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https://www.readbyqxmd.com/read/28319978/patient-experience-the-new-heart-of-healthcare-leadership
#1
Jason A Wolf
In a healthcare world in which consumerism is no longer a question and value has claimed its place at center stage, leaders are called to think differently about how they operate and manage their organizations. Priorities are curving in new directions with shifts in policy, direction of dollars, and evolution of practice. At the center of this transition is an opportunity for healthcare leaders to recognize that patient experience is the new heart of healthcare leadership.To address quality, safety, service, cost, and population health outcomes, leaders must rethink how they understand and engage in experience efforts overall...
April 2017: Frontiers of Health Services Management
https://www.readbyqxmd.com/read/28319863/binding-affinity-and-adhesion-force-of-organophosphate-hydrolase-enzyme-with-soil-particles-related-to-the-isoelectric-point-of-the-enzyme
#2
Shah Md Asraful Islam, Shabina Yeasmin, Md Saiful Islam, Md Shariful Islam
The binding affinity of organophosphate hydrolase enzyme (OphB) with soil particles in relation to the isoelectric point (pI) was studied. Immobilization of OphB with soil particles was observed by confocal microscopy, Fourier transform infrared spectroscopy (FT-IR), and Atomic force microscopy (AFM). The calculated pI of OphB enzyme was increased from 8.69 to 8.89, 9.04 and 9.16 by the single, double and triple mutant of OphB enzyme, respectively through the replacement of negatively charged aspartate with positively charged histidine...
March 16, 2017: Ecotoxicology and Environmental Safety
https://www.readbyqxmd.com/read/28319625/photoprotection-prevents-skin-cancer-let-s-make-it-fashionable-to-wear-sun-protective-clothing
#3
Jeffrey M Milch, Nicholas F Logemann
Protection from UV radiation (UVR) is of paramount importance in preventing skin cancers, the majority of which occur on sun-exposed areas of the face, ears, and neck. A reusable, inexpensive, and truly simple measure of personal protection that greatly reduces exposure to UVR, thereby reducing the risk for developing skin cancers, can be achieved simply by regularly wearing a wide-brimmed hat. In some areas of the world where sunny climates are pervasive and exposure to UVR is part of everyday life, fashion trends, policy, and public health initiatives are in sync, and photoprotection with wide-brimmed hats is embraced as a common and fashionable practice...
February 2017: Cutis; Cutaneous Medicine for the Practitioner
https://www.readbyqxmd.com/read/28319530/oral-chemical-burns-reported-to-the-poisons-information-centre-in-erfurt-germany-from-1997-to-2014
#4
Juliane Nehrlich, Hans-Peter Klöcking, Helmut Hentschel, Amelie Lupp
Devastating oral burns often followed by lifelong complications can result from ingestion of caustic substances. However, although being one of the most challenging situations in clinical practice, literature data on the epidemiology of oral burns are still scarce. Retrospective analysis of all cases of oral burns after ingestion of corrosive substances reported to the Poisons Information Centre in Erfurt, Germany, from 1997 to 2014 was performed. In total, 482 calls because of oral burns were registered, with no change in the numbers of cases during the years...
March 13, 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/28319477/emerging-techniques-in-truly-minimal-invasive-treatment-options-of-benign-prostatic-obstruction
#5
Karl-Dietrich Sievert, Thomas Kunit
PURPOSE OF REVIEW: Benign prostatic enlargement is a common age-related condition, affecting over 50% of men aged more than 60 years. Side effects of medical therapy and significant morbidity of transurethral resection of the prostate and open surgery led to the development of so-called minimally invasive procedures, with the aim to be efficient but with less morbidity and shorter or no hospitalization. For this review, a systematic literature was performed. We report recent results in different treatment options for benign prostate hypoplasia (BPH) and recommend the best minimal-invasive treatment for BPH...
March 17, 2017: Current Opinion in Urology
https://www.readbyqxmd.com/read/28319452/the-state-of-the-otolaryngology-match-a-review-of-applicant-trends-impossible-qualifications-and-implications
#6
Sarah N Bowe, Cecelia E Schmalbach, Adrienne M Laury
Objective This State of the Art Review aims (1) to define recent qualifications of otolaryngology resident applicants by focusing on United States Medical Licensing Examination (USMLE) scores, Alpha Omega Alpha (AOA) status, and research/publications and (2) to summarize the current literature regarding the relationship between these measures and performance in residency. Data Sources Electronic Residency Application Service, National Residency Matching Program, PubMed, Ovid, and GoogleScholar. Review Methods Electronic Residency Application Service and National Residency Matching Program data were analyzed to evaluate trends in applicant numbers and qualifications...
March 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28319229/patient-mortality-during-unannounced-accreditation-surveys-at-us-hospitals
#7
Michael L Barnett, Andrew R Olenski, Anupam B Jena
Importance: In the United States, hospitals receive accreditation through unannounced on-site inspections (ie, surveys) by The Joint Commission (TJC), which are high-pressure periods to demonstrate compliance with best practices. No research has addressed whether the potential changes in behavior and heightened vigilance during a TJC survey are associated with changes in patient outcomes. Objective: To assess whether heightened vigilance during survey weeks is associated with improved patient outcomes compared with nonsurvey weeks, particularly in major teaching hospitals...
March 20, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28319141/heightened-clinical-utility-of-smartphone-versus-body-worn-inertial-system-for-shoulder-function-b-b-score
#8
Claude Pichonnaz, Kamiar Aminian, Céline Ancey, Hervé Jaccard, Estelle Lécureux, Cyntia Duc, Alain Farron, Brigitte M Jolles, Nigel Gleeson
BACKGROUND: The B-B Score is a straightforward kinematic shoulder function score including only two movements (hand to the Back + lift hand as to change a Bulb) that demonstrated sound measurement properties for patients for various shoulder pathologies. However, the B-B Score results using a smartphone or a reference system have not yet been compared. Provided that the measurement properties are comparable, the use of a smartphone would offer substantial practical advantages. This study investigated the concurrent validity of a smartphone and a reference inertial system for the measurement of the kinematic shoulder function B-B Score...
2017: PloS One
https://www.readbyqxmd.com/read/28319122/can-a-simulation-based-training-program-impact-the-use-of-evidence-based-routine-practices-at-birth-results-of-a-hospital-based-cluster-randomized-trial-in-mexico
#9
Jimena Fritz, Dilys M Walker, Susanna Cohen, Gustavo Angeles, Hector Lamadrid-Figueroa
BACKGROUND: In Mexico, although the majority of births are attended in hospitals, reports have emerged of obstetric violence, use of unsafe practices, and failure to employ evidence-based practices (EBP). Recent attention has refocused global efforts towards provision of quality care that is both patient-centered and evidence-based. Scaling up of local interventions should rely on strong evidence of effectiveness. OBJECTIVE: To perform a secondary analysis to evaluate the impact of a simulation and team-training program (PRONTO) on the performance of EBP in normal births...
2017: PloS One
https://www.readbyqxmd.com/read/28318825/riparian-erosion-vulnerability-model-based-on-environmental-features
#10
Alejandra Botero-Acosta, Maria L Chu, Jorge A Guzman, Patrick J Starks, Daniel N Moriasi
Riparian erosion is one of the major causes of sediment and contaminant load to streams, degradation of riparian wildlife habitats, and land loss hazards. Land and soil management practices are implemented as conservation and restoration measures to mitigate the environmental problems brought about by riparian erosion. This, however, requires the identification of vulnerable areas to soil erosion. Because of the complex interactions between the different mechanisms that govern soil erosion and the inherent uncertainties involved in quantifying these processes, assessing erosion vulnerability at the watershed scale is challenging...
March 16, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28318758/-patient-safety-culture-in-directors-and-managers-of-a-health-service
#11
Teresa Giménez-Júlvez, Ignacio Hernández-García, Carlos Aibar-Remón, Isabel Gutiérrez-Cía, Mercedes Febrel-Bordejé
OBJECTIVE: To assess patient safety culture in directors/managers. METHODS: Cross-sectional descriptive study carried out from February to June 2011 among the executive/managing staff of the Aragón Health Service through semi-structured interviews. RESULTS: A total of 12 interviews were carried out. All the respondents admitted that there were many patient safety problems and agreed that patient safety was a priority from a theoretical rather than practical perspective...
March 16, 2017: Gaceta Sanitaria
https://www.readbyqxmd.com/read/28318439/focused-assessment-with-sonography-in-trauma-fast-in-2017-what-radiologists-can-learn
#12
John R Richards, John P McGahan
Focused assessment with sonography in trauma (FAST) has been extensively utilized and studied in blunt and penetrating trauma for the past 3 decades. Prior to FAST, invasive procedures such as diagnostic peritoneal lavage and exploratory laparotomy were commonly utilized to diagnose intraabdominal injury. Today the FAST examination has evolved into a more comprehensive study of the abdomen, heart, chest, and inferior vena cava, and many variations in technique, protocols, and interpretation exist. Trauma management strategies such as laparotomy, laparoscopy, endoscopy, computed tomographic angiography, angiographic intervention, serial imaging, and clinical observation have also changed over the years...
April 2017: Radiology
https://www.readbyqxmd.com/read/28317655/determining-the-functional-sensibility-of-the-hand-in-patients-with-peripheral-nerve-repair-feasibility-of-using-a-novel-manual-tactile-test-for-monitoring-the-progression-of-nerve-regeneration
#13
Hsiu-Yun Hsu, Li-Chieh Kuo, Ta-Shen Kuan, Hsiu-Ching Yang, Fong-Chin Su, Haw-Yen Chiu, Shyh-Jou Shieh
STUDY DESIGN: Case-controlled cohort study. INTRODUCTION: Sensory function is difficult to observe during nerve regeneration processes. Traditional sensory tests are limited to identifying the level of functioning hand sensation for sensory stimulus is given passively to the cutaneous surface of the hand. PURPOSE OF THE STUDY: To examine the outcome changes in the manual tactile test (MTT), Semmes-Weinstein monofilament (SWM) and 2-point discrimination (2PD) tests for patients with nerve repair and to investigate the concurrent validity of MTT by comparing it with the results of traditional tests...
January 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28317468/the-global-mental-health-movement-and-its-impact-on-traditional-healing-in-india-a-case-study-of-the-balaji-temple-in-rajasthan
#14
Anubha Sood
This article considers the impact of the global mental health discourse on India's traditional healing systems. Folk mental health traditions, based in religious lifeways and etiologies of supernatural affliction, are overwhelmingly sought by Indians in times of mental ill-health. This is despite the fact that the postcolonial Indian state has historically considered the popularity of these indigenous treatments regressive, and claimed Western psychiatry as the only mental health system befitting the country's aspirations as a modern nation-state...
December 2016: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28317146/immunization-of-looked-after-children-and-young-people-a-review-of-the-literature
#15
REVIEW
S Walton, H Bedford
BACKGROUND: Numbers of looked-after children and young people (LACYP) in the UK have risen over the last seven years. Looked-after children and young people should receive regular health assessments, including establishing immunization status and, if needed, developing a health plan to achieve full immunization. The Department for Education publish data on immunizations among LACYP to monitor both how well they are immunized and service performance. METHODS: A literature review was conducted using four databases (PubMed, Embase, Scopus and Web of Science) on immunization status of LACYP, factors affecting uptake and challenges to immunization, and interventions to improve immunization rates...
March 19, 2017: Child: Care, Health and Development
https://www.readbyqxmd.com/read/28316273/feasibility-and-acceptability-of-brief-cognitive-remediation-targeting-metacognition-in-acute-inpatients-with-psychosis-a-case-series
#16
Dimosthenis Tsapekos, Rumina Taylor, Matteo Cella
Cognitive remediation (CR) is an intensive intervention targeting cognitive impairment with the aim of improving functioning in people with psychotic disorders. Shorter forms of CR based on metacognition and targeting awareness of cognitive problems may be more appropriate for acute inpatient settings where time is limited. The objective of the study was to evaluate the feasibility and acceptability of a new brief course of CR targeting cognitive and metacognitive difficulties within an acute inpatient psychiatric setting...
March 20, 2017: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/28315898/modifiable-risk-factors-and-interventions-for-childhood-obesity-prevention-within-the-first-1-000-days
#17
Anne M Dattilo
Worldwide, the prevalence of childhood obesity has increased, amounting to 42 million overweight or obese children, and there is increasing evidence that the origins are within the first 1,000 days: the period of conception through 2 years. Antecedents of early childhood obesity are multifactorial, and associations of varying strength have been documented for genetic/epigenetic, biologic, dietary, environmental, social, and behavioral influences. Modifiable factors in pregnancy and early infancy associated with childhood obesity include maternal overweight/obesity, maternal smoking, gestational weight gain, infant and young child feeding, caregiver responsive feeding practices, as well as sleep duration, and physical activity...
2017: Nestlé Nutrition Institute Workshop Series
https://www.readbyqxmd.com/read/28315896/responsive-feeding-strategies-to-promote-healthy-mealtime-interactions
#18
Maureen M Black, Kristen M Hurley
Responsive feeding is a derivative of responsive parenting that has been applied to infant and young child feeding. With a theoretical basis in the reciprocal interactions between parents and children, responsive feeding is particularly relevant during complementary feeding as young children progress from an exclusively milk-based liquid diet to the family diet and self-feeding. The period of complementary feeding includes multiple developmental changes that may threaten a successful transition and lead to growth and feeding problems...
2017: Nestlé Nutrition Institute Workshop Series
https://www.readbyqxmd.com/read/28315831/evaluating-methods-of-updating-training-data-in-long-term-genomewide-selection
#19
Jeffrey L Neyhart, Tyler Tiede, Aaron J Lorenz, Kevin P Smith
Genomewide selection is hailed for its ability to facilitate greater genetic gains per unit time. Over breeding cycles, the requisite linkage disequilibrium (LD) between quantitative trait loci (QTL) and markers is expected to change as a result of recombination, selection, and drift, leading to a decay in prediction accuracy. Previous research has identified the need to update the training population using data that may capture new LD generated over breeding cycles, however optimal methods of updating have not been explored...
March 17, 2017: G3: Genes—Genomes—Genetics
https://www.readbyqxmd.com/read/28315647/a-device-that-allows-rodents-to-behaviorally-thermoregulate-when-housed-in-vivariums
#20
Christopher J Gordon, Earl T Puckett, Elizabeth S Repasky, Andrew F M Johnstone
Laboratories and vivariums typically are maintained at ambient temperatures of 20 to 24 °C, leading to cold stress in mice. When mice are inactive and sleeping during the light phase, their zone of thermoneutrality associated with a basal metabolic rate is 30 to 32 °C. If given a choice, mice will use thermoregulatory behavior to seek out thermoneutral temperatures during the light phase. The cold stress of a vivarium can be problematic to researchers requiring an animal model that is not stressed metabolically...
March 1, 2017: Journal of the American Association for Laboratory Animal Science: JAALAS
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