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https://www.readbyqxmd.com/read/29451104/a-multi-criteria-decision-making-approach-to-rank-supplier-selection-criteria-for-hospital-waste-management-a-case-from-pakistan
#1
Palvisha Ishtiaq, Sharfuddin Ahmed Khan, Moiz-Ul Haq
To address environmental issues and cost effectiveness, waste management is necessary for healthcare facilities. Most importantly, segregation of hazardous and non-hazardous waste must be done as in many developing countries; disposal of both types of healthcare waste is done together, which is an unsafe practice. Waste generated in hospitals needs proper management to minimise hazards for patient and healthcare workers. At the same time, it is quite difficult for hospitals to find a systematic way to select appropriate suppliers for hospital waste management...
February 1, 2018: Waste Management & Research
https://www.readbyqxmd.com/read/29448056/proteomic-analysis-of-first-trimester-maternal-serum-to-identify-candidate-biomarkers-potentially-predictive-of-spontaneous-preterm-birth
#2
Arlene M D'Silva, Jon A Hyett, Jens R Coorssen
Spontaneous preterm birth (sPTB) remains a major clinical dilemma; current diagnostics and interventions have not reduced the rate of this serious healthcare burden. This study characterizes differential protein profiles and post-translational modifications (PTMs) in first trimester maternal serum using a refined top-down approach coupling two-dimensional gel electrophoresis (2DE) and mass spectrometry (MS) to directly compare subsequent term and preterm labour events and identify marked protein differences...
February 12, 2018: Journal of Proteomics
https://www.readbyqxmd.com/read/29441595/analysing-barriers-to-service-improvement-using-a-multi-level-theory-of-innovation-the-case-of-glaucoma-outpatient-clinics
#3
Simon Turner, Christos Vasilakis, Martin Utley, Paul Foster, Aachal Kotecha, Naomi J Fulop
The development and implementation of innovation by healthcare providers is understood as a multi-determinant and multi-level process. Theories at different analytical levels (i.e. micro and organisational) are needed to capture the processes that influence innovation by provide. This article combines a micro theory of innovation, actor-network theory, with organisational level processes using the 'resource based view of the firm'. It examines the influence of, and interplay between, innovation-seeking teams (micro) and underlying organisational capabilities (meso) during innovation processes...
February 13, 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29438140/cost-effectiveness-of-a-ceramide-infused-skin-barrier-versus-a-standard-barrier-findings-from-a-long-term-cost-effectiveness-analysis
#4
Ariel Berger, Gary Inglese, George Skountrianos, Tonny Karlsmark, Mustafa Oguz
PURPOSE: To assess the cost-effectiveness of a ceramide-infused skin barrier (CIB) versus other skin barriers (standard of care) among patients who have undergone ostomy creation. DESIGN: Cost-effectiveness analysis, based on a decision-analytic model that was estimated using data from the ADVOCATE (A Study Determining Variances in Ostomy Skin Conditions And The Economic Impact) trial, which investigated stoma-related healthcare costs over 12 weeks among patients who recently underwent fecal ostomy, and from other sources...
February 12, 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29436795/assessing-the-phenylketonuria-screening-program-in-newborns-iran-2015-2016
#5
Foruzan Ganji, Hooshang Naseri, Noushin Rostampour, Mozhde Sedighi, Masoud Lotfizadeh
Phenylketonuria is one of the most important congenital disorders and an autosomal recessive metabolic disease that can cause irreversible brain damages, mental retardation, and cognitive disorders if left untreated. In order to reduce the genetic abnormalities caused by this metabolic disease, screening programs are implemented. The quality of the program must be properly assessed to achieve the objectives of this program if promoting children's health is of concern. The descriptive-analytic method is adopted here to assess the phenylketonuria screening program in practice in Chaharmahal and Bakhtiari province since 2012 and analyze the incidence and program coverage...
January 2018: Acta Medica Iranica
https://www.readbyqxmd.com/read/29435636/standard-reference-material-srm-2378-fatty-acids-in-frozen-human-serum-certification-of-a-clinical-srm-based-on-endogenous-supplementation-of-polyunsaturated-fatty-acids
#6
Bruce A Benner, Michele M Schantz, Carissa D Powers, Rosemary L Schleicher, Johanna E Camara, Katherine E Sharpless, James H Yen, Lorna T Sniegoski
Dietary fatty acids can be both beneficial and detrimental to human health depending on the degree and type of saturation. Healthcare providers and research scientists monitor the fatty acid content of human plasma and serum as an indicator of health status and diet. In addition, both the Centers for Disease Control & Prevention (CDC) and the National Institutes of Health - Office of Dietary Supplements are interested in circulating fatty acids (FAs) because they may be predictive of coronary heart disease...
February 13, 2018: Analytical and Bioanalytical Chemistry
https://www.readbyqxmd.com/read/29428627/-competency-requirements-for-executives-in-healthcare-and-social-services-organizations-results-of-a-delphi-study
#7
Martin Pielach, Hans-Joachim Schubert
BACKGROUND: Leadership in social services and healthcare organizations is marked by high levels of complexity and contradiction, which cannot be fully explained by politically, economically, and socially induced changes. Rather, it is the particularities of service provision in healthcare and social services that confront executives with specific demands. OBJECTIVE: This study aimed to capture and prioritize required leadership competencies in healthcare and social services organizations...
February 7, 2018: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/29411700/how-will-telemedicine-change-clinical-practice-in-chronic-obstructive-pulmonary-disease
#8
Michele Vitacca, Alessandra Montini, Laura Comini
Within telehealth there are a number of domains relevant to pulmonary care: telemonitoring, teleassistance, telerehabilitation, teleconsultation and second opinion calls. In the last decade, several studies focusing on the effects of various telemanagement programs for patients with chronic obstructive pulmonary disease (COPD) have been published but with contradictory findings. From the literature, the best telemonitoring outcomes come from programs dedicated to aged and very sick patients, frequent exacerbators with multimorbidity and limited community support; programs using third-generation telemonitoring systems providing constant analytical and decisionmaking support (24 h/day, 7 days/week); countries where strong community links are not available; and zones where telemonitoring and rehabilitation can be delivered directly to the patient's location...
January 2018: Therapeutic Advances in Respiratory Disease
https://www.readbyqxmd.com/read/29397802/environmental-validation-of-legionella-control-in-a-vha-facility-water-system
#9
Chetan Jinadatha, Eileen M Stock, Steve E Miller, William F McCoy
OBJECTIVES We conducted this study to determine what sample volume, concentration, and limit of detection (LOD) are adequate for environmental validation of Legionella control. We also sought to determine whether time required to obtain culture results can be reduced compared to spread-plate culture method. We also assessed whether polymerase chain reaction (PCR) and in-field total heterotrophic aerobic bacteria (THAB) counts are reliable indicators of Legionella in water samples from buildings. DESIGN Comparative Legionella screening and diagnostics study for environmental validation of a healthcare building water system...
February 5, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29396748/a-decision-support-system-for-real-time-scheduling-of-multiple-patient-classes-in-outpatient-services
#10
William P Millhiser, Emre A Veral
We propose a methodology to provide real-time assistance for outpatient scheduling involving multiple patient types. Schedulers are shown how each prospective placement in the appointment book would impact a day's operational performance for patients and providers. Rooted in prior literature and analytical findings, the information provided to schedulers about vacant slots is based on the probabilities that the calling patient, the already-existing appointments, and the session-end time will be unduly delayed...
February 2, 2018: Health Care Management Science
https://www.readbyqxmd.com/read/29390968/general-practitioner-contributions-to-achieving-sustained-healthcare-for-offenders-a-qualitative-study
#11
Cath Quinn, Katie Denman, Philippa Smithson, Christabel Owens, Rod Sheaff, John Campbell, Ian Porter, Jill Annison, Richard Byng
BACKGROUND: Offenders frequently have substantial healthcare needs and, like many other socially marginalised groups, often receive healthcare in inverse proportion to their needs. Improved continuity of healthcare over time could contribute to addressing these needs. General Practitioners need to be able to support people with complex social and medical problems, even in systems that are not specifically designed to manage individuals with such degrees of complexity. We aimed to examine offenders' perspectives on factors that contributed to, or worked against, creating and sustaining their access to healthcare...
February 2, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29390022/a-comparison-of-methods-to-assess-the-antimicrobial-activity-of-nanoparticle-combinations-on-bacterial-cells
#12
Claire Bankier, Yuen Cheong, Suntharavathanan Mahalingam, Mohan Edirisinghe, Guogang Ren, Elaine Cloutman-Green, Lena Ciric
BACKGROUND: Bacterial cell quantification after exposure to antimicrobial compounds varies widely throughout industry and healthcare. Numerous methods are employed to quantify these antimicrobial effects. With increasing demand for new preventative methods for disease control, we aimed to compare and assess common analytical methods used to determine antimicrobial effects of novel nanoparticle combinations on two different pathogens. METHODS: Plate counts of total viable cells, flow cytometry (LIVE/DEAD BacLight viability assay) and qPCR (viability qPCR) were used to assess the antimicrobial activity of engineered nanoparticle combinations (NPCs) on Gram-positive (Staphylococcus aureus) and Gram-negative (Pseudomonas aeruginosa) bacteria at different concentrations (0...
2018: PloS One
https://www.readbyqxmd.com/read/29386967/the-future-hospital-a-business-architecture-view
#13
EDITORIAL
Ariffin Marzuki Mokhtar
The future hospital is a resilient, physical learning facility featuring digital enhancement and leveraging an ecosystem of platforms for the Internet of Things (IoT) and analytics, achieving patient-centric care delivery via multidisciplinary healthcare provider teams coordinated to meet patients' medical, psychological, social and economic needs. It exists in a just ecosystem that assimilates the care spectrum from healthy living, the prevention of disease to acute care and the rehabilitation of patients recuperating from illnesses...
October 2017: Malaysian Journal of Medical Sciences: MJMS
https://www.readbyqxmd.com/read/29386010/leveraging-healthcare-utilization-to-explore-outcomes-from-musculoskeletal-disorders-methodology-for-defining-relevant-variables-from-a-health-services-data-repository
#14
Daniel I Rhon, Derek Clewley, Jodi L Young, Charles D Sissel, Chad E Cook
BACKGROUND: Large healthcare databases, with their ability to collect many variables from daily medical practice, greatly enable health services research. These longitudinal databases provide large cohorts and longitudinal time frames, allowing for highly pragmatic assessment of healthcare delivery. The purpose of this paper is to discuss the methodology related to the use of the United States Military Health System Data Repository (MDR) for longitudinal assessment of musculoskeletal clinical outcomes, as well as address challenges of using this data for outcomes research...
January 31, 2018: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29386007/cost-effectiveness-of-comprehensive-geriatric-assessment-at-an-ambulatory-geriatric-unit-based-on-the-age-fit-trial
#15
Martina Lundqvist, Jenny Alwin, Martin Henriksson, Magnus Husberg, Per Carlsson, Anne W Ekdahl
BACKGROUND: Older people with multi-morbidity are increasingly challenging for today's healthcare, and novel, cost-effective healthcare solutions are needed. The aim of this study was to assess the cost-effectiveness of comprehensive geriatric assessment (CGA) at an ambulatory geriatric unit for people ≥75 years with multi-morbidity. METHOD: The primary outcome was the incremental cost-effectiveness ratio (ICER) comparing costs and quality-adjusted life years (QALYs) of a CGA strategy with usual care in a Swedish setting...
January 31, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29383851/chromogenic-photonic-crystal-sensors-enabled-by-multistimuli-responsive-shape-memory-polymers
#16
Sin-Yen Leo, Wei Zhang, Yifan Zhang, Yongliang Ni, Helena Jiang, Cory Jones, Peng Jiang, Vito Basile, Curtis Taylor
Here novel chromogenic photonic crystal sensors based on smart shape memory polymers (SMPs) comprising polyester/polyether-based urethane acrylates blended with tripropylene glycol diacrylate are reported, which exhibit nontraditional all-room-temperature shape memory (SM) effects. Stepwise recovery of the collapsed macropores with 350 nm diameter created by a "cold" programming process leads to easily perceived color changes that can be correlated with the concentrations of swelling analytes in complex, multicomponent nonswelling mixtures...
January 31, 2018: Small
https://www.readbyqxmd.com/read/29379616/a-qualitative-exploration-of-the-experiences-of-living-with-and-being-treated-for-fibromyalgia
#17
Simon C Ashe, Penny J Furness, Sophie J Taylor, Sarah Haywood-Small, Kim Lawson
This study explores the life and treatment experience of people in the United Kingdom with fibromyalgia in order to inform the development of treatments which are both effective and acceptable to users. Qualitative interviews were conducted with 14 participants with interpretative phenomenological analysis used as the theoretical framework and analytical method. The themes identified were as follows: Inauthenticity of fibromyalgia, An Unconventional healthcare experience, Re-creating support networks, Challenging the working identity, Threatening the family dynamic and Fighting, accepting or accommodating? The biopsychosocial impacts of fibromyalgia disrupted the identity, lifestyle, roles and relationships of our participants with such challenges further exacerbated by the contested nature of the illness...
July 2017: Health Psychology Open
https://www.readbyqxmd.com/read/29376747/estimating-the-public-economic-consequences-of-introducing-varenicline-smoking-cessation-therapy-in-south-korea-using-a-fiscal-analytic-framework
#18
Mark P Connolly, Christine L Baker, Nikolaos Kotsopoulos
BACKGROUND AND AIMS: Smoking gives rise to many cross-sectorial public costs and benefits for government. Costs arise from increased healthcare spending and work-related social benefits, while smoking itself provides significant revenue for government from tobacco taxes. To better understand the public economic impact of smoking and smoking cessation therapies, we developed a government perspective framework for assessing smoking-attributable morbidity and mortality and associated public costs...
January 29, 2018: Journal of Medical Economics
https://www.readbyqxmd.com/read/29374750/analytical-methods-for-quantification-of-vitamin-d-and-implications-for-research-and-clinical-practice
#19
REVIEW
Caroline S Stokes, Frank Lammert, Dietrich A Volmer
A plethora of contradictory research surrounds vitamin D and its influence on health and disease. This may, in part, result from analytical difficulties with regard to measuring vitamin D metabolites in serum. Indeed, variation exists between analytical techniques and assays used for the determination of serum 25-hydroxyvitamin D. Research studies into the effects of vitamin D on clinical endpoints rely heavily on the accurate assessment of vitamin D status. This has important implications, as findings from vitamin D-related studies to date may potentially have been hampered by the quantification techniques used...
February 2018: Anticancer Research
https://www.readbyqxmd.com/read/29370377/big-data-from-electronic-health-records-for-early-and-late-translational-cardiovascular-research-challenges-and-potential
#20
Harry Hemingway, Folkert W Asselbergs, John Danesh, Richard Dobson, Nikolaos Maniadakis, Aldo Maggioni, Ghislaine Jm van Thiel, Maureen Cronin, Gunnar Brobert, Panos Vardas, Stefan D Anker, Diederick E Grobbee, Spiros Denaxas
Aims: Cohorts of millions of people's health records, whole genome sequencing, imaging, sensor, societal and publicly available data present a rapidly expanding digital trace of health. We aimed to critically review, for the first time, the challenges and potential of big data across early and late stages of translational cardiovascular disease research. Methods and results: We sought exemplars based on literature reviews and expertise across the BigData@Heart Consortium...
August 29, 2017: European Heart Journal
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