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https://www.readbyqxmd.com/read/28207841/barriers-and-enablers-to-the-implementation-of-the-6-pack-falls-prevention-program-a-pre-implementation-study-in-hospitals-participating-in-a-cluster-randomised-controlled-trial
#1
Darshini R Ayton, Anna L Barker, Renata T Morello, Caroline A Brand, Jason Talevski, Fiona S Landgren, Mayer M Melhem, Evelyn Bian, Sandra G Brauer, Keith D Hill, Patricia M Livingston, Mari Botti
Evidence for effective falls prevention interventions in acute wards is limited. One reason for this may be suboptimal program implementation. This study aimed to identify perceived barriers and enablers of the implementation of the 6-PACK falls prevention program to inform the implementation in a randomised controlled trial. Strategies to optimise successful implementation of 6-PACK were also sought. A mixed-methods approach was applied in 24 acute wards from 6 Australian hospitals. Participants were nurses working on participating wards and senior hospital staff including Nurse Unit Managers; senior physicians; Directors of Nursing; and senior personnel involved in quality and safety or falls prevention...
2017: PloS One
https://www.readbyqxmd.com/read/28207333/handgun-legislation-and-changes-in-statewide-overall-suicide-rates
#2
Michael D Anestis, Joye C Anestis, Sarah E Butterworth
OBJECTIVES: To examine the extent to which 4 laws regulating handgun ownership were associated with statewide suicide rate changes. METHODS: To test between-group differences in statewide suicide rate changes between 2013 and 2014 in all 50 states and the District of Columbia with and without specific laws, we ran analyses of covariance. RESULTS: We found significant differences in suicide rate changes from 2013 to 2014 in states with mandatory waiting periods and universal background checks relative to states without such laws...
February 16, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28203632/timing-disownership-experiences-in-the-rubber-hand-illusion
#3
Timothy Lane, Su-Ling Yeh, Philip Tseng, An-Yi Chang
Some investigators of the rubber hand illusion (RHI) have suggested that when standard RHI induction procedures are employed, if the rubber hand is experienced by participants as owned, their corresponding biological hands are experienced as disowned. Others have demurred: drawing upon a variety of experimental data and conceptual considerations, they infer that experience of the RHI might include the experience of a supernumerary limb, but that experienced disownership of biological hands does not occur. Indeed, some investigators even categorically deny that any experimental paradigm has been employed or any evidence can be adduced to support the claim that disownership experiences occur during the RHI...
2017: Cogn Res Princ Implic
https://www.readbyqxmd.com/read/28203590/surgeon-directed-cost-variation-in-isolated-rotator-cuff-repair
#4
E Bailey Terhune, Peter C Cannamela, Jared S Johnson, Charles D Saad, John Barnes, Janette Silbernagel, Thomas Faciszewski, Kevin G Shea
BACKGROUND: As value becomes a larger component of heath care decision making, cost data can be evaluated for regional and physician variation. Value is determined by outcome divided by cost, and reducing cost increases value for patients. "Third-party spend" items are individual selections by surgeons used to perform procedures. Cost data for third-party spend items provide surgeons and hospitals with important information regarding care value, potential cost-saving opportunities, and the total cost of ownership of specific clinical decisions...
December 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28202142/from-institutional-segmentation-to-market-fragmentation-institutional-transformation-and-the-shifting-stratification-order-in-urban-china
#5
Wei Zhao, Xueguang Zhou
Focusing on the changing roles of organizations, this study develops an institutional framework to examine the shifting stratification order since the mid-1990s in urban China. We argue that, after the mid-1990s, the Chinese state led a dual process of institutional transformation. On the one hand, the state dismantled the socialist redistributive system and broke down institutional segmentation based on organizational ownership and bureaucratic rank. On the other hand, the state developed different markets with various paces and strategies, resulting in fragmented market environments...
March 2017: Social Science Research
https://www.readbyqxmd.com/read/28199267/organizational-and-community-factors-associated-with-magnet-status-of-u-s-hospitals
#6
Teresa Wai Chi Tai, Sherry I Bame
The Magnet Recognition Program for healthcare organizations promotes excellence in nursing services and professional practices. However, organizational and community characteristics that contribute to the adoption of Magnet status remain unexplained. Investigating organizational and community factors will help determine systematic structural and contextual dimensions of Magnet hospitals previously shown to be more cost-effective in comparison with non-Magnet hospitals. Using the baseline 2005 database of all Magnet hospitals in the United States, the authors selected a matched sample to determine key organizational and community characteristics associated with Magnet adoption while controlling for regional and local factors...
January 2017: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/28199168/my-scientific-journey-from-an-agrarian-start-to-an-academic-setting
#7
Janice M Bahr
This article is a combination of an autobiography and a review of outstanding research done by over 70 graduate students, postdoctoral fellows, and visiting scientists along with excellent collaborators during my over-40-year career as a professor of reproductive physiology at the University of Illinois, Urbana-Champaign. I have also shared thoughts on mentoring, how research has changed over the years, and the future of reproductive physiology. I provide the reader with a snapshot of the challenges faced by a woman eager to obtain a PhD under the guidance of renowned professors in the early 1970s and to be hired as the first woman, and the only permanent female faculty member, for more than 20 years on a faculty of 40 men...
February 8, 2017: Annual Review of Animal Biosciences
https://www.readbyqxmd.com/read/28196750/employee-reactions-to-the-use-of-management-control-systems-in-hospitals-motivation-vs-threat
#8
Ernesto Lopez-Valeiras, Jacobo Gomez-Conde, Rogerio Joao Lunkes
OBJECTIVE: Management control systems (such as budgets or balanced scorecards) are formal procedures used by managers to promote employee behavior aligned with organisational objectives. Employees may react to these control systems by either becoming more motivated or perceiving them as a threat. The aim of this paper is to determine the extent to which hospital ownership (public or private), professional group (physician, nurse, pharmacist or administrative employee), type of contract (fixed or temporary), gender and tenure can condition employee reaction to management control systems...
February 10, 2017: Gaceta Sanitaria
https://www.readbyqxmd.com/read/28196579/realisation-of-a-joint-consumer-engagement-strategy-in-the-nepean-blue-mountains-region
#9
Ilse Blignault, Diana Aspinall, Lizz Reay, Kay Hyman
Ensuring consumer engagement at different levels of the health system - direct care, organisational design and governance and policy - has become a strategic priority. This case study explored, through interviews with six purposively selected 'insiders' and document review, how one Medicare Local (now a Primary Health Network, PHN) and Local Health District worked together with consumers, to establish a common consumer engagement structure and mechanisms to support locally responsive, integrated and consumer-centred services...
February 15, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28196113/chasm-in-primary-care-provision-in-a-universal-health-system-findings-from-a-nationally-representative-survey-of-health-facilities-in-malaysia
#10
Huy Ming Lim, Sheamini Sivasampu, Ee Ming Khoo, Kamaliah Mohamad Noh
BACKGROUND: Malaysia has achieved universal health coverage since 1980s through the expansion of direct public provision, particularly in rural areas. However, no systematic examination of the rural-urban distribution of primary care services and resources has been conducted to date for policy impact evaluation. METHODS: We conducted a national cross-sectional survey of 316 public and 597 private primary care clinics, selected through proportionate stratified random sampling, from June 2011 through February 2012...
2017: PloS One
https://www.readbyqxmd.com/read/28196105/adaptive-geostatistical-sampling-enables-efficient-identification-of-malaria-hotspots-in-repeated-cross-sectional-surveys-in-rural-malawi
#11
Alinune N Kabaghe, Michael G Chipeta, Robert S McCann, Kamija S Phiri, Michèle van Vugt, Willem Takken, Peter Diggle, Anja D Terlouw
INTRODUCTION: In the context of malaria elimination, interventions will need to target high burden areas to further reduce transmission. Current tools to monitor and report disease burden lack the capacity to continuously detect fine-scale spatial and temporal variations of disease distribution exhibited by malaria. These tools use random sampling techniques that are inefficient for capturing underlying heterogeneity while health facility data in resource-limited settings are inaccurate...
2017: PloS One
https://www.readbyqxmd.com/read/28194190/prevalence-of-allergen-sensitization-in-1000-adults-in-saskatchewan
#12
Stacey D Lok, Beth E Davis, Donald W Cockcroft
BACKGROUND: The prevalence of sensitization varies geographically based on multiple environmental factors including humidity. The aim of this study was to determine the prevalence of atopy in symptomatic adults. More importantly we aimed to obtain a regional statistic of sensitization to common allergens given Saskatchewan's dry climate. METHODS: One thousand consecutive symptomatic adults were screened for atopy via skin prick test over 10 years (2006-2016) in the Division of Respirology...
2017: Allergy, Asthma, and Clinical Immunology
https://www.readbyqxmd.com/read/28194118/the-interactive-influence-of-perceived-ownership-and-perceived-choosership-of-stocks-on-brain-response-to-stock-outcomes
#13
Zhe Shang, Lei Wang, Han Wu
The present research examined the influence of perceived ownership (self/other) and perceived chooser (self/other) of stocks on brain activity, and investigated whether differential brain responses to stock outcomes as a result of perceived differences in ownership of stock would be modulated by perceived chooser of stock. We used a 2 (stock chooser: self, other) × 2 (stock owner: self, other) within-subject design to represent four types of chooser-owner relationships. Brain potentials were recorded while participants observed increasing and decreasing stock prices...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28193600/smartphone-based-self-assessment-of-stress-in-healthy-adult-individuals-a-systematic-review
#14
Helga Þórarinsdóttir, Lars Vedel Kessing, Maria Faurholt-Jepsen
BACKGROUND: Stress is a common experience in today's society. Smartphone ownership is widespread, and smartphones can be used to monitor health and well-being. Smartphone-based self-assessment of stress can be done in naturalistic settings and may potentially reflect real-time stress level. OBJECTIVE: The objectives of this systematic review were to evaluate (1) the use of smartphones to measure self-assessed stress in healthy adult individuals, (2) the validity of smartphone-based self-assessed stress compared with validated stress scales, and (3) the association between smartphone-based self-assessed stress and smartphone generated objective data...
February 13, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28190972/object-view-in-spatial-system-dynamics-a-grassland-farming-example
#15
REVIEW
Christian Neuwirth, Barbara Hofer, Andreas Schaumberger
Spatial system dynamics (SSD) models are typically implemented by linking stock variables to raster grids while the use of object representations of human artefacts such as buildings or ownership has been limited. This limitation is addressed by this article, which demonstrates the use of object representations in SSD. The objects are parcels of land that are attributed to grassland farms. The model simulates structural change in agriculture, i.e., change in the size of farms. The aim of the model is to reveal relations between structural change, farmland fragmentation and variable farmland quality...
July 2, 2016: J Spat Sci
https://www.readbyqxmd.com/read/28189041/biologically-plausible-learning-in-neural-networks-with-modulatory-feedback
#16
W Shane Grant, James Tanner, Laurent Itti
Although Hebbian learning has long been a key component in understanding neural plasticity, it has not yet been successful in modeling modulatory feedback connections, which make up a significant portion of connections in the brain. We develop a new learning rule designed around the complications of learning modulatory feedback and composed of three simple concepts grounded in physiologically plausible evidence. Using border ownership as a prototypical example, we show that a Hebbian learning rule fails to properly learn modulatory connections, while our proposed rule correctly learns a stimulus-driven model...
January 28, 2017: Neural Networks: the Official Journal of the International Neural Network Society
https://www.readbyqxmd.com/read/28188768/frequency-of-toxocara-spp-antibodies-in-umbilical-cords-of-newborns-attended-atthe-university-hospital-in-southern-brazil-and-factors-associated-with-infection
#17
Paula Costa Santos, Paula Lima Telmo, Lis Maurente Lehmann, Carolina Lorenzi, Carolina Hirsch, Gabriela Torres Mattos, Gabriel Baracy Klafke, Maria Elisabeth Aires Berne, Carla Vitola Gonçalves, Carlos James Scaini
Toxocariasis is a neglected and geographically widespread parasitic disease. The detection of specific antibodies associated with this disease is required to confirm its clinical diagnosis and to aid in prevention. Although helminth infection during pregnancy can promote foetal immune responses with long-term effects, specific information regarding the risk of Toxocara spp. infection to the human foetus during pregnancy is lacking.Therefore,the present study aimed to investigate the frequency of antibodies against Toxocara spp...
February 7, 2017: Acta Tropica
https://www.readbyqxmd.com/read/28188681/mhealth-in-solid-organ-transplant-the-time-is-now
#18
J N Fleming, D J Taber, J McElligott, J W McGillicuddy, F Treiber
Despite being in existence for over 40 years, the application of telemedicine has lagged significantly in comparison to its generated interest. One detractor has been the immobile design of most historic telemedicine interventions and the relative deficiency of smartphones in the general populace. Recently, the exponential increase in smartphone ownership and familiarity have provided the potential for the development of mobile health (mHealth) interventions that can realistically be mirrored in clinical applications...
February 11, 2017: American Journal of Transplantation
https://www.readbyqxmd.com/read/28187889/gift-cloud-a-data-sharing-and-collaboration-platform-for-medical-imaging-research
#19
Tom Doel, Dzhoshkun I Shakir, Rosalind Pratt, Michael Aertsen, James Moggridge, Erwin Bellon, Anna L David, Jan Deprest, Tom Vercauteren, Sébastien Ourselin
OBJECTIVES: Clinical imaging data are essential for developing research software for computer-aided diagnosis, treatment planning and image-guided surgery, yet existing systems are poorly suited for data sharing between healthcare and academia: research systems rarely provide an integrated approach for data exchange with clinicians; hospital systems are focused towards clinical patient care with limited access for external researchers; and safe haven environments are not well suited to algorithm development...
February 2017: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/28186673/modulation-of-fronto-parietal-connections-during-the-rubber-hand-illusion
#20
Anke Ninija Karabanov, Anina Ritterband-Rosenbaum, Mark Schram Christensen, Hartwig Roman Siebner, Jens Bo Nielsen
Accumulating evidence suggests that parieto-frontal connections play a role in adjusting body ownership during the Rubber Hand Illusion (RHI). Using a motor version of the rubber hand illusion paradigm, we applied single-site and dual-site transcranial magnetic stimulation (TMS) to investigate cortico-spinal and parietal-frontal connectivity during perceived rubber hand ownership. Healthy volunteers received a conditioning TMS pulse over left anterior intraparietal sulcus (aIPS) and a test TMS pulse over left primary motor cortex (M1)...
February 10, 2017: European Journal of Neuroscience
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