift, delegating care to another health professional on the same shift, handing care over to staff on the next shift or leaving care undone...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29761054/is-high-intensity-interval-cycling-feasible-and-more-beneficial-than-continuous-cycling-for-knee-osteoarthritic-patients-results-of-a-randomised-control-feasibility-trial
#3
Justin W Keogh, Josephine Grigg, Christopher J Vertullo
Background: Knee osteoarthritis (OA) patients often suffer joint pain and stiffness, which contributes to negative changes in body composition, strength, physical performance (function), physical activity and health-related quality of life. To reduce these symptoms and side effects of knee OA, moderate-intensity continuous training (MICT) cycling is often recommended. While resistance training is considered the optimal form of training to improve sarcopenic outcomes, it imposes higher joint loads and requires supervision, either initially or continuously by trained exercise professionals...
2018: PeerJ
https://www.readbyqxmd.com/read/29756072/managing-antibiotics-wisely-a-quality-improvement-programme-in-a-tertiary-neonatal-unit-in-the-uk
#4
Vasiliki Makri, Gemma Davies, Stephanie Cannell, Katherine Willson, Lucy Winterson, Joanna Webb, Amit Kandhari, Maha Mansour, Joanne Thomas, Geraint Morris, Jean Matthes, Sujoy Banerjee
Microbial resistance to antibiotics is a serious global health problem compounded by antibiotic overuse and limited investment in new antibiotic research. Inappropriate perinatal antibiotic exposure is increasingly linked to lifelong adverse outcomes through its impact on the developing microbiome. Antibiotic stewardship may be the only effective preventative strategy currently available. As the first tertiary neonatal unit in the UK to collaborate in an international quality improvement programme (QIP) with Vermont Oxford Network (VON), we present the results of our antibiotic stewardship initiative...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29747064/a-changing-child-welfare-workforce-what-worker-characteristics-are-valued-in-child-welfare
#5
Kristen Lwin, Barbara Fallon, Nico Trocmé, John Fluke, Faye Mishna
A child welfare system is responsible for making difficult decisions. Child welfare workers are charged with assessing and determining when a child is in need of protection, including when it is necessary to intervene on behalf of children when their caregivers' abilities and/or situation is deemed to put them at risk of abuse or neglect. Although the child welfare workforce in Ontario attended to an estimated 125,281 child maltreatment investigations in 2013, little is known about the skills, education, and experiences of these investigating workers...
May 7, 2018: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29737418/towards-a-clinical-trial-protocol-to-evaluate-health-information-systems-evaluation-of-a-computerized-system-for-monitoring-tuberculosis-from-a-patient-perspective-in-brazil
#6
Nathalia Yukie Crepaldi, Inacia Bezerra de Lima, Fernanda Bergamini Vicentine, Lídia Maria Lourençon Rodrigues, Tiago Lara Michelin Sanches, Antonio Ruffino-Netto, Domingos Alves, Rui Pedro Charters Lopes Rijo
Assessment of health information systems consider different aspects of the system itself. They focus or on the professional who will use the software or on its usability or on the software engineering metrics or on financial and managerial issues. The existent approaches are very resources consuming, disconnected, and not standardized. As the software becomes more critical in the health organizations and in patients, becoming used as a medical device or a medicine, there is an urgency to identify tools and methods that can be applied in the development process...
May 8, 2018: Journal of Medical Systems
https://www.readbyqxmd.com/read/29728203/migraine-throughout-the-female-reproductive-life-cycle
#7
REVIEW
Stephanie S Faubion, Pelin Batur, Anne H Calhoun
By the end of their reproductive life cycle, roughly 40% of women have experienced migraine. Women have certain times of vulnerability for migraine that relate to abrupt declines in estrogen levels. Specifically, the prevalence of migraine is higher after menarche, during menstruation, during the postpartum period, and during perimenopause, but it is commonly lower during the second and third trimesters of pregnancy and the postmenopausal years. Therapeutic strategies for migraine management include hormonal manipulation aimed at eliminating or minimizing the decreases in estrogen that trigger the especially severe menstrual-related attacks...
May 2018: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/29727320/creating-a-quality-improvement-course-for-undergraduate-medical-education-practice-what-you-teach
#8
Tamala S Bradham, Kelly C Sponsler, Scott C Watkins, Jesse M Ehrenfeld
PROBLEM: More than half of U.S. medical schools have implemented curricula addressing quality improvement (QI); however, the evidence on which pedagogical methods are most effective is limited. APPROACH: As of January 2015, students at Vanderbilt University School of Medicine are required to take a QI course consisting of three 1-month-long (4 hours per week) blocks during their third or fourth year, in which student-identified faculty sponsors are paired with highly trained QI professionals from Vanderbilt University Medical Center...
May 2, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29712622/mobile-breast-cancer-e-support-program-for-chinese-women-with-breast-cancer-undergoing-chemotherapy-part-2-multicenter-randomized-controlled-trial
#9
Jiemin Zhu, Lyn Ebert, Xiangyu Liu, Di Wei, Sally Wai-Chi Chan
BACKGROUND: Women undergoing chemotherapy for the treatment of breast cancer have frequently reported unmet supportive care needs. Moreover, easily accessible and innovative support is lacking. OBJECTIVE: The purpose of this trial was to determine the effectiveness of an app-based breast cancer e-support program to address women's self-efficacy (primary outcome), social support, symptom distress, quality of life, anxiety, and depression. Secondary objectives included exploring the association between women's health outcomes and the breast cancer e-support usage data...
April 30, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29705723/why-do-babies-cry
#10
REVIEW
Robert Scott-Jupp
Persistent, inconsolable crying in young infants is common, distressing but usually benign. This selective review examines perceptions and perceived origins of this phenomenon in babies where serious pathology has been excluded. Adult brains have evolved to become hypersensitive to infant cries. Babies respond to parental stress by crying more, thus setting up a vicious cycle. Most treatments appear to work largely through a placebo effect. The imperative for healthcare professionals is to reduce parental anxiety by offering reassurance and support...
April 28, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29696101/curriculum-design-and-implementation-of-the-emergency-medicine-chief-resident-incubator
#11
Michael A Gisondi, Adaira Chou, Nikita Joshi, Margaret K Sheehy, Fareen Zaver, Teresa M Chan, Jeffrey Riddell, Derek P Sifford, Michelle Lin
Background Chief residents receive minimal formal training in preparation for their administrative responsibilities. There is a lack of professional development programs specifically designed for chief residents. Objective In 2015, Academic Life in Emergency Medicine designed and implemented an annual, year-long, training program and virtual community of practice for chief residents in emergency medicine (EM). This study describes the curriculum design process and reports measures of learner engagement during the first two cycles of the curriculum...
February 24, 2018: Curēus
https://www.readbyqxmd.com/read/29688105/sprinting-for-the-win-distribution-of-power-output-in-women-s-professional-cycling
#12
Jeremiah J Peiffer, Chris R Abbiss, Eric C Haakonssen, Paolo Menaspà
PURPOSE: This study examined the power output distribution and sprint characteristics of professional female road cyclists. METHODS: 31 race files, representing top-five finishes, were collected from seven professional female cyclists. Files were analysed for sprint characteristics including; mean and peak power output, velocity and duration. The final 20 min before the sprint was analysed to determine the mean maximal power output (MMP) consistent with 5, 15, 30, 60, 240 and 600s durations...
April 24, 2018: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/29678377/introducing-a-curriculum-in-ethics-and-professionalism-for-dermatology-residencies
#13
EDITORIAL
Benjamin K Stoff, Jane M Grant-Kels, Robert T Brodell, Amy S Paller, Clifford S Perlis, Eliot Mostow, David Pariser, Lionel Bercovitch
There is general agreement on what constitutes ethical reasoning and professional behavior, but standardized methods to teach these skills in dermatology residency are currently unavailable. We introduce a model curriculum designed to impart the knowledge and skills to meet the Accreditation Council for Graduate Medical Education Dermatology Milestones for Professionalism over a 3-year cycle.
May 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29678304/improving-postoperative-neonatal-nutritional-practices-in-an-intensive-care-unit-using-the-pdsa-cycle
#14
Jennifer Newcombe, Eileen Fry-Bowers
Quality Improvement models offer a framework for health care professionals to follow in implementing process improvement changes. Use of these models promotes a systematic approach to problem solving, keeps providers from eliminating important steps, facilitates team work, and provides a clear plan for ongoing communication. This paper describes use of the Plan-Do-Study-Act model to implement a unit-based quality improvement project that focused on improving postoperative nutritional practices for neonates with critical congenital heart disease following complex cardiac surgery...
April 17, 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29665478/developing-an-obesity-intervention-in-micronesia-from-needs-assessment-to-planning
#15
Ann Futterman Collier, Suzanne Daiss, Everlynn Temengil, Samantha Cody Russell, Julia Caroline Miller, Fumiana M Renguul
Evidence-based obesity reduction programs in the Pacific are scarce to nonexistent. Using a community-based participatory research model (CBPR) we developed a collaboration between our university and a small Pacific Island nation. We established an advisory council of local stakeholders and then conducted an extensive needs assessment with youth, parents, professionals, and lay public. Only 9% of participants had tried a weight loss program. There was a strong tendency to engage in binge-eating cycles; difficulty eating healthy during frequent community celebrations with few healthy food options available in general; and limited traditions that involved physical activity...
April 5, 2018: Evaluation and Program Planning
https://www.readbyqxmd.com/read/29649224/seasonal-asthma-in-melbourne-australia-and-some-observations-on-the-occurrence-of-thunderstorm-asthma-and-its-predictability
#16
Jeremy D Silver, Michael F Sutherland, Fay H Johnston, Edwin R Lampugnani, Michael A McCarthy, Stephanie J Jacobs, Alexandre B Pezza, Edward J Newbigin
We examine the seasonality of asthma-related hospital admissions in Melbourne, Australia, in particular the contribution and predictability of episodic thunderstorm asthma. Using a time-series ecological approach based on asthma admissions to Melbourne metropolitan hospitals, we identified seasonal peaks in asthma admissions that were centred in late February, June and mid-November. These peaks were most likely due to the return to school, winter viral infections and seasonal allergies, respectively. We performed non-linear statistical regression to predict daily admission rates as functions of the seasonal cycle, weather conditions, reported thunderstorms, pollen counts and air quality...
2018: PloS One
https://www.readbyqxmd.com/read/29625615/to-fill-or-not-to-fill-a-qualitative-cross-country-study-on-dentists-decisions-in-managing-non-cavitated-proximal-caries-lesions
#17
F Schwendicke, L A Foster Page, L A Smith, M Fontana, W M Thomson, S R Baker
BACKGROUND: This study aimed to identify barriers and enablers for dentists managing non-cavitated proximal caries lesions using non- or micro-invasive (NI/MI) approaches rather than invasive and restorative methods in New Zealand, Germany and the USA. METHODS: Semi-structured interviews were conducted, focusing on non-cavitated proximal caries lesions (radiographically confined to enamel or the outer dentine). Twelve dentists from New Zealand, 12 from Germany and 20 from the state of Michigan (USA) were interviewed...
April 6, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29623889/research-and-identification-of-antinuclear-antibodies-analysis-of-a-questionnaire-from-the-european-easi-group-and-confrontation-of-french-practices-to-international-recommendations
#18
Lucile Musset, Nicole Fabien, Georges Chyderiotis, Nils-Olivier Olsson, Bach-Nga Pham, Marie-Agnès Durey Dragon
Antinuclear antibodies (ANA) are prescribed as first-line autoantibodies in suspicion of mainly systemic autoimmune diseases. They include antibodies recognizing antigenic structures localized in the nucleus of cells, but also in the cytoplasm, at the membranes or transitional structures related to the cell cycle. Their research is based on screening and identification tests. For these tests, there is little or no standardization and harmonization of professional practices is necessary. From a questionnaire sent to healthcare professionals involved in the realization and interpretation of tests of autoimmunity, an overwiew of routine practices for the research of the ANA and their identification, was directed by the EASI Group International...
April 1, 2018: Annales de Biologie Clinique
https://www.readbyqxmd.com/read/29615077/spire-combining-sgi-110-with-cisplatin-and-gemcitabine-chemotherapy-for-solid-malignancies-including-bladder-cancer-study-protocol-for-a-phase-ib-randomised-iia-open-label-clinical-trial
#19
Simon Crabb, Sarah J Danson, James W F Catto, Cathy McDowell, James N Lowder, Joshua Caddy, Denise Dunkley, Jessica Rajaram, Deborah Ellis, Stephanie Hill, David Hathorn, Amy Whitehead, Mihalis Kalevras, Robert Huddart, Gareth Griffiths
BACKGROUND: Urothelial bladder cancer (UBC) accounts for 10,000 new diagnoses and 5000 deaths annually in the UK (Cancer Research UK, http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/bladder-cancer , Cancer Research UK, Accessed 26 Mar 2018). Cisplatin-based chemotherapy is standard of care therapy for UBC for both palliative first-line treatment of advanced/metastatic disease and radical neoadjuvant treatment of localised muscle invasive bladder cancer...
April 3, 2018: Trials
https://www.readbyqxmd.com/read/29609609/free-text-adversity-statements-as-part-of-a-contextualised-admissions-process-a-qualitative-analysis
#20
Lysa E Owen, Stephanie Ann Anderson, Johnathan S Dowell
BACKGROUND: Medical schools globally are encouraged to widen access and participation for students from less privileged backgrounds. Many strategies have been implemented to address this inequality, but much still needs to be done to ensure fair access for all. In the literature, adverse circumstances include financial issues, poor educational experience and lack of professional-status parents. In order to take account of adverse circumstances faced by applicants, The University of Dundee School of Medicine offers applicants the opportunity to report circumstances which may have resulted in disadvantage...
April 2, 2018: BMC Medical Education
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