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https://www.readbyqxmd.com/read/29461853/community-navigators-reduce-hospital-utilization-in-super-utilizers
#1
Michael P Thompson, Pradeep S B Podila, Chip Clay, Joy Sharp, Sandra Bailey-DeLeeuw, Armika J Berkley, Bobby G Baker, Teresa M Waters
OBJECTIVES: Super-utilizers place a significant burden on the healthcare system. Blending the roles of patient navigators and community health workers may address the clinical and social needs of these patients. This study evaluated the effectiveness of community navigators in reducing hospital utilization and costs among super-utilizers from a low-income area in Memphis, Tennessee. STUDY DESIGN: Controlled pre-post (difference-in-differences [DID]) design using Methodist Le Bonheur Healthcare electronic health records from 2013 to 2016...
February 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29460929/practical-immune-barometer-sensor-for-trivalent-chromium-ion-detection-using-gold-core-platinum-shell-nanoparticle-probes
#2
Meng Xiao, Haicong Shen, Qiangqiang Fu, Wei Xiao, Hongfen Bian, Zhigang Zhang, Yong Tang
The technology progress of biosensors has markedly improved healthcare, disease diagnosis, environment monitoring, and food safety control over the past few decades. However, development of sensitive, robust, low-cost and portable assays for on-site bioanalysis is still a great challenge. In this study, we described a portable, feasible and miniaturized immune-barometer sensor (IBS), which can be used to sensitively measure the changes in a pressure signal, and we applied this IBS in the detection of Cr(iii)...
February 20, 2018: Analyst
https://www.readbyqxmd.com/read/29460928/self-aggregation-of-water-dispersible-nanocollagen-helices
#3
Hau Van Duong, Trang The Lieu Chau, Nhan Thi Thanh Dang, Duc Van Nguyen, Son Lam Le, Thang Sy Ho, Tuyen Phi Vu, Thi Thi Van Tran, Thanh-Dinh Nguyen
Inspired by nature, collagen is an outstanding polypeptide utilized to exploit its bioactivity and material design for healthcare technologies. In this study, we describe the self-aggregation of water-dispersible nanocollagen helices upon solidification to fabricate different forms of natural collagen materials. Chemically extracted native collagen fibrils are uniform anisotropic nanoparticles with an average diameter of about 50 nm and a high aspect ratio. The as-prepared collagen nanofibrils are soluble in sodium acetate-acetic acid buffer and are dispersible in water, thus generating collagen liquids that are used as distinct biopolymer precursors for materials development...
February 20, 2018: Biomaterials Science
https://www.readbyqxmd.com/read/29454242/making-space-work-staff-socio-spatial-practices-in-a-paediatric-outpatient-department
#4
Tineke Water, Jill Wrapson, Stephen Reay, Katrina Ford
Studies of the characteristics of therapeutic landscapes have become common in medical geography. However, there is limited analysis of how therapeutic landscapes are produced. Based upon the qualitative theoretical thematic analysis of focus group data, this study examined the spatial work carried out by healthcare practitioners in a paediatric outpatients' department, turning unsatisfactory space into a therapeutic place. The study highlights the spatial strategies employed by staff to mitigate socio-spatial deficiencies in the healthcare environment...
February 14, 2018: Health & Place
https://www.readbyqxmd.com/read/29452811/effects-on-adult-cognitive-function-after-neonatal-exposure-to-clinically-relevant-doses-of-ionising-radiation-and-ketamine-in-mice
#5
S Buratovic, B Stenerlöw, S Sundell-Bergman, A Fredriksson, H Viberg, T Gordh, P Eriksson
BACKGROUND: Radiological methods for screening, diagnostics and therapy are frequently used in healthcare. In infants and children, anaesthesia/sedation is often used in these situations to relieve the patients' perception of stress or pain. Both ionising radiation (IR) and ketamine have been shown to induce developmental neurotoxic effects and this study aimed to identify the combined effects of these in a murine model. METHODS: Male mice were exposed to a single dose of ketamine (7...
March 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29452243/evaluation-of-ozonated-water-on-the-basis-of-astm-e1174-for-standardized-testing-of-hand-wash-formulations-for-healthcare-personnel
#6
K Nakamura, K Saito, J Kashiwazaki, T Aoyagi, K Arai, Y Hara, S Kobari, H Mori, K Ohashi, Y Takano, M Kaku, K Kanemitsu
We evaluated the bacterial removal effects of hand washing with ozonated water using the ASTM E1174 standard test method. Thirty healthy volunteers were assigned randomly to three groups: ozonated water, antimicrobial soap and water, and non-antimicrobial soap and water. A 3 log 10 CFU reduction was achieved by washing hands with ozonated water or antimicrobial soap and water. However, ozonated water was not significantly superior to non-antimicrobial soap and water. Ozonated water may remove bacteria from the hands to at least a similar extent as that by non-antimicrobial soap and water in the absence of visible dirt or body fluid contamination...
February 13, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29432997/a-comparative-study-of-hand-hygiene-and-alcohol-based-hand-rub-use-among-irish-nursing-and-medical-students
#7
Liz M Kingston, Nuala H O'Connell, Colum P Dunne
BACKGROUND: In Ireland, the setting for this study, the national prevalence rate of health care-associated infection (HCAI) in acute-care facilities is 5.2%. Hand hygiene and in particular hand rubbing using alcohol-based hand rub (ABHR) is highly efficacious in preventing HCAI transmission. Yet, compliance among healthcare professionals is sub-optimal. Less is known about the practices of nursing and medical students and no study comparing practices among these groups in Ireland was found...
January 31, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29422373/international-commission-for-mountain-emergency-medicine-consensus-guidelines-for-on-site-management-and-transport-of-patients-in-canyoning-incidents
#8
REVIEW
Giacomo Strapazzon, Oliver Reisten, Fabien Argenone, Ken Zafren, Greg Zen-Ruffinen, Gordon L Larsen, Inigo Soteras
Canyoning is a recreational activity that has increased in popularity in the last decade in Europe and North America, resulting in up to 40% of the total search and rescue costs in some geographic locations. The International Commission for Mountain Emergency Medicine convened an expert panel to develop recommendations for on-site management and transport of patients in canyoning incidents. The goal of the current review is to provide guidance to healthcare providers and canyoning rescue professionals about best practices for rescue and medical treatment through the evaluation of the existing best evidence, focusing on the unique combination of remoteness, water exposure, limited on-site patient management options, and technically challenging terrain...
February 5, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29410096/surface-modifications-for-antimicrobial-effects-in-the-healthcare-setting-a-critical-overview
#9
REVIEW
Christian Adlhart, Joanna Verran, Nuno F Azevedo, Hulya Olmez, Minna M Keinänen-Toivola, Isabel Gouveia, Luis F Melo, Francy Crijns
The spread of infections in health care environments is a persistent and growing problem in most countries, aggravated by the development of microbial resistance to antibiotics and disinfectants. In addition to indwelling medical devices (implants, catheters, etc.), such infections may also result from adhesion of microbes either to external solid-water interfaces such as shower caps, taps, drains, etc, or to external solid-gas interfaces such as door handles, clothes, curtains, computer keyboards, etc. The latter are the main focus of the present work, where an overview of antimicrobial coatings for such applications is presented...
February 1, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29408383/evaluation-of-synergistic-antimicrobial-effect-of-vitamins-a-b1-b2-b6-b12-c-d-e-and-k-with-antibiotics-against-resistant-bacterial-strains
#10
Shakeel Shahzad, M Adnan Ashraf, M Sajid, Aqeel Shahzad, Azhar Rafique, M Shahid Mahmood
BACKGROUND & OBJECTIVES: Multiple drug resistant super bugs of Acinetobacter baumannii and methicillin-resistant Staphylococcus aureus (MRSA) are becoming challenge for healthcare professionals. In this study, vitamins were evaluated for synergistic activity with the antibiotics. METHODS: Synergistic effect between antibiotic and stock solutions of vitamins is evaluated by using Kirby-Bauer disc diffusion assay. Distilled water and propylene glycol were used as solvent for water soluble vitamins and fat-soluble vitamins respectively...
February 2, 2018: Journal of Global Antimicrobial Resistance
https://www.readbyqxmd.com/read/29397802/environmental-validation-of-legionella-control-in-a-vha-facility-water-system
#11
Chetan Jinadatha, Eileen M Stock, Steve E Miller, William F McCoy
OBJECTIVES We conducted this study to determine what sample volume, concentration, and limit of detection (LOD) are adequate for environmental validation of Legionella control. We also sought to determine whether time required to obtain culture results can be reduced compared to spread-plate culture method. We also assessed whether polymerase chain reaction (PCR) and in-field total heterotrophic aerobic bacteria (THAB) counts are reliable indicators of Legionella in water samples from buildings. DESIGN Comparative Legionella screening and diagnostics study for environmental validation of a healthcare building water system...
February 5, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29382408/hiding-in-plain-sight-contaminated-ice-machines-are-a-potential-source-for-dissemination-of-gram-negative-bacteria-and-candida-species-in-healthcare-facilities
#12
Anubhav Kanwar, Jennifer L Cadnum, Dongyan Xu, Annette L Jencson, Curtis J Donskey
BACKGROUND Contaminated ice machines have been linked to transmission of pathogens in healthcare facilities. OBJECTIVE To determine the frequency and sites of contamination of ice machines in multiple healthcare facilities and to investigate potential mechanisms of microorganism dispersal from contaminated ice machines to patients. DESIGN Multicenter culture survey and simulation study. SETTING The study took place in 5 hospitals and 2 nursing homes in northeastern Ohio. METHODS We cultured multiple sites on ice machines from patient care areas...
January 31, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29374503/alcohols-as-surface-disinfectants-in-healthcare-settings
#13
John M Boyce
Isopropyl alcohol and ethyl alcohol have been used as low-level disinfectants in healthcare settings for many years. Recent studies have found that ethyl alcohol inhibits protein synthesis in Escherichia coli by direct effects on ribosomes and RNA polymerase and that 60%-70% solutions have in vitro efficacy against murine norovirus, Ebola virus, and several coronaviruses. Alcohol prep pads or towelettes containing isopropyl or ethyl alcohol and water have been used primarily for disinfection of small noncritical items due to a concern regarding their rapid evaporation rates and associated short contact times...
January 28, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29352909/a-review-of-polysaccharides-from-schisandra-chinensis-and-schisandra-sphenanthera-properties-functions-and-applications
#14
REVIEW
Zijian Li, Xin He, Fei Liu, Jue Wang, Juan Feng
Schisandra is an herbal plant resource with dual functions in medicine and food since ancient times. It has a variety of healthcare and therapeutic effects. Schisandra chinensis (Turcz.) Baill and Schisandra sphenanthera Rehd. et Wits are two of the most commonly used Schisandra. Traditional Chinese medicine experience has shown that water-soluble polysaccharide from Schisandra may be one of its main components with pharmacological effects. Progress in the industrial production and extraction process of plant polysaccharides, especially Chinese medicine polysaccharides in the past three decades, have led to many new discoveries about Schisandra polysaccharides in the fields of purification and identification...
March 15, 2018: Carbohydrate Polymers
https://www.readbyqxmd.com/read/29352754/providing-ethical-healthcare-in-resource-poor-environments
#15
Kenneth V Iserson
The ethics of providing health care in resource-poor environments is a complex topic. It implies two related questions: What can we do with the resources on hand? Of all the things we can do, which ones should we do? "Resource-poor" (i.e., resource-challenged, resource-constrained) environments are situations in which clinicians, organizations, or healthcare systems have the knowledge and skills, but not the means, to carry out highly effective and beneficial interventions. Determinants of a population's health often rely less on disease and injury management than on recognizing and meeting their basic needs...
January 19, 2018: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
https://www.readbyqxmd.com/read/29330962/skin-conformal-polymer-electrodes-for-clinical-ecg-and-eeg-recordings
#16
Flurin Stauffer, Moritz Thielen, Christina Sauter, Séverine Chardonnens, Simon Bachmann, Klas Tybrandt, Christian Peters, Christofer Hierold, Janos Vörös
Preparation-free and skin compliant biopotential electrodes with high recording quality enable wearables for future healthcare and the Internet of Humans. Here, super-soft and self-adhesive electrodes are presented for use on dry and hairy skin without skin preparation or attachment pressure. The electrodes show a skin-contact impedance of 50 kΩ cm2 at 10 Hz that is comparable to clinical standard gel electrodes and lower than existing dry electrodes. Microstructured electrodes inspired by grasshopper feet adhere repeatedly to the skin with a force of up to 0...
January 13, 2018: Advanced Healthcare Materials
https://www.readbyqxmd.com/read/29317437/infant-feeding-practices-among-hiv-exposed-infants-less-than-6-months-of-age-in-bomet-county-kenya-an-in-depth-qualitative-study-of-feeding-choices
#17
Purity Chepkorir Lang'at, Irene Ogada, Audrey Steenbeek, Noni E MacDonald, Sophie Ochola, Wesley Bor, Godfrey Odinga
BACKGROUND: In children, HIV can be acquired from the mother during pregnancy, delivery and through breast milk. The WHO recommends exclusive breast feeding or exclusive replacement feeding for the first 6 months after birth for HIV-exposed infants. Barriers such as HIV-related stigma, inadequate resources, lack of access to safe water and negative cultural beliefs have been shown to influence infant feeding among HIV-exposed infants in some settings. In Kenya, there is limited literature on the barriers...
January 9, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29316937/estimate-of-incidence-and-cost-of-recreational-waterborne-illness-on-united-states-surface-waters
#18
Stephanie DeFlorio-Barker, Coady Wing, Rachael M Jones, Samuel Dorevitch
BACKGROUND: Activities such as swimming, paddling, motor-boating, and fishing are relatively common on US surface waters. Water recreators have a higher rate of acute gastrointestinal illness, along with other illnesses including respiratory, ear, eye, and skin symptoms, compared to non-water recreators. The quantity and costs of such illnesses are unknown on a national scale. METHODS: Recreational waterborne illness incidence and severity were estimated using data from prospective cohort studies of water recreation, reports of recreational waterborne disease outbreaks, and national water recreation statistics...
January 9, 2018: Environmental Health: a Global Access Science Source
https://www.readbyqxmd.com/read/29315202/the-effects-of-white-noise-on-agitated-behaviors-mental-status-and-activities-of-daily-living-in-older-adults-with-dementia
#19
Li-Wei Lin, Shu-Chuan Weng, Hua-Shan Wu, Lu-Jen Tsai, Ya-Ling Lin, Shu-Hui Yeh
BACKGROUND: The aging of society is a global trend, and care of older adults with dementia is an urgent challenge. As dementia progresses, patients exhibit negative emotions, memory disorders, sleep disorders, and agitated behavior. Agitated behavior is one of the most difficult problems for family caregivers and healthcare providers to handle when caring for older adults with dementia. PURPOSE: The aim of this study was to investigate the effectiveness of white noise in improving agitated behavior, mental status, and activities of daily living in older adults with dementia...
February 2018: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/29312831/translating-genomics-into-practice-for-real-time-surveillance-and-response-to-carbapenemase-producing-enterobacteriaceae-evidence-from-a-complex-multi-institutional-kpc-outbreak
#20
Jason C Kwong, Courtney R Lane, Finn Romanes, Anders Gonçalves da Silva, Marion Easton, Katie Cronin, Mary Jo Waters, Takehiro Tomita, Kerrie Stevens, Mark B Schultz, Sarah L Baines, Norelle L Sherry, Glen P Carter, Andre Mu, Michelle Sait, Susan A Ballard, Torsten Seemann, Timothy P Stinear, Benjamin P Howden
Background: Until recently, Klebsiella pneumoniae carbapenemase (KPC)-producing Enterobacteriaceae were rarely identified in Australia. Following an increase in the number of incident cases across the state of Victoria, we undertook a real-time combined genomic and epidemiological investigation. The scope of this study included identifying risk factors and routes of transmission, and investigating the utility of genomics to enhance traditional field epidemiology for informing management of established widespread outbreaks...
2018: PeerJ
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