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https://www.readbyqxmd.com/read/28324853/discursive-junctions-in-flood-risk-governance-a-comparative-understanding-in-six-european-countries
#1
Maria Kaufmann, Mark Wiering
Flood risks are managed differently across Europe. While a number of research studies aim to understand these differences, they tend to pay little attention to the social constructionist aspects of flood risk governance, i.e. the meaning that societies give to flood risk and governance. This paper aims to address this gap by understanding differences in flood risk management approaches (FRMA) from a discursive-institutional perspective. Based on this perspective, an analytical framework was developed to systematically analyse and compare discourses pertaining to flood risk and its governance in six European member states (England (the United Kingdom), Flanders (Belgium), France, the Netherlands, Poland and Sweden)...
March 18, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28303438/using-health-technology-assessment-to-assess-the-value-of-new-medicines-results-of-a-systematic-review-and-expert-consultation-across-eight-european-countries
#2
Aris Angelis, Ansgar Lange, Panos Kanavos
BACKGROUND: Although health technology assessment (HTA) systems base their decision making process either on economic evaluations or comparative clinical benefit assessment, a central aim of recent approaches to value measurement, including value based assessment and pricing, points towards the incorporation of supplementary evidence and criteria that capture additional dimensions of value. OBJECTIVE: To study the practices, processes and policies of value-assessment for new medicines across eight European countries and the role of HTA beyond economic evaluation and clinical benefit assessment...
March 16, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/28302433/improving-water-quality-in-a-dialysis-unit-using-root-cause-analysis
#3
Pallavi Yadav, Dawn England, Caprice Vanderkolk, Pui-Ying Iroh Tam
BACKGROUND: Water quality levels from hemodialysis (HD) and reverse osmosis (RO) machines in dialysis units must meet standards set by the American Association of Medical Instrumentation. Researchers used a root cause analysis (RCA) approach to identify and address factors affecting water quality in the HD and portable RO machines at our institution. METHODS: A multidisciplinary team reviewed processes, interviewed staff members, and identified opportunities to improve the current sampling and machine disinfection processes...
March 13, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28299474/a-population-based-cohort-study-of-emergency-appendectomy-performed-in-england-and-new-york-state
#4
Waleed Al-Khyatt, Jemma Mytton, Benjamin H L Tan, Christopher T Aquina, Felicity Evison, Fergal J Fleming, Sandro Pasquali, Ewen A Griffiths, Ravinder S Vohra
BACKGROUND: To compare selected outcomes (30-day reoperation and total length of hospital stay) following emergency appendectomy between populations from New York State and England. METHODS: This retrospective cohort study used demographic and in-hospital outcome data from Hospital Episode Statistics (HES) and the New York Statewide Planning and Research Cooperative System (SPARCS) administrative databases for all patients aged 18+ years undergoing appendectomy between April 2009 and March 2014...
March 15, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28299371/effect-of-mass-paediatric-influenza-vaccination-on-existing-influenza-vaccination-programmes-in-england-and-wales-a-modelling-and-cost-effectiveness-analysis
#5
David Hodgson, Marc Baguelin, Edwin van Leeuwen, Jasmina Panovska-Griffiths, Mary Ramsay, Richard Pebody, Katherine E Atkins
BACKGROUND: In 2013 England and Wales began to fund a live attenuated influenza vaccine programme for individuals aged 2-16 years. Mathematical modelling predicts substantial beneficial herd effects for the entire population as a result of reduced influenza transmission. With a decreased influenza-associated disease burden, existing immunisation programmes might be less cost-effective. The aim of this study was to assess the epidemiological effect and cost-effectiveness of the existing elderly and risk group vaccination programme under the new policy of mass paediatric vaccination in England...
February 2017: Lancet Public Health
https://www.readbyqxmd.com/read/28293995/the-nhs-in-crisis
#6
(no author information available yet)
How serious is the situation in emergency departments? Figures for England showing how many patients were discharged, transferred or admitted within four hours in January were the worst on record, at 85.1%. Add to this very high attendances at emergency departments and admissions, and a growing number of 12-hour waits for a bed and this does look like an unprecedented crisis. There is also a large number of trusts declaring Opel 3 and 4 alerts (the new black and red alerts). Attendances at major A&Es increased by 5...
March 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28292656/fingermark-visualisation-on-uncirculated-%C3%A2-5-bank-of-england-polymer-notes-initial-process-comparison-studies
#7
Rory P Downham, Eleigh R Brewer, Roberto S P King, Aoife M Luscombe, Vaughn G Sears
Experiments were conducted to investigate the effectiveness of a range of fingermark visualisation processes on brand new, uncirculated, £5 polymer banknotes (and their test note predecessors), as produced by the Bank of England (BoE). In the main study of this paper, a total of 14 individual processes were investigated on BoE £5 polymer banknotes, which included both 'Category A' processes (as recommended in the Home Office Fingermark Visualisation Manual) as well as recently developed processes, including fpNatural(®) 2 powder (cuprorivaite) from Foster+Freeman and a vacuum metal deposition sequence that evaporates silver followed by zinc...
March 4, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28292476/health-technology-assessment-hta-case-studies-factors-influencing-divergent-hta-reimbursement-recommendations-in-australia-canada-england-and-scotland
#8
Nicola Allen, Stuart R Walker, Lawrence Liberti, Sam Salek
OBJECTIVES: To evaluate the national regulatory, health technology assessment (HTA), and reimbursement pathways for public health care in Australia, Canada, England, and Scotland, to compare initial Canadian national HTA recommendations with the initial decisions of the other HTA agencies, and to identify factors for differing national HTA recommendations between the four HTA agencies. METHODS: Information from the public domain was used to develop a regulatory process map for each jurisdiction and to compare the HTA agencies' reimbursement recommendations...
March 2017: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/28292317/the-association-of-funding-source-on-effect-size-in-randomized-controlled-trials-2013-2015-a-cross-sectional-survey-and-meta-analysis
#9
Alberto Falk Delgado, Anna Falk Delgado
BACKGROUND: Trials financed by for-profit organizations have been associated with favorable outcomes of new treatments, although the effect size of funding source impact on outcome is unknown. The aim of this study was to estimate the effect size for a favorable outcome in randomized controlled trials (RCTs), stratified by funding source, that have been published in general medical journals. METHODS: Parallel-group RCTs published in The Lancet, New England Journal of Medicine, and JAMA between 2013 and 2015 were identified...
March 14, 2017: Trials
https://www.readbyqxmd.com/read/28290256/preparing-the-sexual-health-workforce-to-deliver-integrated-services-is-education-the-answer-a-qualitative-study-exploring-the-impact-of-sexual-health-education-on-developing-integrated-policy-and-practice
#10
Judy Brook, Debra Salmon, Rachael-Anne Knight
Aim This study aimed to explore the ability of sexual health nurses working in the South West of England, to implement new learning within existing sexual health service delivery models. Drawing on Lipsky's account of street-level bureaucracy to conceptualise policy implementation, the impact of workforce learning on the development of integrated services across this region of the United Kingdom was assessed. BACKGROUND: In order to achieve the United Nations' goal of universal access to sexual health, it is essential for reproductive and sexual health, including HIV provision, to integrate into a single service...
March 14, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28289452/hot-topics-from-the-assemblies
#11
(no author information available yet)
Syncope is a transient loss of consciousness typically due to cerebral hypoperfusion with many causes, including pulmonary embolism. The prevalence of pulmonary embolism in patients with syncope is unknown; hence, in a prospective study, Prandoni et al. and the PESIT investigators report in the New England Journal of Medicine the prevalence of pulmonary embolism in 560 patients admitted for a first episode of syncope at 11 medical centres in Italy.
March 2017: Breathe
https://www.readbyqxmd.com/read/28289309/promoting-professional-socialization-within-the-experiential-curriculum-implementation-of-a-high-stakes-professionalism-rubric
#12
Kim Tanzer, Matthew Dintzner
Objectives. To describe the implementation of a high-stakes rubric to assess student professionalism in introductory and advanced pharmacy practice experiences (IPPEs and APPEs) to promote the professional socialization of students in the doctor of pharmacy (PharmD) program at Western New England University (WNE). Findings. A professionalism rubric was adapted from the literature to assess the professional behavior of students enrolled in experiential courses based on evaluation of the following criteria: appropriate communication skills with patients and providers, appearance and dress code, timeliness, and initiative...
February 25, 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28289016/gambling-problems-among-patients-in-primary-care-a-cross-sectional-study-of-general-practices
#13
Sean Cowlishaw, Lone Gale, Alison Gregory, Jim McCambridge, David Kessler
BACKGROUND: Primary care is an important context for addressing health-related behaviours, and may provide a setting for identification of gambling problems. AIM: To indicate the extent of gambling problems among patients attending general practices, and explore settings or patient groups that experience heightened vulnerability. DESIGN AND SETTING: Cross-sectional study of patients attending 11 general practices in Bristol, South West England...
March 13, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28287116/photothermally-triggered-actuation-of-hybrid-materials-as-a-new-platform-for-in-vitro-cell-manipulation
#14
Amy Sutton, Tanya Shirman, Jaakko V I Timonen, Grant T England, Philseok Kim, Mathias Kolle, Thomas Ferrante, Lauren D Zarzar, Elizabeth Strong, Joanna Aizenberg
Mechanical forces in the cell's natural environment have a crucial impact on growth, differentiation and behaviour. Few areas of biology can be understood without taking into account how both individual cells and cell networks sense and transduce physical stresses. However, the field is currently held back by the limitations of the available methods to apply physiologically relevant stress profiles on cells, particularly with sub-cellular resolution, in controlled in vitro experiments. Here we report a new type of active cell culture material that allows highly localized, directional and reversible deformation of the cell growth substrate, with control at scales ranging from the entire surface to the subcellular, and response times on the order of seconds...
March 13, 2017: Nature Communications
https://www.readbyqxmd.com/read/28286239/higher-bone-resorption-excretion-in-south-asian-women-vs-white-caucasians-and-increased-bone-loss-with-higher-seasonal-cycling-of-vitamin-d-results-from-the-d-fines-cohort-study
#15
A L Darling, K H Hart, F Gossiel, F Robertson, J Hunt, T R Hill, S Johnsen, J L Berry, R Eastell, R Vieth, S A Lanham-New
Few data exist on bone turnover in South Asian women and it is not well elucidated as to whether Western dwelling South Asian women have different bone resorption levels to that of women from European ethnic backgrounds. This study assessed bone resorption levels in UK dwelling South Asian and Caucasian women as well as evaluating whether seasonal variation in 25-hydroxyvitamin D [25(OH)D] is associated with bone resorption in either ethnic group. Data for seasonal measures of urinary N-telopeptide of collagen (uNTX) and serum 25(OH)D were analysed from n=373 women (four groups; South Asian postmenopausal n=44, South Asian premenopausal n=50, Caucasian postmenopausal n=144, Caucasian premenopausal n=135) (mean (±SD) age 48 (14) years; age range 18-79years) who participated in the longitudinal D-FINES (Diet, Food Intake, Nutrition and Exposure to the Sun in Southern England) cohort study (2006-2007)...
March 7, 2017: Bone
https://www.readbyqxmd.com/read/28284019/perspectives-on-hypertension-in-the-new-england-cape-verdean-community
#16
Samantha DeAndrade, Fadya El Rayess, Roberta Goldman
This study characterizes patient understanding of hypertension and its management in a Cape Verdean immigrant community. We conducted 20 semi-structured interviews with Cape Verdean Creole-speaking adults about their beliefs and behaviors regarding hypertension. Fourteen women and six men ages 35-87 were interviewed. The majority of the participants believed hypertension is symptomatic, with headache being the most common symptom. Many reported taking anti-hypertensive medication, though some took medication only when they felt symptoms...
March 10, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28283982/caregivers-had-neighbourhood-support-but-perceived-it-unsatisfactory-and-worsened-england-community-life-survey-2012-2014
#17
Ivy Shiue
There has been limited research studying neighbourhood support for caregivers. Therefore, the aim of the present study was to investigate the support from neighbourhoods between both caregivers and non-caregivers in a country-wide and population-based setting. Data were retrieved from England Community Life Survey, 2012-2014, a new annual household survey conducted by face-to-face interview since 2012, with a representative sample size of 5-6000 adult (aged 16 years and over) resident per year in England. Chi-square test and logistic regression modelling were performed to examine the variance in support from and perception toward neighbourhoods between caregivers and non-caregivers...
March 11, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28283023/genome-analysis-following-a-national-increase-in-scarlet-fever-in-england-2014
#18
Victoria Chalker, Aleksey Jironkin, Juliana Coelho, Ali Al-Shahib, Steve Platt, Georgia Kapatai, Roger Daniel, Chenchal Dhami, Marisa Laranjeira, Timothy Chambers, Rebecca Guy, Theresa Lamagni, Timothy Harrison, Meera Chand, Alan P Johnson, Anthony Underwood
BACKGROUND: During a substantial elevation in scarlet fever (SF) notifications in 2014 a national genomic study was undertaken of Streptococcus pyogenes (Group A Streptococci, GAS) isolates from patients with SF with comparison to isolates from patients with invasive disease (iGAS) to test the hypotheses that the increase in SF was due to either the introduction of one or more new/emerging strains in the population in England or the transmission of a known genetic element through the population of GAS by horizontal gene transfer (HGT) resulting in infections with an increased likelihood of causing SF...
March 10, 2017: BMC Genomics
https://www.readbyqxmd.com/read/28281610/the-standard-of-newly-qualified-dental-graduates-foundation-trainer-perceptions
#19
C J Oxley, R Dennick, P Batchelor
Background There have been anecdotal concerns that the skill mix of recently qualified graduates is very different to those qualifying several years ago, in particular that the clinical skills on qualification are less. If true, such changes may have ramifications for providers of undergraduate training, postgraduate training, particularly at foundation training level, and ultimately the public.Aim The aim of this study was to assess changes in perceived standards of newly qualified graduates as reported by foundation trainers...
March 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28279613/knowledge-and-attitudes-to-prescription-charges-in-new-zealand-and-england
#20
Pauline T Norris, Sarah E Wilson, James A Green, Jessica Gu, Shelby Goddard, Logan R Deadman, Jennefa Dai, Kelsi Fastier, Christina Kothapally, Wendy Shi, Aleisha Whyte, Haleema Aslam, Raeesa Desai, Nicole Wood, Chris G Sibley
BACKGROUND: Prescription charge regimes vary between countries but there is little research on how much people know about these or support values underlying them. OBJECTIVE: To explore, in New Zealand (NZ) and England, the public's knowledge of, and attitudes to, charges and whether knowledge and attitudes varied by demographic characteristics or by values about entitlement to public goods. METHOD: A questionnaire was developed and administered to people over 18 recruited in public places in NZ and England...
February 22, 2017: Research in Social & Administrative Pharmacy: RSAP
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