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https://www.readbyqxmd.com/read/28231285/the-mother-s-autonomy-in-decision-making-madm-scale-patient-led-development-and-psychometric-testing-of-a-new-instrument-to-evaluate-experience-of-maternity-care
#1
Saraswathi Vedam, Kathrin Stoll, Kelsey Martin, Nicholas Rubashkin, Sarah Partridge, Dana Thordarson, Ganga Jolicoeur
OBJECTIVE: To develop and validate a new instrument that assesses women's autonomy and role in decision making during maternity care. DESIGN: Through a community-based participatory research process, service users designed, content validated, and administered a cross-sectional quantitative survey, including 31 items on the experience of decision-making. SETTING AND PARTICIPANTS: Pregnancy experiences (n = 2514) were reported by 1672 women who saw a single type of primary maternity care provider in British Columbia...
2017: PloS One
https://www.readbyqxmd.com/read/28220251/triple-aim-improvement-for-individuals-services-and-society-in-dementia-care-the-dementianet-collaborative-care-approach
#2
M S Nieuwboer, A Richters, M A van der Marck
BACKGROUND: A redesigning of primary care is required to meet dementia patients' needs. In the Netherlands, current dementia care still falls short in areas including ad hoc collaboration, lack of feedback on quality to professionals involved, and insufficient implementation of established multidisciplinary guidelines. OBJECTIVE: DementiaNet is a collaborative care approach, which aims to reduce the burden of the disease on individuals, healthcare services and society via network-based care that encourages collaboration, enhances knowledge and skills and stimulates quality improvement cycles...
February 20, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28215111/nursing-students-reflections-after-meetings-with-patients-and-their-relatives-enacted-by-professional-actors-being-touched-and-feeling-empathy
#3
Anja Söderberg, Johanna Karlsson Sundbaum, Åsa Engström
When professional actors have been used in mental health simulations with nursing students, the experience has been regarded as a meaningful contribution to their education and described as a safe way of experiencing challenging situations that can occur in clinical settings. The aim was to study nursing students' reflections after meetings with nursing patients and their relatives, as enacted by professional actors, in psychiatric/elderly care. The design was a qualitative descriptive research approach. Gibbs's ( 1988 ) reflective cycle was the basis for the questions that were asked...
February 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28214724/where-biomedicalisation-and-magic-meet-therapeutic-innovations-of-elite-sports-injury-in-british-professional-football-and-cycling
#4
Alex Faulkner, Michael McNamee, Catherine Coveney, Jonathan Gabe
Injury is a conspicuous feature of the practice and public spectacle of contemporary elite sports. The paper argues that the 'biomedicalisation' thesis (medico-industrial nexus, techno-scientific drivers, medical optimisation, biologisation, the rise of evidence and health surveillance) goes some way to capturing the use in elite sports injury of some highly specialised mainstream therapies and some highly maverick biological therapies, which are described. Nevertheless, these main strands of biomedicalisation do not capture the full range of these phenomena in the contexts of sports medicine and athletes' practices in accessing innovative, controversial therapies...
February 9, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28194523/-establishment-of-the-new-cross-sectional-field-of-pain-medicine-an-application-example-at-the-medical-faculty-of-heidelberg
#5
S Frankenhauser, T Böker-Blum, C Busch, C Berberich, A L Mihaljevic, M A Weigand, H J Bardenheuer, J Kessler
Studies from recent years paint a picture of qualitatively deficient treatment in pain medicine. In order to improve the situation knowledge on targeted diagnostics and effective therapy should be imparted at an early stage during undergraduate studies. For this reason the cross-sectional field Q14 - pain medicine was newly created in the revision of the medical physician licencing regulations. The Q14 was then established in a longitudinal, multidisciplinary form at the medical faculty in Heidelberg, whereby the complete Kern cycle was run through...
February 13, 2017: Der Schmerz
https://www.readbyqxmd.com/read/28194109/delayed-chemotherapy-induced-nausea-and-vomiting-pathogenesis-incidence-and-current-management
#6
REVIEW
Bernardo L Rapoport
Even when chemotherapy-induced nausea and vomiting (CINV) can be effectively controlled in the acute phase, it may still occur in the delayed phase. Identifying at-risk patients is complex and requires consideration of clinical, personal, demographic, and behavioral factors. Delayed CINV has a significant detrimental effect on patients' daily life and is responsible for significant healthcare resource utilization. Patients who do not experience acute CINV are not necessarily exempt from delayed CINV, and healthcare professionals have been shown to underestimate the incidence of delayed CINV...
2017: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/28193742/delays-and-pathways-to-final-tuberculosis-diagnosis-in-patients-from-a-referral-hospital-in-urban-china
#7
Leonardo Martinez, Lin Xu, Cheng Chen, Juliet N Sekandi, Yongzhong Zhu, Changsheng Zhang, Christopher C Whalen, Limei Zhu
China is among the countries with the largest epidemic of drug susceptible and resistant tuberculosis globally. We investigated the locations tuberculosis patients visited before being diagnosed, total diagnostic delay, and risk factors associated with total delay from a large tuberculosis referral hospital in Nanjing, China. We conducted a retrospective cohort study among tuberculosis patients who initiated anti-tuberculosis treatment within 3 months prior to the study date. Patient information regarding time and locations visited while seeking care for tuberculosis-related symptoms was collected through face-to-face interviews...
February 13, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28186053/aim-agile-instrumented-monitoring-for-improving-user-experience-of-participation-in-healthit-development
#8
Janne Pitkänen, Marko Nieminen
Participation of healthcare professionals in information technology development has emerged as an important challenge. As end-users, the professionals are willing to participate in the development activities, but their experiences on the current methods of participation remain mostly negative. There is lack of applicable methods for meeting the needs of agile development approach and scaling up to the largest implementation projects, while maintaining the interest of the professional users to participate in development activities and keeping up their ability to continue working in a productive manner...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28185490/medication-governance-preventing-errors-and-promoting-patient-safety
#9
Caroline Kavanagh
This article highlights the significance of medication errors, identifying potential issues and support systems required. Medication errors involve different health professionals and present at various stages of the medication cycle. Focusing on a collaborative approach and the role of the nurse is necessary. Special groups, particularly older adults, are considered where multiple conditions and multiple medications increase the risk of adverse drug reactions. Nurses' accountability and their knowledge of medications are taken into account along with the role of nurse educators...
February 9, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28181967/early-evaluation-findings-from-a-federally-funded-training-program-the-public-health-associate-program
#10
Robyn K Sobelson, Andrea C Young, Corinne J Wigington, Heather Duncan
OBJECTIVE: The Centers for Disease Control and Prevention (CDC) created the Public Health Associate Program (PHAP) to establish a continuous source of public health professionals who can deliver frontline services at the federal, state, tribal, local, and territorial levels. The article describes preliminary evaluation findings for PHAP. DESIGN: The evaluation's primary purposes are to assess the quality and effectiveness of PHAP, determine its value and impact, and provide information to continuously improve the program...
February 8, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28174659/making-an-impakt-improving-care-of-chronic-kidney-disease-patients-in-the-community-through-collaborative-working-and-utilizing-information-technology
#11
Gang Xu, Rupert Major, David Shepherd, Nigel Brunskill
Chronic kidney disease (CKD) is a serious long-term condition, which if left untreated causes significant cardiovascular sequele. It is well recognized management of modifiable risk factors, such as blood pressure (BP), can lead to improved long-term outcomes. A novel information technology (IT) solution presents a possible solution to help clinicians in the community identify and manage at risk patients more efficiently. The IMproving Patient care and Awareness of Kidney disease progression Together (IMPAKT) IT tool was used to identify patients with CKD and uncontrolled hypertension in the community...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28173809/fast-time-varying-linear-filters-for-suppression-of-baseline-drift-in-electrocardiographic-signals
#12
Jiří Kozumplík, Ivo Provazník
BACKGROUND: The paper presents a method of linear time-varying filtering, with extremely low computational costs, for the suppression of baseline drift in electrocardiographic (ECG) signals. An ECG signal is not periodic as the length of its heart cycles vary. In order to optimally suppress baseline drift by the use of a linear filter, we need a high-pass filter with time-varying cut-off frequency controlled by instant heart rate. METHODS: Realization of the high-pass (HP) filter is based on a narrow-band low-pass (LP) filter of which output is subtracted from the delayed input...
February 7, 2017: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28168664/assessment-of-human-exposure-to-enms
#13
Araceli Sánchez Jiménez, Martie van Tongeren
Human exposure assessment of engineered nanomaterials (ENMs) is hampered, among other factors, by the difficulty to differentiate ENM from other nanomaterials (incidental to processes or naturally occurring) and the lack of a single metric that can be used for health risk assessment. It is important that the exposure assessment is carried out throughout the entire life-cycle as releases can occur at the different stages of the product life-cycle, from the synthesis, manufacture of the nano-enable product (occupational exposure) to the professional and consumer use of nano-enabled product (consumer exposure) and at the end of life...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28163572/knee-problems-and-its-associated-factors-among-active-cyclists-in-eastern-province-saudi-arabia
#14
Abdullatif K Althunyan, Magdy A Darwish, Moataza M Abdel Wahab
INTRODUCTION: Bicycling is one of the most enjoyable aerobic exercises recommended for the promotion of an individual's health. The Eastern Province of Saudi Arabia has seen a huge increase in the number of people who cycle. People have different goals for bicycling, but the injuries they sustain are common. Most of them relate to overuse, particularly of lower body joints. This study was conducted to determine the prevalence of knee problems and factors associated with knee pain in cyclists...
January 2017: Journal of Family & Community Medicine
https://www.readbyqxmd.com/read/28159078/the-patient-and-family-perioperative-experience-during-transfer-of-care-a-qualitative-inquiry
#15
Sonja E Stutzman, DaiWai M Olson, Philip E Greilich, Kamal Abdulkadir, Michael A Rubin
Patient transfers between the OR and intensive care unit are high-risk events. Previous studies regarding mechanisms to improve these transfers do not account for the perspectives of family members or patients. Using transfer-of-care reports from health care providers, we performed a qualitative study of patient and family member perspectives by transcribing, coding, and analyzing seven interviews using hermeneutic cycling, which revealed three main themes: communication, clinical interaction, and clinician demeanor...
February 2017: AORN Journal
https://www.readbyqxmd.com/read/28152824/treatment-prices-at-the-point-of-care-pilot
#16
Rebecca W Lau, Leah Tuzzio, Matthew Alan Christianson, Eric Y Chen, Thanh-Hien Phan
: 4 Background: People with cancer increasingly wish to discuss cancer care costs with clinicians. In our organization all price questions go to a central customer service line with limited capacity to address oncology-specific questions. We aimed to improve clinician access to treatment prices to assist them in responding to patient concerns about prices. METHODS: We developed, launched, and evaluated a pilot tool and accompanying workflow for four oncology clinics in an integrated delivery system in WA...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152757/lung-cancer-diagnosis-transformation-aligning-the-people-processes-and-technology-sides-of-the-learning-system
#17
Donna E Maziak, Jason R Pantarotto, Jennifer Smylie, Leanne Taylor, Thomas Timlin, Tiziana Cacciotti, Patrick James Villeneuve, Carole Dennie, Chantal Bornais, Jose Aquino, Paul Wheatley-Price, David J Stewart
: 50 Background: The Ottawa Hospital, serving a population of 1.2 million across a large geographic area, redesigned its regional lung cancer diagnosis and patient intake process using a systems approach. Although having a strong record of excellent coordinated care, recent challenges had created strains on delivery metrics. Prior to the implementation of the project (October 2014), it took patients a range of 15 - 225 days to get from a referral with a suspicion of lung cancer to initial treatment, with a 90(th) percentile of 117 days...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28143613/how-can-information-systems-provide-support-to-nurses-hand-hygiene-performance-using-gamification-and-indoor-location-to-improve-hand-hygiene-awareness-and-reduce-hospital-infections
#18
Rita Marques, João Gregório, Fernando Pinheiro, Pedro Póvoa, Miguel Mira da Silva, Luís Velez Lapão
BACKGROUND: Hospital-acquired infections are still amongst the major problems health systems are facing. Their occurrence can lead to higher morbidity and mortality rates, increased length of hospital stay, and higher costs for both hospital and patients. Performing hand hygiene is a simple and inexpensive prevention measure, but healthcare workers' compliance with it is often far from ideal. To raise awareness regarding hand hygiene compliance, individual behaviour change and performance optimization, we aimed to develop a gamification solution that collects data and provides real-time feedback accurately in a fun and engaging way...
January 31, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28139111/relationship-between-ice-hockey-specific-complex-test-and-maximal-strength-aerobic-capacity-and-postural-regulation-in-professional-players
#19
René Schwesig, Souhail Hermassi, Sebastian Edelmann, Ulrike Thorhauer, Stephan Schulze, Georg Fieseler, Karl S Delank, Roy J Shephard, Mohamed S Chelly
BACKGROUND: We aimed to examine the validity of an ice hockey-specific complex test (IHCT) and nonspecific off-ice tests for sports performance. METHODS: Eighteen professional athletes (27.4 ± 6.0 years) underwent the IHCT, maximal strength squat tests, an endurance cycling test (PWC 170) and posturography during in the first week of the pre-seasonal training. The IHCT included parameters of load (e.g., 10m and 30m sprint, transition and weave agility without and with puck, slap and wrist shots before and after the test)...
January 31, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28118979/fatigue-injury-risk-in-anterior-cruciate-ligament-of-target-side-knee-during-golf-swing
#20
Tserenchimed Purevsuren, Moon Seok Kwon, Won Man Park, Kyungsoo Kim, Seung Ho Jang, Young-Tae Lim, Yoon Hyuk Kim
A golf-related ACL injury can be linked with excessive golf play or practice because such over-use by repetitive golf swing motions can increase damage accumulation to the ACL bundles. In this study, joint angular rotations, forces, and moments, as well as the forces and strains on the ACL of the target-side knee joint, were investigated for ten professional golfers using the multi-body lower extremity model. The fatigue life of the ACL was also predicted by assuming the estimated ACL force as a cyclic load...
December 14, 2016: Journal of Biomechanics
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