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https://www.readbyqxmd.com/read/27900923/-the-infection-risk-scan-in-clinical-practice-improving-infection-prevention-and-antibiotic-use-through-transparency
#1
I Willemsen, J A J W Kluytmans
OBJECTIVE: The increase in Highly Resistant Micro-Organisms (HRMO) in hospitals and nursing homes requires an intensification of infection prevention measures. This paper describes a new, standardised approach to infection prevention and monitoring of antibiotic use. DESIGN: Cross-sectional, observational study. METHOD: The Infection RIsk Scan (IRIS) measures a number of objectifiable variables in the field of infection prevention, including the dissemination of HRMO, the use of antibiotics and indwelling medical devices, environmental contamination, hand hygiene and personal hygiene of healthcare workers, and various infection control preconditions...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27893502/implementing-a-4c-approach-to-quality-improvement
#2
Michelle McGonigal
Designing a quality improvement activity can be labor intensive and intimidating to facilitators who have not been specially trained in process improvement methodologies. To simplify the process, a team was formed with the specific task of developing a basic model that addresses key concepts in change theory. The 2010 Institute of Medicine report stresses the importance of health care professionals working together, collaboratively, to use data to improve patient outcomes and improve care nationally. In addition, as noted in Quality and Safety Education for Nurses (2013), competencies have been developed to promote frontline problem solving including using data for quality improvement, providing safe care, functioning in collaborative teams, respecting and addressing patient and family concerns, applying evidence-based practice, and using informatics to make decisions...
January 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/27890046/investigation-of-training-and-support-needs-in-rural-and-remote-disability-and-mainstream-service-providers-implications-for-an-online-training-model
#3
Genevieve Johnsson, Rachel Kerslake, Sarah Crook, Corinne Cribb
Objectives It is known that there are difficulties in recruiting and retaining practitioners in rural and remote communities and that access to support and professional development can be key in breaking this cycle. Technology provides a possible solution not only for increasing access to these opportunities, but also in building community capacity to support children with autism. The aim of the present study was to investigate the current learning and support needs within rural and remote professionals prior to setting up a model of support...
November 28, 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/27884131/improvement-of-pressure-ulcer-prevention-care-in-private-for-profit-residential-care-homes-an-action-research-study
#4
Enid Wy Kwong, Maria Sy Hung, Kevin Woo
BACKGROUND: A need exits to develop a protocol for preventing pressure ulcers (PUs) in private for-profit nursing homes in Hong Kong, where the incidence of PUs is relatively high and which have high proportion of non-professional care staff. The implementation of such protocol would involve changes in the practice of care, likely evoking feelings of fear and uncertainty that may become a barrier to staff adherence. We thus adopted the Systems Model of Action Research in this study to manage the process of change for improving PU prevention care and to develop a pressure ulcer prevention protocol for private for-profit nursing homes...
November 25, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27878940/people-processes-and-systems-an-observational-study-of-the-role-of-technology-in-rural-youth-mental-health-services
#5
Simone Orlowski, Sharon Lawn, Ben Matthews, Anthony Venning, Gabrielle Jones, Megan Winsall, Gaston Antezana, Niranjan Bidargaddi, Peter Musiat
The merits of technology-based mental health service reform have been widely debated among academics, practitioners, and policy makers. The design of new technologies must first be predicated on a detailed appreciation of how the mental health system works before it can be improved or changed through the introduction of new products and services. Further work is required to better understand the nature of face-to-face mental health work and to translate this knowledge to computer scientists and system designers responsible for creating technology-based solutions...
November 23, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/27867559/impact-of-anticancer-drugs-price-cut-on-physician-s-prescription-choices-on-first-line-chemotherapy-regimens-and-health-expenditure-for-advanced-non-small-cell-lung-cancer-in-china
#6
Bei Li, Mei-Ying Li, Luan-Luan Sun, Jian Wang, Yan-Qing Zheng, Jing Hao
BACKGROUND: Increases in insurance coverage and price cut of drugs are two important measures to make health care more accessible and affordable. As far as we know, this was the first study to explore the impact of anticancer drug price cut on health expenses and oncologist's prescription decisions in China. METHODS: The 511 non-small cell lung cancer (NSCLC) patients were recruited from Qilu Affiliated Hospital of Shandong University from January 1, 2003 to December 31, 2010...
October 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27863921/unhealthy-weight-management-practices-and-non-medical-use-of-prescription-drugs
#7
Heather B Clayton, Zewditu Demissie, Richard Lowry, Elizabeth A Lundeen, Andrea J Sharma, Michele K Bohm
INTRODUCTION: Non-medical use of prescription drugs (NMUPD) has reached epidemic proportions in the U.S. With approximately one in five high school students engaging in NMUPD, it is important to understand behavioral correlates. METHODS: Data were combined from the 2011 and 2013 cycles of the Youth Risk Behavior Survey, a nationally representative, cross-sectional survey. After restricting the analytic sample to students who reported a weight loss goal of either staying the same weight or losing weight, logistic regression models were used to estimate adjusted prevalence ratios and 95% CIs for associations between unhealthy weight management practices (UWMPs) and lifetime NMUPD...
October 31, 2016: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27843421/facility-closure-how-to-get-in-get-out-and-get-what-is-important
#8
Pamela J Lail, Sarah S Laird, Kris McCall, Joe Naretto, April York
This article examines the current state of affairs of the health information management role in facility closure as well as the impact on revenue cycle operations. Health information management professionals are uniquely positioned to assist an organization in closure efforts because of their knowledge of revenue cycle operations, ability to work with the software products used to generate and store patient information, and solid understanding of the process of care and treatment of the patient. This information is integral to ensuring that patient information in a variety of formats and locations is properly secured and saved so that it will be available to patients and caregivers who need it after the facility closes...
2016: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/27833748/respiratory-illness-and-air-pollution-from-the-steel-industry-the-case-of-piqui%C3%A3-de-baixo-brazil-preliminary-report
#9
Carla Valenti, Paolo Pozzi, Alessandra Busia, Roberto Mazza, Paolo Bossi, Cinzia De Marco, Ario Alberto Ruprecht, Alessandro Borgini, Roberto Boffi
BACKGROUND: This report is based on an independent study carried out by medical professionals of the Fondazione IRCCS Istituto Nazionale dei Tumori (National Cancer Institute) in Milan, Italy, and  aimed to assess the incidence of respiratory diseases in a Brazilian community (Piquiá de Baixo, in the city of Açailandia) exposed to extreme air pollution in connection to a local steel manufacturing plant. The study has the objective to contribute to the existing literature on the health risks associated with fine particle pollution (PM2...
2016: Multidisciplinary Respiratory Medicine
https://www.readbyqxmd.com/read/27830645/thoughts-about-dying-in-america-enhancing-the-impact-of-one-s-life-journey-and-legacy-by-also-planning-for-the-end-of-life
#10
Philip A Pizzo
This Perspective offers a summary of the recommendations in the Institute of Medicine report Dying in America How we die is a deeply personal issue that each of us will face. However, the approach to end-of-life (EOL) care in the United States needs improvement. Too frequently, healthcare delivery is uncoordinated and has many providers who are not adequately prepared to have meaningful conversations about EOL planning. This is amplified by payment systems and policies that create impediments, misunderstanding, and sometimes misinformation...
November 8, 2016: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/27829809/bridging-theory-and-practice-mixed-methods-approach-to-instruction-of-law-and-ethics-within-the-pharmaceutical-sciences
#11
Kyle John Wilby, Ziad Ghantous Nasr
Background: Professional responsibilities are guided by laws and ethics that must be introduced and mastered within pharmaceutical sciences training. Instructional design to teaching typically introduces concepts in a traditional didactic approach and requires student memorization prior to application within practice settings. Additionally, many centers rely on best practices from abroad, due to lack of locally published laws and guidance documents. Objectives: The aim of this paper was to summarize and critically evaluate a professional skills laboratory designed to enhance learning through diversity in instructional methods relating to pharmacy law and best practices regarding narcotics, controlled medications, and benzodiazepines...
November 2016: Saudi Pharmaceutical Journal: SPJ: the Official Publication of the Saudi Pharmaceutical Society
https://www.readbyqxmd.com/read/27809979/reproductive-failures-associated-with-trypanosoma-duttonella-vivax
#12
REVIEW
Oscar Jaime Betancur Hurtado, Pablo David Jimenez Castro, Cristian Giraldo-Ríos
Trypanosomosis is a disease of a high economic impact in different productive livestock systems, especially in Africa and South America; cattle, sheep, goats, horses and donkeys can be prone to infection. Trypanosoma vivax is a blood parasite normally associated with a case of anemia and persistent febrile status, which causes a reduction in production, weakness of affected animals and occasionally death. However, the reproductive disorders which include abortion, disruption of the estrous cycle, placental retention, perinatal mortality, among others, can be very severe, especially when they occur during the last third of gestation...
October 15, 2016: Veterinary Parasitology
https://www.readbyqxmd.com/read/27798634/influence-of-fatigue-on-tackling-ability-in-rugby-league-players-role-of-muscular-strength-endurance-and-aerobic-qualities
#13
Tim J Gabbett
This study investigated the influence of repeated high-intensity effort exercise on tackling ability in rugby league players, and determined the relationship between physical qualities and tackling ability under fatigued conditions in these athletes. Eleven semi-professional rugby league players underwent measurements of speed (10 m and 40 m sprint), upper-body strength (4 repetition maximum [RM] bench press and weighted chin-up), upper-body muscular endurance (body mass maximum repetition chin-up, body mass maximum repetition dips), lower-body strength (4RM squat), and estimated maximal aerobic power (multi-stage fitness test)...
2016: PloS One
https://www.readbyqxmd.com/read/27791976/foot-and-ankle-kinematics-and-dynamic-electromyography-quantitative-analysis-of-recovery-from-peroneal-neuropathy-in-a-professional-football-player
#14
Nikhil K Prasad, Krista A Coleman Wood, Robert J Spinner, Kenton R Kaufman
The assessment of neuromuscular recovery after peripheral nerve surgery has typically been a subjective physical examination. The purpose of this report was to assess the value of gait analysis in documenting recovery quantitatively. A professional football player underwent gait analysis before and after surgery for a peroneal intraneural ganglion cyst causing a left-sided foot drop. Surface electromyography (SEMG) recording from surface electrodes and motion parameter acquisition from a computerized motion capture system consisting of 10 infrared cameras were performed simultaneously...
2016: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27785819/visual-research-in-clinical-education
#15
Jeff Bezemer
AIM: The aim of this paper is to explore what might be gained from collecting and analysing visual data, such as photographs, scans, drawings, video and screen recordings, in clinical educational research. Its focus is on visual research that looks at teaching and learning 'as it naturally occurs' in the work place, in simulation centres and other sites, and also involves the collection and analysis of visual learning materials circulating in these sites. BACKGROUND: With the ubiquity of digital recording devices, video data and visual learning materials are now relatively cheap to collect...
October 27, 2016: Medical Education
https://www.readbyqxmd.com/read/27780351/continuing-education-requirements-among-state-occupational-therapy-regulatory-boards-in-the-united-states-of-america
#16
Savannah R Hall, Kristen A Crifasi, Christina M Marinelli, Hon K Yuen
PURPOSE: The purpose of this study is to compare and contrast the contents of each state's occupational therapy (OT) regulatory board requirements regarding licensees' acquisition of continuing education units in the United States of America. METHODS: Data related to continuing education requirements from each OT regulatory board of all 50 states and the District of Columbia in the United States were reviewed and categorized by two reviewers. Analysis was conducted based on the categorization of the continuing education requirements and activities required, allowed, and not allowed/not mentioned for continuing education units...
2016: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/27773475/vaccine-impact-benefits-for-human-health
#17
Mark Doherty, Philippe Buchy, Baudouin Standaert, Carlo Giaquinto, David Prado-Cohrs
Unlike most drugs, whose benefit is restricted to the individual who takes the drug, prophylactic vaccines have the potential for far-reaching effects that encompass health service utilisation, general health and wellbeing, cognitive development and, ultimately, economic productivity. The impact of immunisation is measured by evaluating effects directly on the vaccinated individual, indirectly on the unvaccinated community (herd protection), the epidemiology of the pathogen (such as changing circulating serotypes or prevention of epidemic cycles), and the additional benefits arising from improved health...
October 20, 2016: Vaccine
https://www.readbyqxmd.com/read/27759828/implementing-a-clinical-pharmacy-service-in-hematology
#18
Tatiane Fernandes Farias, Karina da Silva Aguiar, Inajara Rotta, Klezia Morais da Silva Belletti, Juliane Carlotto
Objective: To implement a clinical pharmacy service focused on the comprehensive review of antineoplastic drugs used in therapy of hematological diseases. Methods: An interventional study was conducted in a Brazilian tertiary teaching hospital in two different periods, with and without a clinical pharmacy service, respectively. This service consisted of an antineoplastic prescription validation (analysis of patients' characteristics, laboratory tests, compliance with the therapeutic protocol and with pharmacotechnical parameters)...
July 2016: Einstein
https://www.readbyqxmd.com/read/27744734/nutrient-and-food-group-intakes-of-manitoba-children-and-youth-a-population-based-analysis-by-pulse-and-soy-consumption-status
#19
Adriana N Mudryj, Harold M Aukema, Paul Fieldhouse, B Nancy Yu
Poor eating habits among children are associated with negative health outcomes. The objective of this study was to use pulse/soy consumption as an indicator to evaluate the eating profile of young Manitobans. Data from the Canadian Community Health Survey Cycle 2.2 were used for analysis and restricted to Manitoba residents aged 2 to 18 years (n = 1840). Consumers were identified as individuals who reported eating at least 1 pulse/soy product during their recall. On any given day, 8.2% of Manitobans reported consumption of pulses/soy...
July 19, 2016: Canadian Journal of Dietetic Practice and Research
https://www.readbyqxmd.com/read/27742272/two-year-experience-of-the-organ-donation-week-of-the-federal-university-of-health-sciences-of-porto-alegre-brazil
#20
B Dal Pupo, M Zanon, A W Tech, L V Cruz, M Cornelli, C do Valle Pereira, J Bertoglio, C Acosta, P Perusato, A J C Monteiro, G Marinho, A P S Souza, C D Garcia
BACKGROUND: Today, Brazil is the second country of the world in number of transplants. Nonetheless, waiting lists are getting longer. This lack of organs occurs mostly because of people's reduced knowledge about the donation process. With the aim of changing this scenario, in 2013 and 2014, "Organ Donation Week" events were held at the Federal University of Health Sciences of Porto Alegre. METHODS: During the 2 years, documentaries followed by a cycle of debates with experts in this area were exhibited...
September 2016: Transplantation Proceedings
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