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https://www.readbyqxmd.com/read/29150473/patient-level-and-practice-level-factors-associated-with-consultation-duration-a-cross-sectional-analysis-of-over-one-million-consultations-in-english-primary-care
#1
Sarah Stevens, Clare Bankhead, Toqir Mukhtar, Rafael Perera-Salazar, Tim A Holt, Chris Salisbury, F D Richard Hobbs
OBJECTIVES: Consultation duration has previously been shown to be associated with patient, practitioner and practice characteristics. However, previous studies were conducted outside the UK, considered only small numbers of general practitioner (GP) consultations or focused primarily on practitioner-level characteristics. We aimed to determine the patient-level and practice-level factors associated with duration of GP and nurse consultations in UK primary care. DESIGN AND SETTING: Cross-sectional data were obtained from English general practices contributing to the Clinical Practice Research Datalink (CPRD) linked to data on patient deprivation and practice staffing, rurality and Quality and Outcomes Framework (QOF) achievement...
November 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/29146890/effectiveness-of-topical-green-tea-against-multidrug-resistant-staphylococcus-aureus-in-cases-of-primary-pyoderma-an-open-controlled-trial
#2
Nagaraju Umashankar, Belliappa Pemmanda, P Gopkumar, A J Hemalatha, Priya K Sundar, H V Prashanth
BACKGROUND: Antimicrobial activity of green tea against Staphylococcus aureus both in vitro and in vivo has been reported recently. Studies on clinical efficacy and safety of green tea as antibacterial agent against S. aureus in human cases are rare. OBJECTIVES: To evaluate the clinical effectiveness and safety of topical green tea on primary pyoderma caused by S. aureus. We also attempted to determine the minimum inhibitory concentration of green tea against S...
November 14, 2017: Indian Journal of Dermatology, Venereology and Leprology
https://www.readbyqxmd.com/read/29126600/effect-of-treatment-delay-on-the-effectiveness-and-safety-of-antifibrinolytics-in-acute-severe-haemorrhage-a-meta-analysis-of-individual-patient-level-data-from-40%C3%A2-138-bleeding-patients
#3
Angèle Gayet-Ageron, David Prieto-Merino, Katharine Ker, Haleema Shakur, François-Xavier Ageron, Ian Roberts
BACKGROUND: Antifibrinolytics reduce death from bleeding in trauma and post-partum haemorrhage. We examined the effect of treatment delay on the effectiveness of antifibrinolytics. METHODS: We did an individual patient-level data meta-analysis of randomised trials done with more than 1000 patients that assessed antifibrinolytics in acute severe bleeding. We identified trials done between Jan 1, 1946, and April 7, 2017, from MEDLINE, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, PubMed, Popline, and the WHO International Clinical Trials Registry Platform...
November 7, 2017: Lancet
https://www.readbyqxmd.com/read/29121556/the-efficacy-of-interventions-for-low-back-pain-in-nurses-a-systematic-review
#4
REVIEW
Wannes Van Hoof, Kieran O'Sullivan, Mary O'Keeffe, Sabine Verschueren, Peter O'Sullivan, Wim Dankaerts
OBJECTIVES: To investigate the efficacy of interventions for the prevention and treatment of low back pain in nurses. DESIGN: Systematic review. DATA SOURCES: The review was registered on the PROSPERO database (CRD42015026941) and followed the PRISMA statement guidelines. A two phase approach was used. In phase one, all randomised controlled trials included in the systematic review of Dawson et al. (2007) which reviewed interventions for low back pain in nurses until 2004 were selected...
November 6, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29113107/redesigning-journal-clubs-to-staying-current-with-the-literature
#5
Roland N Dickerson, G Christopher Wood, Joseph M Swanson, Rex O Brown
Staying current with the literature is of paramount importance to the pharmacist engaged in an evidence-based clinical practice. Given the expanding roles and responsibilities of today's pharmacists combined with exponential growth in new medical and health sciences literature, staying current has become an extremely daunting task. Traditional journal clubs have focused upon their role as a training vehicle for teaching critical reading skills to residents. However, schools of pharmacy are now required to provide instruction in biostatistics, research design, and interpretation...
November 6, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29105728/tests-for-detecting-strabismus-in-children-aged-1-to-6-years-in-the-community
#6
REVIEW
Sarah Hull, Vijay Tailor, Sara Balduzzi, Jugnoo Rahi, Christine Schmucker, Gianni Virgili, Annegret Dahlmann-Noor
BACKGROUND: Strabismus (misalignment of the eyes) is a risk factor for impaired visual development both of visual acuity and of stereopsis. Detection of strabismus in the community by non-expert examiners may be performed using a number of different index tests that include direct measures of misalignment (corneal or fundus reflex tests), or indirect measures such as stereopsis and visual acuity. The reference test to detect strabismus by trained professionals is the cover‒uncover test...
November 6, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29066096/interventions-to-prevent-global-childhood-overweight-and-obesity-a-systematic-review
#7
REVIEW
Sara N Bleich, Kelsey A Vercammen, Laura Y Zatz, Johannah M Frelier, Cara B Ebbeling, Anna Peeters
In view of the prevalence, health consequences, and costs of childhood obesity, there has been substantial interest in identifying effective interventions to prevent excess weight gain in young people. In this systematic review, we expand on previous reviews of obesity prevention interventions by including recent studies (until May 23, 2017) from all parts of the world. We searched MEDLINE, Embase, CINAHL Plus, Web of Science, CAB Abstracts, and PAIS Index and included randomised controlled trials, quasi-experimental studies, or natural experiments with: (1) a control group; (2) minimum follow-up of 12 months for community-based and home-based interventions or 6 months for school-based and preschool-based interventions; and (3) a primary outcome of BMI, BMI Z score, BMI percentile, body fat percentage, skinfold thickness, waist circumference, or prevalence of overweight or obesity...
October 20, 2017: Lancet Diabetes & Endocrinology
https://www.readbyqxmd.com/read/29065147/developing-citizen-report-cards-for-primary-health-care-in-low-and-middle-income-countries-results-from-cognitive-interviews-in-rural-tajikistan
#8
Sebastian Bauhoff, Lila Rabinovich, Lauren A Mayer
Citizen report cards on health care providers have been identified as a potential means to increase citizen engagement, provider accountability and health systems performance. Research in high-income settings indicates that the wording, presentation and display of performance information are critical to achieve these goals. However, there are limited insights on developing effective report card designs for middle- and low-income settings. We conducted cognitive interviews to assess consumers' understanding, interpretation of and preferences for displaying information for a health care report card in rural Tajikistan...
2017: PloS One
https://www.readbyqxmd.com/read/29032365/how-does-academic-achievement-relate-to-cardiorespiratory-fitness-self-reported-physical-activity-and-objectively-reported-physical-activity-a-systematic-review-in-children-and-adolescents-aged-6-18-years
#9
REVIEW
Adilson Marques, Diana A Santos, Charles H Hillman, Luís B Sardinha
OBJECTIVE: This report aimed to systematically review the evidence for a differential association between objective and self-reported physical activity and cardiorespiratory fitness on academic achievement. DESIGN: Systematic review. DATA SOURCES: Studies were identified from searches in Embase, Education Resources Information Center, PubMed, PsycINFO, SPORTdiscus and Web of Science databases from January 2000 to December 2016. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Eligibility criteria included cross-sectional, longitudinal and interventional study designs...
October 14, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28989126/risk-factors-and-treatment-needs-among-orphan-school-children
#10
Malleedi Shanthi, E V Soma Sekhar Goud, G Padmanabha Kumar, Jagdeesh P Rajguru, Subramaniam Ratnasothy, Kranti Kr Ealla
AIM: The aim of the study was to identify risk factors and treatment needs of orphan children of Selangor, Kuala Lumpur, Malaysia. Ob ectives: (1) To identify the association between the frequency of snacking and caries among orphan schoolchildren, (2) To assess Streptococcus mutans and Lactobacilli (microbiological assessment) in saliva of orphan children, and (3) To formulate treatment needs for orphan children. MATERIALS AND METHODS: A cross-sectional study was done among 253 children of 5-, 12-, and 15-year-olds living in various orphanage houses of Selangor, Kuala Lumpur, Malaysia...
October 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/28974258/an-intervention-delivered-by-text-message-to-increase-the-acceptability-of-effective-contraception-among-young-women-in-palestine-study-protocol-for-a-randomised-controlled-trial
#11
Ona L McCarthy, Ola Wazwaz, Iman Jado, Baptiste Leurent, Phil Edwards, Samia Adada, Amina Stavridis, Caroline Free
BACKGROUND: Unintended pregnancy can negatively impact women's lives and is associated with poorer health outcomes for women and children. Many women, particularly in low- and middle-income countries, continue to face obstacles in avoiding unintended pregnancy. In the State of Palestine, a survey conducted in 2006 estimated that 38% of pregnancies are unintended. In 2014, unmet need for contraception was highest among young women aged 20-24 years, at 15%. Mobile phones are increasingly being used to deliver health support...
October 3, 2017: Trials
https://www.readbyqxmd.com/read/28970765/prevalence-and-determinants-of-stunting-among-primary-school-children-in-rural-and-urban-communities-in-obafemi-owode-local-government-area-southwestern-nigeria
#12
W U Adenuga, T A Obembe, K O Odebunmi, M C Asuzu
BACKGROUND: Studies on stunting in children have largely focused on the underfive, establishing it as a strong predictor of mortality in these children. Few studies have documented the prevalence or determinants of stunting among school children in southwestern Nigeria. The aim of the study was to determine the prevalence and predictors of stunting among selected primary school children in rural and urban communities of Obafemi Owode Local Government Area, Ogun State. METHOD: A cross-sectional study of rural and urban primary school children was conducted...
June 2017: Annals of Ibadan Postgraduate Medicine
https://www.readbyqxmd.com/read/28953569/description-and-early-outcomes-of-a-comprehensive-curriculum-redesign-at-the-northwestern-university-feinberg-school-of-medicine
#13
Heather L Heiman, Celia L O'Brien, Raymond H Curry, Marianne M Green, James F Baker, Robert F Kushner, John X Thomas, Thomas C Corbridge, Julia F Corcoran, Joshua M Hauser, Patricia M Garcia
In 2012, the Northwestern University Feinberg School of Medicine launched a redesigned curriculum addressing the four primary recommendations in the 2010 Carnegie Foundation for the Advancement of Teaching report on reforming medical education. This new curriculum provides a more standardized evaluation of students' competency achievement through a robust portfolio review process coupled with standard evaluations of medical knowledge and clinical skills. It individualizes learning processes through curriculum flexibility, enabling students to take electives earlier and complete clerkships in their preferred order...
September 26, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28915887/professional-fulfillment-and-parenting-work-life-balance-in-female-physicians-in-basic-sciences-and-medical-research-a-nationwide-cross-sectional-survey-of-all-80-medical-schools-in-japan
#14
Yuka Yamazaki, Takanori Uka, Eiji Marui
BACKGROUND: In Japan, the field of Basic Sciences encompasses clinical, academic, and translational research, as well as the teaching of medical sciences, with both an MD and PhD typically required. In this study, it was hypothesized that the characteristics of a Basic Sciences career path could offer the professional advancement and personal fulfillment that many female medical doctors would find advantageous. Moreover, encouraging interest in Basic Sciences could help stem shortages that Japan is experiencing in medical fields, as noted in the three principal contributing factors: premature resignation of female clinicians, an imbalance of female physicians engaged in research, and a shortage of medical doctors in the Basic Sciences...
September 15, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28870608/association-among-food-insecurity-academic-performance-and-weight-status-in-primary-schoolchildren-in-tehran-iran-a-cross-sectional-study
#15
Saeed Esfandiari, Nasrin Omidvar, Hassan Eini-Zinab, Aazam Doustmohammadian, Zeynab Amirhamidi
OBJECTIVE: To examine the associations among household food insecurity (FI), academic performance, and weight status in urban primary schoolchildren. DESIGN: Cross-sectional study. SETTING: Primary schools in Tehran, Iran. PARTICIPANTS: A total of 803 students (419 boys and 384 girls), aged 10-12 years, were recruited from 43 primary schools. MAIN OUTCOME MEASURES: Levels of FI were measured using a locally validated, 18-item household food security survey module...
September 1, 2017: Journal of Nutrition Education and Behavior
https://www.readbyqxmd.com/read/28864027/efficacy-and-safety-of-tribendimidine-tribendimidine-plus-ivermectin-tribendimidine-plus-oxantel-pamoate-and-albendazole-plus-oxantel-pamoate-against-hookworm-and-concomitant-soil-transmitted-helminth-infections-in-tanzania-and-c%C3%A3-te-d-ivoire-a-randomised-controlled
#16
RANDOMIZED CONTROLLED TRIAL
Wendelin Moser, Jean T Coulibaly, Said M Ali, Shaali M Ame, Amour K Amour, Richard B Yapi, Marco Albonico, Maxim Puchkov, Jörg Huwyler, Jan Hattendorf, Jennifer Keiser
BACKGROUND: Preventive chemotherapy is the current strategy to control soil-transmitted helminth infections (caused by Ascaris lumbricoides, hookworm, and Trichuris trichiura). But, to improve efficacy and avoid emerging resistance, new drugs are warranted. Tribendimidine has shown good anthelmintic efficacy and is therefore a frontrunner for monotherapy and combination chemotherapy. METHODS: We did a randomised, controlled, single-blinded, non-inferiority trial on Pemba Island, Tanzania, and in Côte d'Ivoire...
November 2017: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/28846438/my-secret-life
#17
Mary-Dell Chilton
In my early childhood, my parents gave me to my maternal grandparents for a "visit" that extended over a period of nine years. I seemed to be a fairly ordinary student in primary grades, and had to take a remedial general science class upon entering high school, my first exposure to science. It was the teacher of that class, Mr. Auer, who told me that I had scored amazingly high on a science aptitude test given to all freshmen. The people who administered the testing were convinced that I must have cheated somehow...
August 28, 2017: Annual Review of Plant Biology
https://www.readbyqxmd.com/read/28838082/effect-of-school-wellness-policies-and-the-healthy-hunger-free-kids-act-on-food-consumption-behaviors-of-students-2006-2016-a-systematic-review
#18
Jennifer L Mansfield, Dennis A Savaiano
Federal regulation mandates that the US National School Lunch Program nutrition standards align with the Dietary Guidelines for Americans. As students consume a substantial proportion of their nutrition during school lunch, increasing access to healthy foods is proposed to improve student dietary outcomes. The purpose of this review is to assess whether policy changes impacted food-consumption behaviors of students during periods when (1) school wellness policies were implemented (2006-2007); (2) the Healthy, Hunger-Free Kids Act was passed (2010-2012); and (3) the Healthy, Hunger-Free Kids Act was implemented (2012-present)...
July 1, 2017: Nutrition Reviews
https://www.readbyqxmd.com/read/28767498/the-road-to-rural-primary-care-a-narrative-review-of-factors-that-help-develop-recruit-and-retain-rural-primary-care-physicians
#19
Anna Beth Parlier, Shelley L Galvin, Sarah Thach, David Kruidenier, Ernest Blake Fagan
PURPOSE: To examine the literature documenting successes in recruiting and retaining rural primary care physicians. METHOD: The authors conducted a narrative review of literature on individual, educational, and professional characteristics and experiences that lead to recruitment and retention of rural primary care physicians. In May 2016, they searched MEDLINE, PubMed, CINAHL, ERIC, Web of Science, Google Scholar, the Grey Literature Report, and reference lists of included studies for literature published in or after 1990 in the United States, Canada, or Australia...
August 1, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28753435/the-contribution-of-spatial-ability-to-mathematics-achievement-in-middle-childhood
#20
Katie A Gilligan, Eirini Flouri, Emily K Farran
Strong spatial skills are associated with success in science, technology, engineering, and mathematics (STEM) domains. Although there is convincing evidence that spatial skills are a reliable predictor of mathematical achievement in preschool children and in university students, there is a lack of research exploring associations between spatial and mathematics achievement during the primary school years. To address this question, this study explored associations between mathematics and spatial skills in children aged 5 and 7years...
November 2017: Journal of Experimental Child Psychology
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