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https://www.readbyqxmd.com/read/29470125/prison-health-care-governance-guaranteeing-clinical-independence
#1
Jörg Pont, Stefan Enggist, Heino Stöver, Brie Williams, Robert Greifinger, Hans Wolff
Clinical independence is an essential component of good health care and health care professionalism, particularly in correctional settings (jails, prisons, and other places of detention), where the relationship between patients and caregivers is not based on free choice and where the punitive correctional setting can challenge optimal medical care. Independence for the delivery of health care services is defined by international standards as a critical element for quality health care in correctional settings, yet many correctional facilities do not meet these standards because of a lack of awareness, persisting legal regulations, contradictory terms of employment for health professionals, or current health care governance structures...
February 22, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29467718/on-the-accurate-determination-of-shock-wave-time-pressure-profile-in-the-experimental-models-of-blast-induced-neurotrauma
#2
Maciej Skotak, Eren Alay, Namas Chandra
Measurement issues leading to the acquisition of artifact-free shock wave pressure-time profiles are discussed. We address the importance of in-house sensor calibration and data acquisition sampling rate. Sensor calibration takes into account possible differences between calibration methodology in a manufacturing facility, and those used in the specific laboratory. We found in-house calibration factors of brand new sensors differ by less than 10% from their manufacturer supplied data. Larger differences were noticeable for sensors that have been used for hundreds of experiments and were as high as 30% for sensors close to the end of their useful lifetime...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29467086/the-application-of-moving-bed-bio-reactor-mbbr-in-commercial-laundry-wastewater-treatment
#3
Sławomira Bering, Jacek Mazur, Krzysztof Tarnowski, Magdalena Janus, Sylwia Mozia, Antoni Waldemar Morawski
Large, laboratory scale biological treatment tests of real industrial wastewater, generated in a large industrial laundry facility, was conducted from October 2014 to January 2015. This research sought to develop laundry wastewater treatment technology which included tests of a two-stage Moving Bed Bio Reactor (MBBR); this had two reactors, was filled with carriers Kaldnes K5 (specific area - 800 m2 /m3 ) and were realized in aerobic condition. Operating on site, in the laundry, reactors were fed actual wastewater from the laundry retention tank...
February 18, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29462144/perceptions-on-evaluative-and-formative-functions-of-external-supervision-of-rwandan-primary-healthcare-facilities-a-qualitative-study
#4
Michael Schriver, Vincent Kalumire Cubaka, Sylvere Itangishaka, Laetitia Nyirazinyoye, Per Kallestrup
BACKGROUND: External supervision of primary healthcare facilities in low- and middle-income countries often has a managerial main purpose in which the role of support for professional development is unclear. AIM: To explore how Rwandan primary healthcare supervisors and providers (supervisees) perceive evaluative and formative functions of external supervision. DESIGN: Qualitative, exploratory study. DATA: Focus group discussions: three with supervisors, three with providers, and one mixed (n = 31)...
2018: PloS One
https://www.readbyqxmd.com/read/29461291/fifty-years-of-burn-care-at-shriners-hospitals-for-children-galveston
#5
Karel D Čapek, Derek M Culnan, Manubhai H Desai, David N Herndon
More than 50 years ago, Shriners Hospitals for Children expanded their philanthropy to include care for burned children. In so doing, the effects of their work weightily expanded from rehabilitation and quality of life outcomes to include survival proper. As the first facility dedicated to the care of burned children, originally designated the Shriners Burn Institute, the Galveston hospital remains the cornerstone of this endeavor. Shriners maintains charitable pediatric hospitals, provide care irrespective of the patient's or the family's ability to pay, and promote research...
February 15, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29456843/analysis-of-selected-policies-towards-universal-health-coverage-in-uganda-the-policy-implementation-barometer-protocol
#6
Charles Hongoro, Elizeus Rutebemberwa, Thembinkosi Twalo, Chikondi Mwendera, Mbuyiselo Douglas, Moses Mukuru, Simon Kasasa, Freddie Ssengooba
Background: Policy implementation remains an under researched area in most low and middle income countries and it is not surprising that several policies are implemented without a systematic follow up of why and how they are working or failing. This study is part of a larger project called Supporting Policy Engagement for Evidence-based Decisions (SPEED) for Universal Health Coverage in Uganda. It seeks to support policymakers monitor the implementation of vital programmes for the realisation of policy goals for Universal Health Coverage...
2018: Archives of Public Health, Archives Belges de Santé Publique
https://www.readbyqxmd.com/read/29449023/healthcare-associated-infections-studies-project-an-american-journal-of-infection-control-and-national-healthcare-safety-network-data-quality-collaboration-location-mapping
#7
Marc-Oliver Wright, Scott G Decker, Katherine Allen-Bridson, Joan N Hebden, Denise Leaptrot
This case study is part of a series centered on the Centers for Disease Control and Prevention/National Healthcare Safety Network (NHSN) health care-associated infection (HAI) surveillance definitions. This specific case study focuses on appropriately mapping locations within an NHSN-enrolled facility. The intent of the case study series is to foster standardized application of the NHSN HAI surveillance definitions among IPs and encourage accurate determination of HAI events. An online survey link is provided where participants may confidentially answer questions related to the case study and receive immediate feedback in the form of correct answers and explanations and rationales...
February 12, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29447177/physician-prescribing-of-opioid-agonist-treatments-in-provincial-correctional-facilities-in-ontario-canada-a-survey
#8
Fiona G Kouyoumdjian, Alexandra Patel, Matthew J To, Lori Kiefer, Leonora Regenstreif
BACKGROUND: Substance use and substance use disorders are common in people who experience detention or incarceration in Canada, and opioid agonist treatment (OAT) may reduce the harms associated with substance use disorders. We aimed to define current physician practice in provincial correctional facilities in Ontario with respect to prescribing OAT and to identify potential barriers and facilitators to prescribing OAT. METHODS: We invited all physicians practicing in the 26 provincial correctional facilities for adults in Ontario to participate in an online survey...
2018: PloS One
https://www.readbyqxmd.com/read/29442531/the-impact-of-pneumatic-tube-transport-on-whole-blood-coagulation-and-platelet-function-assays
#9
Peter H Nissen, Dorte E Wulff, Niels Tørring, Anne-Mette Hvas
Pneumatic tube is an attractive way to transport blood samples from the emergency department to the central laboratory facility. We aimed to investigate the impact of pneumatic tube transportation on blood samples for analysis of whole blood coagulation and platelet function. We included 21 healthy adult individuals and measured global coagulation assays by rotational thromboelastometry (ROTEM) and platelet aggregation induced by arachidonic acid (AA) and adenosine diphosphate (ADP) using impedance aggregometry (ROTEM Platelet), on samples transported manually or by pneumatic tube transport...
February 14, 2018: Platelets
https://www.readbyqxmd.com/read/29440716/publisher-correction-the-impact-of-endothermy-on-the-climatic-niche-evolution-and-the-distribution-of-vertebrate-diversity
#10
Jonathan Rolland, Daniele Silvestro, Dolph Schluter, Antoine Guisan, Olivier Broenniman, Nicolas Salamin
In the version of this Article originally published, in Fig. 3a the first boundary was incorrectly labelled the "K/T boundary"; it should have read the "K/Pg boundary". The two equations in the main text were incorrectly omitted from the HTML. In the description of the posterior distribution of an ancestral state, the normal distribution was incorrectly described as being "assigned as prior to the node value"; it should have read "assigned as calibration to the node value". In the associated equation (the second equation in the text), the denominator of the last term was incorrectly given as "Node prior"; it should have read "Node calibration"...
February 13, 2018: Nature Ecology & Evolution
https://www.readbyqxmd.com/read/29433368/teaching-childbirth-with-high-fidelity-simulation-is-it-better-observing-the-scenario-during-the-briefing-session
#11
Marcos J Cuerva, Carlos S Piñel, Lourdes Martin, Jose A Espinosa, Octavio J Corral, Nicolás Mendoza
The design of optimal courses for obstetric undergraduate teaching is a relevant question. This study evaluates two different designs of simulator-based learning activity on childbirth with regard to respect to the patient, obstetric manoeuvres, interpretation of cardiotocography tracings (CTG) and infection prevention. This randomised experimental study which differs in the content of their briefing sessions consisted of two groups of undergraduate students, who performed two simulator-based learning activities on childbirth...
February 12, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29432706/-people-don-t-understand-what-goes-on-in-here-a-consensual-qualitative-research-analysis-of-inmate-caregiver-perspectives-on-prison-based-end-of-life-care
#12
Rachel M Depner, Pei C Grant, David J Byrwa, Jennifer M Breier, Jennifer Lodi-Smith, Debra L Luczkiewicz, Christopher W Kerr
BACKGROUND: The age demographic of the incarcerated is quickly shifting from young to old. Correctional facilities are responsible for navigating inmate access to healthcare; currently, there is no standardization for access to end-of-life care. There is growing research support for prison-based end-of-life care programs that incorporate inmate peer caregivers as a way to meet the needs of the elderly and dying who are incarcerated. AIM: This project aims to (a) describe a prison-based end-of-life program utilizing inmate peer caregivers, (b) identify inmate-caregiver motivations for participation, and (c) analyze the role of building trust and meaningful relationships within the correctional end-of-life care setting...
February 1, 2018: Palliative Medicine
https://www.readbyqxmd.com/read/29432472/use-of-viral-load-surveillance-data-to-assess-linkage-to-care-for-persons-with-hiv-released-from-corrections
#13
Brian T Montague, Betsey John, Cara Sammartino, Michael Costa, Dawn Fukuda, Liza Solomon, Josiah D Rich
Incarcerated people remain a priority group in efforts to control and reverse the HIV epidemic. Following release, social instability and reengagement in key transmission risk behaviors increase the risk of secondary transmission of HIV. Targeted programs have been developed to facilitate reengagement in care on reentry. Evaluation of the impact of these initiatives requires a systematic, confidential, framework for assessment of linkage to care for persons released from corrections. By linking HIV viral load surveillance data to corrections release data, the time to the first laboratory monitoring service in the community as well as the virologic status can be assessed...
2018: PloS One
https://www.readbyqxmd.com/read/29426176/estimation-of-pm10-bound-manganese-concentration-near-a-ferromanganese-alloy-plant-by-atmospheric-dispersion-modelling
#14
Daniel Otero-Pregigueiro, Ana Hernández-Pellón, Rafael Borge, Ignacio Fernández-Olmo
Numerous studies have associated air manganese (Mn) exposure with negative health effects, primarily neurotoxic disorders. This work presents a description of the emission and dispersion of PM10-bound Mn from industrial sources in the Santander bay area, Northern Spain. A detailed day-specific emission estimation was made and assessed for the main Mn source, a manganese alloy production plant under 8 different scenarios. Dispersion analysis of PM10-bound Mn was performed using the CALPUFF model. The model was validated from an observation dataset including 101 daily samples from four sites located in the vicinities of the manganese alloy plant...
January 30, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29422062/sexual-and-reproductive-health-services-srhs-for-adolescents-in-enugu-state-nigeria-a-mixed-methods-approach
#15
Amelia Ngozi Odo, Efiong Sunday Samuel, Evelyn N Nwagu, Petra Obioma Nnamani, Chiemezie S Atama
BACKGROUND: Availability and accessibility of sexual and reproductive health services for adolescents are very crucial for prevention and control of sexual and reproductive health problems. These services also play vital roles in the promotion of adolescents' sexual and reproductive health generally. The main purpose of the study was to determine the availability and accessibility (geographical and financial) of sexual and reproductive health services (SRHS) among adolescents in Enugu State, Nigeria...
February 8, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29420610/estimation-of-actomyosin-active-force-maintained-by-tropomyosin-and-troponin-complex-under-vertical-forces-in-the-in-vitro-motility-assay-system
#16
Shuya Ishii, Masataka Kawai, Shin'ichi Ishiwata, Madoka Suzuki
The interaction between actin filaments and myosin molecular motors is a power source of a variety of cellular functions including cell division, cell motility, and muscular contraction. In vitro motility assay examines actin filaments interacting with myosin molecules that are adhered to a substrate (e.g., glass surface). This assay has been the standard method of studying the molecular mechanisms of contraction under an optical microscope. While the force generation has been measured through an optically trapped bead to which an actin filament is attached, a force vector vertical to the glass surface has been largely ignored with the in vitro motility assay...
2018: PloS One
https://www.readbyqxmd.com/read/29417017/how-much-do-persons-with-diabetes-in-a-rural-area-of-south-india-know-about-diabetes-management-a-step-toward-person-centered-care
#17
Marie Gilbert Majella, Palanivel Chinnakali, Bijay Nanda Naik, Pruthu Thekkur, Bharath Nag, Gomathi Ramaswamy
Introduction: The burden of diabetes mellitus is increasing worldwide, more so in developing countries. Optimal diabetes care depends on adherence to management protocol, which can be brought about by shared decision-making. Patient's knowledge on life-threatening complications and preventive strategies for the same is a prerequisite for shared decision-making. Hence, this study was carried out among diabetes patients to assess the level of knowledge on different aspects of diabetes management...
July 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29409525/pre-hospital-transthoracic-echocardiography-for-early-identification-of-non-st-elevation-myocardial-infarction-in-patients-with-acute-coronary-syndrome
#18
Ingo Bergmann, Benedikt Büttner, Elena Teut, Claudius Jacobshagen, José Hinz, Michael Quintel, Ashham Mansur, Markus Roessler
BACKGROUND: Non-ST elevation myocardial infarction (NSTEMI) is a common manifestation of acute coronary syndrome (ACS), but delayed diagnosis can increase mortality. In this proof of principle study, the emergency physician performed transthoracic echocardiography (TTE) on scene to determine whether NSTEMI could be correctly diagnosed pre-hospitalization. This could expedite admission to the appropriate facility and reduce the delay until initiation of correct therapy. METHODS: Pre-hospital TTE was performed on scene by the emergency physician in patients presenting with ACS but without ST-elevation in the initial 12-lead electrocardiography (ECG) (NSTE-ACS)...
February 7, 2018: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/29409456/task-shifting-in-active-management-of-the-third-stage-of-labor-a-systematic-review
#19
Tessa M Raams, Joyce L Browne, Verena J M M Festen-Schrier, Kerstin Klipstein-Grobusch, Marcus J Rijken
BACKGROUND: Active management of the third stage of labor (AMTSL) describes interventions with the common goal to prevent postpartum hemorrhage (PPH). In low- and middle-income countries, implementation of AMTSL is hampered by shortage of skilled birth attendants and a high percentage of home deliveries. Task shifting of specific AMTSL components to unskilled birth attendants or self-administration could be a strategy to increase access to potentially life-saving interventions. This study was designed to evaluate the effect, acceptance and safety of task shifting of specific aspects of AMTSL to unskilled birth attendants...
February 6, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29401265/meat-science-and-muscle-biology-symposium-international-perspectives-on-animal-handling-and-welfare-and-meat-quality-preslaughter-handling-practices-and-their-effects-on-animal-welfare-and-pork-quality
#20
L Faucitano
At all times prior to slaughter pigs may experience stress from a range of handling practices, such as fasting, loading and transport, mixing, and interaction with humans. These factors can affect the welfare of pigs, and carcass and meat quality both individually and collectively. Preslaughter stress is both an animal welfare and a meat quality issue. Behavioral and physiological studies have revealed that poor handling practices at the farm, during transport and at the slaughter plant have an adverse effect to pigs and may result in loss of profits due to animal losses during transport and in lairage...
February 1, 2018: Journal of Animal Science
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