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https://www.readbyqxmd.com/read/29054347/defining-the-%C3%A2-frequent-exacerbator-%C3%A2-phenotype-in-copd-a-hypothesis-free-approach
#1
Olivier Le Rouzic, Nicolas Roche, Alexis B Cortot, Isabelle Tillie-Leblond, Frédéric Masure, Thierry Perez, Isabelle Boucot, Latifa Hamouti, Juliette Ostinelli, Céline Pribil, Christine Poutchnine, Stéphane Schück, Mathilde Pouriel, Bruno Housset
BACKGROUND: The COPD frequent exacerbator phenotype is usually defined by at least 2 treated exacerbations per year and is associated with a huge impact on patient health. However, existence of this phenotype and corresponding threshold still need to be formally confirmed by statistical methods analysing exacerbations profiles with no specific a priori hypothesis. OBJECTIVE: To confirm the existence of the frequent exacerbator phenotype with an innovative unbiased statistical analysis of prospectively recorded exacerbations...
October 17, 2017: Chest
https://www.readbyqxmd.com/read/29054104/integrating-gerontology-and-community-concepts-through-simulation
#2
Jacqueline Kayler DeBrew, Susan Hensley-Hannah
This article describes an innovative simulation experience for nursing students. Faculty from a community health nursing course and a course in gerontology worked together to provide a comprehensive simulation experience that combined low-fidelity and high-fidelity experiences that provided an integrated learning experience and gave faculty with an opportunity to collaborate to improve outcomes. Student and faculty feedback was overwhelmingly positive. Future plans include incorporating a third didactic course, Leadership and Management, and working with other disciplines to demonstrate interprofessional collaboration...
November 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29054101/virtual-simulated-care-coordination-rounds-for-nursing-students
#3
Donna M Badowski
Implementation of the Affordable Care Act has nursing education reflecting on paradigm shifts in order to prepare nursing students for the evolving health care environment. The traditional focus of nursing education on nursing care in acute care settings does not provide learning experiences in care coordination and transitional care management skills. Virtual simulated care coordination rounds, using the National League for Nursing Advancing Care Excellence resources, offer nursing students an innovative experience in care coordination and transition care management...
November 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29053608/the-multi-parameter-wireless-sensing-system-mpwise-its-description-and-application-to-earthquake-risk-mitigation
#4
Tobias Boxberger, Kevin Fleming, Massimiliano Pittore, Stefano Parolai, Marco Pilz, Stefan Mikulla
The Multi-Parameter Wireless Sensing (MPwise) system is an innovative instrumental design that allows different sensor types to be combined with relatively high-performance computing and communications components. These units, which incorporate off-the-shelf components, can undertake complex information integration and processing tasks at the individual unit or node level (when used in a network), allowing the establishment of networks that are linked by advanced, robust and rapid communications routing and network topologies...
October 20, 2017: Sensors
https://www.readbyqxmd.com/read/29053605/flexible-sensors-for-pressure-therapy-effect-of-substrate-curvature-and-stiffness-on-sensor-performance
#5
Iryna Khodasevych, Suresh Parmar, Olga Troynikov
Flexible pressure sensors are increasingly being used in medical and non-medical applications, and particularly in innovative health monitoring. Their efficacy in medical applications such as compression therapy depends on the accuracy and repeatability of their output, which in turn depend on factors such as sensor type, shape, pressure range, and conformability of the sensor to the body surface. Numerous researchers have examined the effects of sensor type and shape, but little information is available on the effect of human body parameters such as support surfaces' curvature and the stiffness of soft tissues on pressure sensing performance...
October 20, 2017: Sensors
https://www.readbyqxmd.com/read/29053572/monitoring-bridge-dynamic-responses-using-fiber-bragg-grating-tiltmeters
#6
Feng Xiao, Gang S Chen, J Leroy Hulsey
In bridge health monitoring, tiltmeters have been used for measuring rotation and curvature; however, their application in dynamic parameter identification has been lacking. This study installed fiber Bragg grating (FBG) tiltmeters on the bearings of a bridge and monitored the dynamic rotational angle. The dynamic features, including natural frequencies and mode shapes, have been identified successfully. The innovation presented in this paper is the first-time use of FBG tiltmeter readings to identify the natural frequencies of a long-span steel girder bridge...
October 20, 2017: Sensors
https://www.readbyqxmd.com/read/29053529/use-of-service-learning-to-teach-health-literacy-with-online-graduate-nursing-students
#7
Tracy P George, Claire DeCristofaro
To meet Healthy People 2020 goals, health literacy must be included in health care program curricula. In a fully online graduate nursing course, an innovative service-learning activity asked students to collaborate in the creation of low-literacy patient education pamphlets for practice partners at a community rehabilitation facility. Involvement with community stakeholders such as support groups and interprofessional team members enhanced interdisciplinary educational outcomes. Through this innovative project-based activity, students were able to meet the clinical education and decision support needs of rehabilitation patients while translating academic coursework to support actual community needs...
October 20, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29052590/reversing-the-tide-diagnosis-and-prevention-of-t2dm-in-populations-of-african-descent
#8
REVIEW
Jean N Utumatwishima, Stephanie T Chung, Amy R Bentley, Margaret Udahogora, Anne E Sumner
Populations of African descent are at the forefront of the worldwide epidemic of type 2 diabetes mellitus (T2DM). The burden of T2DM is amplified by diagnosis after preventable complications of the disease have occurred. Earlier detection would result in a reduction in undiagnosed T2DM, more accurate statistics, more informed resource allocation and better health. An underappreciated factor contributing to undiagnosed T2DM in populations of African descent is that screening tests for hyperglycaemia, specifically, fasting plasma glucose and HbA1c, perform sub-optimally in these populations...
October 23, 2017: Nature Reviews. Endocrinology
https://www.readbyqxmd.com/read/29052288/implementation-of-a-gerontology-nurse-specialist-role-in-primary-health-care-health-professional-and-older-adult-perspectives
#9
A I I King, M L Boyd, L Dagley, D L Raphael
AIMS AND OBJECTIVES: To explore an innovative primary healthcare gerontology nurse specialist role from the perspectives of older people and health professionals. BACKGROUND: Primary care is struggling to meet the needs and demands of complex older people. New models which incorporate holistic assessment and care coordination are necessary. DESIGN: A qualitative descriptive general inductive design was used. METHODS: Older people at risk of health and functional decline were identified and received a comprehensive gerontology assessment and care coordination...
October 20, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29051778/reverse-innovation-in-maternal-health
#10
Tabassum Firoz, Prestige Tatenda Makanga, Hannah L Nathan, Beth Payne, Laura A Magee
Reverse innovation, defined as the flow of ideas from low- to high-income settings, is gaining traction in healthcare. With an increasing focus on value, investing in low-cost but effective and innovative solutions can be of mutual benefit to both high- and low-income countries. Reverse innovation has a role in addressing maternal health challenges in high-income countries by harnessing these innovative solutions for vulnerable populations especially in rural and remote regions. In this paper, we present three examples of 'reverse innovation' for maternal health: a low-cost, easy-to-use blood pressure device (CRADLE), a diagnostic algorithm (mini PIERS) and accompanying mobile app (PIERS on the Move), and a novel method for mapping maternal outcomes (MOM)...
September 2017: Obstetric Medicine
https://www.readbyqxmd.com/read/29050932/characteristics-of-patients-using-specialty-medications
#11
Taehwan Park, Scott K Griggs, Paul D Chung
BACKGROUND: Specialty medications include innovative drugs and biologic agents requiring special handling and close monitoring. Although specialty medications have been widely used for various chronic conditions, increased use of these medications has contributed a growing share of total health care expenditures. OBJECTIVE: The aim of this study was to examine patient characteristics related to specialty medication use. METHODS: Using Medical Expenditure Panel Survey (MEPS) data from 2000 through 2013, this study identified U...
October 14, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29050653/policy-impact-of-research-findings-on-the-association-of-diaper-need-and-mental-health
#12
Lori R Wallace, Alison M Weir, Megan V Smith
BACKGROUND: Maternal mental illness constitutes one of most significant public health problems facing women of reproductive age and their children. Women who mother in poverty experience additional stressors, pointing to the need for innovative public health promotion efforts to reduce mental illness. Simple innovations, like making diapers more available and affordable, may represent an effective method of addressing this problem. This paper describes the research findings on diaper need reported by the New Haven Mental Health Outreach for Mothers Partnership and the process of translating these findings into broader policy and advocacy efforts...
October 17, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29050646/worldwide-incidence-and-prevalence-of-inflammatory-bowel-disease-in-the-21st-century-a-systematic-review-of-population-based-studies
#13
Siew C Ng, Hai Yun Shi, Nima Hamidi, Fox E Underwood, Whitney Tang, Eric I Benchimol, Remo Panaccione, Subrata Ghosh, Justin C Y Wu, Francis K L Chan, Joseph J Y Sung, Gilaad G Kaplan
BACKGROUND: Inflammatory bowel disease is a global disease in the 21st century. We aimed to assess the changing incidence and prevalence of inflammatory bowel disease around the world. METHODS: We searched MEDLINE and Embase up to and including Dec 31, 2016, to identify observational, population-based studies reporting the incidence or prevalence of Crohn's disease or ulcerative colitis from 1990 or later. A study was regarded as population-based if it involved all residents within a specific area and the patients were representative of that area...
October 13, 2017: Lancet
https://www.readbyqxmd.com/read/29049113/the-us-opioid-crisis-current-federal-and-state-legal-issues
#14
Cobin D Soelberg, Raeford E Brown, Derick Du Vivier, John E Meyer, Banu K Ramachandran
The United States is in the midst of a devastating opioid misuse epidemic leading to over 33,000 deaths per year from both prescription and illegal opioids. Roughly half of these deaths are attributable to prescription opioids. Federal and state governments have only recently begun to grasp the magnitude of this public health crisis. In 2016, the Centers for Disease Control and Prevention released their Guidelines for Prescribing Opioids for Chronic Pain. While not comprehensive in scope, these guidelines attempt to control and regulate opioid prescribing...
November 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29048386/leveraging-the-domain-of-work-to-improve-migrant-health
#15
Michael A Flynn, Kolitha Wickramage
Work is a principal driver of current international migration, a primary social determinant of health, and a fundamental point of articulation between migrants and their host society. Efforts by international organizations to promote migrant health have traditionally focused on infectious diseases and access to healthcare, while international labor organizations have largely focused on issues of occupational health. The underutilization of the domain of work in addressing the health of migrants is truly a missed opportunity for influencing worker well-being and reducing societal economic burden...
October 19, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29048334/predictive-parameters-of-oral-health-quality-of-life-in-complete-mandibular-denture-wearers-stabilized-by-mini-implants-a-two-year-follow-up-study
#16
Cindy Batisse, Guillaume Bonnet, Jean-Luc Veyrune, Emmanuel Nicolas, Marion Bessadet
The frequent instability of mandibular removable complete dentures affects patient Oral Health Related Quality of Life (OHRQoL). An innovative therapeutic strategy used to improve stability involves placing four symphyseal mini-implants. This study was aimed at assessing OHRQoL over time in subjects in which mini-implants were placed and exploring if certain parameters could predict the evolution of their OHRQoL. The OHRQoL of subjects with dentures was assessed using the Geriatric Oral Health Assessment Index (GOHAI) before (T0), 2-6 months (T1), twelve months (T2) and twenty-four or more months (T3) after mini-implant setting...
October 19, 2017: Materials
https://www.readbyqxmd.com/read/29048179/constellations-of-dyadic-relationship-quality-in-stepfamilies-a-factor-mixture-model
#17
Todd M Jensen
Stepfamilies are an increasingly common family form, marked by distinct challenges, opportunities, and complex networks of dyadic relationships that can transcend single households. There exists a dearth of typological analyses by which constellations of dyadic processes in stepfamilies are holistically analyzed. Factor mixture modeling is used to identify population heterogeneity with respect to features of mother-child, stepfather-child, nonresident father-child, and stepcouple relationships using a representative sample of 1,182 adolescents in mother-stepfather families with living nonresident fathers from Wave I of the National Longitudinal Study of Adolescent to Adult Health...
October 19, 2017: Journal of Family Psychology: JFP
https://www.readbyqxmd.com/read/29047445/transport-and-public-health-in-china-the-road-to-a-healthy-future
#18
REVIEW
Baoguo Jiang, Song Liang, Zhong-Ren Peng, Haozhe Cong, Morgan Levy, Qu Cheng, Tianbing Wang, Justin V Remais
Transportation-related risk factors are a major source of morbidity and mortality in China, where the expansion of road networks and surges in personal vehicle ownership are having profound effects on public health. Road traffic injuries and fatalities have increased alongside increased use of motorised transport in China, and accident injury risk is aggravated by inadequate emergency response systems and trauma care. National air quality standards and emission control technologies are having a positive effect on air quality, but persistent air pollution is increasingly attributable to a growing and outdated vehicle fleet and to famously congested roads...
October 14, 2017: Lancet
https://www.readbyqxmd.com/read/29047413/itactic-implementing-treatment-algorithms-for-the-correction-of-trauma-induced-coagulopathy-study-protocol-for-a-multicentre-randomised-controlled-trial
#19
Kjersti Baksaas-Aasen, Lewis Gall, Simon Eaglestone, Claire Rourke, Nicole P Juffermans, J Carel Goslings, Paal Aksel Naess, Susan van Dieren, Sisse Rye Ostrowski, Jakob Stensballe, Marc Maegele, Simon J Stanworth, Christine Gaarder, Karim Brohi, Per I Johansson
BACKGROUND: Traumatic injury is the fourth leading cause of death globally. Half of all trauma deaths are due to bleeding and most of these will occur within 6 h of injury. Haemorrhagic shock following injury has been shown to induce a clotting dysfunction within minutes, and this early trauma-induced coagulopathy (TIC) may exacerbate bleeding and is associated with higher mortality and morbidity. In spite of improved resuscitation strategies over the last decade, current transfusion therapy still fails to correct TIC during ongoing haemorrhage and evidence for the optimal management of bleeding trauma patients is lacking...
October 18, 2017: Trials
https://www.readbyqxmd.com/read/29046867/use-of-multicenter-data-in-a-large-cancer-registry-for-evaluation-of-outcome-and-implementation-of-novel-concepts
#20
Gabriele Schubert-Fritschle, Stephanie E Combs, Thomas Kirchner, Volkmar Nüssler, Jutta Engel
Large clinical cancer registries (CCRs) in Germany shall be strengthened by the German Social Code Book V (SGB V) and implemented until the end of 2017. There are currently several large cancer registries that support clinical data for outcome analysis and knowledge acquisition. The various examples of the Munich Cancer Registry outlined in this paper present many-sided possibilities using and analyzing registry data. The main objective of population-based cancer registration within a defined area and the performance of outcomes research is to provide feedback regarding the results to the broad public, the reporting doctors, and the scientific community...
2017: Frontiers in Oncology
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