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https://www.readbyqxmd.com/read/29048249/effect-of-teaching-races-for-understanding-in-youth-sailing-on-performance-knowledge-and-adherence
#1
María Trinidad Morales-Belando, José L Arias-Estero
PURPOSE: The purpose of this study was to know whether an intervention using an adaptation of the teaching games for understanding approach (named teaching races for understanding [TRfU]) led participants to improve skill execution, decision making, race performance, race involvement, race knowledge, enjoyment, intention to continue practicing sailing, and perceived competence. METHOD: Participants were 67 children from a randomly selected sailing school (Mage = 9...
October 19, 2017: Research Quarterly for Exercise and Sport
https://www.readbyqxmd.com/read/29045672/dynamics-of-evidence-informed-health-policy-making-in-pakistan
#2
Zaeem Haq, Assad Hafeez, Shamsa Zafar, Abdul Ghaffar
Incorporating evidence is fundamental to maintaining the general acceptance and efficiency in public policies. In Pakistan, different actors-local and global-strive to facilitate the development of evidence-informed health policies. Effective involvement however, requires knowledge of the country-context, i.e. knowing the intricacies of how policies are formulated in Pakistan. Obtaining this knowledge is one of the key steps to making interventions impactful. We carried out a qualitative study to explore the environment of evidence-informed health policy in Pakistan...
October 17, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29045355/complexity-of-chronic-conditions-impact-on-end-of-life-expense-trajectories-of-medicare-decedents
#3
Suzanne S Sullivan, Junxin Li, Yow-Wu Bill Wu, Sharon Hewner
OBJECTIVE: The aim of this study is to determine if the pattern of monthly medical expense can be used to identify individuals at risk of dying, thus supporting providers in proactively engaging in advanced care planning discussions. BACKGROUND: Identifying the right time to discuss end of life can be difficult. Improved predictive capacity has made it possible for nurse leaders to use large data sets to guide clinical decision making. METHODS: We examined the patterns of monthly medical expense of Medicare beneficiaries with life-limiting illness during the last 24 months of life using analysis of variance, t tests, and stepwise hierarchical linear modeling...
October 17, 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29044367/one-health-economics-to-confront-disease-threats
#4
Catherine Machalaba, Kristine M Smith, Lina Awada, Kevin Berry, Franck Berthe, Timothy A Bouley, Mieghan Bruce, Jose Cortiñas Abrahantes, Anas El Turabi, Yasha Feferholtz, Louise Flynn, Giullaume Fournié, Amanda Andre, Delia Grace, Olga Jonas, Tabitha Kimani, François Le Gall, Juan Jose Miranda, Marisa Peyre, Julio Pinto, Noam Ross, Simon R Rüegg, Robert H Salerno, Richard Seifman, Carlos Zambrana-Torrelio, William B Karesh
Global economic impacts of epidemics suggest high return on investment in prevention and One Health capacity. However, such investments remain limited, contributing to persistent endemic diseases and vulnerability to emerging ones. An interdisciplinary workshop explored methods for country-level analysis of added value of One Health approaches to disease control. Key recommendations include: 1. systems thinking to identify risks and mitigation options for decision-making under uncertainty; 2. multisectoral economic impact assessment to identify wider relevance and possible resource-sharing, and 3...
June 1, 2017: Transactions of the Royal Society of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29043571/an-uncertainty-based-framework-to-quantifying-climate-change-impacts-on-coastal-flood-vulnerability-case-study-of-new-york-city
#5
Zahra Zahmatkesh, Mohammad Karamouz
The continued development efforts around the world, growing population, and the increased probability of occurrence of extreme hydrologic events have adversely affected natural and built environments. Flood damages and loss of lives from the devastating storms, such as Irene and Sandy on the East Coast of the USA, are examples of the vulnerability to flooding that even developed countries have to face. The odds of coastal flooding disasters have been increased due to accelerated sea level rise, climate change impacts, and communities' interest to live near the coastlines...
October 17, 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/29041994/hospital-surge-capacity-a-web-based-simulation-tool-for-emergency-planners
#6
Matthew F Toerper, Gabor D Kelen, Lauren M Sauer, Jamil D Bayram, Christina Catlett, Scott Levin
The National Center for the Study of Preparedness and Catastrophic Event Response (PACER) has created a publicly available simulation tool called Surge (accessible at http://www.pacerapps.org) to estimate surge capacity for user-defined hospitals. Based on user input, a Monte Carlo simulation algorithm forecasts available hospital bed capacity over a 7-day period and iteratively assesses the ability to accommodate disaster patients. Currently, the tool can simulate bed capacity for acute mass casualty events (such as explosions) only and does not specifically simulate staff and supply inventory...
October 18, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29040344/dilemmas-for-guardians-of-advanced-dementia-patients-regarding-tube-feeding
#7
Efrat Gil, Maayan Agmon, Ayal Hirsch, Miriam Ziv, Anna Zisberg
Background: advanced dementia is an incurable illness, its last stage marked by inability to eat. Tube feeding was deemed a helpful solution at this stage, but in recent years its inefficiency has been proved, and it is no longer practiced in many countries around the world. In Israel, however, the procedure is still accepted. In the gastroenterology department at the Bnai Zion Medical Center, a serious interaction is ongoing with patients' legal guardians, where detailed information is given about the inefficiency of the tube procedure...
October 13, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29038481/the-social-and-cultural-roots-of-whale-and-dolphin-brains
#8
Kieran C R Fox, Michael Muthukrishna, Susanne Shultz
Encephalization, or brain expansion, underpins humans' sophisticated social cognition, including language, joint attention, shared goals, teaching, consensus decision-making and empathy. These abilities promote and stabilize cooperative social interactions, and have allowed us to create a 'cognitive' or 'cultural' niche and colonize almost every terrestrial ecosystem. Cetaceans (whales and dolphins) also have exceptionally large and anatomically sophisticated brains. Here, by evaluating a comprehensive database of brain size, social structures and cultural behaviours across cetacean species, we ask whether cetacean brains are similarly associated with a marine cultural niche...
October 16, 2017: Nature ecology & evolution
https://www.readbyqxmd.com/read/29036894/how-can-data-drive-policy-and-practice-in-child-welfare-making-the-link-in-canada
#9
Barbara Fallon, Joanne Filippelli, Tara Black, Nico Trocmé, Tonino Esposito
Formal university-child welfare partnerships offer a unique opportunity to begin to fill the gaps in the child welfare knowledge base and link child welfare services to the realities of practice. With resources from a knowledge mobilization grant, a formal partnership was developed between the University of Toronto, clinicians, policy analysts, and researchers from child welfare agencies across Ontario. The key objectives of the grant included: (1) enhancing the capacity of service providers to access and analyze child welfare data to inform service and policy decisions; (2) integrating clinical expertise in service and policy decisions; and (3) developing a joint research agenda addressing high-priority knowledge gaps...
October 14, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29036861/task-intensity-influences-upper-limb-and-torso-kinematics-during-two-common-overhead-functional-capacity-evaluation-tasks
#10
Angelica E Lang, Clark R Dickerson
BACKGROUND: The Functional Capacity Evaluation (FCE) is a tool used in the return-to-work process to guide treatment and decision making. Individual abilities and maximum capacity can be determined through visual observations of changes in mechanics as intensity increases. OBJECTIVE: The purpose of this study was to determine kinematic differences between sexes and intensity levels of two common FCE tasks to establish normative behaviours. METHODS: Upper limb and torso kinematics were collected from 30 participants as they performed the overhead lift and overhead work FCE tasks...
October 8, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/29034953/reproductive-autonomy-of-women-and-girls-under-the-convention-on-the-rights-of-persons-with-disabilities
#11
Charles G Ngwena
Women and girls with disabilities have historically been denied the freedom to make their own choices in matters relating to their reproduction. In the healthcare sector they experience multiple discriminatory practices. Women and girls with intellectual disabilities are particularly vulnerable to coerced or forced medical interventions. The present article considers the contribution the Convention on the Rights of Persons with Disabilities makes towards affirming the rights of women and girls with disabilities to enjoy reproductive autonomy, including autonomy related to reproductive health, on an equal basis with individuals without disabilities...
October 16, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29033798/self-regulatory-capacities-are-depleted-in-a-domain-specific-manner
#12
Rui Zhang, Ann-Kathrin Stock, Anneka Rzepus, Christian Beste
Performing an act of self-regulation such as making decisions has been suggested to deplete a common limited resource, which impairs all subsequent self-regulatory actions (ego depletion theory). It has however remained unclear whether self-referred decisions truly impair behavioral control even in seemingly unrelated cognitive domains, and which neurophysiological mechanisms are affected by these potential depletion effects. In the current study, we therefore used an inter-individual design to compare two kinds of depletion, namely a self-referred choice-based depletion and a categorization-based switching depletion, to a non-depleted control group...
2017: Frontiers in Systems Neuroscience
https://www.readbyqxmd.com/read/29032624/government-information-systems-to-monitor-complementary-feeding-programs-for-young-children
#13
Maria Elena D Jefferds
Accelerating progress to improve complementary feeding of young children is a global priority. Strengthening monitoring through government information systems may increase the quality and implementation of infant and young child feeding (IYCF) programs. Monitoring is necessary for the effective implementation of programs as it allows program managers to assess program performance, identify problems, and take corrective action. Program descriptions and conceptual models explain how program inputs and activities should lead to outputs and outcomes, and ultimately public health impact; thus, they are critical tools when designing effective IYCF programs and monitoring systems as these descriptions and conceptual models form the basis for the program and are key for developing the monitoring system, indicators, and tools...
October 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29028956/age-differences-in-the-neural-mechanisms-of-intertemporal-choice-under-subjective-decision-conflict
#14
Ben Eppinger, Hauke R Heekeren, Shu-Chen Li
Older decision-makers may capitalize on their greater experiences in financial decisions and by this offset decline in cognitive abilities. However, this pattern of results should reverse in situations that place high demands on cognitive control functions. In this study, we investigated how decision conflict affects the neural mechanisms of intertemporal decision-making in younger and older adults. To individually adjust the level of decision conflict we determined the indifference point (IDP) in intertemporal decision-making for each participant...
September 25, 2017: Cerebral Cortex
https://www.readbyqxmd.com/read/29026507/face-and-content-validity-of-the-macarthur-competence-assessment-tool-for-the-treatment-of-iranian-patients
#15
Ali Saber, Seyed Mahmoud Tabatabaei, Godarz Akasheh, Mojtaba Sehat, Zahra Zanjani, Bagher Larijani
BACKGROUND: There is not a valid Persian tool for measuring the decision-making competency of patients. The aim of this study is to evaluate the face and content validity of the MacArthur Competence Assessment Tool for the treatment of Iranian Persian-speaking patients. METHODS: To assess the validity of the Persian version of the tool, a self-administrated questionnaire was designed. The Lawshe method was also used for assessing each item. Content validity ratio (CVR) and content validity index (CVI) were used to assess the content validity quantitatively...
2017: International Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29024214/regenerative-medicine-stroke-survivor-and-carer-views-and-motivations-towards-a-proposed-stem-cell-clinical-trial-using-placebo-neurosurgery
#16
Nicola A Cunningham, Purva Abhyankar, Julie Cowie, Jayne Galinsky, Karen Methven
BACKGROUND: Few studies explore stroke survivor views and motivations towards stem cell therapy (SCT). This qualitative study explores the views and motivations of both stroke survivors and their partners/carers towards a proposed 2-arm Phase III Randomised Controlled Trial (RCT) comparing intracerebral insertion of stem cells with placebo neurosurgery in stroke survivors with disability. OBJECTIVE: To explore views and motivations towards a proposed 2-arm stem cell trial and identify factors that may impede and enhance participation...
October 12, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/29024121/the-need-to-exercise-caution-in-accepting-addiction-as-a-reason-for-performing-euthanasia
#17
Wayne Hall, Malcolm Parker
The recent practice in Belgium and the Netherlands of accepting addiction as a reason for performing euthanasia raises important issues for the field of addiction and the practice of euthanasia. In this paper we outline some of these issues. We also argue that physicians making decisions about whether to accept requests for euthanasia from people with an allegedly untreatable addiction should consider two issues carefully. They should ensure that: (1) the person has the capacity to give free and informed consent to undergo euthanasia; and (2) their request is the outcome of a deliberative process in which all reasonable treatment options and harm reduction measures have been offered to and considered by the person...
October 10, 2017: Addiction
https://www.readbyqxmd.com/read/29018550/mental-capacity-legislation-in-the-uk-systematic-review-of-the-experiences-of-adults-lacking-capacity-and-their-carers
#18
REVIEW
Sam Wilson
Aims and method Capacity legislation in the UK allows substitute decision-making for adults lacking capacity. Research has explored the experiences of such adults and their carers in relation to the Adults with Incapacity (Scotland) Act 2000, and the Mental Capacity Act 2005 in England and Wales. A systematic review of the relevant research was performed using a framework method. Results The legislation provided mechanisms for substitute decision-making which were seen as useful, but there were negative experiences...
October 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28990400/-trust-me-i-m-a-doctor-a-qualitative-study-of-the-role-of-paternalism-and-older-people-in-decision-making-when-they-have-lost-their-capacity
#19
Joanne Cole, Oleg Kiriaev, Phillipa Malpas, Gary Cheung
OBJECTIVE: The objective of this study was to explore whether older people want their doctors to make treatment decisions on their behalf when they no longer have capacity to do so, and their reasons for these preferences. METHOD: A convenience sample of older people from two retirement villages were interviewed and asked to respond to a hypothetical vignette. Their responses were analysed using qualitative thematic methodology. RESULTS: Thirty-seven people (56...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28981694/protecting-me-from-my-directive-ensuring-appropriate-safeguards-for-advance-directives-in-dementia
#20
Cressida Auckland
With one in six people over 80 now suffering from dementia, advance directives provide an important means of empowerment. Upholding directives in the context of dementia, however, raises extra challenges, given the potential for the directive to conflict with an assessment of what is in the person's current best interests. Given the profound harm that tying a person with dementia to their previous wishes can do, it is essential that we have sufficient safeguards in place to ensure that we only uphold such directives where we can be sure they are truly autonomous and are intended to apply to the situation at hand-safeguards which are at present, severely lacking...
August 16, 2017: Medical Law Review
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