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https://www.readbyqxmd.com/read/29454244/-keeping-birth-normal-exploratory-evaluation-of-a-training-package-for-midwives-in-an-inner-city-alongside-midwifery-unit
#1
Shawn Walker, Laura Batinelli, Lucia Rocca-Ihenacho, Christine McCourt
OBJECTIVES: to gain understanding about how participants perceived the value and effectiveness of 'Keeping Birth Normal' training, barriers to implementing it in an along-side midwifery unit, and how the training might be enhanced in future iterations. DESIGN: exploratory interpretive. SETTING: inner-city maternity service. PARTICIPANTS: 31 midwives attending a one-day training package on one of three occasions. METHODS: data were collected using semi-structured observation of the training, a short feedback form (23/31 participants), and focus groups (28/31 participants)...
February 2, 2018: Midwifery
https://www.readbyqxmd.com/read/29454224/the-consonant-vowel-pattern-determines-the-structure-of-orthographic-representations-in-the-left-fusiform-gyrus
#2
Fabienne Chetail, Mariagrazia Ranzini, Xavier De Tiège, Vincent Wens, Alain Content
Recent findings demonstrated readers' sensitivity to the distinction between consonant and vowel letters. Especially, the way consonants and vowels are organised within written words determines their perceptual structure. The present work attempted to overcome two limitations of previous studies by examining the neurophysiological correlates of this perceptual structure through magnetoencephalography (MEG). One aim was to establish that the extraction of vowel-centred units takes place during early stages of processing...
February 2, 2018: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
https://www.readbyqxmd.com/read/29451923/to-what-extent-do-potential-conservation-donors-value-community-aspects-of-conservation-projects-in-low-income-countries
#3
Amy R Lewis, Richard P Young, James M Gibbons, Julia P G Jones
There is a major gap in funding required for conservation, especially in low income countries. Given the significant contribution of taxpayers in industrialized countries to funding conservation overseas, and donations from membership organisation, understanding the preferences of ordinary people in a high income country for different attributes of conservation projects is valuable for future marketing of conservation. We conducted a discrete choice experiment with visitors to a UK zoo, while simultaneously conducting a revealed preference study through a real donation campaign on the same sample...
2018: PloS One
https://www.readbyqxmd.com/read/29450836/allied-health-professionals-knowledge-and-use-of-asd-intervention-practices
#4
Jessica Paynter, Rhylee Sulek, Sarah Luskin-Saxby, David Trembath, Deb Keen
Allied health professionals (AHPs) are trusted sources of information and intervention for clients with autism spectrum disorder. However, the level of implementation of empirically-supported therapies and the accuracy of the knowledge they use to inform intervention selection is largely unknown. The present study explored the accuracy of AHPs' knowledge and use of practices, and explored links to individual attitudes and organisational culture. Overall results from the 156 AHPs surveyed suggested general accuracy of knowledge, and use of empirically supported treatments, with accuracy linked to use...
February 15, 2018: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/29449650/the-transition-from-dental-school-to-postgraduate-dental-foundation-training-strengthening-the-interaction-between-stakeholders
#5
P Blaylock, J S Ellis, G I McCracken
This article demonstrates the benefits of collaboration between dental educators in undergraduate and postgraduate settings, to facilitate the transition of dental students into dental foundation training (DFT). The School of Dental Sciences at Newcastle University and Health Education England, working across north-east and north Cumbria, have strengthened links by forming a dental foundation programme undergraduate liaison group (FPUG) involving all stakeholders. The group has shared information between the organisations, enhanced stakeholder engagement, and developed several initiatives including workshops to help prepare final year students for the transition to DFT...
February 16, 2018: British Dental Journal
https://www.readbyqxmd.com/read/29449293/feasibility-acceptability-and-effectiveness-of-an-online-alternative-to-face-to-face-consultation-in-general-practice-a-mixed-methods-study-of-webgp-in-six-devon-practices
#6
Mary Carter, Emily Fletcher, Anna Sansom, Fiona C Warren, John L Campbell
OBJECTIVES: To evaluate the feasibility, acceptability and effectiveness of webGP as piloted by six general practices. METHODS: Mixed-methods evaluation, including data extraction from practice databases, general practitioner (GP) completion of case reports, patient questionnaires and staff interviews. SETTING: General practices in NHS Northern, Eastern and Western Devon Clinical Commissioning Group's area approximately 6 months after implementing webGP (February-July 2016)...
February 15, 2018: BMJ Open
https://www.readbyqxmd.com/read/29447220/the-relationship-between-context-structure-and-processes-with-outcomes-of-6-regional-diabetes-networks-in-europe
#7
Mahdi Mahdavi, Jan Vissers, Sylvia Elkhuizen, Mattees van Dijk, Antero Vanhala, Eleftheria Karampli, Raquel Faubel, Paul Forte, Elena Coroian, Joris van de Klundert
BACKGROUND: While health service provisioning for the chronic condition Type 2 Diabetes (T2D) often involves a network of organisations and professionals, most evidence on the relationships between the structures and processes of service provisioning and the outcomes considers single organisations or solo practitioners. Extending Donabedian's Structure-Process-Outcome (SPO) model, we investigate how differences in quality of life, effective coverage of diabetes, and service satisfaction are associated with differences in the structures, processes, and context of T2D services in six regions in Finland, Germany, Greece, Netherlands, Spain, and UK...
2018: PloS One
https://www.readbyqxmd.com/read/29447058/training-and-post-disaster-interventions-for-the-psychological-impacts-on-disaster-exposed-employees-a-systematic-review
#8
Samantha K Brooks, Rebecca Dunn, Richard Amlôt, Neil Greenberg, G James Rubin
BACKGROUND: When organisations are exposed to traumatic situations, such as disasters, often staff are not prepared for the potential psychological impact which can negatively affect their wellbeing. AIMS: To conduct a systematic review of the literature on psychological interventions aimed at improving staff wellbeing during or after disasters. METHOD: Four electronic literature databases were searched. Reference lists of relevant articles were hand-searched...
February 15, 2018: Journal of Mental Health
https://www.readbyqxmd.com/read/29446469/clinical-trials-in-allergen-immunotherapy-current-concepts-and-future-needs
#9
REVIEW
O Pfaar, M Alvaro, V Cardona, E Hamelmann, R Mösges, J Kleine-Tebbe
Allergen immunotherapy (AIT) is a safe, effective treatment for allergic rhinoconjunctivitis and allergic asthma. However, AIT's clinical effect is still contested - primarily due to heterogeneity in clinical trial designs, study populations, therapeutic formulations and efficacy criteria. After discussing current concepts and unmet needs, an international panel of experts made several recommendations: (i) explore and validate definitions for [clinical] responders in AIT-trials; (ii) use of well-documented, standardized provocation tests prior to inclusion of subjects with relevant diseases in AIT trials; (iii) monitoring neo-sensitizations and occurrence of new allergy in extended AIT trials, and exclusion of polyallergic participants; (iv) validation of allergen exposure chambers with regard to natural exposure; (v) in studies of seasonal allergies, focus on peak exposure but also consider organising two parallel, geographically distinct but otherwise identical trials; (vi) discuss adaptive trial designs with the regulatory authorities; (vii) use e-health and m-health technologies to capture more information on individual exposure to allergens; (viii) initiate research on potential psychological, biochemical, immune, neural and even genomic markers of the placebo response; (ix) identify trial designs and primary endpoints that will give children with allergies easier, faster access to AIT formulations; and (x) promote and apply standardized methods for reporting systemic and local adverse events...
February 15, 2018: Allergy
https://www.readbyqxmd.com/read/29446151/organisational-framework-and-outputs-of-international-medical-evacuation-in-guinea-a-need-for-change
#10
Timothé Guilavogui, Alioune Camara, Elhadj Marouf Diallo, Akoï Koïvogui, Aminatou Barry, Koligna Zoumanigui, Alpha Ahmadou Diallo, Alexandre Delamou, Moussa Koulibaly
The study aims to describe the organizational framework of International Medical Evacuation (IME), the profile of persons evacuated, and the associated cost of IME in Guinea. This was a descriptive study of IME policy in Guinea. We described the politico-structural organization of IME and the profile of patient accessing IME through the Ministry of Health (MOH: 2001-2015) and through the National Social Security Fund (NSSF: 2011-2015). From 1958 to 1992 since the health system was restricted, the country negotiated the free medical treatment with Socialist countries...
February 15, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29445426/the-effect-of-different-methods-and-image-analyzers-on-the-results-of-the-in-vivo-comet-assay
#11
Takahiro Kyoya, Rika Iwamoto, Yuko Shimanura, Megumi Terada, Shuichi Masuda
Introduction: The in vivo comet assay is a widely used genotoxicity test that can detect DNA damage in a range of organs. It is included in the Organisation for Economic Co-operation and Development Guidelines for the Testing of Chemicals. However, various protocols are still used for this assay, and several different image analyzers are used routinely to evaluate the results. Here, we verified a protocol that largely contributes to the equivalence of results, and we assessed the effect on the results when slides made from the same sample were analyzed using two different image analyzers (Comet Assay IV vs Comet Analyzer)...
2018: Genes and Environment: the Official Journal of the Japanese Environmental Mutagen Society
https://www.readbyqxmd.com/read/29444781/do-quality-improvement-initiatives-for-diabetes-care-address-social-inequities-secondary-analysis-of-a-systematic-review
#12
Jacquie Boyang Lu, Kristin J Danko, Michael D Elfassy, Vivian Welch, Jeremy M Grimshaw, Noah M Ivers
BACKGROUND: Socially disadvantaged populations carry a disproportionate burden of diabetes-related morbidity and mortality. There is an emerging interest in quality improvement (QI) strategies in the care of patients with diabetes, however, the effect of these interventions on disadvantaged groups remains unclear. OBJECTIVE: This is a secondary analysis of a systematic review that seeks to examine the extent of equity considerations in diabetes QI studies, specifically quantifying the proportion of studies that target interventions toward disadvantaged populations and conduct analyses on the impact of interventions on disadvantaged groups...
February 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29443901/toxicology-of-engineered-nanoparticles-focus-on-poly-amidoamine-dendrimers
#13
REVIEW
Pratap C Naha, Sourav P Mukherjee, Hugh J Byrne
Engineered nanomaterials are increasingly being developed for paints, sunscreens, cosmetics, industrial lubricants, tyres, semiconductor devices, and also for biomedical applications such as in diagnostics, therapeutics, and contrast agents. As a result, nanomaterials are being manufactured, transported, and used in larger and larger quantities, and potential impacts on environmental and human health have been raised. Poly(amidoamine) (PAMAM) dendrimers are specifically suitable for biomedical applications...
February 14, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29442472/safe-transfusion-of-blood-components
#14
Alister Jones
Administering the wrong blood component to the wrong patient can have serious clinical consequences, including death. Patients have a right to safe clinical practice in line with nurses' professional standards and code of conduct, and other healthcare regulatory frameworks. Transfusion of blood components is no exception to this; therefore, it is important for healthcare organisations to have policies in place to support healthcare practitioners in ensuring patient safety throughout the transfusion process...
February 14, 2018: Nursing Standard
https://www.readbyqxmd.com/read/29439875/consensus-document-on-the-implementation-of-next-generation-sequencing-in-the-genetic-diagnosis-of-hereditary-cancer
#15
José Luis Soto, Ignacio Blanco, Orland Díez, Javier García Planells, Isabel Lorda, Gert Matthijs, Mercedes Robledo, Erika Souche, Conxi Lázaro
Genetic diagnosis of hereditary cancer syndromes offers the opportunity to establish more effective predictive and preventive measures for the patient and their families. The ultimate objective is to decrease cancer morbidity and mortality in high genetic risk families. Next Generation Sequencing (NGS) offers an important improvement in the efficiency of genetic diagnosis, allowing an increase in diagnostic yield with a substantial reduction in response times and economic costs. Consequently, the implementation of this new technology is a great opportunity for improvement in the clinical management of affected families...
February 10, 2018: Medicina Clínica
https://www.readbyqxmd.com/read/29439064/interventions-that-enhance-health-services-for-parents-and-infants-to-improve-child-development-and-social-and-emotional-well-being-in-high-income-countries-a-systematic-review
#16
Lisa Hurt, Shantini Paranjothy, Patricia Jane Lucas, Debbie Watson, Mala Mann, Lucy J Griffiths, Samuel Ginja, Tapio Paljarvi, Jo Williams, Mark A Bellis, Raghu Lingam
BACKGROUND: Experiences in the first 1000 days of life have a critical influence on child development and health. Health services that provide support for families need evidence about how best to improve their provision. METHODS: We systematically reviewed the evidence for interventions in high-income countries to improve child development by enhancing health service contact with parents from the antenatal period to 24 months postpartum. We searched 15 databases and trial registers for studies published in any language between 01 January 1996 and 01 April 2016...
February 8, 2018: BMJ Open
https://www.readbyqxmd.com/read/29437992/-the-industry-must-be-inconspicuous-japan-tobacco-s-corruption-of-science-and-health-policy-via-the-smoking-research-foundation
#17
Kaori Iida, Robert N Proctor
OBJECTIVE: To investigate how and why Japan Tobacco, Inc. (JT) in 1986 established the Smoking Research Foundation (SRF), a research-funding institution, and to explore the extent to which SRF has influenced science and health policy in Japan. METHODS: We analysed documents in the Truth Tobacco Industry Documents archive, along with recent Japanese litigation documents and published documents. RESULTS: JT's effort to combat effective tobacco control was strengthened in the mid-1980s, following privatisation of the company...
February 4, 2018: Tobacco Control
https://www.readbyqxmd.com/read/29436758/perception-of-dental-students-on-risk-factors-of-musculoskeletal-disorders
#18
A C Botta, C D Presoto, D Wajngarten, J A D B Campos, P P N S Garcia
OBJECTIVE: To evaluate the validity and reliability of the Job Factors Questionnaire, and the influence of gender, academic level and pain/discomfort on dental students' perception regarding risk factors of musculoskeletal disorders. METHODS: One hundred forty-five dental students from Stony Brook School of Dental Medicine participated voluntarily in this study. The survey was organised in two sections: (i) Job Factors Questionnaire with 15 items that evaluated students' perceptions about job/study environmental risk factors and their potential contribution to musculoskeletal disorders...
February 13, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29436699/-bipolar-disorder-and-alcohol-use-disorder-practical-recommendations-for-treatment-based-on-a-literature-review
#19
A T Spijker, J van Zaane, M A Koenders, R Hoekstra, R W Kupka
A fairly large proportion (25-50%) of patients with bipolar disorder (bd) also suffer from comorbid alcohol use disorder (aud). However, little is known how this type of morbidity should be treated. It is also unclear whether the current guidelines on bd have been influenced by aud.<br/> AIM: To provide an overview of recent literature concerning the diagnosis and treatment of comorbid bd and aud.<br/> METHOD: We systematically reviewed studies that have addressed three treatment options for this group of patients: pharmaco-therapy, psychological interventions and self-management techniques...
2018: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/29436486/randomised-double-blind-placebo-controlled-crossover-study-of-single-dose-guanfacine-in-unilateral-neglect-following-stroke
#20
Edwin S Dalmaijer, Korina M S Li, Nikos Gorgoraptis, Alexander P Leff, David L Cohen, Andrew D Parton, Masud Husain, Paresh A Malhotra
OBJECTIVE: Unilateral neglect is a poststroke disorder that impacts negatively on functional outcome and lacks established, effective treatment. This multicomponent syndrome is characterised by a directional bias of attention away from contralesional space, together with impairments in several cognitive domains, including sustained attention and spatial working memory. This study aimed to test the effects of guanfacine, a noradrenergic alpha-2A agonist, on ameliorating aspects of neglect...
February 7, 2018: Journal of Neurology, Neurosurgery, and Psychiatry
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