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https://www.readbyqxmd.com/read/27857687/transcranial-alternating-current-stimulation-at-beta-frequency-lack-of-immediate-effects-on-excitation-and-interhemispheric-inhibition-of-the-human-motor-cortex
#1
Viola Rjosk, Elisabeth Kaminski, Maike Hoff, Christopher Gundlach, Arno Villringer, Bernhard Sehm, Patrick Ragert
Transcranial alternating current stimulation (tACS) is a form of noninvasive brain stimulation and is capable of influencing brain oscillations and cortical networks. In humans, the endogenous oscillation frequency in sensorimotor areas peaks at 20 Hz. This beta-band typically occurs during maintenance of tonic motor output and seems to play a role in interhemispheric coordination of movements. Previous studies showed that tACS applied in specific frequency bands over primary motor cortex (M1) or the visual cortex modulates cortical excitability within the stimulated hemisphere...
2016: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/27832594/high-frequency-neuromuscular-electrical-stimulation-modulates-interhemispheric-inhibition-in-healthy-humans
#2
Nicolas Gueugneau, Sidney Grosprêtre, Paul J Stapley, Romuald Lepers
High frequency neuromuscular electrical stimulation (HF NMES) induces muscular contractions through neural mechanisms that partially match physiological motor control. Indeed, a portion of the contraction arises from central mechanisms, whereby spinal motoneurons are recruited through the evoked sensory volley. However, the involvement of supraspinal centers of motor control during such a stimulation remained poorly understood. Therefore, we tested whether a single HF NMES session applied to the upper limb influences interhemispheric inhibition (IHI) from left to right motor cortex (M1)...
November 9, 2016: Journal of Neurophysiology
https://www.readbyqxmd.com/read/27631712/collaborative-learning-in-the-texas-medicaid-1115-waiver-program
#3
Lee Revere, Adele Semaan, Nicole Lievsay, Jessica Hall, Zheng M Wang, Charles Begley
The Texas Medicaid 1115 Transformation Waiver reforms the state's safety net systems by creating a Delivery System Reform Incentive Payment incentive pool for innovative healthcare delivery. The Waiver supports the design and implementation of transformative projects. As part of the Waiver requirements, regions created Learning Collaboratives to collaborate on project implementation and outcomes. This paper describes the experience of one region in adapting the Institute for Healthcare Improvement Breakthrough Series (IHI BTS) model, as a framework for their Learning Collaborative...
September 13, 2016: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/27618086/developing-responsive-indicators-of-indigenous-community-health
#4
Jamie Donatuto, Larry Campbell, Robin Gregory
How health is defined and assessed is a priority concern for Indigenous peoples due to considerable health risks faced from environmental impacts to homelands, and because what is "at risk" is often determined without their input or approval. Many health assessments by government agencies, industry, and researchers from outside the communities fail to include Indigenous definitions of health and omit basic methodological guidance on how to evaluate Indigenous health, thus compromising the quality and consistency of results...
September 9, 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27611772/adverse-events-at-baseline-in-a-chinese-general-hospital-a-pilot-study-of-the-global-trigger-tool
#5
Xiao-Di Xu, Yi-Jie Yuan, Li-Ming Zhao, Yang Li, Hui-Zhen Zhang, Hua Wu
OBJECTIVE: To investigate adverse events (AEs) at baseline in a Chinese general hospital using the Institute for Healthcare Improvement (IHI) Global Trigger Tool (GTT) and discuss the feasibility of this tool to detect AEs in China. METHODS: A total of 10 inpatient records from the hospital were sampled randomly half a month in 2014. The records were reviewed to identify AEs according to the second edition of the IHI GTT for measuring AEs. Triggers and AEs were analyzed using Microsoft Excel 2007...
September 8, 2016: Journal of Patient Safety
https://www.readbyqxmd.com/read/27559472/improving-pediatric-inflammatory-bowel-disease-ibd-follow-up
#6
Dana Dykes, Elizabeth Williams, Peter Margolis, Jennifer Ruschman, Julianne Bick, Shehzad Saeed, Lisa Opipari
Standardization of Inflammatory Bowel Disease (IBD) care through participation in the ImproveCareNow (ICN) Network has improved outcomes for pediatric patients with IBD, but under the current care model, our improvements have plateaued. Current ICN model care guidelines recommend health supervision visits every six months. We identified a gap in our practice's ability to ensure either a routine six month follow-up or a rapid follow-up after a disease flare, and a significant number of patients with active disease status during a six month period lacked timely reassessment after interventions or medication changes...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/27559470/a-project-to-reduce-the-rate-of-central-line-associated-bloodstream-infection-in-icu-patients-to-a-target-of-zero
#7
Muhammad Yaseen, Fahad Al-Hameed, Khalid Osman, Mansour Al-Janadi, Majid Al-Shamrani, Asim Al-Saedi, Abdulhakeem Al-Thaqafi
Central venous catheters (CVCs) are life-saving and the majority of patients in intensive care units (ICUs) have them placed in order to receive medicine and fluids. However, the use of these catheters can result in serious bloodstream infections. The rate of Central Line Associated Blood Stream Infection (CLABSI) in Adult Intensive Care Units (ICUs) at King Abdulaziz Medical City Jeddah (KAMC-J) at the start of the project was 2.0/1000 line days in 2008. The Central Line (CL) Bundle by the Institute of Healthcare Improvement (IHI) was implemented at the same time with monitoring of compliance to the CL Bundle...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/27532613/outcomes-following-the-use-of-nebulized-heparin-for-inhalation-injury-hihi-study
#8
Allyson McIntire, Serena A Harris, Jessica A Whitten, Andrew C Fritschle-Hilliard, David R Foster, Rajiv Sood, Todd A Walroth
Inhalation injury (IHI) causes significant morbidity and mortality in burn victims due to both local and systemic effects. Nebulized heparin promotes improvement in lung function and decreased mortality in IHI by reducing the inflammatory response and fibrin cast formation. The study objective is to determine if nebulized heparin 10,000 units improves lung function and decreases mechanical ventilation duration, mortality, and hospitalization length in IHI with minimal systemic adverse events. This retrospective, case-control study evaluated efficacy and safety of nebulized heparin administered to mechanically ventilated adults admitted within 48 hr of confirmed IHI...
August 15, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/27497385/quality-improvement-utilizing-in-situ-simulation-for-a-dual-hospital-pediatric-code-response-team
#9
Phoebe Yager, Corey Collins, Carlene Blais, Kathy O'Connor, Patricia Donovan, Maureen Martinez, Brian Cummings, Christopher Hartnick, Natan Noviski
OBJECTIVE: Given the rarity of in-hospital pediatric emergency events, identification of gaps and inefficiencies in the code response can be difficult. In-situ, simulation-based medical education programs can identify unrecognized systems-based challenges. We hypothesized that developing an in-situ, simulation-based pediatric emergency response program would identify latent inefficiencies in a complex, dual-hospital pediatric code response system and allow rapid intervention testing to improve performance before implementation at an institutional level...
September 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27442713/applying-the-new-institute-for-healthcare-improvement-inpatient-waste-tool-to-identify-waste-in-the-intensive-care-unit
#10
Khalid F Almoosa, Katharine Luther, Roger Resar, Bela Patel
Healthcare waste-the inappropriate use of healthcare resources that provides no benefit to patients yet contributes to cost and even harm-is a potentially significant contributor to high healthcare costs. This project aimed to apply a new locally modified Institute for Healthcare Improvement (IHI)-developed waste identification tool to measure the prevalence of and reason for the inappropriate use of intensive care unit (ICU) beds, one type of potential waste. Unnecessary days (i.e., waste) and their causes in a 16-bed "closed" medical ICU (MICU) and a 10-bed "semi-closed" transplant surgical ICU (TSICU) were identified by physicians over a 3-month period...
September 2016: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/27381200/comparison-of-hydrogen-and-gold-bonding-in-xhx-xaux-and-isoelectronic-nghng-ngaung-x-halogen-ng-noble-gas
#11
Sławomir J Grabowski, Jesus M Ugalde, Diego M Andrada, Gernot Frenking
Quantum chemical calculations at the MP2/aug-cc-pVTZ and CCSD(T)/aug-cc-pVTZ levels have been carried out for the title compounds. The electronic structures were analyzed with a variety of charge and energy partitioning methods. All molecules possess linear equilibrium structures with D∞h symmetry. The total bond dissociation energies (BDEs) of the strongly bonded halogen anions [XHX](-) and [XAuX](-) decrease from [FHF](-) to [IHI](-) and from [FAuF](-) to [IAuI](-) . The BDEs of the noble gas compounds [NgHNg](+) and [NgAuNg](+) become larger for the heavier atoms...
August 1, 2016: Chemistry: a European Journal
https://www.readbyqxmd.com/read/27333364/interhemispheric-inhibition-measurement-reliability-in-stroke-a-pilot-study
#12
Jessica M Cassidy, Haitao Chu, Mo Chen, Teresa J Kimberley, James R Carey
OBJECTIVE: Reliable transcranial magnetic stimulation (TMS) measures for probing corticomotor excitability are important when assessing the physiological effects of noninvasive brain stimulation. The primary objective of this study was to examine test-retest reliability of an interhemispheric inhibition (IHI) index measurement in stroke. MATERIALS AND METHODS: Ten subjects with chronic stroke (≥6 months) completed two IHI testing sessions per week for three weeks (six testing sessions total)...
December 2016: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/27296559/incidence-causes-and-impact-of-in-hospital-infections-after-transcatheter-aortic-valve-implantation
#13
Gabriela Tirado-Conte, Afonso B Freitas-Ferraz, Luis Nombela-Franco, Pilar Jimenez-Quevedo, Corina Biagioni, Ana Cuadrado, Ivan Nuñez-Gil, Pablo Salinas, Nieves Gonzalo, Carlos Ferrera, David Vivas, Javier Higueras, Ana Viana-Tejedor, Maria Jose Perez-Vizcayno, Isidre Vilacosta, Javier Escaned, Antonio Fernandez-Ortiz, Carlos Macaya
In-hospital infections (IHI) are one of the most common and serious problems after invasive procedures. Transcatheter aortic valve implantation (TAVI) is an increasingly used alternative to surgery in patients with severe symptomatic aortic stenosis. The aim of this study was to determine the incidence, origin, risk factors, and clinical outcomes of IHI after TAVI. A total of 303 consecutive patients with severe aortic stenosis who underwent transfemoral TAVI were included and followed during a median time of 21 months...
August 1, 2016: American Journal of Cardiology
https://www.readbyqxmd.com/read/27290758/pressure-ulcers-or-moisture-lesions-the-theatre-perspective
#14
A Rego
Pressure ulcers continue to be a cause for concern in the healthcare industry (IHI 2015). Unfortunately older patients are at a greater risk of developing pressure ulcers (Kottner et al 2013); moisture lesions and the presence of other comorbidities could have long term effects on the patient's health and recovery.
April 2016: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/27267243/variation-in-left-posterior-parietal-motor-cortex-interhemispheric-facilitation-following-right-parietal-continuous-theta-burst-stimulation-in-healthy-adults
#15
Christopher Killington, Christopher Barr, Tobias Loetscher, Lynley V Bradnam
Spatial neglect is modeled on an imbalance of interhemispheric inhibition (IHI); however evidence is emerging that it may not explain neglect in all cases. The aim of this study was to investigate the IHI imbalance model of visual neglect in healthy adults, using paired pulse transcranial magnetic stimulation to probe excitability of projections from posterior parietal cortex (PPC) to contralateral primary motor cortex (M1) bilaterally. Motor-evoked potentials (MEPs) were recorded from the first dorsal interossei and facilitation was determined as ratio of conditioned to non-conditioned MEP amplitude...
August 25, 2016: Neuroscience
https://www.readbyqxmd.com/read/27180470/st-luke-s-medical-center-global-city-global-trigger-tool-gtt-project
#16
Alejandro C Dizon, Victor J Macaraig, Eulalia C Magpusao
The Global Trigger Tool (GTT) was developed by the Institute of Healthcare Improvement (IHI), to identify and measure the rate of adverse events over time in a healthcare facility. It is a sampling methodology that utilizes "triggers" in the detection of random adverse events and harms and it also measures the adverse events overtime. The Quality and Patient Safety Group of St. Luke's Medical Center--Global City initiated the implementation of the Global Trigger Tool as a proactive solution using retrospective information gathered to address the growing challenge that adverse events and harms impose in the institution with the ultimate goat of improving patient safety...
2016: World Hospitals and Health Services: the Official Journal of the International Hospital Federation
https://www.readbyqxmd.com/read/27148019/brain-stimulation-therapy-for-central-post-stroke-pain-from-a-perspective-of-interhemispheric-neural-network-remodeling
#17
Takashi Morishita, Tooru Inoue
Central post-stroke pain (CPSP) is a debilitating, severe disorder affecting patient quality of life. Since CPSP is refractory to medication, various treatment modalities have been tried with marginal results. Following the first report of epidural motor cortex (M1) stimulation (MCS) for CPSP, many researchers have investigated the mechanisms of electrical stimulation of the M1. CPSP is currently considered to be a maladapted network reorganization problem following stroke, and recent studies have revealed that the activities of the impaired hemisphere after stroke may be inhibited by the contralesional hemisphere...
2016: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/27093762/indicators-of-health-literacy-in-bladder-cancer-survivors-a-secondary-analysis-of-the-integrative-health-interview-series-ihis
#18
Kyle Merandy, Thomas Hardie
A secondary analysis was performed to characterize the health literacy of bladder cancer survivors. A cluster of patients was identified that is less healthy and may have more health literacy needs.
January 2016: Urologic Nursing
https://www.readbyqxmd.com/read/27088504/co-endemicity-of-pulmonary-tuberculosis-and-intestinal-helminth-infection-in-the-people-s-republic-of-china
#19
Xin-Xu Li, Zhou-Peng Ren, Li-Xia Wang, Hui Zhang, Shi-Wen Jiang, Jia-Xu Chen, Jin-Feng Wang, Xiao-Nong Zhou
Both pulmonary tuberculosis (PTB) and intestinal helminth infection (IHI) affect millions of individuals every year in China. However, the national-scale estimation of prevalence predictors and prevalence maps for these diseases, as well as co-endemic relative risk (RR) maps of both diseases' prevalence are not well developed. There are co-endemic, high prevalence areas of both diseases, whose delimitation is essential for devising effective control strategies. Bayesian geostatistical logistic regression models including socio-economic, climatic, geographical and environmental predictors were fitted separately for active PTB and IHI based on data from the national surveys for PTB and major human parasitic diseases that were completed in 2010 and 2004, respectively...
March 2016: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/27009586/promoting-triple-value-healthcare-in-countries-with-universal-healthcare
#20
Muir Gray, Anant Jani
Verma and Bhatia (2016) have made an important case for Canada to embrace the Institute for Healthcare Improvement (IHI) Triple Aim. In England, the National Health Service (NHS) has certainly benefited from the Triple Aim, but a different approach has developed, reflecting the difference in health services between the United States and the UK. The principal difference is that the NHS, like all universal healthcare systems, has an explicit and legally required commitment to cover the needs of the whole population within a defined and finite budget...
2016: HealthcarePapers
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