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https://www.readbyqxmd.com/read/28944980/failure-mode-and-effects-analysis-a-community-practice-perspective
#1
Bradley W Schuller, Angi Burns, Elizabeth A Ceilley, Alan King, Joan LeTourneau, Alexander Markovic, Lynda Sterkel, Brigid Taplin, Jennifer Wanner, Jeffrey M Albert
PURPOSE: To report our early experiences with failure mode and effects analysis (FMEA) in a community practice setting. METHODS: The FMEA facilitator received extensive training at the AAPM Summer School. Early efforts focused on department education and emphasized the need for process evaluation in the context of high profile radiation therapy accidents. A multidisciplinary team was assembled with representation from each of the major department disciplines. Stereotactic radiosurgery (SRS) was identified as the most appropriate treatment technique for the first FMEA evaluation, as it is largely self-contained and has the potential to produce high impact failure modes...
September 25, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28944621/factors-associated-with-ohio-nurse-practitioners-childhood-obesity-preventive-practice-patterns
#2
Rika Tanda, Elizabeth A Beverly, Kimberly Hughes
BACKGROUND AND PURPOSE: More nurse practitioners (NPs) infiltrate into primary care settings, and play a pivotal role in prevention of childhood obesity. However, minimal research has been published about their practice patterns. The current study uses a sample of Ohio NPs and describes NPs' childhood obesity prevention practice patterns, knowledge of the guidelines, their personal physical activity in relation to childhood obesity prevention practices, and identification of perceived barriers for practice...
September 25, 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28944453/personalised-digital-interventions-for-reducing-hazardous-and-harmful-alcohol-consumption-in-community-dwelling-populations
#3
REVIEW
Eileen Fs Kaner, Fiona R Beyer, Claire Garnett, David Crane, Jamie Brown, Colin Muirhead, James Redmore, Amy O'Donnell, James J Newham, Frank de Vocht, Matthew Hickman, Heather Brown, Gregory Maniatopoulos, Susan Michie
BACKGROUND: Excessive alcohol use contributes significantly to physical and psychological illness, injury and death, and a wide array of social harm in all age groups. A proven strategy for reducing excessive alcohol consumption levels is to offer a brief conversation-based intervention in primary care settings, but more recent technological innovations have enabled people to interact directly via computer, mobile device or smartphone with digital interventions designed to address problem alcohol consumption...
September 25, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28944408/etiology-of-childhood-pneumonia-what-we-know-and-what-we-need-to-know-based-on-5th-dr-ic-verma-excellence-oration-award
#4
Joseph L Mathew
Childhood community acquired pneumonia continues to be an important clinical problem at the individual, institutional and community levels. Determination of microbial etiology is critical to develop evidence-based management (therapeutic and prophylactic) decisions. For decades, the approach to this relied on culture of lung aspirate specimens obtained from children with radiographically confirmed pneumonia, before administering antibiotics. Such studies revealed the major bacteria associated with pneumonia, prompting the World Health Organization to develop a highly sensitive clinical definition of pneumonia and advocate empiric antibiotic therapy; in order to save lives (focusing on community settings lacking resources for diagnostic tests)...
September 25, 2017: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/28943992/go-along-interviewing-with-lgbtq-youth-in-canada-and-the-united-states
#5
Carolyn M Porta, Heather L Corliss, Jennifer M Wolowic, Abigail Z Johnson, Katie Fritz Fogel, Amy L Gower, Elizabeth M Saewyc, Marla E Eisenberg
Go-along interviews, which are interviews conducted whilst being in and moving within participant selected spaces, were conducted with 66 LGBTQ adolescents (14-19 years old) in their self-identified communities to explore perceived community attributes, including safe spaces, resources, and supports; this paper highlights methodological lessons learned. Successful recruitment in two countries and varied community settings required partnership with local LGBTQ supporting agencies, including school-based Gay Straight Alliances...
2017: Journal of LGBT Youth
https://www.readbyqxmd.com/read/28943980/physician-pharmacist-agreement-about-off-label-use-of-medications-in-private-clinical-settings-in-baghdad-iraq
#6
Saad A Hussain, Ashwaq N Abbas, Hasan A Alhadad, Ali A Al-Jumaili, Zainab S Abdulrahman
OBJECTIVE: 1) To evaluate the relationship between physician-pharmacist agreement about the off-label drug use and 2) and to identify the most common off-label medication category/indications and prescriber clinical disciplines in private settings in Baghdad area, Iraq. METHODS: This study evaluated 980 off-label use requests in the private clinical settings within Baghdad area, Iraq from October 2013 to September 2015. The efficacy, safety, and convenience of each drug request and its alternative options were evaluated according to the patient health and demographic characteristics and standard guidelines...
July 2017: Pharmacy Practice
https://www.readbyqxmd.com/read/28943974/relationships-between-self-perceptions-and-physical-activity-behaviour-fear-of-falling-and-physical-function-among-older-adults
#7
Myrla Sales, Pazit Levinger, Remco Polman
BACKGROUND: There has been a lack of research examining the relationship among self-perceptions, behaviour, cognitions and functioning in older adults. This study, therefore, examined the relationship between global and physical self-perceptions, physical activity behaviour, and fear of falling taking into considerations objective measures of physical functioning in community dwelling older adults. METHODS/DESIGN: Sixty-six participants between 60 and 90 years old (71...
2017: European Review of Aging and Physical Activity
https://www.readbyqxmd.com/read/28943873/fungal-communities-including-plant-pathogens-in-near-surface-air-are-similar-across-northwestern-europe
#8
Mogens Nicolaisen, Jonathan S West, Rumakanta Sapkota, Gail G M Canning, Cor Schoen, Annemarie F Justesen
Information on the diversity of fungal spores in air is limited, and also the content of airborne spores of fungal plant pathogens is understudied. In the present study, a total of 152 air samples were taken from rooftops at urban settings in Slagelse, DK, Wageningen NL, and Rothamsted, UK together with 41 samples from above oilseed rape fields in Rothamsted. Samples were taken during 10-day periods in spring and autumn, each sample representing 1 day of sampling. The fungal content of samples was analyzed by metabarcoding of the fungal internal transcribed sequence 1 (ITS1) and by qPCR for specific fungi...
2017: Frontiers in Microbiology
https://www.readbyqxmd.com/read/28943804/treatment-in-the-home-setting-with-intermittent-pneumatic-compression-for-a-woman-with-chronic-leg-ulcers-a-case-report
#9
Katrina Young, Harrison Ng Chok, Lesley Wilkes
BACKGROUND: Intermittent Pneumatic Compression (IPC) is shown to improve the healing rate of Venous Leg Ulcers (VLU) in the hospital setting. The current Australian "Gold Standard" treatment according to the Australian and New Zealand Wound Management Associations' (AWMA) Prevention & Management of Venous Leg Ulcer guidelines is compression, generally in the form of bandaging then progressing to hosiery once wounds are healed to prevent recurrence. This is recommended in conjunction with other standards of wound management including; nutrition, exercise, client education and addressing underlying pathophysiology and psychosocial factors...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28943750/promoting-student-teacher-interactions-exploring-a-peer-coaching-model-for-teachers-in-a-preschool-setting
#10
Stacy R Johnson, Kristy J Finlon, Roger Kobak, Carroll E Izard
Peer coaching provides an attractive alternative to traditional professional development for promoting classroom quality in a sustainable, cost-effective manner by creating a collaborative teaching community. This exploratory study describes the development and evaluation of the Colleague Observation And CoacHing (COACH) program, a peer coaching program designed to increase teachers' effectiveness in enhancing classroom quality in a preschool Head Start setting. The COACH program consists of a training workshop on coaching skills and student-teacher interactions, six peer coaching sessions, and three center meetings...
July 2017: Early Childhood Education Journal
https://www.readbyqxmd.com/read/28943479/clinical-characteristics-and-patterns-of-health-deficits-of-centenarians-receiving-home-care-and-long-term-care-services
#11
Shannon Freeman, Joshua J Armstrong, Suzanne L Tyas, Eva Neufeld
Centenarians (persons aged 100years and older) are one of the fastest growing cohorts in countries across the world. With the increasing prevalence of centenarians and growing amount of clinical information in large administrative health databases, it is now possible to more fully characterize the health of this unique and heterogeneous population. This study described patterns of health deficits in the centenarian population receiving care from community-based home care services and long-term care facilities (LTCFs) in Ontario, Canada...
September 21, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/28943335/single-nucleotide-polymorphism-relevance-learning-with-random-forests-for-type-2-diabetes-risk-prediction
#12
Beatriz López, Ferran Torrent-Fontbona, Ramón Viñas, José Manuel Fernández-Real
OBJECTIVE: The use of artificial intelligence techniques to find out which Single Nucleotide Polymorphisms (SNPs) promote the development of a disease is one of the features of medical research, as such techniques may potentially aid early diagnosis and help in the prescription of preventive measures. In particular, the aim is to help physicians to identify the relevant SNPs related to Type 2 diabetes, and to build a decision-support tool for risk prediction. METHODS: We use the Random Forest (RF) technique in order to search for the most important attributes (SNPs) related to diabetes, giving a weight (degree of importance), ranging between 0 and 1, to each attribute...
September 21, 2017: Artificial Intelligence in Medicine
https://www.readbyqxmd.com/read/28943220/who-s-not-protected-in-the-herd-factors-associated-with-vaccine-type-hpv-in-unvaccinated-women
#13
C Smith, L Ding, P M Gorbach, E L Franco, J A Kahn
STUDY OBJECTIVE: Evidence suggests that vaccine-type human papillomavirus (HPV) prevalence may decrease in unvaccinated women after HPV vaccine introduction, indicating herd protection. The aim of this study was to determine factors associated with vaccine-type HPV (i.e. absence of herd protection) after vaccine introduction. DESIGN: We conducted three cross-sectional studies from 2006-2014 (n=1180): wave 1 (2006-2007), wave 2 (2009-2010), and wave 3 (2013-2014)...
September 21, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28942263/child-protection-and-the-development-of-child-abuse-pediatrics-in-new-york-city
#14
Vincent J Palusci
The history of child abuse pediatrics reflects the development of medicine as a profession influenced by social movements reacting to poverty, economic exploitation, and child maltreatment. As physicians began to specialize in caring for children, egregious cases led them to recognize children were affected by special medical problems and diseases which were compounded by poor conditions and abuse and neglect. They developed the fields of pediatrics and child abuse pediatrics to advocate for their needs in courts and communities...
September 14, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28941763/oral-anticoagulants-to-prevent-stroke-in-nonvalvular-atrial-fibrillation-in-patients-with-ckd-stage-5d-an-nkf-kdoqi-controversies-report
#15
Vinod K Bansal, Charles A Herzog, Mark J Sarnak, Michael J Choi, Ravindra Mehta, Bernard G Jaar, Michael V Rocco, Holly Kramer
Stroke risk may be more than 3-fold higher among patients with chronic kidney disease stage 5D (CKD-5D) compared to the general population, with the highest stroke rates noted among those 85 years and older. Atrial fibrillation (AF), a strong risk factor for stroke, is the most common arrhythmia and affects >7% of the population with CKD-5D. Warfarin use is widely acknowledged as an important intervention for stroke prevention with nonvalvular AF in the general population. However, use of oral anticoagulants for stroke prevention in patients with CKD-5D and nonvalvular AF continues to be debated by the nephrology community...
September 20, 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/28941650/the-lived-experience-of-registered-nurses-educated-in-accelerated-second-degree-bachelor-of-science-in-nursing-programs-a-hermeneutic-phenomenological-research-study
#16
Lisa Hennessy
Accelerated Second Degree Bachelor of Science in Nursing (ASDBSN) programs have proliferated in response to the ongoing and anticipated nursing shortages of the first decades of this century. While a number of studies have reported on the students enrolled in these programs, limited information exists regarding how nurses educated in these programs experience their nursing careers beyond the first two years of practice. This study was undertaken to explore the lived experience of registered nurses educated in an ASDBSN program...
September 18, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28940933/evaluating-student-learning-outcomes-in-oral-health-knowledge-and-skills
#17
Adrienne Lewis, Suzanne Edwards, Glenda Whiting, Frank Donnelly
AIMS AND OBJECTIVES: The aim was to evaluate whether a set of oral health resources designed for workforce training was relevant for students undertaking an entry-level nursing or aged care qualification. BACKGROUND: Oral health is one of the most neglected aspects of nursing care experienced by older people. Despite efforts to improve aged care worker oral health knowledge and skills, one-off training and rapid staff turnover have hindered the success of workplace programs...
September 22, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28940637/the-internet-game-use-elicited-symptom-screen-proved-to-be-a-valid-tool-for-adolescents-aged-10-19-years
#18
Sun-Jin Jo, Hyeon Woo Yim, Hae-Kook Lee, Hyung Cho Lee, Jung-Seok Choi, Kyung-Young Baek
AIM: This study tested the diagnostic validity of the nine-item Internet Game Use-Elicited Symptom Screen (IGUESS) tool, which was developed by the authors after the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, identified Internet gaming as a condition that needed further study. METHODS: A self-report screening test comprising IGUESS and the Young's Internet Addiction Test was administered to 121 adolescents (74% boys) with a median age of 14 (range 10 to 19) recruited from school and health settings in Korea, After the screening, a clinician conducted one-to-one interviews with all of the subjects to set a gold standard for diagnosis...
September 21, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28940536/patient-value-perspectives-from-the-advocacy-community
#19
REVIEW
Bonnie J Addario, Ana Fadich, Jesme Fox, Linda Krebs, Deborah Maskens, Kathy Oliver, Erin Schwartz, Gilliosa Spurrier-Bernard, Timothy Turnham
All health-care systems are under financial pressure and many have therefore developed value frameworks to assist decision making regarding access to treatment. Unfortunately, many frameworks simply reflect the clinically focused values held by health-care professionals rather than outcomes that also matter to patients. It is difficult to define one single homogeneous set of patient values as these are shaped by social, religious and cultural factors, and health-care environment, as well as many factors such as age, gender, education, family and friends and personal finances...
September 20, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28940452/template-for-using-biological-trait-groupings-when-exploring-large-scale-variation-in-seafloor-multifunctionality
#20
Anna Villnäs, Judi Hewitt, Martin Snickars, Mats Westerbom, Alf Norkko
Understanding large-scale spatial variation in ecosystem properties and associated functionality is key for successful conservation of ecosystems. This study provides a template for how to estimate differences in ecosystem functionality over large spatial scales by using groupings of biological traits. We focus on trait groupings that describe three important benthic ecosystem properties, namely bioturbation, community stability and juvenile dispersal. Recognizing that groups of traits interact and are constrained within an organism, we statistically define important functional trait subgroups that describe each ecosystem property...
September 22, 2017: Ecological Applications: a Publication of the Ecological Society of America
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