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https://www.readbyqxmd.com/read/29169036/frequency-of-lethal-means-assessment-among-emergency-department-patients-with-a-positive-suicide-risk-screen
#1
Marian E Betz, Mack Kautzman, Daniel L Segal, Ivan Miller, Carlos A Camargo, Edwin D Boudreaux, Sarah A Arias
Prior work from surveys and limited populations suggests many emergency department (ED) patients with suicide risk do not have documented lethal means assessments (e.g., being asked about home firearms). The specific objectives of this study were to, in an ED with universal screening for suicide risk: (1) estimate how often ED providers documented lethal means assessment for suicidal patients, and (2) compare patients with and without documented lethal means assessments. We reviewed 800 total charts from a random sample of adults in three a priori age groups (18-34 years; 35-59 years; ≥ 60 years) with a positive suicide risk screen from 8/2014 to 12/2015...
November 14, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/29168610/rural-placement-experiences-in-dental-education-and-the-impact-on-professional-intentions-and-employment-outcomes-a-systematic-review
#2
G Johnson, F C Wright, K Foster, A Blinkhorn
CONTEXT/INTRODUCTION: The availability of clinical dental services in rural locations is a major concern for many countries as dental care professionals gravitate to work in metropolitan areas. This systematic review examines the literature on Rural Placement Programs within dentistry and their impact on workforce intentions and employment outcomes. The review provides a detailed analysis of the methodological characteristics of the literature, considers the quality of the evidence and compares the outcomes within an international context...
November 23, 2017: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29166904/behaviors-in-advance-care-planning-and-actions-survey-bacpacs-development-and-validation-part-1
#3
Aliya Kassam, Maureen L Douglas, Jessica Simon, Shannon Cunningham, Konrad Fassbender, Marta Shaw, Sara N Davison
BACKGROUND: Although advance care planning (ACP) is fairly well understood, significant barriers to patient participation remain. As a result, tools to assess patient behaviour are required. The objective of this study was to improve the measurement of patient engagement in ACP by detecting existing survey design issues and establishing content and response process validity for a new survey entitled Behaviours in Advance Care Planning and ACtions Survey (BACPACS). METHODS: We based our new tool on that of an existing ACP engagement survey...
November 22, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/29166363/progress-toward-poliomyelitis-eradication-pakistan-january-2016-september-2017
#4
Youness Elhamidi, Abdirahman Mahamud, Muhammad Safdar, Wasan Al Tamimi, Jaume Jorba, Chukwuma Mbaeyi, Christopher H Hsu, Zubair Wadood, Salmaan Sharif, Derek Ehrhardt
In 1988, the World Health Assembly launched the Global Polio Eradication Initiative. Among the three wild poliovirus serotypes, only wild poliovirus (WPV) type 1 (WPV1) has been detected since 2012. Since 2014, Pakistan, Afghanistan, and Nigeria remain the only countries with continuing endemic WPV1 transmission. This report describes activities conducted and progress made toward the eradication of poliovirus in Pakistan during January 2016-July 2017 and provides an update to previous reports (1,2). In 2016, Pakistan reported 20 WPV1 cases, a 63% decrease compared with 54 cases in 2015 (3)...
November 24, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29165781/controlling-disasters-local-emergency-management-perceptions-about-federal-emergency-management-and-homeland-security-actions-after-september-11-2001
#5
Sean Hildebrand
This article examines local emergency manager's beliefs regarding control over tasks during various stages of the hazard cycle since federal policies went into effect following the September 11 attacks. The study considers whether a disparity exists between the actions of local officials during each phase of the "hazard cycle" and the policy expectations of the federal government, which call for greater federal control over activities in emergency management and homeland security. To do so, hypothesis testing investigates the jurisdiction's use of comprehensive emergency management (CEM) practices, the perceived "clarity" of the federal policy demands, and if the local actors feel coerced to comply with federal policy demands so that grant funding is not compromised...
September 2017: Journal of Emergency Management: JEM
https://www.readbyqxmd.com/read/29163062/difference-in-perseverative-errors-during-a-visual-attention-task-with-auditory-distractors-in-alpha-9-nicotinic-receptor-subunit-wild-type-and-knock-out-mice
#6
Pascal Jorratt, Paul H Delano, Carolina Delgado, Alexies Dagnino-Subiabre, Gonzalo Terreros
The auditory efferent system is a neural network that originates in the auditory cortex and projects to the cochlear receptor through olivocochlear (OC) neurons. Medial OC neurons make cholinergic synapses with outer hair cells (OHCs) through nicotinic receptors constituted by α9 and α10 subunits. One of the physiological functions of the α9 nicotinic receptor subunit (α9-nAChR) is the suppression of auditory distractors during selective attention to visual stimuli. In a recent study we demonstrated that the behavioral performance of alpha-9 nicotinic receptor knock-out (KO) mice is altered during selective attention to visual stimuli with auditory distractors since they made less correct responses and more omissions than wild type (WT) mice...
2017: Frontiers in Cellular Neuroscience
https://www.readbyqxmd.com/read/29160496/supported-self-care-for-children-and-adolescents-with-chronic-disease-and-their-families
#7
Leiliane Teixeira Bento Fernandes, Vanessa Medeiros da Nóbrega, Maria Elizabete de Amorim Silva, Amanda Narciso Machado, Neusa Collet
OBJECTIVE: analyze the scientific production between 2006 and 2015 on strategies for supported self-care by children and adolescents with chronic disease and their families. METHOD: integrative review of the literature conducted July and August 2016 in the databases: BDENF, LILACS, IBECS, ADOLEC, MEDLINE/PubMed and SCIELO. The 27 selected studies were analyzed and categorized into the five pillars of supported self-care: evaluation, counseling, agreement, care and accompaniment...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29160484/critical-points-for-the-control-of-tuberculosis-on-primary-health-care
#8
Patrícia Geórgia Oliveira Diniz Pinheiro, Lenilde Duarte de Sá, Pedro Fredemir Palha, Rita de Cássia Cordeiro de Oliveira, Jordana de Almeida Nogueira, Tereza Cristina Scatena Villa
OBJECTIVE: To analyze the discourses of professionals that work on the reference service about the critical points that affects the essential attributes of the Primary Health Care (PHC) related to the control of tuberculosis in the city of João Pessoa. METHOD: The empirical material collected from August to October in 2014, through the interview technique was analyzed through the methodological-theoretical framework of French Discourse Analysis. RESULTS: The discourses demonstrated the critical points on the control of the disease on PHC as being the lack of bond and welcoming from the professionals in relation to patients with tuberculosis...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29159419/implementation-of-clinical-quality-management-for-rehabilitation-in-malaysia
#9
Julia Patrick Engkasan, Gerold Stucki, Sadeeq Ali, Yusniza Mohd Yusof, Hafez Hussain, Lydia Abdul Latif
In February 2017, the World Health Organization (WHO) launched its historic "Rehabilitation 2030: A Call for Action". Scaling up rehabilitation in health systems requires concerted action across all 6 components of WHO's Health Systems Framework. For rehabilitation, information about functioning is essential, as it is required for effective rehabilitation at all levels of the health system. What is missing is a countrywide demonstration project involving the implementation of a clinical quality management system for the continuous improvement of rehabilitation, both at the level of clinical care for individual patients and at the level of rehabilitation service provision...
November 16, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29159184/acute-asthma-in-the-pediatric-emergency-department-infections-are-the-main-triggers-of-exacerbations
#10
Arianna Dondi, Elisabetta Calamelli, Valentina Piccinno, Giampaolo Ricci, Ilaria Corsini, Carlotta Biagi, Marcello Lanari
Background: Asthma exacerbations are a common reason for Emergency Department (ED) visits in children. Aim: To analyze differences among age groups in terms of triggering factors and seasonality and to identify those with higher risk of severe exacerbations. Methods: We retrospectively revised the files of children admitted for acute asthma in 2016 in our Pediatric ED. Results: Visits for acute asthma were 603/23197 (2...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29156275/agricultural-susceptibility-to-monsoon-variability-a-district-level-analysis-of-maharashtra-india
#11
Deepika Swami, Prashant Dave, Devanathan Parthasarathy
Indian Summer Monsoon (ISM) variability has always been a feature affecting Indian agriculture. However, nature of this variability is varying in the backdrop of climate change, and as a consequence, agriculture is getting significantly affected and subsequently threatening food security. To address the climate variability, most of the studies conducted so far have focused on a coarse scale such as Central India or Western Ghats. However, finer scale analysis for identification and quantification of the link between agriculture vulnerability and climate variables has not yet been attempted in a comprehensive manner...
November 17, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29155806/anogenital-distance-as-a-phenotypic-signature-through-infancy
#12
Lærke Priskorn, Jørgen H Petersen, Niels Jørgensen, Henriette B Kyhl, Marianne S Andersen, Katharina M Main, Anna-Maria Andersson, Niels E Skakkebaek, Tina K Jensen
BACKGROUND: Anogenital distance (AGD) has been suggested to represent a phenotypic signature reflecting in utero androgen action. However, it is not known whether an individual's AGD at birth correlates to AGD later in life. We investigate correlations of AGD between 3 and 18 months and asses reproducibility of measurements. METHODS: We measured AGD from anus to scrotum (AGDas) and penis (AGDap) in 407 boys, and to posterior fourchette (AGDaf) and clitoris (AGDac) in 282 girls...
November 20, 2017: Pediatric Research
https://www.readbyqxmd.com/read/29155733/the-modular-design-and-production-of-an-intelligent-robot-based-on-a-closed-loop-control-strategy
#13
Libo Zhang, Junjie Zhu, Hao Ren, Dongdong Liu, Dan Meng, Yanjun Wu, Tiejian Luo
Intelligent robots are part of a new generation of robots that are able to sense the surrounding environment, plan their own actions and eventually reach their targets. In recent years, reliance upon robots in both daily life and industry has increased. The protocol proposed in this paper describes the design and production of a handling robot with an intelligent search algorithm and an autonomous identification function. First, the various working modules are mechanically assembled to complete the construction of the work platform and the installation of the robotic manipulator...
October 14, 2017: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29155678/joint-external-evaluation-development-and-scale-up-of-global-multisectoral-health-capacity-evaluation-process
#14
Elizabeth Bell, Jordan W Tappero, Kashef Ijaz, Maureen Bartee, Jose Fernandez, Hannah Burris, Karen Sliter, Simo Nikkari, Stella Chungong, Guenael Rodier, Hamid Jafari
The Joint External Evaluation (JEE), a consolidation of the World Health Organization (WHO) International Health Regulations 2005 (IHR 2005) Monitoring and Evaluation Framework and the Global Health Security Agenda country assessment tool, is an objective, voluntary, independent peer-to-peer multisectoral assessment of a country's health security preparedness and response capacity across 19 IHR technical areas. WHO approved the standardized JEE tool in February 2016. The JEE process is wholly transparent; countries request a JEE and are encouraged to make its findings public...
December 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29155663/frameworks-for-preventing-detecting-and-controlling-zoonotic-diseases
#15
Miriam L Shiferaw, Jeffrey B Doty, Giorgi Maghlakelidze, Juliette Morgan, Ekaterine Khmaladze, Otar Parkadze, Marina Donduashvili, Emile Okitolonda Wemakoy, Jean-Jacques Muyembe, Leopold Mulumba, Jean Malekani, Joelle Kabamba, Theresa Kanter, Linda Lucy Boulanger, Abraham Haile, Abyot Bekele, Meseret Bekele, Kasahun Tafese, Andrea A McCollum, Mary G Reynolds
Preventing zoonotic diseases requires coordinated actions by government authorities responsible for human and animal health. Constructing the frameworks needed to foster intersectoral collaboration can be approached in many ways. We highlight 3 examples of approaches to implement zoonotic disease prevention and control programs. The first, rabies control in Ethiopia, was implemented using an umbrella approach: a comprehensive program designed for accelerated impact. The second, a monkeypox program in Democratic Republic of the Congo, was implemented in a stepwise manner, whereby incremental improvements and activities were incorporated into the program...
December 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29155288/investigation-of-the-practices-legislation-supply-chain-and-regulation-of-opioids-for-clinical-pain-management-in-southern-africa-a-multi-sectoral-cross-national-mixed-methods-study
#16
Eve Namisango, Matthew J Allsop, Richard A Powell, Stefan J Friedrichsdorf, Emmanuel Bk Luyirika, Fatia Kiyange, Edward Mukooza, Chris Ntege, Eunice Garanganga, Mavis Ntombifuthi Ginindza-Mdluli, Faith Mwangi-Powell, Lidia Justino Mondlane, Richard Harding
CONTEXT: Sub-Saharan Africa faces an increasing incidence and prevalence of life-limiting and life-threatening conditions. These conditions are associated with a significant burden of pain linked to high morbidity and disability that is poorly assessed and undertreated. Barriers to effective pain management partly relate to lack of access to opioid analgesia and challenges in their administration. OBJECTIVES: To identify country-specific and broader regional barriers to access, as well as the administration of opioids, and generate recommendations for advancing pain management in Southern Africa...
November 15, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29151559/-effects-of-education-about-action-plans-according-to-self-monitoring-on-self-management-adherence-knowledge-symptom-control-and-quality-of-life-among-adult-asthma-patients-a-randomized-controlled-trial
#17
Ja Yun Choi, Young Ran Kweon
PURPOSE: This study was conducted to identify the effects of education regarding action plans according to a self-monitoring program on self-management adherence, knowledge, symptom control, and health-related quality of life (HRQoL) among adults with asthma. METHODS: Thirty-four patients were randomly assigned to the intervention group and thirty-two to the control group in this study. A tailored 50-minute intervention based on the contents of self-monitoring and action plans developed by the National Heart Lung and Blood Institute was provided to the intervention group...
October 2017: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/29151441/patients-initial-steps-to-cancer-diagnosis-in-denmark-england-and-sweden-what-can-a-qualitative-cross-country-comparison-of-narrative-interviews-tell-us-about-potentially-modifiable-factors
#18
John MacArtney, Marlene Malmström, Trine Overgaard Nielsen, Julie Evans, Britt-Marie Bernhardson, Senada Hajdarevic, Alison Chapple, Lars E Eriksson, Louise Locock, Birgit Rasmussen, Peter Vedsted, Carol Tishelman, Rikke Sand Andersen, Sue Ziebland
OBJECTIVES: To illuminate patterns observed in International Cancer Benchmarking Programme studies by extending understanding of the various influences on presentation and referral with cancer symptoms. DESIGN: Cross-country comparison of Denmark, England and Sweden with qualitative analysis of in-depth interview accounts of the prediagnostic process in lung or bowel cancer. PARTICIPANTS: 155 women and men, aged between 35 and 86 years old, diagnosed with lung or bowel cancer in 6 months before interview...
November 19, 2017: BMJ Open
https://www.readbyqxmd.com/read/29151398/disaster-risk-reduction-in-myanmar-a-need-for-focus-on-community-preparedness-and-improved-evaluation-of-initiatives
#19
Andrew D Smith, Emily Y Y Chan
Myanmar is a country in political and economic transition. Facing a wide-variety of natural hazards and ongoing conflict, the country's under-developed infrastructure has resulted in high disaster risk. Following the devastation of Cyclone Nargis in 2008 and increased global focus on disaster management and risk reduction, Myanmar has begun development of national disaster policies. Myanmar's Action Plan for Disaster Risk Reduction addressed multiple stages of disaster development and has made progress towards national projects, however, has struggled to implement community-based preparedness and response initiatives...
November 20, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29150201/nations-within-a-nation-variations-in-epidemiological-transition-across-the-states-of-india-1990-2016-in-the-global-burden-of-disease-study
#20
(no author information available yet)
BACKGROUND: 18% of the world's population lives in India, and many states of India have populations similar to those of large countries. Action to effectively improve population health in India requires availability of reliable and comprehensive state-level estimates of disease burden and risk factors over time. Such comprehensive estimates have not been available so far for all major diseases and risk factors. Thus, we aimed to estimate the disease burden and risk factors in every state of India as part of the Global Burden of Disease (GBD) Study 2016...
November 13, 2017: Lancet
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