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https://www.readbyqxmd.com/read/29219940/factors-influencing-postpartum-fatigue-in-vaginal-birth-women-testing-a-path-model
#1
Ching-Hsing Hsieh, Chien-Lan Chen, Tan-Ju Han, Pei-Ju Lin, Hui-Chun Chiu
BACKGROUND: Postpartum fatigue is a very common complaint among postpartum women. Although current evidence indicates that several factors (e.g., parity, epidural analgesia, perineal trauma, perineal pain, and longer second stage of labor) are associated with postpartum, not enough is known about the relationships among these physical factors simultaneously and how they contribute to the development of postpartum fatigue. Increased awareness of the complex relationships among these factors will help nurses assess, prevent, and alleviate postpartum fatigue...
December 6, 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/29218664/cost-effectiveness-of-per-oral-endoscopic-myotomy-relative-to-laparoscopic-heller-myotomy-for-the-treatment-of-achalasia
#2
Erin K Greenleaf, Joshua S Winder, Christopher S Hollenbeak, Randy S Haluck, Abraham Mathew, Eric M Pauli
BACKGROUND: Per oral endoscopic myotomy (POEM) has recently emerged as a viable option relative to the classic approach of laparoscopic Heller myotomy (LHM) for the treatment of esophageal achalasia. In this cost-utility analysis of POEM and LHM, we hypothesized that POEM would be cost-effective relative to LHM. METHODS: A stochastic cost-utility analysis of treatment for achalasia was performed to determine the cost-effectiveness of POEM relative to LHM. Costs were estimated from the provider perspective and obtained from our institution's cost-accounting database...
December 7, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29209881/the-costs-of-repatriating-an-ill-seafarer-a-micro-costing-approach
#3
Mads D Faurby, Olaf C Jensen, Lulu Hjarnoe, Despena Andrioti
Seafarers sail the high seas around the globe. In case of illness, they are protected by international regulations stating that the employers must pay all expenses in relation to repatriation, but very little is known about the cost of these repatriations. The objective of this study was to estimate the financial burden of repatriations in case of illness. We applied a local approach, a micro-costing method, with an employer perspective using four case vignettes: I) Acute myocardial infarction (AMI), II) Malignant hypertension, III) Appendicitis and IV) Malaria...
December 6, 2017: Health Economics Review
https://www.readbyqxmd.com/read/29208613/do-skeletal-muscle-secreted-factors-influence-the-function-of-pancreatic-beta-cells
#4
Jonathan P Barlow, Thomas P J Solomon
Skeletal muscle is an endocrine organ that secretes a variety of compounds including proteins (myokines), metabolites, microRNAs (miRNAs) and exosomes. Many of which are regulated by exercise and play important roles in endocrine signaling. Inter-organ communication via muscle-secreted factors therefore provides a novel area for investigation and implicates the importance of skeletal muscle in the pathophysiology of metabolic diseases such as type 2 diabetes (T2D). Given that underlying molecular mechanisms of T2D is subject of ongoing research, in light of new evidence, it is probable that inter-organ crosstalk between skeletal muscle and pancreatic beta-cells (β-cells) plays an important part...
December 5, 2017: American Journal of Physiology. Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29204665/-cochlear-implants-in-the-social-courts
#5
A Lottner, H Iro, A Schützenberger, U Hoppe
BACKGROUND: Since the indication for receiving a cochlear implant (CI) has widened (single-sided deafness [SSD], electric acoustic stimulation [EAS], bilateral CI, CI for long-term deafness), more and more patients come into consideration for such a treatment. Hence, disputes increasingly arise between patients and their insurance companies concerning the question of whether surgery and follow-up treatment have to be paid for by statutory health insurance. OBJECTIVE: This work provides an overview of judgments rendered by the German social courts...
December 4, 2017: HNO
https://www.readbyqxmd.com/read/29202843/socioeconomic-inequalities-of-outpatient-and-inpatient-service-utilization-in-china-personal-and-regional-perspectives
#6
Dawei Zhu, Na Guo, Jian Wang, Stephen Nicholas, Li Chen
BACKGROUND: China's health system has shown remarkable progress in health provision and health outcomes in recent decades, however inequality in health care utilization persists and poses a serious social problem. While government pro-poor health policies addressed affordability as the major obstacle to equality in health care access, this policy direction deserves further examination. Our study examines the issue of health care inequalities in China, analyzing both regional and individual socioeconomic factors associated with the inequality, and provides evidence to improve governmental health policies...
December 4, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29194998/emerging-technologies-for-home-based-semen-analysis
#7
REVIEW
S Yu, M Rubin, S Geevarughese, J S Pino, H F Rodriguez, W Asghar
With about 70 million cases of infertility worldwide, half of which are caused by male factors, sperm analysis is critical to determine male fertility potential. Conventional semen analysis methods involve complex and manual inspection with a microscope, and these methods are labor intensive and can take several days. Due to unavailability of rapid, convenient, and user-friendly semen analysis tools, many men do not seek medical evaluation, especially in resource-constrained settings. Furthermore, as conventional methods have to be conducted in the laboratories, many men are unwilling to be tested as a result of social stigma in certain regions of the world...
December 1, 2017: Andrology
https://www.readbyqxmd.com/read/29187640/generative-models-for-network-neuroscience-prospects-and-promise
#8
REVIEW
Richard F Betzel, Danielle S Bassett
Network neuroscience is the emerging discipline concerned with investigating the complex patterns of interconnections found in neural systems, and identifying principles with which to understand them. Within this discipline, one particularly powerful approach is network generative modelling, in which wiring rules are algorithmically implemented to produce synthetic network architectures with the same properties as observed in empirical network data. Successful models can highlight the principles by which a network is organized and potentially uncover the mechanisms by which it grows and develops...
November 2017: Journal of the Royal Society, Interface
https://www.readbyqxmd.com/read/29186626/contested-spaces-london-and-the-1984-5-miners-strike
#9
Diarmaid Kelliher
The 1984-5 British miners' strike can be understood as a defence of place as well as jobs. Such a conception encourages us to foreground the local in accounts of the strike. However, I argue in this article that the local should not be understood in an excessively bounded way. By paying attention to relationships developed between London and the coalfields during the dispute, we can see how direct personal networks of solidarity were constructed between these very different places. This article discusses the spaces in which solidarity activity for miners in London took place...
December 1, 2017: 20 Century British History
https://www.readbyqxmd.com/read/29182463/willingness-to-pay-for-cataract-surgery-is-much-lower-than-actual-costs-in-zamfara-state-northern-nigeria
#10
Nazaradden Ibrahim, Jacqueline Ramke, Francisco Pozo-Martin, Clare E Gilbert
PURPOSE: Direct medical and non-medical costs incurred by those undergoing subsidised cataract surgery at Gusau eye clinic, Zamfara state, were recently determined. The aim of this study was to assess the willingness to pay for cataract surgery among adults with severe visual impairment or blindness from cataract in rural Zamfara and to compare this to actual costs. METHODS: In three rural villages served by Gusau eye clinic, key informants helped identify 80 adults with bilateral severe visual impairment or blindness (<6/60), with cataract being the cause in at least one eye...
November 28, 2017: Ophthalmic Epidemiology
https://www.readbyqxmd.com/read/29181817/health-economic-evaluation-of-rivaroxaban-in-elective-cardioversion-of-atrial-fibrillation
#11
Maartje S Jacobs, Lisa A de Jong, Maarten J Postma, Robert G Tieleman, Marinus van Hulst
BACKGROUND: Electrical cardioversion (ECV) is a procedure in which a direct current electric shock is used to quickly and effectively restore the normal sinus rhythm. Appropriate anticoagulation reduces the risk of embolic events during and after ECV. The aim of this study was to estimate the cost-effectiveness of rivaroxaban compared with vitamin K oral antagonists (VKAs) in patients with atrial fibrillation undergoing elective ECV in the Netherlands. METHODS AND RESULTS: A static transmission model over a 1-year time horizon was developed to compare rivaroxaban with VKAs in terms of clinical outcomes, health effects (quality-adjusted life years; QALYs), and costs...
November 27, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29174674/knowledge-attitudes-and-practices-of-private-sector-immunization-service-providers-in-gujarat-india
#12
José E Hagan, Narayan Gaonkar, Vikas Doshi, Anas Patni, Shailee Vyas, Vihang Mazumdar, J K Kosambiya, Satish Gupta, Margaret Watkins
BACKGROUND: India is responsible for 30% of the annual global cohort of unvaccinated children worldwide. Private practitioners provide an estimated 21% of vaccinations in urban centers of India, and are important partners in achieving high vaccination coverage. METHODS: We used an in-person questionnaire and on-site observation to assess knowledge, attitudes, and practices of private immunization service providers regarding delivery of immunization services in the urban settings of Surat and Baroda, in Gujarat, India...
November 22, 2017: Vaccine
https://www.readbyqxmd.com/read/29171908/an-estimation-of-u-s-horse-owner-caregiver-willingness-to-pay-for-daily-use-and-infectious-upper-respiratory-disease-treatment-options
#13
M L Kibler, D L Pendell, M Costanigro, J Traub-Dargatz
BACKGROUND: Equine injury and disease cause two types of costs for those financially responsible for treating and caring for the infected horse(s); direct costs of treating the horse and indirect cost of lost use of the horse for a period of time to the user of the horse (daily horse use). Indirect costs prove more difficult to estimate but pose significant financial implications for equine owners/caregivers. Additionally, there exists a gap in existing research regarding the valuation of infectious treatment options in equine...
November 24, 2017: Equine Veterinary Journal
https://www.readbyqxmd.com/read/29165538/augmented-reality-sustaining-autonomous-way-finding-in-the-community-for-older-persons-with-cognitive-impairment
#14
K Sejunaite, C Lanza, S Ganders, A Iljaitsch, M W Riepe
BACKGROUND: Impairment of autonomous way-finding subsequent to a multitude of neurodegenerative and other diseases impedes independence of older persons and their everyday activities. OBJECTIVE: It was the goal to use augmented reality to aid autonomous way-finding in a community setting. DESIGN: A spatial map and directional information were shown via head-up display to guide patients from the start zone on the hospital campus to a bakery in the nearby community...
2017: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/29161269/identifying-influential-neighbors-in-animal-flocking
#15
Li Jiang, Luca Giuggioli, Andrea Perna, Ramón Escobedo, Valentin Lecheval, Clément Sire, Zhangang Han, Guy Theraulaz
Schools of fish and flocks of birds can move together in synchrony and decide on new directions of movement in a seamless way. This is possible because group members constantly share directional information with their neighbors. Although detecting the directionality of other group members is known to be important to maintain cohesion, it is not clear how many neighbors each individual can simultaneously track and pay attention to, and what the spatial distribution of these influential neighbors is. Here, we address these questions on shoals of Hemigrammus rhodostomus, a species of fish exhibiting strong schooling behavior...
November 2017: PLoS Computational Biology
https://www.readbyqxmd.com/read/29151818/lifetime-cost-effectiveness-analysis-of-intraoperative-radiation-therapy-versus-external-beam-radiation-therapy-for-early-stage-breast-cancer
#16
Rakesh Patel, Olga Ivanov, Jeff Voigt
Background: To date no one has examined the quality of life and direct costs of care in treating early stage breast cancer with adjunct intraoperative radiation therapy (IORT) versus external beam radiation therapy (EBRT) over the life of the patient. As well no one has examined the effects of radiation exposure with both therapies on the longer term sequelae. The purpose of this analysis was to examine the cost-effectiveness of IORT vs. EBRT over the life of the patient. Methods: A Markov decision-analytic model evaluated these treatment strategies in terms of the direct costs in treating patients over their lifetime (including the downstream costs associated with radiation exposure) and the resultant quality of life of these patients...
2017: Cost Effectiveness and Resource Allocation: C/E
https://www.readbyqxmd.com/read/29150469/impact-of-preterm-birth-on-parental-separation-a-french-population-based-longitudinal-study
#17
Simon Nusinovici, Bertrand Olliac, Cyril Flamant, Jean-Baptiste Müller, Marion Olivier, Valérie Rouger, Géraldine Gascoin, Hélène Basset, Charlotte Bouvard, Jean-Christophe Rozé, Matthieu Hanf
OBJECTIVE: The objective of this study was to investigate both the effects of low gestational age and infant's neurodevelopmental outcome at 2 years of age on the risk of parental separation within 7 years of giving birth. DESIGN: Prospective. SETTING: 24 maternity clinics in the Pays-de-la-Loire region. PARTICIPANTS: This study included 5732 infants delivered at <35 weeks of gestation born between 2005 and 2013 who were enrolled in the population-based Loire Infant Follow-up Team cohort and who had a neurodevelopmental evaluation at 2 years...
November 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/29150237/-maternal-deaths-due-to-amniotic-fluid-embolism-results-from-the-french-confidential-enquiry-into-maternal-deaths-2010-2012
#18
E Morau, A Proust, J-C Ducloy
Amniotic fluid embolism (AFE) is an unpredictable, dreadful complication of pregnancy or childbirth. EA typically includes in the same lapse of time respiratory, haemodynamic, neurological and hemorrhagic symptoms (from early and severe coagulopathy). Immediate supportive treatment by a multidisciplinary team is the cornerstone of the management. Between 2010 an 2012 in France, 24 deaths were related to AFE giving a maternal mortality ratio of 1/100,000 live births (CI 95% 0.6-1.4). AFE ranks as the second leading cause of direct maternal death...
November 14, 2017: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29149314/how-the-introduction-of-a-human-resources-information-system-helped-the-democratic-republic-of-congo-to-mobilise-domestic-resources-for-an-improved-health-workforce
#19
Jean-Robert Likofata Esanga, Claire Viadro, Leah McManus, Jennifer Wesson, Nicaise Matoko, Epiphane Ngumbu, Kate E Gilroy, Daren Trudeau
The Democratic Republic of Congo has flagged health workforce management and compensation as issues requiring attention, including the problem of ghost workers (individuals on payroll who do not exist and/or show up at work). Recognising the need for reliable health workforce information, the government has worked to implement iHRIS, an open source human resources information system that facilitates health workforce management. In Kasaï Central and Kasaï Provinces, health workers brought relevant documentation to data collection points, where trained teams interviewed them and entered contact information, identification, photo, current job, and employment and education history into iHRIS on laptops...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29148146/factors-influencing-nurse-assessed-quality-nursing-care-a-cross-sectional-study-in-hospitals
#20
Ying Liu, Yupin Aungsuroch
AIM: To propose a hypothesized theoretical model and apply it to examine the structural relationships among work environment, patient-to-nurse ratio, job satisfaction, burnout, intention to leave and quality nursing care. BACKGROUND: Improving quality nursing care is a first consideration in nursing management globally. A better understanding of factors influencing quality nursing care can help hospital administrators implement effective programs to improve quality of services...
November 17, 2017: Journal of Advanced Nursing
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