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https://www.readbyqxmd.com/read/29761766/factors-associated-with-the-rapid-and-durable-decline-in-malaria-incidence-in-el-salvador-1980-2017
#1
Robert A Burton, José Eduardo Romero Chévez, Mauricio Sauerbrey, Caterina Guinovart, Angela Hartley, Geoffrey Kirkwood, Matthew Boslego, Mirna Elizabeth Gavidia, Jaime Enrique Alemán Escobar, Rachel Turkel, Richard W Steketee, Laurence Slutsker, Kammerle Schneider, Carlos C Kent Campbell
A decade after the Global Malaria Eradication Program, El Salvador had the highest burden of malaria in Mesoamerica, with approximately 20% due to Plasmodium falciparum . A resurgence of malaria in the 1970s led El Salvador to alter its national malaria control strategy. By 1995, El Salvador recorded its last autochthonous P. falciparum case with fewer than 20 Plasmodium vivax cases annually since 2011. By contrast, its immediate neighbors continue to have the highest incidences of malaria in the region. We reviewed and evaluated the policies and interventions implemented by the Salvadoran National Malaria Program that likely contributed to this progress toward malaria elimination...
May 14, 2018: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29759920/dysphonia-perceived-control-and-psychosocial-distress-a-qualitative-study
#2
Stephanie Misono, Caroline Haut, Liza Meredith, Patricia A Frazier, Ali Stockness, Deirdre D Michael, Lisa Butcher, Eileen M Harwood
OBJECTIVES: The purpose of this qualitative study was to examine relationships between psychological factors, particularly perceived control, and voice symptoms in adults seeking treatment for a voice problem. METHODS: Semistructured interviews of adult patients with a clinical diagnosis of muscle tension dysphonia were conducted and transcribed. Follow-up interviews were conducted as needed for further information or clarification. A multidisciplinary team analyzed interview content using inductive techniques...
May 11, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29756600/the-development-of-neural-stimulators-a-review-of-preclinical-safety-and-efficacy-studies
#3
Robert K Shepherd, Joel Villalobos, Owen Burns, David Nayagam
OBJECTIVE: Given the rapid expansion of the field of neural stimulation and the rigorous regulatory approval requirements required before these devices can be applied clinically, it is important that there is clarity around conducting preclinical safety and efficacy studies required for the development of this technology. APPROACH: The present review examines basic design principles associated with the development of a safe neural stimulator and describes the suite of preclinical safety studies that need to be considered when taking a device to clinical trial...
May 14, 2018: Journal of Neural Engineering
https://www.readbyqxmd.com/read/29743763/impact-of-stroke-code-rapid-response-team-an-attempt-to-improve-intravenous-thrombolysis-rate-and-to-shorten-door-to-needle-time-in-acute-ischemic-stroke
#4
Sushma K Gurav, Kapil G Zirpe, R S Wadia, Avinash Naniwadekar, Prajakta U Pote, Amit Tungenwar, Abhijeet M Deshmukh, Srikanta Mohopatra, Balakrishna Nimavat, Prasad Surywanshi
Objective: "Stroke code" (SC) implementation in hospitals can improve the rate of thrombolysis and the timeline in care of stroke patient. Materials and Methods: A prospective data of patients treated for acute ischemic stroke (AIS) after implementation of "SC" (post-SC era) were analyzed (2015-2016) and compared with the retrospective data of patients treated in the "pre-SC era." Parameters such as symptom-to-door, door-to-physician, door-to-imaging, door-to-needle (DTN), and symptom-to-needle time were calculated...
April 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29738299/perception-of-diabetic-foot-ulcers-among-general-practitioners-in-four-european-countries-knowledge-skills-and-urgency
#5
José Luis Garcia-Klepzig, Juan Pedro Sánchez-Ríos, Chris Manu, Raju Ahluwalia, Claas Lüdemann, Marco Meloni, Elisabetta Lacopi, Víctor Rodriguez-Saenz De Buruaga, Benjamin Bouillet, Julien Vouillarmet, Jose Luis Lazaro Martinez, Kristien Van Acker
OBJECTIVE: Diabetic foot ulcers (DFU) have the potential to deteriorate rapidly, in the absence of prompt assessment and treatment. The aim of this study was to analyse the awareness and perception of DFU among general practitioners (GPs) from four European countries, and to find possible differences between these countries in terms of management. METHOD: A two-part, quantitative, online questionnaire was distributed to GPs across four countries in Europe-the UK, France, Germany and Spain...
May 2, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29726807/fire-in-operating-theatres-dash-ing-to-the-rescue
#6
Liam Wilson, Omer Farooq
Operating theatres are dynamic environments that require multi professional team interactions. Effective team working is essential for efficient delivery of safe patient care. A fire in the operating theatre is a rare but potentially life threatening event for both patients and staff. A rapid and cohesive response from theatre and allied staff including porters, fire safety officer etc is paramount. We delivered a training session that utilised in situ simulation (simulation in workplace). After conducting needs analysis, learning objectives were agreed...
January 1, 2018: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29722739/stroke-severity-affects-timing-time-from-stroke-code-activation-to-initial-imaging-is-longer-in-patients-with-milder-strokes
#7
Kimberly T Kwei, John Liang, Natalie Wilson, Stanley Tuhrim, Mandip Dhamoon
Optimizing the time it takes to get a potential stroke patient to imaging is essential in a rapid stroke response. At our hospital, door-to-imaging time is comprised of 2 time periods: the time before a stroke is recognized, followed by the period after the stroke code is called during which the stroke team assesses and brings the patient to the computed tomography scanner. To control for delays due to triage, we isolated the time period after a potential stroke has been recognized, as few studies have examined the biases of stroke code responders...
May 2018: Neurologist
https://www.readbyqxmd.com/read/29722178/external-validation-of-the-rapid-assessment-prioritisation-and-referral-tool-for-multidisciplinary-teams-in-medical-assessment-and-planning-units
#8
Stacey Sharp, Michelle Palmer, Simone L Dullaway, Kristy Fortnum, Michelle-Renee Jane, Inger Kwiecien, Angela Vivanti, Steven M McPhail
OBJECTIVE: The Rapid Assessment Prioritisation and Referral Tool (RAPaRT) was developed for identifying appropriate referrals to allied members of the multidisciplinary team in hospital medical assessment and planning units (MAPUs). This study examined the performance of the RAPaRT for identifying appropriate referrals as well as predicting requirement for admission to hospital and length of stay. METHODS: A prospective cohort study was conducted. The RAPaRT, inclusive of seven mandatory items, was completed by nurses for 195 patients presenting to a hospital ED and assessed in a MAPU external to the instrument development site...
May 2, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29720053/prevalence-risk-factors-and-clinical-consequences-of-recurrent-activation-of-a-rapid-response-team-a-multicenter-observational-study
#9
Shannon M Fernando, Peter M Reardon, Damon C Scales, Kyle Murphy, Peter Tanuseputro, Daren K Heyland, Kwadwo Kyeremanteng
INTRODUCTION: Rapid response teams (RRTs) are groups of health-care providers, implemented by hospitals to respond to distressed hospitalized patients on the hospital wards. Patients assessed by the RRT for deterioration may be admitted to the intensive care unit (ICU) or may be triaged to remain on the wards, putting them at risk of recurrent deterioration and repeat RRT activation. Previous studies evaluating outcomes of patients with recurrent deterioration and multiple RRT activations have produced conflicting results...
January 1, 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29717292/outbreak-investigation-following-the-2015-earthquake-disaster-in-nepal
#10
Geeta Shakya, Baburam Marasini, Khem Bahadur Karki, Bishnu Prasad Upadhaya, Jyoti Acharya, Shailaja Adhikari, Rosham Manjhi, Laxman Maharjan, Lilee Shrestha, Kamal Ranabhat, Sujan Babu Marahatta, Bikal Shrestha, Meghnath Dhimal
BACKGROUND: Infectious disease outbreaks following natural disasters are reported in literature. Outbreaks were documented following natural disasters in many countries including Haiti. Such possibility following 2015 Nepal earthquake was a public health concern. Risk factors needed evaluation by post-disaster outbreak investigation. Hence, present study was undertaken to investigate potentials for such outbreak and to generate evidence for public health intervention. METHODS: The study was conducted between April - May, 2015, with the cooperation of National Public Health Laboratory, Epidemiology and Disease Control Division, Nepal Health Research Council and the Chinese team...
March 13, 2018: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29716911/early-warning-score-communication-bundle-a-pilot-study
#11
EDITORIAL
Cheryl Gagne, Susan Fetzer
BACKGROUND: Unplanned admissions of patients to intensive care units from medical-surgical units often result from failure to recognize clinical deterioration. The early warning score is a clinical decision support tool for nurse surveillance but must be communicated to nurses and implemented appropriately. A communication process including collaboration with experienced intensive care unit nurses may reduce unplanned transfers. OBJECTIVE: To determine the impact of an early warning score communication bundle on medical-surgical transfers to the intensive care unit, rapid response team calls, and morbidity of patients upon intensive care unit transfer...
May 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29716669/the-health-sector-response-to-the-2015-earthquake-in-nepal
#12
Shiva Subedi, Guna Nidhi Sharma, Sagar Dahal, Megha Raj Banjara, Basu Dev Pandey
ABSTRACTIn April 2015, Nepal experienced an earthquake of a magnitude of 7.6 on the Richter scale that resulted in deaths, morbidities, and infrastructure damage. In the post-earthquake period, 4 different workshops and a national "Lessons Learnt" conference were organized to assess the adequacy of the preparedness and response of the health sector. This article summarizes the main conclusions of these discussions relating to leadership, timely search and rescue, referral operations, medical relief to response activities, awareness campaigns, and support from the national and international levels, and epidemiological surveillance...
May 2, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29716489/governance-of-rapid-response-teams-in-australia-and-new-zealand
#13
S S Sethi, R Chalwin
Rapid response systems (RRS) in hospitals in Australia and New Zealand (ANZ) have been present for more than 20 years but governance of the efferent limb-the rapid response team (RRT)-has not been previously reported in detail. The objectives of this study were to describe current governance arrangements for RRTs within ANZ and contrast those against expected implementation, using the Australian Commission for Safety and Quality in Health Care National Standard 9 (S9) as a benchmark. Assessment focused on S9 subclauses 9...
May 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29710725/prevalence-of-dementia-and-associated-risk-factors-a-population-based-study-in-the-philippines
#14
Jacqueline Dominguez, Ma Fe de Guzman, Macario Reandelar, Thien Kieu Thi Phung
BACKGROUND: The Philippines is experiencing rapid demographic aging and with it, the dementia epidemic. Prevalence of dementia and associated risk factors have not been studied in the Philippines. OBJECTIVES: The study aimed to provide a reliable estimate of dementia prevalence and identify associated risk factors in the Filipino population. METHODS: 1460 participants 60 years and older were randomly selected from the Marikina City's senior registry...
April 25, 2018: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/29705408/factors-associated-with-delayed-rapid-response-team-activation
#15
Peter M Reardon, Shannon M Fernando, Kyle Murphy, Erin Rosenberg, Kwadwo Kyeremanteng
Delayed activation of the rapid response team (RRT) is common and has been associated with adverse outcomes. However, little is known about the factors associated with delayed activation. This was an observational study from two hospitals in Ottawa, Canada, including adult inpatients with experiencing an activation of the RRT. Data was collected between May 1, 2012 and May 31, 2016 and groups were divided between those with activation within 1 h of meeting call criteria and those with >1 h (delayed activation)...
April 19, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29701885/physical-deterioration-in-an-acute-mental-health-unit-a-quantitative-retrospective-analysis-of-medical-emergencies
#16
Joanne E Porter, Robyn Cant, Karen Missen, Anita Raymond, Anne Churchill
Nursing management of physical deterioration of patients within acute mental health settings is observed, recorded, and actively managed with the use of standardized Adult Deterioration Detection System (ADDS) charts. Patient deterioration may require the urgent assistance of a hospital rapid response or Medical Emergency Team. A five-and-a-half-year (2011-2016) audit of hospital-wide Medical Emergency Team attendances was conducted in an acute mental health unit of a single large 250 bed regional hospital in Victoria, Australia...
April 27, 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29698354/a-systematic-review-of-early-warning-systems-effects-on-nurses-clinical-performance-and-adverse-events-among-deteriorating-ward-patients
#17
Ju-Ry Lee, Eun-Mi Kim, Sun-Aee Kim, Eui Geum Oh
OBJECTIVE: Early warning systems (EWSs) are an integral part of processes that aim to improve the early identification and management of deteriorating patients in general wards. However, the widespread implementation of these systems has not generated robust data regarding nurses' clinical performance and patients' adverse events. This review aimed to determine the ability of EWSs to improve nurses' clinical performance and prevent adverse events among deteriorating ward patients. METHOD: The PubMed, CINAHL, EMBASE, and Cochrane Library databases were searched for relevant publications (January 1, 1997, to April 12, 2017)...
April 25, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29686889/increases-in-heart-rate-variability-signal-improved-outcomes-in-rapid-response-team-consultations-a-cohort-study
#18
Nawal Salahuddin, Azam Shafquat, Qussay Marashly, Khaled Juan Zaza, Moh'd Sharshir, Moazzum Khurshid, Zeeshan Ali, Melissa Malgapo, Mouhamad Ghyath Jamil, Mohamed Shoukri, Mohammed Hijazi, Bandar Al-Ghamdi
Background: Reduced heart rate variability (HRV) indicates dominance of the sympathetic system and a state of "physiologic stress." We postulated that, in patients with critical illness, increases in HRV might signal successful resuscitation and improved prognosis. Methods: We carried out a prospective observational study of HRV on all patients referred to the rapid response team (RRT) and correlated with serial vital signs, lactate clearance, ICU admission, and mortality...
2018: Cardiology Research and Practice
https://www.readbyqxmd.com/read/29686761/implementation-of-a-formal-debriefing-program-after-pediatric-rapid-response-team-activations
#19
Linda Aponte-Patel, Arash Salavitabar, Pamela Fazzio, Andrew S Geneslaw, Pamela Good, Anita I Sen
Background : Debriefing after pediatric rapid response team activations (RRT-As) in a tertiary care children's hospital was identified to occur only sporadically. The lack of routine debriefing after RRT-As was identified as a missed learning opportunity. Objective : We implemented a formal debriefing program and assessed staff attitudes toward and experiences with debriefing after pediatric RRT-As. Methods : Real-time feedback for pediatrics residents captured clinical and debriefing data for each RRT-A from July 2014 to June 2016...
April 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29670358/multidisciplinary-approach-to-the-management-of-pulmonary-embolism-patients-the-pulmonary-embolism-response-team-pert
#20
REVIEW
Christopher W Root, David M Dudzinski, Bishoy Zakhary, Oren A Friedman, Akhilesh K Sista, James M Horowitz
Pulmonary embolism (PE) is a potentially fatal disease with a broad range of treatment options that spans multiple specialties. The rapid evolution and expansion of novel therapies to treat PE make it a disease process that is well suited to a multidisciplinary approach. In order to facilitate a rapid, robust response to the diagnosis of PE, some hospitals have established multidisciplinary pulmonary embolism response teams (PERTs). The PERT model is based on existing multidisciplinary teams such as heart teams and rapid response teams...
2018: Journal of Multidisciplinary Healthcare
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