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https://www.readbyqxmd.com/read/28929979/pharmacists-as-care-providers-for-stroke-patients-a-systematic-review
#1
Jade E Basaraba, Michelle Picard, Kirsten George-Phillips, Tania Mysak
BACKGROUND: Pharmacists have become an integral member of the multidisciplinary team providing clinical patient care in various healthcare settings. Although evidence supporting their role in the care of patients with other disease states is well-established, minimal literature has been published evaluating pharmacist interventions in stroke patients. The purpose of this systematic review is to summarize the evidence evaluating the impact of pharmacist interventions on stroke patient outcomes...
September 20, 2017: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/28929885/first-nations-inuit-and-m%C3%A3-tis-health-considerations-for-canadian-health-leaders-in-the-wake-of-the-truth-and-reconciliation-commission-of-canada-report
#2
Mary McNally, Debbie Martin
First Nations, Inuit and Métis peoples living in Canada face profound health disparities relative to non-Indigenous Canadians on almost every measure of health and well-being. Advancing health opportunities for Indigenous peoples require responses at all levels of healthcare delivery and policy. Therefore, it is critical for health leaders and providers within Canada's healthcare institutions, systems, and settings to understand and address the determinants of health unique to Indigenous peoples, including the legacy of colonialism and both long-standing and present-day racism...
March 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28929884/la-sant%C3%A3-des-premi%C3%A3-res-nations-des-inuits-et-des-m%C3%A3-tis-les-facteurs-que-doivent-envisager-les-leaders-en-sant%C3%A3-canadiens-dans-la-foul%C3%A3-e-du-rapport-de-la-commission-de-v%C3%A3-rit%C3%A3-et-r%C3%A3-conciliation-du-canada
#3
Mary McNally, Debbie Martin
Les peuples des Premières nations, inuits et métis qui habitent au Canada sont aux prises avec de profondes disparités en matière de santé par rapport aux Canadiens non autochtones, et ce, dans presque toutes les mesures liées à la santé et au bien-être. Pour faire progresser les services de santé auprès des peuples autochtones, il faut passer à l'action dans tous les ordres de prestation des soins et des politiques en santé. Il est donc essentiel que les leaders et les prestataires des établissements, des systèmes et des installations de santé du Canada comprennent et prennent en main les déterminants de la santé propres aux peuples autochtones, y compris l'héritage du colonialisme et le racisme ancien et actuel...
March 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28924623/the-effectiveness-of-pharmacist-provided-telephonic-medication-therapy-management-on-emergency-department-utilization-in-home-health-patients
#4
Stephanie A Gernant, Margie E Snyder, Heather Jaynes, Jason M Sutherland, Alan J Zillich
BACKGROUND: Preventable emergency department (ED) use may be targeted with interventions for improving the medication use process, as medication misadventures and non-adherence frequently cause preventable ED utilization. One intervention that could prevent ED visits is Medication Therapy Management (MTM). OBJECTIVE: To evaluate the effectiveness of a telephonic medication therapy management (MTM) service on reducing emergency department utilization within a Medicare insured home health population...
October 1, 2016: Journal of Pharmacy Technology: JPT: Official Publication of the Association of Pharmacy Technicians
https://www.readbyqxmd.com/read/28923157/walter-freeman-iii-and-the-chaotic-nature-of-dreams
#5
Allan Combs, Stanley Krippner
The contributions and life of Walter Freeman III are celebrated through an understanding of the neurodynamics of the dreaming brain. Beginning with a brief review of the universal dynamics of self-organizing systems, this paper turns to an exploration of dreaming through the application of concepts from chaos theory to brain activity during REM-state dreaming. Recent studies of the electrophysiology of the brain during REM state dreaming are reviewed, such as the active inhibition of sensory stimulation and, especially in REM sleep, alterations in the brain's dominant neuromodulatory systems, bombardment of the visual cortex with bursts of PGO activity, increased limbic system activity, and a reduction of activity in the brain's prefrontal regions...
October 2017: Nonlinear Dynamics, Psychology, and Life Sciences
https://www.readbyqxmd.com/read/28918630/assessing-the-reliability-of-mfa-results-the-cases-of-rhenium-gallium-and-germanium-in-the-us-economy
#6
Grégoire Meylan, Barbara K Reck, Helmut Rechberger, Thomas E Graedel, Oliver Schwab
Decision-makers traditionally expect "hard facts" from scientific inquiry, an expectation the results of Material Flow Analyses (MFAs) can hardly meet. MFA limitations are attributable to incompleteness of flowcharts, limited data quality, and model assumptions. Moreover, MFA results are mostly less based on empirical observation and rather on social knowledge construction processes. Developing, applying, and improving means for evaluating and communicating reliability of MFA results is imperative. We apply two recently proposed approaches for making quantitative statements on MFA reliability to national minor metals systems: rhenium, gallium, and germanium in the US in 2012...
September 18, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28914276/appropriate-reconciliation-of-cardiovascular-medications-after-elective-surgery-and-postdischarge-acute-hospital-and-ambulatory-visits
#7
Jonathan S Lee, Ralph Gonzales, Eric Vittinghoff, Kitty K Corbett, Kirsten E Fleischmann, Neil Sehgal, Andrew D Auerbach
OBJECTIVE: To describe appropriate discharge reconciliation of cardiovascular medications and assess associations with postdischarge healthcare utilization in surgical patients. DESIGN: Retrospective cohort study from January 2007 to December 2011. SETTING: An academic medical center. PATIENTS: Seven hundred and fifty-two adults undergoing elective noncardiac surgery and taking antiplatelet agents, beta-blockers, renin-angiotensin system inhibitors, or statin lipid-lowering agents before surgery...
September 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28905485/public-expenditure-costs-of-carers-leaving-employment-in-england-2015-2016
#8
Linda Pickard, Derek King, Nicola Brimblecombe, Martin Knapp
In the context of global population ageing, the reconciliation of employment and unpaid caring is becoming an important social issue. The estimation of the public expenditure costs of carers leaving employment is a valuable measure that is of considerable interest to policy makers. In 2012, the Personal Social Services Research Unit estimated that the public expenditure costs of unpaid carers leaving employment in England were approximately £1.3 billion a year, based on the costs of Carer's Allowance and lost tax revenues on forgone incomes...
September 14, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28903663/the-shadows-of-the-past-effects-of-historical-group-trauma-on-current-intergroup-conflicts
#9
Noa Schori-Eyal, Yechiel Klar, Sonia Roccas, Andrew McNeill
We examined associations between two orientations based on historical group trauma, a form of enduring group victimhood (Perpetual Ingroup Victimhood Orientation [PIVO]) and the belief that one's group might itself become a victimizer (Fear of Victimizing [FOV]), and attitudes, cognitions, and emotions related to intergroup conflicts. PIVO was positively and FOV was negatively related to aggressive attitudes and emotions toward the outgroup (Studies 1a-1c, Israeli-Palestinian conflict), and to the attribution of responsibility for a series of hostilities to the outgroup (Study 3, Israeli-Palestinian conflict)...
April 2017: Personality & Social Psychology Bulletin
https://www.readbyqxmd.com/read/28902699/experiences-of-and-support-for-nurses-as-second-victims-of-adverse-nursing-errors-a-qualitative-systematic-review
#10
C J Cabilan, Kathryn Kynoch
BACKGROUND: Second victims are clinicians who have made adverse errors and feel traumatized by the experience. The current published literature on second victims is mainly representative of doctors, hence nurses' experiences are not fully depicted. This systematic review was necessary to understand the second victim experience for nurses, explore the support provided, and recommend appropriate support systems for nurses. OBJECTIVES: To synthesize the best available evidence on nurses' experiences as second victims, and explore their experiences of the support they receive and the support they need...
September 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28898375/medication-reconciliation-vs-medication-review-reply
#11
Adam J Rose, Shira H Fischer, Michael K Paasche-Orlow
No abstract text is available yet for this article.
September 12, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28898372/medication-reconciliation-vs-medication-review
#12
Kristin M Zimmerman, Teresa M Salgado, Dave L Dixon
No abstract text is available yet for this article.
September 12, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28894710/incidence-of-medication-discrepancies-and-its-predicting-factors-in-emergency-department
#13
Morvarid Zarif-Yeganeh, Mansoor Rastegarpanah, Gholamreza Garmaroudi, Molouk Hadjibabaie, Hojjat Sheikh Motahar Vahedi
BACKGROUND: This study was conducted to evaluate the incidence of medication discrepancies and its related factors using medication reconciliation method in patients admitted to the emergency department of Tehran University of Medical Sciences hospitals. METHODS: In this cross-sectional study, 200 adult patients with at least one chronic disease that used two regular prescription medications were included in 2015. After 24 h of admission, demographic data and patient's home medications were collected...
August 2017: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/28894459/a-preliminary-list-of-horizontally-transferred-genes-in-prokaryotes-determined-by-tree-reconstruction-and-reconciliation
#14
Hyeonsoo Jeong, Arshan Nasir
Genome-wide global detection of genes involved in horizontal gene transfer (HGT) remains an active area of research in medical microbiology and evolutionary genomics. Utilizing the explicit evolutionary method of comparing topologies of a total of 154,805 orthologous gene trees against corresponding 16S rRNA "reference" trees, we previously detected a total of 660,894 candidate HGT events in 2,472 completely-sequenced prokaryotic genomes. Here, we report an HGT-index for each individual gene-reference tree pair reconciliation, representing the total number of detected HGT events on the gene tree divided by the total number of genomes (taxa) member of that tree...
2017: Frontiers in Genetics
https://www.readbyqxmd.com/read/28894314/home-care-pharmacy-practice-in-canada-a-cross-sectional-survey-of-services-provided-remuneration-barriers-and-facilitators
#15
Sherilyn Houle, Linda MacKeigan
BACKGROUND: As the population ages, and individuals desire to remain in their homes as long as possible, the need for in-home care is expected to increase. However, pharmacists have rarely been included in studies of in-home care, and little is known about the prevalence or effectiveness of pharmacists' home-based services in Canada. OBJECTIVE: To identify pharmacy practices in Canada that regularly provide in-home patient care and to identify specific services provided, remuneration obtained, and barriers and facilitators influencing the provision of home-based care...
July 2017: Canadian Journal of Hospital Pharmacy
https://www.readbyqxmd.com/read/28894309/reliability-of-best-possible-medication-histories-completed-by-non-admitted-patients-in-the-emergency-department
#16
Nicole MacDonald, Leslie Manuel, Haley Brennan, Erin Musgrave, Richard Wanbon, George Stoica
BACKGROUND: Accreditation standards have outlined the need for staff in emergency departments to initiate the medication reconciliation process for patients who are at risk of adverse drug events. The authors hypothesized that a guided form could be used by non-admitted patients in the emergency department to assist with completion of a best possible medication history (BPMH). OBJECTIVE: To determine the percentage of patients in the non-acute care area of the emergency department who could complete a guided BPMH form with no clinically significant discrepancies (defined as no major discrepancies and no more than 1 moderate discrepancy)...
July 2017: Canadian Journal of Hospital Pharmacy
https://www.readbyqxmd.com/read/28893729/expansion-of-inpatient-clinical-pharmacy-services-through-reallocation-of-pharmacists
#17
Amanda J Sowell, Emily C Pherson, Virna I Almuete, Jennifer V Gillespie, Vi Gilmore, Megan Jensen, Ravi Nehra, Kimberly M Durand, Todd W Nesbit, Meghan D Swarthout, Leigh E Efird
PURPOSE: The redesign of an inpatient pharmacy practice model through reallocation of pharmacy resources in order to expand clinical services is described. METHODS: A pharmacy practice model change was implemented at a nonprofit academic medical center to meet the increasing demand for direct patient care services. In order to accomplish this change, the following steps were completed: reevaluation of daily tasks and responsibilities, reallocation of remaining tasks to the most appropriate pharmacy staff member, determination of the ideal number of positions needed to complete each task, and reorganization of the model into a collection of teams...
September 11, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28886136/relationship-between-the-number-of-family-members-and-stress-by-gender-cross-sectional-analysis-of-the-fifth-korea-national-health-and-nutrition-examination-survey
#18
Jin-Won Noh, Kyoung-Beom Kim, Jumin Park, Janghun Hong, Young Dae Kwon
BACKGROUND: Due to gendered inequalities in the division of domestic work, women with paid employment and family caregiving responsibilities can feel extremely tired with general distress and depression. Therefore, the purpose of this study was to examine the association between the number of family members and stress level by gender among Korean adults using a nationally representative dataset. METHODS: We used a sample of 6,293 subjects aged 19 or older (3,629 female and 2,264 male) from the fifth Korea National Health and Nutrition Examination Survey...
2017: PloS One
https://www.readbyqxmd.com/read/28877049/medication-errors-at-hospital-admission-and-discharge-risk-factors-and-impact-of-medication-reconciliation-process-to-improve-healthcare
#19
Cyril Breuker, Valérie Macioce, Thibault Mura, Audrey Castet-Nicolas, Yohan Audurier, Catherine Boegner, Anne Jalabert, Maxime Villiet, Antoine Avignon, Ariane Sultan
OBJECTIVE: First, the aim of the study was to assess the prevalence, characteristics, and severity of unintended medication discrepancies (UMDs) and medication errors (MEs) at admission and discharge of hospitalization. Second, the aim of the study was to identify clinical and hospitalization factors associated with risk of UMDs as well as characteristics of the medication reconciliation process associated with UMDs detection. METHODS: This prospective observational study included all adult patients admitted from 2013 to 2015 in the Endocrinology-Diabetology-Nutrition Department of Montpellier Hospital, France...
September 4, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28866250/flow-optimization-in-one-dimensional-and-comprehensive-two-dimensional-gas-chromatography-gc%C3%A3-gc
#20
Leonid M Blumberg
Theoretical considerations of optimal flow in a GC column under different conditions are outlined from a single perspective, and numerical recommendations are provided. The optimal flow rate in a temperature programmed column is about 30% lower than its isothermal counterpart in the same column with the same carrier gas. A simplified calculation of recommended optimal or near optimal flow rate in a single column under different conditions is summarized in a single equation. In GC×GC, the primary column operates under temperature-programmed conditions while each secondary run is essentially isothermal...
August 19, 2017: Journal of Chromatography. A
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