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https://www.readbyqxmd.com/read/27899245/lessons-learned-from-mississippi-s-telehealth-approach-to-health-disparities
#1
REVIEW
Richard D deShazo, Sara Bolen Parker
Many people see telemedicine as a solution to the nation's health disparities and in Mississippi as a solution to our last place in health. Over 13 years ago, the University of Mississippi Medical Center developed a successful TelEmergency program that saved rural Critical Access Hospitals and now provides telehealth services throughout the state. This occurred without acrimony because of partnerships UMMC developed with telecommunications companies, state government, health professions' licensure boards and private donors...
November 26, 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/27899215/toxicology-in-international-drug-control-prioritizing-the-most-harmful-persistent-and-prevalent-substances
#2
Susan C Ifeagwu, Martin Raithelhuber, Conor Crean, Dimitri Gerostamoulos, Heesun Chung, Justice N Tettey
The nature of the global drugs market has evolved rapidly and has become more complex with the emergence of new psychoactive substances (NPS), some of which have been associated with increased abuse, hospital emergency admissions and sometimes fatalities. NPS are characterized by geographic heterogeneity, with some only transient in nature and others not satisfying the criteria for harm required for international control. Consequently, a pragmatic response of the international community is to prioritize the most harmful, persistent and prevalent substances for action - an objective, which is hampered by the paucity of data on harms...
November 20, 2016: Forensic Science International
https://www.readbyqxmd.com/read/27896871/the-old-reliables-outperform-new-media-in-social-marketing-of-euromelanoma-in-ireland
#3
L Roche, C C Foley, S McCarthy, M Murphy
Euromelanoma is a pan-European prevention campaign against skin cancer and promotes a walk-in screening day in May of each year. The screening day serves to highlight awareness of skin cancer amongst the general public and to encourage self-checks for new or changing lesions. The South Infirmary Victoria University Hospital (SIVUH) provides regional dermatology and skin cancer services for the Cork/Kerry region in Ireland and held a Euromelanoma Screening day in May 2014 and 2015. This article is protected by copyright...
November 29, 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/27894917/incidence-of-breast-implant-rupture-in-a-12-year-retrospective-cohort-evidence-of-quality-discrepancy-depending-on-the-range
#4
Frédéric Seigle-Murandi, François Lefebvre, Catherine Bruant-Rodier, Frédéric Bodin
BACKGROUND & OBJECTIVE: The majority of studies assessing the rupture rate of breast implants were performed by the breast implant manufacturing industry with questionable independence. After repetitive removals of ruptured implants from the same model, our team decided to assess the rupture rate and the estimated risk thereof for most of the silicone gel-filled implants we have used since they regained market approval in France in 2001. METHODS: Our study is a retrospective cohort of 809 patients operated in our University Hospital from 2001 to 2013 for cosmetic or reconstructive goals...
November 10, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27889013/methicillin-resistant-staphylococcus-aureus-infections-a-review-of-the-currently-available-treatment-options
#5
REVIEW
S M Purrello, J Garau, E Giamarellos, T Mazzei, F Pea, A Soriano, S Stefani
This review is the result of discussions that took place at the 5th MRSA Working Group Consensus Meeting and explores the possible treatment options available for different types of infections due to methicillin-resistant Staphylococcus aureus (MRSA), focusing on those antibiotics that could represent a valid alternative to vancomycin. In fact, whilst vancomycin remains a viable option, its therapy is moving towards individualised dosing. Other drugs, such as the new lipoglycopeptides (oritavancin, dalbavancin and telavancin) and fifth-generation cephalosporins (ceftaroline and ceftobiprole), are showing good in vitro potency and in vivo efficacy, especially for patients infected with micro-organisms with higher vancomycin minimum inhibitory concentrations (MICs)...
December 2016: Journal of Global Antimicrobial Resistance
https://www.readbyqxmd.com/read/27887031/job-mobility-and-health-in-the-danish-workforce
#6
Charlotte Ørsted Hougaard, Else Nygaard, Astrid Ledgaard Holm, Karsten Thielen, Finn Diderichsen
AIMS: The globalized economy has stimulated mobility in the labour market in many countries and Denmark has one of the highest rates of mobility between workplaces among the OECD countries. This raises the question of the potential health effects of mobility and the effect of disease on mobility. METHODS: This study was register-based with a longitudinal design using data on the entire Danish population in 1992-2006. The data included mobility between employers and workplaces and seven different diseases based on admissions to hospital and drug prescriptions...
November 24, 2016: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/27878712/much-ado-about-nothing-the-financial-impact-of-physician-owned-specialty-hospitals
#7
Sujoy Chakravarty
The U.S. hospital industry has recently witnessed a number of policy changes aimed at aligning hospital payments to costs and these can be traced to significant concerns regarding selection of profitable patients and procedures by physician-owned specialty hospitals. The policy responses to specialty hospitals have alternated between payment system reforms and outright moratoriums on hospital operations including one in the recently enacted Affordable Care Act. A key issue is whether physician-owned specialty hospitals pose financial strain on the larger group of general hospitals through cream-skimming of profitable patients, yet there is no study that conducts a systematic analysis relating such selection behavior by physician-owners to financial impacts within hospital markets...
June 2016: Int J Health Econ Manag
https://www.readbyqxmd.com/read/27876457/providers-perspectives-on-inbound-medical-tourism-in-central-america-and-the-caribbean-factors-driving-and-inhibiting-sector-development-and-their-health-equity-implications
#8
Rory Johnston, Valorie A Crooks, Alejandro Cerón, Ronald Labonté, Jeremy Snyder, Emanuel O Núñez, Walter G Flores
BACKGROUND: Many governments and health care providers worldwide are enthusiastic to develop medical tourism as a service export. Despite the popularity of this policy uptake, there is relatively little known about the specific local factors prospectively motivating and informing development of this sector. OBJECTIVE: To identify common social, economic, and health system factors shaping the development of medical tourism in three Central American and Caribbean countries and their health equity implications...
2016: Global Health Action
https://www.readbyqxmd.com/read/27870984/prevalence-and-molecular-characterization-of-clostridium-difficile-isolates-from-a-pig-slaughterhouse-pork-and-humans-in-taiwan
#9
Ying-Chen Wu, Chih-Ming Chen, Chih-Jung Kuo, Jen-Jie Lee, Pin-Chun Chen, Yi-Chih Chang, Ter-Hsin Chen
Clostridium difficile causes antibiotic-associated diarrhea in both humans and animals. The ribotype 078, predominant in food animals, is associated with community-acquired C. difficile infection, and C. difficile is suggested to be a foodborne pathogen. Recently, the C. difficile ribotype 078 lineage emerged in patients and pigs in Taiwan. This study aimed to investigate the prevalence and molecular characterization of C. difficile isolated from a pig slaughterhouse, retail meat, ready-to-eat meals, and humans in Taiwan...
November 12, 2016: International Journal of Food Microbiology
https://www.readbyqxmd.com/read/27870667/the-role-of-dedicated-musculoskeletal-urgent-care-centers-in-reducing-cost-and-improving-access-to-orthopaedic-care
#10
Travis J Anderson, Peter L Althausen
OBJECTIVES: Over the past few years, the United States has seen the rapid growth of dedicated musculoskeletal urgent care centers owned and operated by individual orthopaedic practices. In June of 2014, our practice opened the first dedicated orthopaedic urgent care in the region staffed by physician assistants and supervised by orthopaedic surgeons. Our hypothesis is that such centers can safely improve orthopaedic care for ambulatory orthopaedic injuries, decrease volume for overburdened emergency departments (EDs), reduce wait times and significantly decrease the cost of care while improving access to orthopaedic specialists...
December 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27865018/how-would-rural-hospitals-be-affected-by-loss-of-the-affordable-care-act-s-medicare-low-volume-hospital-adjustment
#11
Rebecca Garr Whitaker, G Mark Holmes, George H Pink
PURPOSE: The low-volume hospital (LVH) payment adjustment established in the Patient Protection and Affordable Care Act (ACA) of 2010 is scheduled to sunset on October 1, 2017. The purpose of this analysis was: (1) to estimate the effect of the ACA LVH adjustment on qualifying hospitals' profitability margins; and (2) to examine hospital and market characteristics of the hospitals that would be most adversely affected by the loss of the ACA LVH adjustment. METHODS: 2004-2015 data from the Hospital Cost Report Information System, Hospital Market Service Area File and Nielsen-Claritas Pop-Facts file were used to estimate difference-in-difference regression models with hospital-level random effects in order to determine whether the ACA LVH adjustment improved qualifying rural hospitals' profitability margins...
November 16, 2016: Journal of Rural Health
https://www.readbyqxmd.com/read/27861822/automated-delineation-of-hospital-service-areas-and-hospital-referral-regions-by-modularity-optimization
#12
Yujie Hu, Fahui Wang, Imam M Xierali
OBJECTIVE: To develop an automated, data-driven, and scale-flexible method to delineate hospital service areas (HSAs) and hospital referral regions (HRRs) that are up-to-date, representative of all patients, and have the optimal localization of hospital visits. DATA SOURCES: The 2011 state inpatient database in Florida from the Healthcare Cost and Utilization Project. STUDY DESIGN: A network optimization method was used to redefine HSAs and HRRs by maximizing patient-to-hospital flows within each HSA/HRR while minimizing flows between them...
November 16, 2016: Health Services Research
https://www.readbyqxmd.com/read/27855651/labour-market-participation-and-sick-leave-among-patients-diagnosed-with-myasthenia-gravis-in-denmark-1997-2011-a-danish-nationwide-cohort-study
#13
Asger Frost, Marie Louise Svendsen, Jes Rahbek, Christina Malmose Stapelfeldt, Claus Vinther Nielsen, Thomas Lund
BACKGROUND: To examine labour market participation and long-term sick leave following a diagnosis with myasthenia gravis (MG) compared with the general Danish population and for specific subgroups of MG patients. METHODS: A nationwide matched cohort study from 1997 to 2011 using data from population-based medical and social registries. The study includes 330 MG patients aged 18 to 65 years old identified from hospital diagnoses and dispensed prescriptions, and twenty references from the Danish population matching each MG patient on age, gender, and profession...
November 17, 2016: BMC Neurology
https://www.readbyqxmd.com/read/27837292/interprofessionalism-and-the-practice-of-health-psychology-in-hospital-and-community-walking-the-bridge-between-here-and-there
#14
Steven M Tovian
Interprofessionalism is a cornerstone for health care reform and is an important dimension for success for the practice of professional psychology in integrated care settings, whether in academic health centers, ambulatory clinics, or in independent practice. This article examines salient skills that have allowed the author to practice in both primary and tertiary health care settings, as well as in academic health centers and independent community practice. The scientist practitioner model of professional psychology has served to guide the author as a "roadmap" for successful collaborative, integrated care in the changing health care environment...
December 2016: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/27836128/probiotic-use-in-at-risk-populations
#15
Mary Ellen Sanders, Daniel J Merenstein, Arthur C Ouwehand, Gregor Reid, Seppo Salminen, Michael D Cabana, George Paraskevakos, Gregory Leyer
OBJECTIVE: To inform health care providers about quality standards for manufacture of probiotic products being recommended for at-risk patient populations. SUMMARY: Probiotics are used in a variety of clinical settings, sometimes in at-risk populations for therapeutic endpoints. Although probiotics might not be approved as drugs, they are sometimes used for the prevention or treatment of disease. In the United States, and many regions of the world, probiotic products are marketed as dietary supplements (not drugs) and are therefore subject to different manufacturing and quality control standards than approved drugs are...
November 2016: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/27831510/consolidation-in-the-dialysis-industry-patient-choice-and-local-market-competition
#16
Kevin F Erickson, Yuanchao Zheng, Wolfgang C Winkelmayer, Vivian Ho, Jay Bhattacharya, Glenn M Chertow
The Medicare program insures >80% of patients with ESRD in the United States. An emphasis on reducing outpatient dialysis costs has motivated consolidation among dialysis providers, with two for-profit corporations now providing dialysis for >70% of patients. It is unknown whether industry consolidation has affected patients' ability to choose among competing dialysis providers. We identified patients receiving in-center hemodialysis at the start of 2001 and 2011 from the national ESRD registry and ascertained dialysis facility ownership...
November 9, 2016: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/27830996/permanent-emergency-inequality-in-access-to-hospitalisation-among-urban-elderly-chinese
#17
Tim F Liao, Cuntong Wang
The phenomenon of elderly patients staying in hospital emergency department observation units for extended time in urban China poses a challenge to China's healthcare system and presents a social problem of inequality. In this paper, we analyse statistics collected from 16 major public hospitals in Beijing to assess the extent and intensity of the problem and examine interviews of medical professionals to understand the mechanisms linking the issue to the Chinese healthcare system. We study the issue with the literature on market transition theory and on China's recent healthcare reforms and view this age-based inequality as an outcome of the economic and social transformations in China...
November 10, 2016: Global Public Health
https://www.readbyqxmd.com/read/27824725/68ga-vacuum-elution-approach-for-direct-radiolabelling-of-dota-conjugated-and-nodaga-conjugated-peptides
#18
Rana Ben Azzouna, Sébastien Leygnac, Faisal Al-Shoukr, François Rouzet, Denis Guilloteau, Dominique Le Guludec
BACKGROUND/OBJECTIVES: The Ge/Ga generator is of increasing interest for clinical PET. The arrival on the market of the pharmaceutical-grade generator, which provides an eluate with chemical and radiochemical purities in conformity with the European Pharmacopeia specifications, makes the direct labelling of vectors possible. The kit formulation strategies using single vial productions can improve the access of hospitals and imaging centres that are not equipped with costly automated synthesis modules to the Ga-radiopharmaceutical production...
January 2017: Nuclear Medicine Communications
https://www.readbyqxmd.com/read/27822962/impact-of-apixaban-vs-low-molecular-weight-heparin-vitamin-k-antagonist-on-hospital-resource-use-in-patients-with-venous-thromboembolism
#19
C Browne, T Lanitis, M Hamilton, X Li, R Horbyluk, J Mardekian, T Kongnakorn, A Cohen
BACKGROUND: The clinical and economic benefits associated with apixaban treatment have been established in clinical trials and published economic evaluations. The benefits associated with apixaban could extend to improving hospital efficiencies, potentially influencing hospital resource use, and bed days. The objective of this study is to estimate the impact of 6-month treatment with apixaban vs low molecular weight heparin/vitamin k antagonist (LMWH/VKA) on hospital resource use among patients with venous thromboembolism (VTE)...
November 24, 2016: Journal of Medical Economics
https://www.readbyqxmd.com/read/27818423/to-what-extent-do-community-characteristics-explain-differences-in-closure-among-financially-distressed-rural-hospitals
#20
Sharita R Thomas, George M Holmes, George H Pink
From January 2005 through December 2015, 105 rural hospitals closed. This study examined associations between community characteristics and rural hospital closure. Compared with other rural hospitals that were at high risk of financial distress but remained open over the same time period, closed rural hospitals had a smaller market share (p < .0001) despite being in areas with higher population density (p < .05), were located nearer to another hospital (p < .0001), and were located in markets that had a higher rate of unemployment (p < ...
2016: Journal of Health Care for the Poor and Underserved
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